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Biomedical subjects

A Muirragui

Publications and source records attributed to A Muirragui.

8 recordsLinked to original sources

The combined composite pectoralis major and minor osteomusculocutaneous flap.

Combining the pectoralis major and minor into a single flap can provide a much longer vascularized segment of bony rib than if the pectoralis major is used alone. This result is possible because of the periosteal vessels emerging from the origins of the pectoralis major and minor. Both muscular attachments are contiguous. The particular characteristics of this flap make it useful for reconstructive surgery of the head and neck when transposed locally, or for other distant regions when microsurgery is attempted.

Bone Transplantation

The circumflex scapular flap for reconstruction of mandibulofacial atrophy.

Dissection of the circumflex scapular vessels permits the use of a cutaneous flap of moderate thickness and broad extension because of the plexal arrangement of the two basic arterial components, the cutaneous scapular and the inferior scapular arteries. This flap may be considered as the treatment of choice in reconstructive surgery for facial atrophy of diverse etiology. The anatomic fundamentals and surgical technique for use of this flap are described.

Adolescent

Extensive distal subcutaneous metastases of a "benign" giant cell tumor of the radius.

A case of distant metastases of a giant cell tumor of the radius is presented. The tumor within the radius was excised, followed by arthrodesis of the wrist and bone grafting with tibia. At the time she came to us, the patient presented distal dissemination, so we performed curettage of each one of the multiple metastases of soft tissues of the hand. After 9 months, a local recurrence in the radius was resected, and reconstruction was done with a vascularized graft of fibula. Later treatment consisted of intraarterial chemotherapy. The patient is in satisfactory condition 1 year after surgery.

Adult