Les lambeaux cutanés minces dans la prise en charge des pertes de substance cutanée de la main et du membre supérieur

Dast, S.; Vaucher, Richard; Rotari, Vladimir; Assaf, N.; David, Emmanuel; Christian, H.; Sinna, R.

doi:10.1016/j.anplas.2016.03.001

Cited by 5 publications

(3 citation statements)

References 44 publications

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“…Prior expansion (3 patients in our series) reduces the scarring by allowing first-line closure and avoiding skin grafts. The capsulotomy, in the second operation, does not compromise the vascularization of the skin pallet [19–21]. However, the main disadvantage of this technique is the requirement of two procedures.…”

Section: Discussionmentioning

confidence: 99%

Interest of Thin Skin Flaps in the Treatment of Postburn Cervical Contractures: About Five Cases

Ghorbel

Bouaziz

Bellaaj

et al. 2019

Case Reports in Surgery

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Objectives. The use of thin skin flaps in the reconstruction of postburn cervical contractures associated with functional impacts. Material and Methods. We conducted a descriptive observational study on about five patients who had reconstruction of postburn cervical contractures using various thin skin flaps in a plastic surgery department. The follow-up period was ranged from 12 to 18 months. We determined the characteristics of the retraction according to the Vandenbussche classification, the indications of the flaps, and the functional and aesthetic results. Results. Most of our patients were young adults presenting segmental retraction of the neck associated with moderate functional impact. The occipito-cervico-dorsal flap was used in three cases. The occipito-cervico-shoulder flap was used in two cases. The aesthetic and functional results were satisfactory for all patients, but a “neck-collar” aspect of the cervical-chin angle was noticed. Conclusion. Postburn cervical contractures remain frequent. Their reconstruction is a difficult process as it is ideally done with a skin similar to the original one. The use of thin skin flaps seems to be an excellent option.

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Section: Discussionmentioning

confidence: 99%

Interest of Thin Skin Flaps in the Treatment of Postburn Cervical Contractures: About Five Cases

Ghorbel

Bouaziz

Bellaaj

et al. 2019

Case Reports in Surgery

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“…Wound healing will take more time, and the patient will manifest less tolerance for radiation therapy. Moreover, the possibility of resurfacing with a thin perforator flap (26)(27)(28)(29)(30) may in some cases allow the surgeon to get around the difficulties associated with supposedly inadequate morphology (obesity…). Last but not least, it is possible to harvest a composite perforator flap including muscle fascia in view of achieving functional tendon repair and reconstruction (anterolateral thigh fascia lata flap) (31).…”

Section: The Role Of Flapsmentioning

confidence: 99%

“…Needs for reconstruction of the elbow, the arm, the wrist and the hand are excellent indications for reconstruction by free perforator flap in the STS framework (26,29). Reconstruction will require fine tissues, to be deployed on a potentially extended surface.…”

Section: Upper Limb (Table 1)mentioning

confidence: 99%