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BEZIER FLAP- A USEFUL OPTION FOR RECONSTRUCTION OF POST-EXTRAVASATION CUBITAL FOSSA ULCERS
BEZIEROV REŽANJ- KORISNA OPCIJA ZA REKONSTRUKCIJU POST-EKSTRAVAZACIJSKIH ULCERACIJA KUBITALNE JAME

Authors

 

Yordan P. Yordanov, MD, PhD, FEBOPRAS

Department of Plastic Reconstructive and Aesthetic Surgery, Uni Hospital, Panagyurishte, Bulgaria

 


The paper was received on 05.06.2017. / Accepted on 15.06.2017

 


Correspondence to


Yordan P. Yordanov, MD, PhD, FEBOPARS
Department of Plastic Reconstructive and Aesthetic Surgery
MHAT “Uni Hospital”, Panagyurishte, Bulgaria
e-mail: : yordanov_vma@abv.bg

 

 

Abstract

 

Extravasation injuries are among the most common reasons for prolonged care, hospital stay and higher hospital costs. The plastic surgeon should be familiar with this pathology since the majority of these patients end up with skin and soft tissue defects that have to be reconstructed. Nowadays a plenty of reconstructive options exists in the armamentarium of the reconstructive surgery. The Bezier flap conceptis an option which is not so popular in the daily practice. In the present article a brief review of the Bezier flap technique was made. Two clinical cases with post extravasation necrosis and skin defects in the cubital fossaare presented and discussed in order to illustrate the abilities of that approach.The Bezier island flap seems to be a sophisticated and relatively easy option for defect closure, especially in the cubital fossa.It could be also applied in other areas of the human body. However, thissurgical concept still remains not so unpopularamong the majority of the plastic surgeons.

 

 

 

Key words:

Bezier flap, perforator island flap, perforasomes, local plasty.

 

 

Sažetak

 

Ekstravazacione povrede su jedan od najčešćih razloga za produženu negu, boravak u bolnici i veće troškove bolnice. Plastični hirurg treba da bude upoznat sa ovom patologijom, jer većina ovih pacijenata završi sa defektima kože i mekih tkiva koje treba rekonstruisati. Danas u praksi rekonstruktivne hirurgije postoji puno rekonstruktivnih opcija. Bezierov koncept kožnog režnja je opcija koja nije toliko popularna u svakodnevnoj praksi. U ovom članku napravljen je kratak pregled „Bezier flap“ tehnike. Prikazani su i diskutovani dva klinička slučaja sa nekrozom post-ekstravazacije i defektima kože u kubitalnoj fosi kako bi se ilustrovale mogućnosti tog pristupa. Izgleda da je Bezierov režanj sofisticirana i relativno laka opcija za zatvaranje defekata, naročito u kubitalnoj jami. Može se primeniti i u drugim delovima ljudskog tela. Međutim, ovaj hirurški koncept i dalje nije toliko popularan kod većine plastičnih hirurga.

 

 

Ključne reči:

Bezier flap, perforatorski režanj, perforazomi, lokalna plastika.

 

 

References

 

  1. Singer AJ, Hollander JE. Methods for Wound Closure. In: Cline DM, Ma OJ, Cydulka RK, et al (Eds) Tintinalli's Emergency Medicine Manual, 7e. The McGraw-Hill Companies, Inc. China, 2012
  2. Zen MR, Jones G (Eds.). Reconstructive Surgery: Anatomy, Technique and Clinical Applications. St. Louis, Missouri; QMP 2012.
  3. Rose RE, Felix R, Crawford-Sykes A, et al. Extravasation injuries.West Indian Med J 2008;57(1):40-7.
  4. Ghanem AM, Mansour A, Exton R, et al. Childhood extravasation injuries: improved outcome following the introduction of hospital-wide guidelines.J PlastReconstrAesthet Surg. 2015;68(4):505-18.
  5. Goon PK, Dalal M. Limb-threatening extravasation injury: topical negative pressure and limb salvage. PlastReconstrSurg 2006;117(3):1064-5.
  6. Ravenel SD. Cellulitis from extravasation of calcium gluconate simulating osteomyelitis. Am J Dis Child 1983;137(4):402-3.
  7. Mukherjee GD, Guharay BN. Digital gangrene and skin necrosisfollowing extravasation of infusion fluid. J Indian Med Assoc 1977;68(4):77-9.
  8. Behan FC, Terrill PJ, Breidahl A, et al. Island flaps including the Bezier type in the treatment of malignant melanoma.Aust N Z J Surg. 1995;65(12):870-80.
  9. Behan F, Findlay M, Lo CH, eds. The keystone perforator island flap concept. Elsevier Australia 2012.
  10. Behan FC. The keystone design perforator island flap in reconstructive surgery. ANZ J Surg 2003; 73: 112-20.
  11. Behan F, Sizeland A, Porcedu S, et al. Keystone island flap: an alternative reconstructive option to free flaps in irradiated tissue. ANZ J Surg 2006; 76: 407-13.
  12. Pelissier P, Santoul M, Pinsolle V, et al. The keystone design perforator island flap. Part I: anatomic study. J PlastReconstrAesthetSurg 2007;60(8): 883-7.
  13. Pelissier P, Gardet H, Pinsolle V, et al. The keystone design perforator island flap. Part II: clinicalapplications.J PlastReconstrAesthetSurg. 2007;60(8):888-91.
  14. Yordanov YP, Krupev M, Aylin S, et al. The Keystone Perforator Flap Concept- A Useful Tool in the Armamentarium of Plastic Surgery.ActaMedicaBulgarica 2016; 43(2): 32-8.

UDK: 616-002.46-089.844
COBISS.SR-ID 239044620



PDFYordanov Y. MD-Medical Data 2017;9(2): 123-125

 

 

 

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