Biomedical subjects
Publications and source records attributed to A Govila.
After the introduction of the concept of extracorporeal tissue transfer by the author in 1988, the technique has gained world wide acceptance and popularity. However it has not been used intraorally and in this paper we present its use in three very difficult intra-oral reconstructions. The technique is presented along with the results, and the merits discussed.
The author reports the use of extracorporeal tissue transfer technique for salvaging severed digits of the hand which are unfit for replantation. The technique of extracorporeal tissue transfer has been reported by us earlier. In this paper its use has been extended for salvaging five non replantable digits in two cases.
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Proboscis lateralis of type IV has not yet been reported from the Indian subcontinent. The authors gives a report on a case of this type and describes the technique of reconstruction not described before. A case of a right-sided proboscis lateralis associated with ipsilateral hemi-nasal aplasia and contralateral nostril and alar defect, a contralateral cleft lip and alveolus, hypertelorism and mild hydrocephalus is presented and documented on a boy coming from the Indian subcontinent.
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We have used methyl methacrylate as bone substitute in 8 clinical cases for a variety of problems, from simple nasal implants to more complicated mandibular reconstruction including the temporomandibular joint complex. The follow-up period, which ranged up to 36 months, has been very encouraging and we continue to use this material routinely in our Unit. We present our experience. Three illustrative cases are described.
The use of avulsed skin is recommended as a source of vessels for trainees to practise microvascular techniques. If it cannot be used immediately it can be stored in the refrigerator for later use.
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In this article I present a nonmicrosurgical technique for transferring the radial forearm flap for reconstruction of defects in the head and neck. The technique is described briefly and experience with 7 patients is presented. The advantages of this method are discussed.
The radial forearm flap, owing to its good-caliber arteries of long length and equally well distributed venous system, has proved very reliable. It has not only earned its place and recognition in reconstructive hand surgery, but also has emerged as a workhorse for the microvascular surgeon. We have used 14 radial forearm flaps for upper extremity reconstruction, and we present herein our experience. The technique of extracorporeal tissue transfer, which has been published elsewhere, was used in two patients and is detailed. Four representative patients are presented.
With better understanding of microcirculation of the flaps and with the introduction of the concept of myocutaneous flaps, nasolabial flap has regained its past popularity. Although it has been used increasingly for oral defects, its use for reconstruction of palatal defects has not been reported. Large anterior fistulae of palate are commonly produced when a wide cleft of palate is being repaired in an adult patient, especially by a beginner in plastic surgery, and are difficult to treat surgically. We have used superiorly based nasolabial myocutaneous island flap in one such case and report it here.
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