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Watch how a nose can be reconstructed with a Forehead Flap
 
07:47
The nose can be recreated with skin from the forehead. Cartilage grafts from the ear are used to shape the lower nose. The skin from the forehead can then be used to create the nasal lining and reshape the nose.
Просмотров: 14522 Dr. Johnny Franco
double hatchet flap
 
07:48
closure of scalp skin defect
Просмотров: 5209 KONSTANTINOS APOSTOLOPOULOS
Live Surgery: Posterior Leg Rotational Flap after Skin Cancer Resection
 
02:42
This is a live surgical demonstration of a posterior leg flap following skin cancer resection. Utilizing a flap near a joint has advantages over a split or full thickness skin graft. Its a random flap and the surgeon must be careful not to cut off the blood supply which comes from the base of the flap. www.mtpsa.com www.hand411.com
Просмотров: 41149 Dr Thomas McClellan
Excision Basal Cell Carcinoma of the Nose and Bilobe Flap Reconstruction - New Jersey
 
18:54
This video demonstrates the technique of excision of a basal cell carcinoma of the nose, frozen section control of the margins and reconstruction of the defect with a local bilobed flap. Dr. Janjua is a board certified plastic surgeon located in Bedminster, New Jersey, USA. My gratitude is expressed to Dr. Shan Baker. His book on reconstruction gives one of the best descriptions on how to design this flap on the nose. This procedure ensures complete removal of the skin cancer and an aesthetically pleasing result. As a patient the diagnosis of skin cancer on your face can be a scary thought. This video can reassure the patients that eventual result looks very good and does not take away the beauty of a face. For more information, visit Dr. Tanveer Janjua's website: http://www.janjuafacialsurgery.com Dr. Janjua's office is located at 2345 Lamington Road, Bedminster, NJ 07921. You can reach the office during normal business hours at 908-470-2600. For more videos like this one, make sure you're subscribed to Dr. Janjua's YouTube Channel. Just click the red subscribe button under the video. Dr. Tanveer Janjua on Social Media: TWITTER: https://twitter.com/DrTanveerJanjua FACEBOOK: https://www.facebook.com/JanjuaFacialSurgery
Просмотров: 143400 janjuafacialsurgery
Perforator Propeller flap for lower limb reconstruction
 
06:34
From the Plastic Reconstructive and Aesthetic Surgery department. CHU Nord Amiens, France this video show the surgical technique of a perforator propeller flap for the reconstruction of the lower limb. Soon much more education videos will be available for Plastic Reconstructive and Aesthetic surgeons on www.isurgery.eu Next meeting check on www.perforatorflap.eu Lambeau perforant en Hélice pour la reconstruction du membre inférieur. Service de chirurgie plastique reconstructrice et esthétique . CHU Nord Amiens France Bientot de nombreuses videos de technique chirurgicale sur www.isurgery.eu
Просмотров: 92474 Plastic surgery Amiens
Transposition flap
 
05:16
Managing loss of soft tissues
Просмотров: 1271 headandnecktrauma org
Axial Pattern Flap After Soft Tissue Sarcoma Removal, Specialist Vet Surgery, Melbourne
 
07:01
This dog had removal of a soft tissue sarcoma. It had an axial pattern flap to close the defect. Vacuum assisted closure was performed to increase the viability of the flap. Southpaws (Melbourne, Australia) offer specialist veterinary services by referral - for surgery - neuro, orthopaedic (including TPLO, TTA and extra capsular), soft tissue, minimally invasive and surgical oncology. Our other major disciplines are internal medicine (including imaging) and cancer care (medical oncology (chemo, immuno and hormonal therapy), radiation therapy). We also offer cardiology surgery and services, stem cell therapy for osteo-arthritis and physiotherapy.
Просмотров: 30759 Charles Kuntz
flap zplastyC16.mpg
 
01:50
Просмотров: 7514 Grazielle Silva
Segmueller Flap
 
04:31
Segmueller flap
Просмотров: 1757 Giesen Hand Surgery
Live Surgery: Reverse Radial Forearm Flap for Invasive Cancer of the Hand
 
05:16
This is an example of a reverse radial forearm flap to the hand for coverage following the resection of an invasive cancer. The flap is a fasciocutaneous flap based on the retrograde flow through the radial artery. Blood flows down the ulnar artery through palmar arch and retrograde through radial artery. Key surgical moves include the allens test, checking the flow before ligating the proximal radial artery, and raising the flap in a subfascial plane. This flap can also be used for free tissue transfer all over the body using microsurgery to perform an anastomosis. www.mtpsa.com www.hand411.com www.morgantownplasticsurgery.com www.mcclellanplasticsurgery.com
Просмотров: 55725 Dr Thomas McClellan
flap bilobe.mpg
 
04:08
Просмотров: 12940 Grazielle Silva
Double helical advancement flap of the ear. Best viewed in 1080p resolution.
 
