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Fifty-three had split-thickness skin grafting, and 380 were treated with 421 surgical procedures (253 fasciocutaneous or cutaneous flaps, 93 muscle or musculocutaneous flaps, 75 primary closures).
Many 'predesigned' cutaneous flaps have been described, but use of these may involve tailoring a defect to fit a known flap.
Two types of cutaneous flaps exist.
Cutaneous flaps: The cause of these flaps is lymphedema secondary to lymphatic obstruction, and 30% of flaps contain non-caseiform granulomas.
Cutaneous flaps are lifted, and the sural nerve lies in subcutaneous tissues that are exposed Open image in new window Fig. 2 Subcutaneous layers are incised at full-depth to reach the gastrocnemius fascia from both sides.
Readings were usually performed after elevation of the cutaneous flaps.
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The authors report a new cutaneous flap harvested from the dorsal and distal quarter of the forearm: the dorsoradial flap.
This preliminary clinical experience exhibits the vascular network reliability and the operative technique simplicity of this new cutaneous flap.
Therefore, the authors have studied the effect of botulinum toxin A on random cutaneous flap survival in a rat model under the hypothesis that it affects the microvascular system.
d ADC map Open image in new window Fig. 7 Cutaneous flap showing hyperintensity on T2-weighted images and a slight post-gadolinium rim enhancement (arrows).
However, functional, esthetic issues and donor site morbidity are inevitable complications necessitating local rotation and advancement flap or skin grafting, while primary closure is only possible with a cutaneous flap less than 2 ~ 3 cm.
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