Experimental reproduction of free flap errors: a new model of thrombosis.

Abstract:

:Surgical errors in the length and orientation of a flap pedicle can result in kinks, twists, or tension on the pedicle vessels. When these errors occur together with the microvascular repairs associated with free flap transfer, thrombosis and flap failure may be the outcome. A model was designed to simulate these events. The rabbit central ear artery and vein were dissected and all other tissue connections were severed in a near-complete amputation. The artery was transected, shortened by 2 mm, and repaired standardly. The ear was then rotated 360 degrees, twisting the vein around the repaired artery. The ear cartilage was shortened by 6 mm, then sutured, and the skin was closed. In a series of 20 ears, 95% necrosed, 18 from arterial thrombosis and 1 from venous thrombosis. Several other groups were used in which aspects of the basic model were modified to determine the factors influencing failure. When the arterial anastomosis was not performed and the vascular pedicle was rotated with cartilage shortening, all ears survived; when the cartilage was not resected in this paradigm, leaving tension on the pedicle, 50% of the ears necrosed from venous thrombosis. In counterpoint, when the artery was repaired without twisting the pedicle, all ears survived, whether or not the cartilage was shortened. When the artery was repaired without shortening it and with rotation of the ear, 50% of the ears necrosed when the cartilage was shortened, 40% from venous thrombosis and 10% from arterial thrombosis; all ears necrosed (of venous thrombosis) when the cartilage was not shortened.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Ann Plast Surg

authors

Ozbek MR,Deune EG,Cooley BC,Khouri RK

doi

10.1097/00000637-199405000-00006

subject

Has Abstract

pub_date

1994-05-01 00:00:00

pages

474-7

issue

5

eissn

0148-7043

issn

1536-3708

journal_volume

32

pub_type

杂志文章
  • Efficacy of positively charged ion exchange beads in radiation-impaired models of wound healing.

    abstract::We have previously demonstrated in a rat surgical incision model that charged dextran beads enhance wound repair in a charge-specific manner: positively charged beads increased wound breaking strength (WBS), whereas neutral or negatively charged beads were ineffective. The present work extends these observations into ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199606000-00008

    authors: Galiano RD,Jyung RW,Krukowski M,Mustoe TA

    更新日期:1996-06-01 00:00:00

  • An anatomical study of the facial artery.

    abstract::The anatomical variations encountered in the dissection of 50 facial arteries in 25 adult preserved cadavers are presented. The facial artery was symmetrical in 17 of 25 (68%) of the dissections. The facial artery terminated as an angular facial artery in 34 (68%), a lateral nasal vessel in 13 (26%), and a superior la...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198807000-00003

    authors: Niranjan NS

    更新日期:1988-07-01 00:00:00

  • Controlled clinical trial with pirfenidone in the treatment of breast capsular contracture: association of TGF-β polymorphisms.

    abstract:BACKGROUND:Breast capsular contracture (BCC) is a commonly adverse event postmammoplastly characterized by an immune response mediated by cytokines and transforming growth factor (TGF)-β1 resulting in excessive synthesis and deposit of extracellular matrix around the breast implant. Presence of TGF-β1 polymorphisms has...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31822284f4

    authors: Veras-Castillo ER,Cardenas-Camarena L,Lyra-Gonzalez I,Muñoz-Valle JF,Lucano-Landeros S,Guerrerosantos J,Gonzalez-Ulloa B,Mercado-Barajas JL,Sanchez-Parada MG,Azabache-Wennceslao R,Armendariz-Borunda J

    更新日期:2013-01-01 00:00:00

  • An 18-year experience in the management of congenital nevomelanocytic nevi.

    abstract:BACKGROUND:Children with giant congenital nevomelanocytic nevi (CNN) are referred to our pediatric burn center for the surgical management of this disfiguring and potentially malignant skin disorder. Use of tissue expanders has contributed significantly in limiting donor site morbidity associated with treatment of gian...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318095a784

    authors: Warner PM,Yakuboff KP,Kagan RJ,Boyce S,Warden GD

    更新日期:2008-03-01 00:00:00

  • Use of the osteomuscular dorsal scapular flap in the reconstruction of mandibular defects.

