PubMed Health⌕ Search

Biomedical subjects

J L Bovet

Publications and source records attributed to J L Bovet.

17 recordsLinked to original sources

Anatomic basis of the sural fascio-cutaneous flap: surgical applications.

Studies of the fascio-cutaneous vascularization and innervation of the leg seem incomplete. After reviewing the classical findings, the authors report on their anatomic study 15 dissections. Perforating pedicles, originating from the peroneal artery (3 to 5) and posterior tibial artery (4 to 5) destined for the skin and fascia of the posterior aspect of the leg were constantly found. This study suggests the possibility of a distally based sural fascio-cutaneous flap, a flap which has been successfully constructed clinically.

Humans↗

[The distally based sural fascio-cutaneous flap. A new technic for the coverage of loss of substance of the lower leg].

Prognosis of compound open fractures has been transformed by the use of plastic surgery to cover wounds. However, loss of substance of lower third of leg remains a delicate problem frequently requiring the use of microsurgical techniques by experienced teams. The sural cutaneo-aponeurotic distal base flap, the subject of a detailed anatomical study by the authors, can resolve the problem without affecting muscle capital and at the price of minor esthetic sequelae. Results in two clinical cases confirm reliability of this flap.

Adult↗

[Late revascularization for partial amputation of the thumb].

The authors report a case of partial amputation of the thumb, still attached to the medial branch of its nerve, and which was successfully revascularized after 18 hours of ischemia with the thumb still warm. They discuss the operative technique employed, and other similar cases from the literature.

Adult↗

[Embolization of the brachial artery by lead-shot with ischemic syndrome].

Pre-operative arteriography in a 5-year-old girl with a gun-shot wound of the shoulder demonstrated the presence of an arterial embolus at the elbow provoking an ischemic syndrome. Following re-establishment of circulation by embolus extraction the arterial perforation at the point of entry was repaired by a venous graft, loss of shoulder substance being treated by a musculocutaneous flap from the latissimus dorsi region. Pre-operative arteriography should be a routine investigation in patients with ischemic syndromes of the limbs following injury from penetrating projectiles.

Arm↗

The parascapular flap: a new cutaneous microsurgical free flap.

We present the anatomic study and the clinical free transfer of a new donor site. This new flap is called the parascapular flap. It is under the dependence of a direct cutaneous artery that is a vertical terminal branch of the circumflex scapular artery, itself a branch of the subscapular artery. The flap is outlined along the free lateral border of the scapula, and it provides large surface coverage with easy primary closure of the donor site. The surface can even be extended by association of the flap with the latissimus dorsi muscle flap. With this flap, both skin and muscle areas are under the dependence of a single pedicle that is the subscapular artery.

Adult↗

[Surgical treatment of leprous facial paralysis in Iran (author's transl)].

Leprous facial paralysis appears more frequent in Iran than in other countries. The damaged branch is more often the upper one inducing lagophtalmos and, sometimes, associated with a trigeminal anesthesia. The ocular risk is great. When the lower branch is struck down, it gives an inesthetic deformity and speaking difficulty. As a consequence, surgical treatment is necessary and directed: --against lagophtalmos, with static or dynamic methods, --against the ptosis of commissura labiorum with several techniques available.

Blepharoptosis↗