04:19
In this case we have a 92 year old man with a squamous cell carcinoma of his right ear. The lesion is excised and the defect is repaired with a double helical advancement flap. The procedure is performed under local anaesthetic.
Просмотров: 125 Dr Steven Tomas
Live Surgery: Forehead Flap Nasal Reconstruction Video 2 of 3: Flap Sculpting
 
01:42
www.MPSurgery.com www.hand411.com This is the final of three live surgical videos to demonstrate the forehead flap used to repair a distal nasal tip defect. The forehead flap is a workhorse of nasal reconstruction and is based on the trochlear artery. Its easy to raise, very reliable, and provides a variety of options in facial reconstruction. I recommend Gary Burget and Fred Menick books on nasal reconstruction for additional study. Wikipedia: Vascularisation of the scalp and forehead is supplied by the supraorbital, supratrochlear, superficial temporal, postauricular and occiptal vessels.[1][4][6] All these vessels are lined vertically and permit safe and effective transfer of the forehead flap on multiple individual vascular pedicles.[1][6] The pedicle is the anatomic part that resembles the stem of the flap. The perfusion of the paramedian forehead flap comes from three sources: randomly, through the frontalis muscle and through the supratrochlear artery.[1] Because the forehead flap is an axial flap with a pedicle containing its dominant vessel, the pedicle can safely be narrowed to 1 to 1.2 cm. Four types of flap design are historically described in literature: the median forehead flap, oblique forehead flap, sickle flap and vertical paramedian forehead flap.[4] However, the vertical paramedian forehead flap based on the ipsilateral or contralateral supratrochlear vessels has become standard, because it has a low turning point, making it easy to reach the defect without using hair-bearing scalp.[1][4] Also, primary closing of the proximal forehead is possible as a result of the narrow pedicle.[4] Lateral nasal defects are usually closed with an ipsilateral paramedian forehead flap. Central nasal defects can be reconstructed using either a right- or left-sided forehead flap. The ipsilateral pedicle is closer to the defect than the contralateral pedicle, therefore the flap can be made shorter when using the ipsilateral side.[1][4] Some experts suggest that a contralateral flap is easier to rotate, but this difference is minimal.[1] The only problem with the contralateral flap is the extra length needed, not the difficulty of the technique. Most foreheads are at least 5 cm long, when measured from eyebrow to hairline.[1] This is usually enough to resurface the entire nose using a vertical paramedian forehead flap design.[1][3] Still, there are some short foreheads. A forehead is called short when it is shorter than 4.5 cm. When using the forehead flap on a short forehead, there are multiple ways to get the length that is needed.[1][3] First, the turning point of the flap can be moved down, so that the base of the flap is closer to the nasal defect and a shorter flap can be used to reach the nasal defect.[1] Second, the distal end of the flap can be placed within the hairline.[1] The reconstructed nose will then have some hair on it, but it can be plucked, depilated or lasered.
Просмотров: 15591 Dr Thomas McClellan
Mohs Surgery Reconstruction, Nasal Reconstruction, Melolabial Flap First Stage (PART I)
 
04:15
This patient had basal cell carcinoma of the right nasal ala. She underwent Mohs cancer resection with the resulting defect. Using auricular cartilage we were able to reconstruct her external nasal valve, and we reconstructed the nasal ala using a interpolated melolabial subcutaneous pedicle island flap. The second stage is in the PART II video. Sorry there is no audio. Yet.
Просмотров: 7095 Dr. Scott Shadfar
Rotation flap of scalp
 
00:54
Просмотров: 59 CHANDRAVEER SURYAVANSHI
Gluteal Defect Reconstruction using SGAP Flap by Dr. Nagendra Parvataneni
 
04:29
Superior Gluteal Artery Perforator Flap by Dr. Nagendra Parvataneni MS, MCh(Surgical Oncology) Sr. Consult Surgical Oncology and Oncoplasty Seven Hills Hospital Mumbai.
Просмотров: 6567 Dr. Nagendra Parvataneni
Live Surgery: Vertical Rectus Abdominis Muscle Flap (VRAM) for Sternal Wound
 
