V-Y advancement flap in upper-lip reconstruction.
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Bites and Stings↗
Biomedical subjects
T A Narsete
Publications and source records attributed to T A Narsete.
Anatomic design of a sensate plantar flap.
To date, full-thickness skin ulcers of the heel of the foot are still difficult wounds to cover. Many choices of coverage are available, but few provide long-term coverage due to bone exposure, deficient sensibility, and subsequent breakdown. An advancement flap based on the medial plantar artery with sensory nerve branches is presented with long-term follow-up. This flap is available and expendable, with an excellent are of rotation. Reliable circulation and sensibility are the key factors for successful reconstruction.
Electric Injuries↗
Rotation advancement in traumatic upper lip ectropion.
Rotation advancement is a well-known technique in cleft lip repair. This procedure corrects lip length and abnormal muscle insertion, and allows for accurate approximation of lip structures. It is a widely accepted standard of practice for congenital harelip repair that teaches fundamental principles of reconstructive surgery. An innovation is presented in which this procedure is used to correct a traumatic lip ectropion. The anatomic design is identical to a congenital cleft lip repair. The benefits of this approach are discussed in an interesting patient report.
Adult↗
Pressure sores.
Pressure, hygiene, spasticity and chronic infection are the important local factors in pressure ulceration. Hypoproteinemia, nutritional deficiency and anemia are the systemic factors. Careful attention to local wound care and dietary supplements is required. Muscle and myocutaneous flaps may provide better coverage than the traditional random pattern flaps. Flaps with sensibility have theoretic advantages but need further investigation.
Bacterial Infections↗