flaps grafts Flashcards
What type of flaps are these? O to Z • Mustarde flap, back cut flap, spiral flap, dorsal nasal flap or glabella turndown
Rotation
What type of flaps are these? rhombic, paramedian forehead, bilobed, Z-plasty and nasolabial flaps,
note (flag or banner) flaps
Transposition
commonly used in scar revision. Its main uses are to lengthen a scar and to reorient a scar
• Z-plasty is
•Example of a Staged forehead interpolation
Axial pattern flap
What type of flap cross on intact, complete bridge of skin to fill a defect
• Axial flaps
What types of flaps are these?Island flap (tunnels under skin) Paramedian forehead flap
Interpolation Flaps
What types of flaps are these?Tissue is recruited from a distant site, rotated and then draped to cover the wound.
Maximum tension of this flap is at the pivot. These flaps have a high survival rate because of their large pedicle
Rotation
What types of flaps are these?designed to move over normal tissue to then cover the defect
create secondary defects, which must be closed
• Transposition flaps
FTSG contracts by
approximately ___% once removed from the donor site
15
contains epidermis and variable amounts of dermis.
split-thickness skin graft (STSG)
0.008-0.012in
- Thin: STSGs
0.012-0.018in
- Medium: STSGs
0.018-0.028in
- Thick:
Type of graft composing of skin and cartilage. to repair ear and nasal ala defects.
Composite grafts
Type of graft with greatest metabolic demands of all types of grafts and therefore show the highest rates of failure
Composite grafts
Process of graft named :For the first 48 hours the graft is sustained by plasma from the recipient bed, hyperemia 1-3 days
Imbibition
Process of graft: On day 2-3 blood vessels in the graft establish connections with the
wound bed
Inosculation
Process called : Ingrowth of new vessels into the graft occurs at approximately one week
Neovascularization
Name of process:Months post-grafting, sensory innervation occurs and the graft becomes paler
• Exposed bone and cartilage are poorly vascularized tissues and are therefore not successful
Maturation