40 research outputs found
Irish cardiac society - Proceedings of annual general meeting held 20th & 21st November 1992 in Dublin Castle
Assessment of the lymphedema patient
The various elements used in assessing the lymphedema patient are presented. These include the History and Physical examination and the various measurements that include limb circumference, limb volume, and bio-impedence spectroscopy. In addition, the different imaging techniques used to assess the lymphatic system are discussed. Finally, a treatment algorithm is presented for the treatment of the lymphedema patient
Microcirculation in DIEP flaps: a study of the haemodynamics using laser Doppler flowmetry and lightguide reflectance spectrophotometry
Perforator Flaps in Head and Neck Reconstruction
This article attempts to put perforator flaps, as they apply to head and neck reconstruction, into perspective. The importance of existing flaps is emphasized. Specific indications for perforator flaps are highlighted. The deep inferior epigastric artery perforator flap is used as the flap of choice for subtotal glossectomy defects by the authors. The anterolateral thigh flap is the most common flap currently used. Indications for its use are highlighted. Facial artery perforator flaps are introduced, and their roles as local flaps in head and neck reconstruction are highlighted. With our better understanding of vascular anatomy, existing flaps such as the submental flap have been recategorized as perforator flaps. Its role in reconstruction, particularly of lower facial defects, is discussed. Finally the internal mammary artery perforator flap is described and its advantages over the deltopectoral flap and the pectoralis major flap outlined
Reconstruction of Lateral Skull Base Defects after Tumor Ablation
Neoplasms located in the lateral skull base region present a challenge for evaluation and management due to their difficult anatomic location and the complex reconstruction that is required following extensive tumor resection. Repair following tumor ablation requires a watertight dural seal, obliteration of the dead space, and coverage with vascularized soft tissue. Advances in radiologic imaging, diagnostic pathology, and surgical techniques and a multidisciplinary team for tumor ablation and reconstruction have significantly improved the treatment of these patients, minimized the occurrence of postoperative complications, and maximized patient outcome and quality of life. In this article, we present our experience in the reconstruction of extensive lateral skull base defects after tumor ablation