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The growing need for therapies to treat large cutaneous defects has driven recent interest in the design of scaffolds that stimulate regenerative wound healing.
Aesthetic repair of small cutaneous defects of the nose is a common challenge for the dermatologic surgeon because nonmelanoma cancers occur frequently in this location.
The V Y advancement flap has been widely used for the reconstruction of cutaneous defects for decades; however, the movement of a V Y flap is sometimes limited, allowing only for rotation or advancement movement.
Louis et al. [ 5], for example, generally separate cases into cutaneous defects involving only the auricular skin, composite defects with defects of both the skin and the cartilage, and total or near-total defects requiring the reconstruction of the complete auricle (focus of this article).
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After debridement of the necrotic tissue, the cutaneous defect measured 6 × 5 cm.
Severe soft tissue oedema is seen in the surrounding soft tissues, extending to a plantar cutaneous defect (arrowheads).
In order to cover the cutaneous defect, improve local vascularization, and allow reimplantation of the talus, a sural fasciocutaneous island flap was harvested.
d Axial image at the level of the cutaneous defect shows the abnormally low neural placode within the spinal canal without expansion of the subarachnoid spaces.
c Sagittal T2-weighted HASTE image shows a cutaneous defect or thinning in the lumbosacral region (arrowhead) with no mass protruding through the defect as well as an associated Chiari malformation (black arrow).
A wide cutaneous defect and large dead space within the pelvis increases the risk of post-operative perineal complications that occur in up to 25-60% of patients [1, 2].
When the skin's laxity is limited, the preauricular cutaneous defect resulting from the Mustardé cheek rotation flap for the coverage of suborbital skin defects is very difficult to close even with a large undermining of the cervicofacial skin.
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