China
Africa
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Telepaediatric support for a field hospital in Chechnya
Published in Richard Wootton, Nivritti G. Patil, Richard E. Scott, Kendall Ho, Telehealth in the Developing World, 2019
Boris A. Kobrinskiy, Vladimir I. Petlakh
During the period of maximum activity (April–June 2002), there were 64 teleconsultations. The most common consultations (23%) were for children with trauma and orthopaedic problems. Other groups had multiple birth defects (six cases) or congenital hip dislocation (three cases). Trauma consultations were required in six cases: three with complicated ankle fractures, two with leg wounds due to mine explosions and one with hip pseudoarthrosis. Teleconsultations in plastic surgery were required for ten patients: three with cleft palate, three with nerve and tendon trauma, three with burn scar contracture, and one with post-traumatic alopecia. Neurosurgeons conducted consultations for two cases of spinal cord hernia, two of cranial hernia and one of severe cranial trauma. Burn surgeons were consulted about three patients with severe burns. There were teleconsultations in medical genetics: two cases of acrocephalosyndactylia, one of Noonan’s syndrome and one of distal acromelia. Cardiologists were consulted about three patients: two with myocarditis and one with rheumatoid arthritis. Two consultations were conducted for children with Hodgkin’s lymphoma. Lung diseases were found in two patients: bilateral pneumonia complicated by pyopneumothorax and a severe case of bronchial asthma. Children with portal hypertension and haemocolitis were consulted by a hepatologist and a gastroenterologist.
Head and neck
Published in Tor Wo Chiu, Stone’s Plastic Surgery Facts, 2018
The paper describes a technique of lengthening the LA by designing ‘castellated’ flaps (i.e. cut in a square wave-type pattern) in the aponeurosis and suturing the resultant flaps end on end. The length of each flap should be 1 mm more than the desired correction. The authors note that this technique is not suited to skin-loss problems, e.g. burn scar contracture.
Reconstructive Microsurgery in Head and Neck Surgery
Published in John C Watkinson, Raymond W Clarke, Terry M Jones, Vinidh Paleri, Nicholas White, Tim Woolford, Head & Neck Surgery Plastic Surgery, 2018
John C. Watkinson, Ralph W. Gilbert
The free forearm flap was first described for head and neck reconstruction by Yang18 in 1983 when he used this flap to reconstruct a neck defect secondary to a burn scar contracture. The forearm flap was popularized for head and neck reconstruction by Soutar et al.19 in 1983. Soutar described the first large series of forearm flaps for oral reconstruction, as well as the osseocutaneous forearm flap that incorporated the radius for mandibular reconstruction.20 Numerous authors have published series of forearm flaps demonstrating its utility and versatility in head and neck reconstruction.
A split flap technique shifting the location of perforator entry point to lengthen the pedicle of a multiple perforator based free flap
Published in Acta Chirurgica Belgica, 2022
Yi Zhang, Ying Liu, Tingliang Wang, Jiasheng Dong, Liping Dong, Hua Xu
Table 1 summarizes the patient demographics and clinical outcomes. Seven female and nine male cases of vascular pedicle length insufficiency in microsurgical reconstruction were remedied using the method. The defects were due to oncological resections in nine cases, scull skin necrosis with secondary titanium implant exposure in five, and burn scar contracture in two. The flaps used were eleven ALT flaps, two DIEP flaps, and three LD flaps. The recipient vessels used were superficial temporal artery and vein in nine cases, facial artery and vein in five, occipital artery and vein in one, and thoracodorsal artery and vein in one. The mean size of the flaps was 148 cm2 (range, 110 − 245 cm2). The mean APL was 3.8 cm (range, 3.0 − 6.0 cm). Fifteen flaps survived completely and one had distal flap necrosis. No major complications occurred.