05:51
This is a video example of a Vertical Rectus Abdominis flap used for the reconstruction of the sternum following sternal dehicense. This flap can be used in many fashions such as a pedicled TRAM, Free flap, Free TRAM as well as groin, abdominal or chest reconstruction. A flap is a piece of tissue that the surgeon uses to cover a defect caused by cancer, trauma, and or infection. A flap generally has a known blood supply that provides nutrients to the skin to heal the wound. In this particular flap (VRAM) the blood vessel which provides the nutrients is called the superior deep epigastric artery. www.morgantownplasticsurgery.com www.mtpsa.com www.mcclellanplasticsurgery.com
Просмотров: 47332 Dr Thomas McClellan
Forehead Flap Surgery
 
03:14
I had forehead flap surgery after melanoma was removed from my nose in Jan. 2012. This video is intended to help others who may be going through similar procedures
Просмотров: 20547 rocker1906
Neurovascular pedicle flap for fingertip defects 0001
 
01:37
Fingertp reconstruction with a homodigital neurovascular pedical flap described. Robust and safe, this flap is a great tool to cover these common defects.
Просмотров: 5401 Shailesh Nisal
Live Rhinoplasty | Nostril Reduction
 
02:59
http://www.rhinoplastyspecialist.com Enter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty. In this video you'll discover how alar base reduction is used to narrow a nose that is too wide at the bottom. The procedure involves the removal of a portion of the nostril at the base of the nose. The strategically placed incisions at the base of the nose are then meticulously sutured so that any scarring imperceptible. Watch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at... http://www.youtube.com/watch?v=QobQdRapPfs This is something covered in the ethnic rhinoplasty section, http://www.rhinoplastyspecialist.com/ethrhino.asp ; however, there are a few ways to perform alar base reductions. One is a simple nasal sill incision where the incisions are made inside the nostril. This reduces the bulk of the rhinoplasty versus the nostrils or alar, which are extremely wide such as in African, American, or Asian individuals. With them, excisions inside the nostrils can help recontour the alar and make it more narrow. Weir incisions are another name for this type of reduction. Sometimes the combination of Weir incisions and nasal sill incisions can be done simultaneously to decrease the width of the nose. The risk of nostril asymmetry following alar base reduction is possible. However, sometimes the nostril asymmetry is present prior to surgery. Dr. Nassif's practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA. http://www.spaldingplasticsurgery.com OPERATIVE TECHNIQUE: 3.5 mm alar resections were drawn and a Sheen type I alar resection (cutaneous) was performed after infiltration of the ala with local. An 11 blade was used to make the inferior incision extending medially along the alar base and culminating lateral to the nasal sill. 5-0 vicryl subcutaneous sutures were place followed by skin running sutures using 6-0 prolene. African American Nasal Anatomy Skin: Thick, Abundant Fibrofatty tissue Radix: Deep, Inferiorly-Set & Low Nasal Bridge & Dorsum: Short Nasal Bones, Wide & Flat Tip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal Definition Base: Wide, Thick, Horizontal & Flaring Nostrils Nasolabial Junction: Retracted, Acute Nasolabial Angle Maxilla: Usually Retrusive & Hypoplastic Hispanic Nasal Anatomy Skin: Thick, Abundant Sebaceous Glands Radix: Low to Normal Nasal Bridge: Wide Dorsum: Convex (Nasal Hump) Tip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal Definition Columella: Short to Normal Base: Wide, Thick, Horizontal & Flaring Nostrils Nasolabial Junction: Retracted & Acute Nasolabial Angle Maxilla: Within Normal Limits Asian Nasal Anatomy Skin: Heavy, Thick & Sebaceous Radix: Deep & Flat Nasal Bridge & Dorsum: Low, Wide & Flat Tip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal Definition Columella: Short, Minimal Show (Retracted) Base: Wide, Thick, Oblique & Flaring Nostrils Maxilla: Usually Retrusive http://www.spaldingcosmeticsurgery.com
Просмотров: 702358 Paul Nassif, M.D.
Ear Reconstruction After Skin Cancer Surgery
 
04:50
Graphic images focusing on the reconstruction of an ear after the removal of a long-standing skin cancer that this patient allowed to slowly grow over many years because he was afraid of what the surgery to remove might entail. Go to www.skincancercentre.com to learn more about the importance of the early diagnosis of skin cancer. BTW, when you put on your sunscreen, don't forget your ears, and wear a broad brimmed hat to cover this very vulnerable area of your anatomy.
Просмотров: 10957 skincancercentre
Helical rim reconstruction with antia-buch flap
 
