Rotation advancement flap—a novel technique for breast conserving surgery in tumors of the upper lateral breast quadrant

2018 ◽  
Vol 2 ◽  
pp. 4-4
Author(s):  
Andrii Zhygulin ◽  
Valentyn Palytsia ◽  
Dmytro Unukovych
Keyword(s):  
Breast Conserving Surgery ◽  
Advancement Flap ◽  
Novel Technique ◽  
Rotation Advancement ◽  
Breast Quadrant

scholarly journals A Novel Technique for Reconstruction of a Congenitally Absent Earlobe

2020 ◽  
pp. 014556132097193
Author(s):  
Robert A. Saadi ◽  
Kasra Ziai ◽  
Jessyka G. Lighthall
Keyword(s):  
Congenital Malformations ◽  
Donor Site ◽  
Advancement Flap ◽  
External Ear ◽  
Conchal Cartilage ◽  
Novel Technique ◽  
Cartilage Grafting ◽  
Donor Site Defect ◽  
Rotation Advancement

Objective: Congenital anomalies of the external ear may present a reconstructive challenge, particularly when normal chondrocutaneous components of the auricle fail to develop. Our goal was to develop a novel technique for lobule reconstruction of a congenitally absent earlobe with photographic documentation of the technique. Methods: Informed consent for perioperative photography and publication of case details was obtained. A postauricular, turnover flap with ipsilateral conchal cartilage grafting was performed to reconstruct the lobule, and a superiorly based, postauricular, rotation advancement flap was used to close the donor site defect. Results: Perioperative photographs are included demonstrating technique and cosmetic results. Conclusions: Malformations rarely involve the lobule or lower third of the ear primarily. Literature regarding lobule reconstruction for congenital malformations is scarce. We present a novel technique for lobule reconstruction of a congenitally absent earlobe performed in a single stage that avoids a visible neck scar and allows for simultaneous conchal cartilage harvest. The technique demonstrated satisfactory cosmesis regarding contour and overall appearance and these results remained stable at 1-year follow up.

O.226 Yu's rotation–advancement flap for lower lip reconstruction

2008 ◽  
Vol 36 ◽  
pp. S57
Author(s):  
M. Mancha de la Plata ◽  
P.L. Martos Diaz ◽  
F.J. Rodriguez Campo ◽  
L. Naval Gias ◽  
G.Y. Cho Lee ◽  
...  
Keyword(s):  
Advancement Flap ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Rotation Advancement

Modified Dorsal Rotation Advancement Flap for Release of the Thumb Web Space

2006 ◽  
Vol 31 (2) ◽  
pp. 226-229 ◽  
Author(s):  
H. ABDEL GHANI
Keyword(s):  
Advancement Flap ◽  
Local Flap ◽  
Thumb Hypoplasia ◽  
Web Space ◽  
Palmar Skin ◽  
Rotation Advancement ◽  
The Web

The dorsal rotational advancement flap described by Buck-Gramcko in 1998 is a good local flap for release of the thumb index web space. This paper describes a modification which broadens the apex of the flap and increases its length. This modification provides a long wide flap which releases the thumb index web space with suture lines far beyond the web. In addition, it provides a release of the palmar skin even when very tight in severe narrowing of the web. It is suitable for release of thumb–index syndactyly, severe narrowing of the web in thumb hypoplasia and congenital clasped thumb.

Modified Three-Point Rotation-Advancement Flap for the Repair of the Melolabial Groove and a Peri-Alar C-Shaped Defect

2013 ◽  
Vol 39 (3pt1) ◽  
pp. 468-471
Author(s):  
Byung Cheol Park ◽  
Ji Won Gye ◽  
Seung Pil Hong ◽  
Myung Hwa Kim
Keyword(s):  
Advancement Flap ◽  
Rotation Advancement

scholarly journals Mammotome-assisted endoscopic breast-conserving surgery: a novel technique for early-stage breast cancer

