Annals of plastic surgery
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Annals of plastic surgery · Sep 2014
Case ReportsReconstruction of cervical scar contracture using axial thoracic flap based on the thoracic branch of the supraclavicular artery.
Cervical scar contracture causes both physical and psychological distress for burn patients. Many pedicle flaps or skin grafting have been suggested for reconstruction of cervical scar contracture with variable results in the literature. The authors present the axial thoracic flap based on the thoracic branch of the supraclavicular artery (TBSA) for reconstruction of cervical scar contracture. ⋯ With reliable blood supply based on the dissection of cadavers, axial flap based on the TBSA is a good option for reconstructing severe cervical scar contracture.
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Annals of plastic surgery · Sep 2014
Case ReportsPre-expanded cervico-acromial fasciocutaneous flap based on the supraclavicular artery for resurfacing post-burn neck scar contractures.
Post-burn cicatricle contractures of neck pose a challenge for plastic and reconstructive surgeons. To improve functional and cosmetic results, and to minimize the donor-site morbidity, we use pre-expanded cervico-acromial fasciocutaneous flap based on the supraclavicular artery as a feasible choice for resurfacing large skin defects of the neck. ⋯ The pre-expanded cervico-acromial fasciocutaneous flap based on the supraclavicular artery can provide a large amount of thin tissue with both good color and texture, and without the need for microsurgery, and avoid the disadvantages of donor-site morbidity. This flap is reliable and safe for resurfacing large skin defects of the neck.
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Annals of plastic surgery · Sep 2014
Topographic relationships between the transverse facial artery, branches of the facial nerve, and the parotid duct in the lateral midface in a Korean population.
The aims of the present study were to clarify the topographic relationships between various structures in the lateral midface and to provide important anatomical information pertinent to face lifting or treatment of damage to the midface structure. ⋯ These results may be used to establish the precise locations and the courses of the important midface structures, and represent valuable data that may help to prevent complications during surgery for face lifting and reconstruction of the facial nerve and PD.
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Annals of plastic surgery · Sep 2014
Biography Historical ArticleDakin's solution: historical perspective and current practice.
Dakin's solution was first introduced by military physicians responding to the challenges of treating artillery injuries in World War I. Administration was personnel intensive, and at times unpredictable in the conditions of the frontlines, but nonetheless the practice saved countless lives and limbs. Dakin's solution remained the prevailing method for treating contaminated wounds until the introduction of antibiotics during World War II. ⋯ However, as the understanding of wound healing advanced, focus shifted from "prevention of infection" to "creation of an optimal environment for the repair process." Concern that antiseptics could be toxic to the cells of the repair process has led many to discontinue their use. Although such all-or-none approaches might simplify the decision-making process, they fail to address the complexity of optimal wound management. As recent research suggests, there may be a renewed role for Dakin's solution.