The main advantage of the crossfacial nerve graft is that it is the only option that allows for a truly spontaneous emotional smile. Flap dissection was performed in the usual fashion, with care taken to safeguard the great saphenous vein proximally and the saphenous nerve distally. The pedicled flap was then passed underneath the adductor longus and inverted so that the original distal end reached the xiphoid process figs. Postoperative monitoring of free muscle transfers by laser. The pelvic cavity was filled with the distal part of the flap. The reach of the gastrocnemius musculocutaneous flap. To discuss the indications for myocutaneous flap reconstruction of the pelvic. Any information contained in this pdf file is automatically generated from digital.
The gracilis muscle flap is the optimal flap for restoring extremity muscle function, specifically as a functional innervated muscle transfer for flexor or extensor tendons. The pubic origin was then sutured to the pubic periosteum at the adductor longus origin. Gracilis muscle flap is an excellent option to assist perineal wound healing after apr for both rectal cancer and anal cancer with minimal complications at both the donor site and. The gracilis tendon was sutured to the superior remnant of the rectus abdominis muscle. It can be harvested with a skin paddle see tug flap.
The main function of the gracilis muscle is to facilitate hip adduction and to help with knee flexion. Two venae, one usually slightly larger than the artery. Muscle flaps have proved to be a valuable and versatile tool in the surgical treatment of the severely. Gracilis muscle flap was used for eight patients and latissimus dorsi muscle for. Innervated pedicled gracilis flap for dynamic abdominal. Microsurgical free muscle flaps for reconstruction of posttraumatic. The following case log coding recommendations have been provided in an attempt to establish some. Gracilis vessels from the medial femoral circumflex system. Case report use of the vastus medialis perforator flap to treat. The main advantage of this flap is that the donor site morbidity is minimal. This muscle originates from the external point of the pubic bone and goes all the way down the midshaft of the tibia. Gracilis muscle flap is commonly used in reconstructive surgery.
Head and neck reconstruction with the infrahyoid flap in era of free. Review committee for otolaryngology case log coding recommendations. Pdf perineal reconstruction after abdominoperineal. Pdf endoscopic harvest of gracilis muscle flap for. The urethral defect was closed with the mid dle part of the flap. This muscle also assists in knee stabilization and knee rotation. Gastrocnemius muscle and musculocutaneous flaps are very. A quantitative analysis of the fasciocutaneous blood supply and implications for autologous breast reconstruction. Review committee for otolaryngology case log coding. The crossfacial nerve graft is connected to the nerve that moves the gracilis muscle at the time of the gracilis muscle transfer. An external file that holds a picture, illustration, etc.
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