2014 ◽  
Vol 12 (1) ◽  
pp. 99 ◽  
Author(s):  
Yan Xu ◽  
Jia Ming ◽  
Yan Zhou ◽  
Xiaowei Qi ◽  
Linjun Fan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Early Stage ◽  
Breast Conserving Surgery ◽  
Early Stage Breast Cancer ◽  
Novel Technique

scholarly journals Closure of an Oroantral Communication Using Leucocyte-Platelet Rich Fibrin: A Novel Technique Using Regenerative Medicine

2019 ◽  
pp. 101-106
Author(s):  
Cameron Y Lee
Keyword(s):  
Soft Tissue ◽  
Regenerative Medicine ◽  
Venous Blood ◽  
Postoperative Recovery ◽  
Advancement Flap ◽  
Posterior Teeth ◽  
Platelet Rich Fibrin ◽  
Soft Tissue Regeneration ◽  
Novel Technique ◽  
Oroantral Communication

Oroantral communication (OAC) is a common complication following extraction of maxillary posterior teeth because of the close anatomic proximity of the roots to the maxillary sinus. The most frequent methods described in the literature to close an oroantral communication involve buccal or palatal rotational advancement flap surgery or use of the buccal fat pad. These surgical procedures require advanced surgical skill and are associated with donor sit morbidity, such as avascular flap necrosis that can lead to soft tissue graft failure to close the OAC, infection and extreme postoperative patient discomfort that affects patient quality of life. This paper describes a novel technique using leucocyte platelet-rich fibrin matrix obtained from the patient’s own venous blood that leads to predictable soft tissue regeneration and closure of the OAC. This regenerative medicine procedure is clinician friendly, less traumatic compared to traditional methods of OAC closure with minimal postoperative recovery for the patient.    

scholarly journals Long-Term Results of Postoperative Hypofractionated Accelerated Breast and Lymph Node Radiotherapy (HypoAR) with Hypofractionated Boost

2021 ◽  
Vol 28 (5) ◽  
pp. 3474-3487
Author(s):  
Ioannis M. Koukourakis ◽  
Marianthi Panteliadou ◽  
Axiotis G. Giakzidis ◽  
Christos Nanos ◽  
Ioannis Abatzoglou ◽  
...  
Keyword(s):  
Triple Negative ◽  
Conservative Surgery ◽  
Breast Conserving Surgery ◽  
Long Term Results ◽  
Radiation Dermatitis ◽  
Radiation Toxicity ◽  
Accelerated Radiotherapy ◽  
Early Radiation ◽  
Breast Quadrant

We report long-term results (median follow-up 12 years) of hypofractionated accelerated radiotherapy (HypoAR) in patients treated with breast-conserving surgery. In total, 367 women were treated with HypoAR. Axillary and supraclavicular area (ASA) were treated in patients with involved nodes. In total, 290 patients (scheme A) received 3.5 Gy/day ×10 fractions (breast/ASA) followed by two 4 Gy fractions with electrons to the affected breast quadrant within 16 days. In total, 77 patients (Scheme B) received 2.7 Gy/day for 16 consecutive fractions (breast/ASA) within 22 days, while concurrently, the affected breast quadrant received an electron booster dose of 0.8 Gy for the first 13 fractions. Amifostine was offered to 252/367 patients. Early radiation toxicity was minimal. Regarding late toxicities, symptomatic breast edema was noted in 2.2%, asymptomatic breast fibrosis in 1.9%, and arm lymphedema in 3.7% of patients. Amifostine reduced early radiation dermatitis (p = 0.001). In total, 2.2% of patients developed contralateral breast and 1.6% other carcinomas. Locoregional recurrence (LR) occurred in 3.1% of patients (0% for in situ carcinomas). Positive margins after surgery, extracapsular node invasion, and HER2-enriched/triple-negative tumors were linked with significantly worse LR-free survival. The involvement of more than three nodes and luminal type other than A were independent prognostic variables of metastasis and death events. HypoAR delivering a biological dose of 50–52 Gy to the breast/ASA is a safe and effective therapy for patients treated with conservative surgery. The risk of carcinogenesis is low. Positive surgical margins, extracapsular node invasion, and HER2-enriched/triple-negative phenotypes appear as a cluster of features linked with a higher risk for locoregional relapse.

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