What is a thenar flap?
The thenar flap is a satisfactory reconstruction technique for the treatment of extensive loss of the distal phalanx of the index and middle fingers. As we observed in this series of 20 patients, this flap is reliable and provides tissue that closely matches the missing finger pulp.
What type of flap is thenar flap?
The thenar flap, described by Gatewood in 1926 [10, 13], is a reliable and time-tested means of composite fingertip reconstruction.
What is a VY flap?
A V-Y flap is a modified advancement flap that is used for the repair of small and medium size cutaneous defects. It has the advantage of a robust vascular supply and a reliable healing pattern.
What is a cross finger flap?
The cross-finger flap (CFF) is one versatile flap used to cover such defects. The donor finger to the thumb is classically described to be the index finger (IF). However, with the index finger being the second most important finger, it causes further debilitation of the already injured hand.
What is the thenar eminence?
Thenar eminence – fleshy part at the base of the thumb, made up of 3 muscles which control the movements of the thumb. Hypothenar eminence – fleshy part at the base of the fifth digit (little finger), made of 4 muscles which contract to manifest motion through the little finger.
What is island flap?
island flap a flap consisting of skin and subcutaneous tissue, with a pedicle made up of only the nutrient vessels. jump flap one cut from the abdomen and attached to a flap of the same size on the forearm. The forearm flap is transferred later to some other part of the body to fill a defect there.
What is a rotational skin flap?
Rotation flaps are local flaps that use adjacent tissue rotated in an arc to close a defect. They are nearly always random flaps composed of skin and subcutaneous tissue devoid of segmental vessels. They ultimately rely on perforators that course superficially to supply the dermal and subdermal plexuses.
What is a Bipedicle flap?
Bipedicled flaps are random but receive a blood supply from two pedicles, allowing the surgeon to use local tissue with an augmented nutrient blood flow. They are simple to elevate and economical in operating time.
What is a pedicle flap graft?
Listen to pronunciation. (PEH-dih-kul …) A type of surgery used to rebuild the shape of the breast after a mastectomy. Tissue, including skin, fat, and muscle, is moved from one area of the body, such as the back or abdomen, to the chest to form a new breast mound.
What is Z plasty surgery?
Z-plasty is a plastic surgery technique that is used to improve the functional and cosmetic appearance of scars. With this technique, it is possible to redirect a scar into better alignment with a natural skin fold or the lines of least skin tension.
What is an example of a thenar flap?
Clinical Examples: Thenar Flaps for Fingertip Reconstruction The thenar flap is a useful technique for resurfacing fingertip soft tissue defects. These examples show the following technique of flap design which allows primary closure of the donor site without dog ears or tension problems: Click on each image for a larger picture
Why thenar flap for finger resurfacing?
This gentleman was left with tender, tight unstable skin cover and tender neuromas on the radial tip of his middle finger following a crush-abrasion injury. Thenar flap was chosen as a resurfacing option because of its excellent padding and durability. An ulnarly based flap was used.
How do I position the flap without tension or torsion?
The goal is to position the flap against the recipient bed without tension or torsion. ¤ A dduct the thumb basal joint to bring the flap to the finger to reduce flap tension.
When does separation anxiety become a sign of a larger problem?
If separation anxiety is excessive enough to interfere with normal activities like school and friendships, and lasts for months rather than days, it may be a sign of a larger problem: separation anxiety disorder. For children with normal separation anxiety, there are steps you can take to make the process of separation anxiety easier.