Microvascular Flashcards

1
Q

erosive spread

A

CT
osteoclasts

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2
Q

invasive spread

A

no CT
limited osteoclasts

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3
Q

SM incision

A

1.5-2.0 cm inferior to Mn border

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4
Q

MC response seen after IAN injury

A

allodynia

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5
Q

IAN graft donor

A

sural (25% longer)

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6
Q

FFF VAN combination

A

peroneal Aa
2 Vv
common peroneal Nn

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7
Q

peroneal Aa arises from ___ ___ Aa

A

posterior tibial

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8
Q

FFF blood supply

A

dual
medullary and periosteal

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9
Q

FFF offers ___ cm of reconstruction

A

25 cm

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10
Q

what Aa are assessed prior to FFF harvest

A

posterior tibial
dorsalis pedis

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11
Q

the curvlinear incision of the FFF harvest is to approximate what?

A

intermuscular septum

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12
Q

pale flap = think ___ congestion

A

Aa

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13
Q

blue flap = think ___ congestion

A

Vv

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14
Q

direct perforator

A

through fascia

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15
Q

indirect perforator

A

through Mm or other tissue (NOT fascia)

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16
Q

perforator vessel

A

supplies free flap

17
Q

choke vessel

A

connects angiosomes

18
Q

recipient site vessels are often branches of ___ ___ Aa

A

external carotid

19
Q

recipient site vessels are MC ___ ___ or ___ Aa

A

superficial temporal
facial

20
Q

virchow triad

A

stasis
hypercoag
vessel injury

21
Q

irrigant to break vasospasm

A

papaverine

22
Q

significant with reducing anastomosis failures

23
Q

how to reduce venous congestion (3)

A

topical NO
warm compress
leeches (hirudin)

24
Q

IC graft VAN combination

A

deep circumflex Aa and Vv
lateral femoral cutaneous Nn

25
IC graft provides ___ cm of reconstruction
16 cm
26
3 major graft donor sites
fibula IC scapula
27
IC graft includes the ___ ___ Mm
internal oblique
28
costochondral graft indications
ramus condyle unit in growing child
29
costochondral graft negative considerations
unpredictable growth ankylosis
30
costochondral harvest specifics
contralateral 5-7th ribs
31
SMAS is continuous with ___ ___ ___ superiorly and ___ inferiorly
superficial temporal fascia platysma
32
modified blair incision
< 0.8 cm EAC mastoid 2 finger breadths to the hyoid
33