Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al. |
This woman had lost the ulnar half of her thumb pulp plus tissue from the first web space. (From Hall, E.J., and Buncke, H. J.: Microsurgical techniques to reconstruct irreparable nerve loss. Orthop Clin North Am 12:381, 1981.) FIG. 5-19. The first web space has been opened and the ulnar side of the thumb tissue defect recreated. A template of the defect has been made. FIG. 5-20. The template is next to the donor area on the foot.
CASE 4 These photographs illustrate a nasal reconstruction performed on a teenage boy who had total destruction of his nose after radiation therapy for a vascular lesion during early childhood. |
FIG. 5-24. Three previous nasal reconstructions, two Tagliacozzian arm flaps, and one sternocleidomastoid flap had failed.
FIG. 5-28. X ray shows the bony fixation of vascularized second metatarsal to nasal bone remnant.
CASE 5 |
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