One-stage reconstruction of a projecting nipple: the quadrapod flap.
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Breast↗
Biomedical subjects
D T McCulloch
Publications and source records attributed to D T McCulloch.
The lateral pectoral composite flap in one-stage reconstruction of the irradiated mandible.
We present a composite flap based on the musculature of the anterolateral thorax that allows immediate reconstruction of the mandible through the interposition of vascularized bony fifth rib. While the vascular pedicle remains the pectoral branch of the thoracoacromial artery, the pectoralis major muscle can be spared largely intact. The lateral position of the composite rib segment ensures a purely bony composition, while the lateral skin island remains largely hairless. Despite the unfavorable conditions of massive tumor size and prior irradiation attending the clinical cases presented, the complication rate was acceptable, with only one flap loss, and this followed technical error.
Adult↗
Bite-block blepharoplasty.
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Blepharoptosis↗
The upper-quadrant flap.
Either full-thickness abdominal upper quadrant with extensions across the midline or down the trunk can be raised and transferred undelayed on a single intercostal pedicle. The technique is outlined and clinical examples are given.
Abdomen↗