What is a pedicled flap?
Listen to pronunciation. (PEH-dih-kul …) A type of surgery used to rebuild the shape of the breast after a mastectomy. Tissue, including skin, fat, and muscle, is moved from one area of the body, such as the back or abdomen, to the chest to form a new breast mound.
What is a Sartorius flap?
The sartorius muscle flap is performed by mobilizing the muscle along its lateral edge to preserve the medially based blood supply. (The most cephalad vascular supply is approximately 6.5 cm distal to the anterior superior iliac spine.) The muscle is then divided at its origin from the anterior superior iliac spine.
What is myocutaneous flap repair?
The pectoralis myocutaneous flap can be designed with a skin paddle centered over the lower portion of the muscle. It can be used to resurface the neck, cheek, oral cavity, palate, tonsillar area, and nasopharynx, tongue, floor of mouth, mandible, and cervical area.
What is latissimus dorsi myocutaneous flap?
The latissimus dorsi myocutaneous flap or myofascial flap is a useful technique with many head, neck, and torso reconstruction applications. When there is a large soft-tissue defect of the head and neck or torso that requires pliable soft tissue for reconstruction, the latissimus flap is an excellent option.
What is the CPT code for nasolabial flap?
Both the attachment of the flap to the nose (CPT 15576) and the division and inset at the nose (CPT 15630) are reported based upon the site of the surgical defect to which the flap is attached.
What is a gracilis flap?
The gracilis is a commonly used muscle to create a flap for free tissue transfer or flap surgery for reconstruction of small- to medium-sized soft tissue defects in the arms, legs, head and neck. It is a muscular flap, which means only muscle is used.
What are the uses of muscle and myocutaneous flaps?
16. Uses of muscle and myocutaneous flaps : 1. Functional muscle flap for motor reconstruction 2. Sensate Myocutaneous flap for sensate reconstruction 3. Coverage of complex wounds 4. Chronic vascular insufficiency 5. Chronic radiation wounds 6.
What is the pectoralis major myocutaneous flap?
The pectoralis major myocutaneous flap is an axial flap which is versatile, reliable and permits reconstructive surgery for head and neck cancer as a primary procedure. It has definite advantages over other myocutaneous flaps used in this region.
How are myocutaneous flaps harvested?
Myocutaneous flaps based on the DSA or SCA (donor site morbidity exists) are ideally harvested as an island flap with a vertically or transversally planned skin island as needed.
When is a myocutaneous flap used for chest wall resection?
A myocutaneous flap is used when the chest wall resection involves a significant amount of soft tissue and especially if skin is resected. Myocutaneous flaps based on the DSA or SCA (donor site morbidity exists) are ideally harvested as an island flap with a vertically or transversally planned skin island as needed.