Lappeteknikker

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Lappeteknikker

• Haris Mesic
• Plastikk kirurgisk avdeling
• Telemark sentralsjukehus

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Plastic Surgery

• specialized branch of surgery
• concerned with the repair of deformities and the
  correction of functional deficits
• derived from the Greek word plasticos meaning
  fit for molding

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Reconstructive Surgery

• focus more on functional aspects
• reanimation of paralyzed face,
• restoration of the function of the hand,
• walking made possible by obtaining healing of a
  compound fracture of the lower ekstremity

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Reconstructive and Plastic Surgery

• Restoration of functional and anatomical defects
• Defect something missing!
• Hemiatrophia faciei (M. Romberg)
• Ulnar nerve paralysis (Claw Hand)
• Impotence

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Flap

• Anatomically defined tissue units
• used for closure of different tissue defects in
  the body
• Flap survival is dependable on blood flow through
  its own circulation

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Principal Techniques of Wound Closure
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Reconstructive ladder (steps)
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Classification of Skin Flaps by Localisation and
Method of Movement
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The Cutaneous Macrocirculation
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Methods of Skin Movement

• General Principles

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Rotation Flap
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Transposition Flap
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Advancement Flap
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V-Y Advancement
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Specific Types of Local Flaps

• Dufourmentel flap
• Bilobed flap
• Crescentic advancement flap
• Rhomboid flap (single, double,triple)

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Z-plasty
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The Stages of the Z-plasty
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Application of the Z-plasty in correction of the
scar crossing nasolabial fold
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Four-flap Z-plasty
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W-PLASTY
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Transfer of the Tubed Skin Flap by Waltzing
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Transfer of a Tubed Skin Flap using a Wrist
Carrier
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Patterns of the Vascular Anatomy of Muscle
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Free Flap Reconstruction
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Free Flap Breast Reconstruction