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Related Experiment Videos

Deepithelialized turnover flaps in burns.

K M Ramakrishnan1, V Jayaraman, K Ramachandran

  • 1Department of Burns, Plastic and Reconstructive Surgery, Kilpauk Medical College, Madras, India.

Plastic and Reconstructive Surgery
|August 1, 1988
PubMed
Summary

This study introduces deepithelialized turnover flaps for full-thickness burn defects, offering a single-stage solution. These flaps provide reliable blood supply, improving outcomes for burn injury reconstruction.

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Area of Science:

  • Plastic Surgery
  • Burn Reconstruction
  • Dermatology

Background:

  • Full-thickness defects from acute and chronic burns, particularly in electrical injuries, necessitate flap coverage.
  • Traditional methods can involve complex, multi-stage procedures.

Purpose of the Study:

  • To evaluate the efficacy of deepithelialized turnover flaps (dermis-only or fasciocutaneous) in reconstructing full-thickness burn defects.
  • To present an alternative to cumbersome, multi-staged reconstructive procedures.

Main Methods:

  • The study involved 35 patients with full-thickness burn defects.
  • Deepithelialized turnover dermis flaps and deepithelialized turnover flaps with deep fascia were utilized.
  • Flap design considered the presence of fatty tissue, incorporating fascia for fasciocutaneous flaps when needed.

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Main Results:

  • The described flap technique, an extension of existing methods, offers an enlarged blood supply area.
  • When a secure blood supply hinge is established, flaps demonstrate good graft take and defect coverage.
  • Reversed dermis flaps are suitable for areas with less fatty tissue, while fasciocutaneous flaps are preferred for fatty areas to enhance vascularity.

Conclusions:

  • Deepithelialized turnover flaps, including fasciocutaneous variations, provide a viable and effective single-stage solution for full-thickness burn defects.
  • This technique can simplify reconstruction, avoid multi-staged procedures, and improve split-skin graft survival.