Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al. |
A. The dorsalis pedis flap is draped over the underlying metatarsal bone, which has been wired to the nasal bones superiorly and is supported by a strut at the maxillary spines inferiorly. The free edge of the dorsalis pedis flap is folded back in the classic fashion to form the alar rim and columella. The pre-existing soft tissue about the nose was used for lining. A tunnel was created across the forehead to the left superficial temple area where the anterior tibial artery and its venae comitantes were anastomosed to the superficial temple artery and vein.
First web space neurovascular flap.
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Clinical Cases: Dorsalis Pedis Sensory Cutaneous Flap CASE 1 The patient sustained an avulsive crushing injury to a heel, with loss of soft tissue covering of the heel and a portion of the calcaneus. The area was initially covered with a thin split-thickness skin graft. The heel area was prone to breaking down and was extremely tender. FIG. 5-01. Initial defect. Medial view.
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