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MICROSURGICAL COMPOSITE TISSUE TRANSPLANTATION: A CLINICAL TRIAL
L P Sadhotra1, A S Bath2, A Behl2
1Senior Adviser (Surgery and Recons Surg), CH(SC) Pune.
Medical Journal, Armed Forces India
|August 5, 2017
Summary
Microsurgical composite tissue transplantation using radial artery forearm and latissimus dorsi flaps provided excellent cosmetic and functional results for 21 of 24 patients with various ailments.
Area of Science:
- Reconstructive Surgery
- Microsurgery
- Tissue Transplantation
Background:
- Composite tissue transplantation is a complex reconstructive procedure.
- Microsurgical techniques have advanced flap coverage options.
- Various ailments necessitate flap reconstruction.
Purpose of the Study:
- To evaluate the outcomes of microsurgical composite tissue transplantation.
- To assess the efficacy of radial artery forearm and latissimus dorsi flaps.
- To analyze functional and cosmetic results in patients requiring flap cover.
Main Methods:
- Retrospective analysis of 24 patients treated between July 1992 and July 1996.
- Utilized microsurgical techniques for composite tissue transplantation.
- Commonly employed radial artery forearm and latissimus dorsi flaps.
Main Results:
- 21 males and 3 females aged 10-50 years were included.
- Flap cover was provided for facial congenital lesions (4 patients) and trauma (20 patients).
- 17 patients achieved excellent results, and 4 had acceptable cosmetic and functional outcomes; 3 flaps were lost due to vascular issues.
Conclusions:
- Microsurgical composite tissue transplantation is effective for various reconstructive needs.
- Radial artery forearm and latissimus dorsi flaps are reliable options.
- Good to excellent functional and cosmetic outcomes can be achieved with careful patient selection and technique.