05:56
Author : Philippe Levan Running order: Markings: 00: 17 Surgical technique 01: 16 Wound closure: 04:15 Results: 05:30 The Antia-Buch procedure is a simple advancement of the ear helical rim. It can be used to reconstruct defects up to 2 cm of the helical rim.
Просмотров: 6909 WikiPlastic
Interpolation flap reconstruction of the ear following BCC excision. Best viewed in 1080p resolution
 
08:43
In this case we have a 76 year old man with a large area of basal cell carcinoma on the left pinna. The lesion is excised and repaired with an interpolation flap. The procedure is performed under local anesthetic.
Просмотров: 116 Dr Steven Tomas
VY Neurovascular island flap for fingertip reconstruction
 
02:08
The video demonstrates a Venkatswamy VY neurovascular island flap for fingertip reconstruction.
Просмотров: 5659 Nikhil Panse
Live Surgery: Forehead Flap Nasal Reconstruction Video 3 of 3: Inset + Results
 
01:50
www.MPSurgery.com www.hand411.com This is the final of three live surgical videos to demonstrate the forehead flap used to repair a distal nasal tip defect. The forehead flap is a workhorse of nasal reconstruction and is based on the trochlear artery. Its easy to raise, very reliable, and provides a variety of options in facial reconstruction. I recommend Gary Burget and Fred Menick books on nasal reconstruction for additional study. Wikipedia: Vascularisation of the scalp and forehead is supplied by the supraorbital, supratrochlear, superficial temporal, postauricular and occiptal vessels.[1][4][6] All these vessels are lined vertically and permit safe and effective transfer of the forehead flap on multiple individual vascular pedicles.[1][6] The pedicle is the anatomic part that resembles the stem of the flap. The perfusion of the paramedian forehead flap comes from three sources: randomly, through the frontalis muscle and through the supratrochlear artery.[1] Because the forehead flap is an axial flap with a pedicle containing its dominant vessel, the pedicle can safely be narrowed to 1 to 1.2 cm. Four types of flap design are historically described in literature: the median forehead flap, oblique forehead flap, sickle flap and vertical paramedian forehead flap.[4] However, the vertical paramedian forehead flap based on the ipsilateral or contralateral supratrochlear vessels has become standard, because it has a low turning point, making it easy to reach the defect without using hair-bearing scalp.[1][4] Also, primary closing of the proximal forehead is possible as a result of the narrow pedicle.[4] Lateral nasal defects are usually closed with an ipsilateral paramedian forehead flap. Central nasal defects can be reconstructed using either a right- or left-sided forehead flap. The ipsilateral pedicle is closer to the defect than the contralateral pedicle, therefore the flap can be made shorter when using the ipsilateral side.[1][4] Some experts suggest that a contralateral flap is easier to rotate, but this difference is minimal.[1] The only problem with the contralateral flap is the extra length needed, not the difficulty of the technique. Most foreheads are at least 5 cm long, when measured from eyebrow to hairline.[1] This is usually enough to resurface the entire nose using a vertical paramedian forehead flap design.[1][3] Still, there are some short foreheads. A forehead is called short when it is shorter than 4.5 cm. When using the forehead flap on a short forehead, there are multiple ways to get the length that is needed.[1][3] First, the turning point of the flap can be moved down, so that the base of the flap is closer to the nasal defect and a shorter flap can be used to reach the nasal defect.[1] Second, the distal end of the flap can be placed within the hairline.[1] The reconstructed nose will then have some hair on it, but it can be plucked, depilated or lasered.
Просмотров: 34390 Dr Thomas McClellan
GASTROCONEMIUS & SOLEUS FLAP
 
10:35
Просмотров: 35268 MICROSURGERY MADE EASY !!
Live Surgery: Antia Buch Ear Reconstruction after Cancer Resection
 
02:44
This is a video demonstrating a ear reconstruction following cancer utilizing an antia buch condrocutaneous advancement flap. This excellent demonstration reviews the movements needed to close the ear defect.
Просмотров: 24202 Dr Thomas McClellan
TFL FLAP FOR TROCHANTERIC DEFECT
 
01:44
Wide local excision of a recurrent lesion - Bowen's Disease was done. The consequent defect in the Trochanteric region closed with a standard Tensor Fasciae Latae flap.
Просмотров: 16188 Shailesh Nisal