    abstract::The gold standard for mandibular defect reconstruction is the fibular free flap. Nevertheless, the pedicled osteomuscular dorsal scapular flap as a reconstructive tool offers promise for mandibular defect reconstruction and could be the first choice in certain circumstances. Its use in resource-limited settings offers...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318230992e

    authors: Nthumba PM

    更新日期:2013-01-01 00:00:00

  • Vein, silastic, and polyglycolic acid fine mesh: a comparative study in peripheral nerve repair.

    abstract::We investigated three sheathing materials (autogenous vein, silastic, and polyglycolic acid fine mesh) using the rat model. Forty rats were divided into five groups of eight animals each. Group A animals underwent transection of the sciatic nerve but had no repair. In Group B, a standard epineural repair was performed...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199509000-00008

    authors: Lolley RD,Bose WJ,Bastian F,Bassam B,Meyer FN,Anderson LD

    更新日期:1995-09-01 00:00:00

  • An ideal stent for reliable and efficient skin graft application.

    abstract::A simple, efficient, yet expedient method producing an ideal stent has proved to be highly reliable in over 150 clinical cases. When performed technically correctly, 100% graft take may be anticipated under most grafting circumstances. The method uses Reston (3-M Company, St. Paul, MN), a synthetic urethane foam pad, ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198407000-00005

    authors: Weiner LJ,Moberg AW

    更新日期:1984-07-01 00:00:00

  • Acellular dermal composite allografts for reconstruction of the radial forearm donor site.

    abstract:PURPOSE:Since its description in the 1970s, the radial forearm free flap has earned a clearly defined role in the armamentarium of reconstructive head and neck surgery. Three decades later, the donor site remains an intrinsic drawback primarily due to its esthetic impact, although functional morbidity is significant in...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000221622.41450.60

    authors: Rowe NM,Morris L,Delacure MD

    更新日期:2006-09-01 00:00:00

  • Masseter muscle hypertrophy.

    abstract::Benign hypertrophy of the masseter muscle is an uncommon entity important in the differential diagnosis of head and neck masses, particularly a unilateral mass located in the cheek. Ten cases of benign masseteric hypertrophy are reviewed, current surgical treatment is described, and the pertinent literature is summari...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198406000-00007

    authors: Riefkohl R,Georgiade GS,Georgiade NG

    更新日期:1984-06-01 00:00:00

  • Aesthetic units in skin grafting of the face.

    abstract::In patients with difficult facial reconstructions, one of the most important requirements is to plan well, before beginning treatment. It is known that it is important to consider the aesthetic unit of the face. Each cutaneous area is to be reconstructed by a single, separate graft or flap. We present 4 patients illus...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199104000-00009

    authors: Maillard GF,Clavel PR

    更新日期:1991-04-01 00:00:00

  • Familial multiple glomus tumors: report of a pedigree and literature review.

    abstract::Glomus tumors are uncommon, benign soft tissue tumors that can occur in a familial or sporadic pattern. Only 15 pedigrees have been reported to date. We report a family with three generations developing multiple glomus tumors of the skin. Although controversy exists over pattern of inheritance, review of the published...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199401000-00013

    authors: Tran LP,Velanovich V,Kaufmann CR

    更新日期:1994-01-01 00:00:00

  • Acute nasal reconstruction with forehead flap after dog bite.

    abstract:PURPOSE:This study aimed to describe immediate nasal reconstruction using a forehead flap after dog bite injuries. BACKGROUND:Dog bites to the nose can avulse multiple aesthetic subunits, making primary repair difficult, inadvisable, or impossible. Microsurgical replantation and composite grafting of the nose have bee...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31827ead6c

    authors: Huang AH,Wong MS

    更新日期:2013-04-01 00:00:00

  • Psychological characteristics of women who undergo single and multiple cosmetic surgeries.

    abstract::Women over the age of 30 who had undergone single (N = 20) and multiple (N = 16) facial cosmetic surgery were compared with a control group (N = 49) on five personality measures. Cosmetic surgical patients were found to be more narcissistic (p = 0.05) and to have more problems with separation-individuation (p = 0.01) ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199709000-00001

    authors: Dunofsky M

    更新日期:1997-09-01 00:00:00

  • Hematogenous osteomyelitis of the hand skeleton in adults after dental maxillary infections.

