|Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.|
| B. The tensor fascia lata and gluteal muscles are elevated from the periosteum overlying the external surface of the ilium. The anteromedial portion of the dissection is completed, taking care to preserve the superficial circumflex iliac vessels as they enter the cutaneous portion of the flap. Because the vessels have been exposed medially, they are best followed in a medial-to-lateral direction to complete the flap dissection.
A. The flap is attached only by its deep circumflex artery and vein and the superficial circumflex iliac artery and vein.
PLATE XV-6. Dissection of the Recipient Site.
A. The cutaneous margins of the skin defect are debrided sharply. The posterior tibial artery and vein are exposed through an incision extending from the skin defect proximally out of the area of injury. The artery and the venae comitantes are mobilized for a sufficient length to allow microvascular anastomosis.
PLATE XV-7. Vascularized Iliac Bone Graft from Right Hip to Left Mandible.
A. Proposed segment of mandible to be excised because of recurrent giant cysts in a patient with a basal cell nevus syndrome.
|Ch. 15 Page 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12|