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Island flap for cheek eyelid reconstruction
 
02:45
Authors : NOEL W, LEVAN P, MD This videos shows how to simply perform a cheek eyelid reconstruction by an island flap Visit us on wikiplastic.surgery
Views: 7867 WikiPlastic
Live Surgery Limberg / Rhomoid Flap for closure of skin cancer defect.m4v
 
04:10
This is a video of a surgical demonstration of a Limberg flap for the closure of a small defect on the face from skin cancer. This flap is very useful for small defects on the face or other areas of the body. A Rhomboid is designed around the defect and a variety of flap limbs may be designed for this random flap. This procedure can be performed under local anesthesia in the office. www.mtpsa.com www.morgantownplasticsurgery.com www.mcclellanplasticsurgery.com
Views: 71446 Dr Thomas McClellan
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
Views: 38525 Dr Thomas McClellan
Transposition flap
 
05:16
Managing loss of soft tissues
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
Views: 91558 Plastic surgery Amiens
flap coverage ( Dual flap ) for upper and middle thirds leg defect
 
02:59
Reconstructive Plastic surgery operation . Dr Sanjeev Uppal , HOD Plastic Surgery , DMC, Ludhiana
Views: 364 Sanjeev Uppal
Nasal ala full thickness skin graft repair and skin flap revision. Best viewed in 1080p resolution.
 
05:45
In this case a 79 year old lady has a biopsy proven basal cell carcinoma of the right nasal ala. The area has previously been operated upon leaving a bulky flap. The BCC is excised, the flap is revised and the alar defect is repaired with a full thickness skin graft. The procedure is performed under local anaesthetic.
Views: 154 Dr Steven Tomas
Mohs Surgery Reconstruction, Nasal Reconstruction, Melolabial Flap First Stage (PART I)
 
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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.
Views: 6902 Dr. Scott Shadfar
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.
Views: 29436 Charles Kuntz
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
Views: 46790 Dr Thomas McClellan
How to perform a transposition flap
 
14:23
Watch Dr. Steven Swaim demonstrate how to perform this wound reconstruction technique, helpful for when you need to repair a square or rectangular wound and direct closure could result in the distortion of a body structure such as ectropion.
Views: 2104 dvm360
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.
Views: 23032 Dr Thomas McClellan
Nasal transposition flap following BCC excision. Best viewed in 1080p resolution.
 
07:10
In this case we have a 62 year old lady with a biopsy proven basal cell carcinoma on her nose. The carcinoma is excised and the defect is repaired with a transposition flap. The procedure is performed under local anaesthetic.
Views: 121 Dr Steven Tomas
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.
Views: 33213 Dr Thomas McClellan
flap bilobe.mpg
 
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Views: 12850 Grazielle Silva
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
Views: 54635 Dr Thomas McClellan
Forehead Flap Surgery
 
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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
Views: 20236 rocker1906
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.
Views: 14996 Dr Thomas McClellan
Live Rhinoplasty | Nostril Reduction
 
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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
Views: 679936 Paul Nassif, M.D.
Z-PLASTY FOR CANTHAL WEB - DR. TANVEER JANJUA - NEW JERSEY
 
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This video is a Z-plasty for canthal web performed by Dr. Tanveer Janjua, a board certified plastic surgeon. Dr. J explains the procedure, which is a surgery around the eye. Then the patient is marked and the entire surgery is shows. Finally we see the patient at 1 week, 3 weeks, and 1 month after the operation. Dr. Janjua's office is located at 2345 Lamington Road, Bedminster, New Jersey, 07921. Many patients come from Morris County, Somerset County, and Hunterdon County, but Dr. Janjua takes patients from all over the world. 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 INSTAGRAM: http://instagram.com/DrTanveerJanjua REALSELF: http://www.realself.com/find/New-Jersey/Bedminster/Facial-Plastic-Surgeon/Tanveer-Janjua
Views: 5653 janjuafacialsurgery