    abstract::Hematogenous ostemyelitis is infrequently seen in adults and primary involvement of the hand skeleton is extremely rare. Little has been reported about the foci of hematogenously spread infections. Two cases of hematogenous osteomyelitis of the hand originating from dental maxillary infections were reported. The first...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199607000-00016

    authors: Germann G,Petracic A,Wittemann M,Raff T

    更新日期:1996-07-01 00:00:00

  • Breast augmentation under general anesthesia versus monitored anesthesia care: a retrospective comparative study.

    abstract::Breast augmentation is one of the leading esthetic surgeries, enjoying high satisfaction rates. Pain, nausea, and vomiting are frequent shortcomings of the immediate postoperative period. The aim of this study was to compare breast augmentation from the anesthetic point of view: general anesthesia (GA) versus monitore...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31815bfe98

    authors: Eldor L,Weissman A,Fodor L,Carmi N,Ullmann Y

    更新日期:2008-09-01 00:00:00

  • Long-term Outcome After Surgical Treatment of Lipedema.

    abstract::Lipedema is a condition characterized by abnormal deposition of adipose tissue in the lower extremities leading to circumferential bilateral lower extremity enlargement typically seen extending from the hips to the ankles. Diagnosis of the condition is often challenging, and patients frequently undergo a variety of un...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318215791e

    authors: Peled AW,Slavin SA,Brorson H

    更新日期:2012-03-01 00:00:00

  • Effect of recombinant human growth hormone on random pattern flaps in rats.

    abstract::Recombinant human growth hormone, a very potent anabolic hormone, plays a significant role in growth regulation, bone metabolism, and wound healing. This study evaluates its effect on random flap survival. Rats were randomly divided into 2 groups. A dorsal random flap, cephalically based, was used. One group received ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318193498c

    authors: Shalom A,Hollander L,Westreich M

    更新日期:2009-11-01 00:00:00

  • Detecting arterial and venous obstruction in flaps.

    abstract::Island skin flaps based on the latissimus dorsi muscle were raised in domestic pigs. Flap circulation, maintained only by the vascular pedicle, was monitored by laser Doppler flowmetry, laser photometry, and transcutaneously measured carbon dioxide tension. Both arterial and venous occlusion were accompanied by very l...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198501000-00005

    authors: Svensson H,Svedman P,Holmberg J,Jacobsson S

    更新日期:1985-01-01 00:00:00

  • The distally based sural artery flap.

    abstract::The sural artery flap is a distally based fasciocutaneous flap. It is based on a reverse flow through anastomoses between the peroneal artery and the communicating vascular network of the medial sural nerve. In the difficult area of defects in the lower leg and the ankle and heel region, it has a wide variety of indic...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199807000-00011

    authors: Huisinga RL,Houpt P,Dijkstra R,Storm van Leeuwen JB

    更新日期:1998-07-01 00:00:00

  • Allograft materials in phalloplasty: a comparative analysis.

    abstract:INTRODUCTION:Allograft use has increased recently with the rising use of allograft materials in breast surgery. There are few data that compare the performance of the various allograft materials in this application, despite marketing efforts by the manufacturers to present one allograft material as superior to another....

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318281aece

    authors: Solomon MP,Komlo C,Defrain M

    更新日期:2013-09-01 00:00:00

  • Brief history and biology of skin grafting.

    abstract::Skin grafting is a modern addition to surgery but with ancient roots. Its biology has come to light only within the last 50 years, and research continues into its basic mechanisms. A brief history of skin grafting from Susruta to Reverdin and Ollier and the mechanisms of skin grafting featuring recent research effects...

    journal_title:Annals of plastic surgery

    pub_type: 历史文章,杂志文章,评审

    doi:10.1097/00000637-198810000-00011

    authors: Chick LR

    更新日期:1988-10-01 00:00:00

  • Skeletal distraction of the hypoplastic mandible.

    abstract::Six patients underwent percutaneous pin placement, 17 intraoral corticotomies, and application of an Orthofix lengthening device to facilitate complex multiplanar distraction as mandated by the patient's specific deformity. The patients underwent gradual bony and soft-tissue distraction at the rate of .25 mm four time...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199502000-00004

    authors: Pensler JM,Goldberg DP,Lindell B,Carroll NC

    更新日期:1995-02-01 00:00:00

  • The influence of ischemia/reperfusion injury on the jejunum.

    abstract::Ischemia/reperfusion injury (IRI) after free tissue transfer of the small intestine results in transmural tissue damage. This study examined the effects of IRI on the jejunum. Wistar rats served either as controls (N=10) or underwent clamping of the infrarenal aorta for 1 hour followed by 1 hour of reperfusion (N=10)....

