advancement flap

The advantages of BFP in affecting closure of oro- antral fistula have been cited to be a thoroughly vas- cularized flap, availability in the immediate proximity, minimal donor site morbidity, rapid mucosalization and the return of the buccal flap to its original anatomical position to avoid obliteration of the buccal vestibule.6 It has been shown in studies that the BFP does not need to be covered by a skin graft when exposed to heal in the mouth, because of its inherent ability to epitheli- alize readily within 2 to 3 weeks.17 It is considered the primary choice for repair of oroantral fistula by some surgeons, whereas others like Samman et al18 justify its use only in cases where the buccal advancement flap is damaged and can be used as a primary option.

In 1820, Delpech described a surgical treatment for genital elephantiasis, involving complete excision of all lymph-edematous skin and subcutaneous tissue of the penis and scrotum; this was followed by split-thickness skin grafting to the penis and advancement flaps of uninvolved posterior perineal skin to reconstruct the scrotum.[sup.4] The alternative treatment described in the literature is lymphangioplasty[sup.5,6] and lymphaticovenous anastomasosis.[sup.7] This excision is also termed "the physiological approach"[sup.8] and it is applicable to reversible states (i.e., reversible skin changes) of minor lymph stasis and easily identifiable lymphatic obstruction.

The corresponding interdigital skin on the dorsal surface of the foot was also incised to create a single pedicle advancement flap. The pedicle was made as wide as possible (1 cm) to preserve blood flow to the flap.

Y-U antral advancement flap pyloroplasty and inverted pylorus duodenal plasty to treat the cases of pyloric stenosis in dogs.

Palmar (Moberg) advancement flaps may be used for tip deficits that are 2 to 2.5 cm.

In this case, the cosmetic result is excellent, and we agree to the principle of mobilizing the entire aesthetic subunit in a single advancement flap. We came to the conclusion, however, that for the mobilization of relatively small areas, such as the eyebrow, it is not necessary to perform a fine skeletonization of the perforator.

In this study, all patients have been treated with surgical intervention in the form of administering anesthesia, curettage and irrigation of the socket to cleanse it of necrotic bone, tooth fragments, induce bleeding and primary closure by advancement flap, to protect the clot and enhance healing by primary intention.

Parallel to the current knowledge, the most common technique used in the patients included into the study was the V-Y advancement flap for defects up to 10 mm, because it was a single stage operation and could be easily applied in emergency settings.

The Moberg volar advancement flap for digital reconstruction.

Today, these methods have been replaced by excision and closure with advancement flap techniques, which have lower recurrence and complication rates and shorter return-to-work times.

and 5 V-Y advancement flap. Two rotational flaps had partial necrosis that required another flap and 03 flaps had suture line dehiscence which healed by secondary intention.

Surgical technique used to close the fistula was buccal advancement flap. Recurrence of fistula occurred in 2 patients (6.7%) and were re-operated using the palatal flap.