What is a note flap?
The note flap, described by Walike et al in 1985, is another type of rotational flap. 42. Appropriately named, the design of the flap looks like a musical eighth note with the defect being the note head (Fig. 4).
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What is nasolabial flap?
The nasolabial flap is a pedicled flap with a wide description and application for use in lateral nasal wall, ala, columella, and intraoral reconstruction. It is a versatile flap that is well tolerated by the patient, with very acceptable donor-site scars.
What is a transposition flap?
Transposition flaps recruit noncontiguous donor tissue that is incised and shifted to trade places with intact tissue in order to close a wound. This allows the use of skin from areas of less tension, and directs incision tension vectors more favorably.
What is the difference between rotation and transposition flap?
The transposition flap is commonly described as a rectangular flap that adjoins an existing defect and is moved laterally for defect coverage. In contrast to the rotation flap, the transposition flap is moved or transposed over an area of intact tissue as it is transferred into the defect.
What is an ATR flap?
Transpositional flaps in plastic surgery refer to cutouts of healthy skin or other tissue. The surgeon then rotates the still-attached tissue to cover an adjacent injury or defect.
What is a positive glabellar tap?
You have 3 more open access pages. The glabellar tap is a primitive reflex where the eyes shut if an individual is tapped lightly between the eyebrows. This reflex may normally be overcome rapidly – i.e. the individual soon fails to blink, usually less than five taps.
How does a forehead flap work?
This involves freeing a flap of skin from the forehead, with its own blood supply, and attaching it over the wound on the nose. The flap remains attached until the nose is fully healed. This is usually around 4 weeks. Once the nose has healed, the flap will be separated from the forehead.
How do you make a Karapandzic flap?
The Karapandzic flap is created by making a curvilinear incision toward the alar base with the width of the flap equal to the height of the defect (Fig 1). During dissection, the labial arteries and buccal motor nerve branches are identified and preserved and the flap is rotated and advanced for closure.
What is an interpolated flap?
An interpolated flap is a two-stage technique in which the base of the flap is not directly adjacent to the recipient defect. These flaps are used when insufficient tissue or mobility in nearby skin prevents the coverage of a surgical defect with primary closure or an adjacent flap.
What is Truncal Incurvation?
TRUNCAL INCURVATION OR GALANT REFLEX. This reflex occurs when the side of the infant’s spine is stroked or tapped while the infant lies on the stomach. The infant will twitch their hips toward the touch in a dancing movement.
Does flap surgery hurt?
Most patients experience some discomfort after a flap procedure. Depending on your needs, we may prescribe pain medication or recommend over-the-counter medicine. It is important to relax after surgery, as strenuous activity may cause the treated area to bleed.
How long does it take to heal from forehead flap surgery?
It is done in two or three stages over a period of weeks to months. This involves freeing a flap of skin from the forehead, with its own blood supply, and attaching it over the wound on the nose. The flap remains attached until the nose is fully healed. This is usually around 4 weeks.
What is rhomboid flap?
What is a rhomboid flap? The rhomboid flap is classified as a local transposition flap – a flap that moves laterally about a pivot point into an adjacent defect. This lateral movement differs it from a rotation flap. The donor site wound is closed directly under minimal tension.