md-medicaldata

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

 

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