Annales de chirurgie plastique et esthétique
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An anatomical study which was carried out on 44 upper limbs of fresh cadavers has enabled us to describe a new flap based on the superior perforating branch of the anterior interosseous artery: "the anterior interosseous flap". The anterior interosseous artery participates in the vascularization of the dorsal aspect of the distal two-third of the forearm by providing two perforating branches, "the superior and the inferior perforating branches". The superior perforating branch of the anterior interosseous artery, pedicle of the flap, perforates the interosseous membrane 10 +/- 2 cm above the radio-carpal joint and runs in the septum between the extensor pollicis longus and brevis muscles accompanied by two venae comitantes. ⋯ The surgical procedure of the retrograde island flap consists in raising the cutaneous or compound flap based on the superior perforating branch, division of the interosseous membrane and ligature of the anterior interosseous trunk proximally. The flap is vascularized by a retrograde blood flow through the dorsal (or volar or both) vascular network of the wrist. Theoretically, the most distal point of rotation of the flap is located at the level of the luno-capitate joint and the pedicle is long enough to allow the most distal point of the flap to reach the DIP joint of the finger.(ABSTRACT TRUNCATED AT 400 WORDS)
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Ann Chir Plast Esthet · Feb 1993
Case Reports[Forum on tissue expansion. Repair of sequelae of facial burns by cervical cutaneous expansion].
Burn scars of the lower part of the face are a difficult problem in plastic surgery. Full thickness skin graft or local flaps usually give poor cosmetic result. Over the last 5 years, we used 24 skin expanders in the neck area to cover burn scars of the chin and jaw. Discussion of the method and 4 cases are reported.
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Tattooing has been performed since ancient times. It has survived religions, development of education, wars and all forms of repression. Tattooing has gained a new lease of life at a time when this practice appeared to be dying out; why? In reality, tattooing corresponds to a need to be different, to make oneself attractive and to see oneself as a unique being and the age of uniformity in which we live is a very important factor for requests for dermography. ⋯ Until the profession of tattooist is officially recognised, it will always be associated with the idea of sordid techniques in makeshift quarters. The very survival of this artistic profession requires serious training and standards of hygiene. Failure to recognise this profession would result in its prohibition in the short-term, leading to clandestine activity in which standards would obviously not be respected.
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Ann Chir Plast Esthet · Jan 1991
Review Case Reports[Vaginal and perineal reconstruction following excision for cancer. Apropos of 4 cases].
Vaginal reconstruction at a Cancer Treatment Institute is discussed on the basis of 4 personal cases, using either myocutaneous flaps [gracilis (1 case), gluteus maximus (2 cases)] for the lower portion and the perineum, or a sigmoid graft when vulvo-perineal structures are conserved. A review of techniques and published cases is presented.