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199806000-00008

    authors: Blennerhassett L,Kong SE,Heel K,McCauley R,Hall J

    更新日期:1998-06-01 00:00:00

  • Creep vs. stretch: a review of the viscoelastic properties of skin.

    abstract::Possessing viscous and elastic rheological properties, skin is viscoelastic. Mechanical creep, defined as the elongation of skin with a constant load over time beyond intrinsic extensibility, has been described as the vehicle harnessed for wound closure with presuturing, intraoperative tissue expansion, skin-stretchin...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000637-199808000-00019

    authors: Wilhelmi BJ,Blackwell SJ,Mancoll JS,Phillips LG

    更新日期:1998-08-01 00:00:00

  • Management of acute burns of the female pediatric breast: delayed tangential excision versus spontaneous eschar separation.

    abstract::A 2-year-old girl sustained full-thickness burns to the anterior chest. Skin grafting was performed after spontaneous eschar separation in 1 breast and after delayed tangential excision after wound demarcation in the other breast. Both breasts developed equally, indicating that careful tangential excision to viable ti...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199407000-00012

    authors: al-Qattan MM,Zuker RM

    更新日期:1994-07-01 00:00:00

  • A reverse triangular soleus flap based on small distal communicating arterial branches.

    abstract::We report a 25-year-old woman who suffered traumatic damage to the medial malleolar area. Arteriography revealed a posterior tibial artery occlusion at the ankle. The predominant pattern of medial soleus vascularization was revealed during surgery. A reverse medial soleus flap including the posterior tibial pedicle wa...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199810000-00018

    authors: Dumont CE,Masquelet AC

    更新日期:1998-10-01 00:00:00

  • Circumferential negative-pressure dressing (VAC) to bolster skin grafts in the reconstruction of the penile shaft and scrotum.

    abstract::This paper presents 4 consecutive cases using negative-pressure dressings (VAC) to bolster skin grafts in male genital reconstruction. In this series reconstruction followed 1 case of tumor ablation and 3 cases of debridement of abscesses or Fornier's gangrene. The VAC was applied circumferentially to the penis to sec...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000143606.39693.3f

    authors: Weinfeld AB,Kelley P,Yuksel E,Tiwari P,Hsu P,Choo J,Hollier LH

    更新日期:2005-02-01 00:00:00

  • Cosmetic surgery reality TV viewership: relations with cosmetic surgery attitudes, body image, and disordered eating.

    abstract:BACKGROUND:According to the American Society of Plastic Surgeons (2007), the number of cosmetic procedures has increased to over 10 million in 2006, representing a 48% increase from 2000. This increase in cosmetic surgery prevalence is paralleled by a surge in reality cosmetic surgery television programming. METHODS:T...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31817e2cb8

    authors: Sperry S,Thompson JK,Sarwer DB,Cash TF

    更新日期:2009-01-01 00:00:00

  • A New Surgical Method to Reconstruct the Fingertip.

    abstract:BACKGROUND:In our previous study, we used cross finger fascial flap combined with split-thickness toe nail bed graft to reconstruct large area defect of the nail bed with distal phalanx exposure. Fingertip avulsions are common injuries to the upper extremity and cause a great deal of distress for patients. Replantation...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002002

    authors: Yang J,Yu C,Jia X

    更新日期:2019-12-01 00:00:00

  • Hair removal using the long-pulsed ruby laser.

    abstract::There are a variety of traditional treatments for the removal of unwanted hair. Recently, lasers have been developed to remove hair. The long-pulsed ruby laser uses light at a wavelength of 694 nm with a 3-msec pulse to destroy hair. Seventy-two patients were treated with this laser from one to four times in a variety...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199807000-00001

    authors: Solomon MP

    更新日期:1998-07-01 00:00:00