Biomedical subjects

A Moghari

Publications and source records attributed to A Moghari.

3 recordsLinked to original sources

PubMed1989

Free jejunal graft for repair of cervical esophagus.

We have operated upon six patients with cervical esophageal carcinoma and reconstructed these with free jejunal graft. The pathology of all six patients was squamous cell carcinoma, and no patient had apparent distant metastasis. The procedure was a two team approach. While the surgical oncology team resected the esophageal tumor, the microvascular team harvested the jejunal graft. The range of warm ischemia for the free jejunal graft was 1-2.5 hr, and no graft was lost because of recirculation failure. The range of operative time was 5-6.5 hr. There was no operative mortality. There were two minor cervical wound infections, both healed with conservative management. Hospital stay ranged from 10 to 15 days. The swallowing mechanism was satisfactory in all patients. We believe that the free jejunal graft is the procedure of choice for reconstruction of the cervical esophagus.

Adult↗

PubMed1989

Lower limb reconstruction in children using expanded free flaps.

Controlled expansion is a technique that increases the area of local tissue available for reconstruction. An extension of this is to expand free flaps prior to elevation, thereby increasing their area. This has been particularly useful in children where there may be insufficient tissue available at free flap donor sites. Four children have had extensive cutaneous defects of the lower limb reconstructed with expanded parascapular free flaps. Measurements indicate an approximate doubling in skin area. There has been normal growth of the affected limbs and there has been no donor site morbidity. Apart from small areas of narrow marginal necrosis at the tip of the flaps in the first three cases, which were of no consequence, healing at the recipient site was complete.

Child↗

PubMed1989

The use of split metatarsal osteocutaneous free flaps in palatal and alveolar defects.

A series of seven osteomucosal defects of the palate were closed by split metatarsal osteocutaneous free flaps. All seven patients had successful closure of their defects with minimal facial scarring and insignificant donor site morbidity. This procedure, performed in one stage, avoids the use of previously compromised local tissues and improves the blood supply to the area, thereby enhancing the subsequent indicated reconstruction of other damaged structures.

Adult↗