3plastic Surgery - Intro Flashcards
Operation eyelid, nose ears
Cornelius
Preop mgt in px on glucocorticoids
Vitamin A
Intraop mgt t or f? Keep wound moist
T
Line of minimal tension
Langer line
Runs along natural wrinkle and creases
Kraissls line
Primary wound healing means?
Mechanical apposition of edges
Limiting step to both wound heal and tissue recon
Vascularity
Main population of cells in 3rd day to weeks
Macrophages
Dysfunctional healing progresses beyond insult
Keloid
Best tx for scars
Surgical excision
Tissue tension modulators
Undermine srrounding edge
Close wound inlayers
Use of flaps
Poly non abs sutures?
Polypropylene
Polyethylene
Suture for eversion
Horizontal matt
Advantageous in tensionless closure
Adhesives
Allow closure but with element of hemostasis
Continuous over and over
Less dermis in grafts means?
Contract less, primary
Better chance of survival
Beat cosmesis
Thick split graft
Stsg vs ftsg?
Pigment change present
Grow hair
Split
Full
What happens 72 h after graft take? In reepith?
Angiogenesis
21 days
Graft may be stored how many days at what temp?
21days, 4C
Elastic bandage post op duration?
4 weeks
When to normally remove dressing?
5th day
Flap completely detached
Free flap, anastomosis is done
Move to defect without rotation
Advancement flap
Circular rotation of flap
Rotational flap (eg semicircular)
Sequence of two flaps wheein distal flap is closed prinarily
Bilobed
What artery in greater omentum axial flap?
Gastroepiploic artery
Different territories of angiosomr
Potential - from conditioning
Anatomic - ramifications
Dynamic -dye
Nahai class if flap vessels from septocutaneous? Eg?
Type B
Radial artery forearm flap
Nahai class segmental pedicle? Ex?
Type 4, sartorius
Famous flap undergoing conditionjng
TRAM
Gracilis is example of?
Type 2, dominant plus minor
1st recorded pedicled nasal flap
Sushruta samhita