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Zhao F.J.,Hangzhou Plastic Surgery Hospital
Zhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery | Year: 2011

To summarize the technique and therapeutic effect of free posterior tibial artery perforator (PTP) flap for skin defect on the dorsum of hand or foot. The lower leg was divided into 6 sections equally from the level of tibial tuberosity to the connection of medial and lateral malleolus. The free PTP flap was designed along the inner edge of tibia within the proximal section 2 and 3. The flap was harvested with 2-3 bundles of the saphenous nerve included. The size of skin defects on the dorsum of hand or foot ranged from 3.0 cm x 7.5 cm to 6.0 cm x 12.0 cm. From Jan. 2009 to Dec. 2010, 11 cases were treated with free PTP flaps. All the flaps survived completely. The follow-up period ranged from 3 to 10 months. The flaps had good color and texture. Two point discrimination recovered to 7-10 mm, leaving linear scar at the donor site. The appearance and function of the hand or foot was satisfactory. The free PTP flap is thin with good sensation, leaving less morbidity at donor site. The posterior tibial artery can be reserved. It is an ideal method for skin defect on the dorsum of hand or foot. Source


Xu Y.-B.,Hangzhou Plastic Surgery Hospital | Liu Y.-C.,Hangzhou Plastic Surgery Hospital
Zhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery | Year: 2012

OBJECTIVE: To investigate the clinical effect of reversed plantar metatarsal artery island flap in repairing the plantar soft tissue defects at the first and second toes.METHODS: 12 cases with plantar soft tissue defects at the first and second toes were repaired by reversed plantar metatarsal artery island flap which size ranged from 2 cm x 3 cm to 4 cm x 6 cm, including 5 cases at emergency, 5 cases with the donor site defects at great toes after free lateral pulp flap transfer, and 2 cases with the donor site defects at second toes after free medial pulp flap transfer.RESULTS: All the reversed plantar metatarsal artery island flaps at the first and second toes survived uneventfully with desirable appearance and sensation over a 3-35 month follow-up. No complication happened at the donor sites.CONCLUSIONS: It is an reliable method to adopt the reversed plantar metatarsal artery island flap for the plantar soft tissue defects at the first and second toes, with the advantages of stable blood vessels, high survival rate, good skin texture and few complications. Source


Li T.,Zhejiang Cancer Hospital | Li H.-Y.,Hangzhou Plastic Surgery Hospital | Yao P.,Hangzhou Plastic Surgery Hospital | Jin G.,Zhejiang Cancer Hospital | And 2 more authors.
Chinese Journal of Cancer Prevention and Treatment | Year: 2014

OBJECTIVE: To explore the advantages and disadvantages of the reconstruction of defects in weight bearing area of the foot after large resection in malignant melanoma with medial plantar flap, reverse island flap, upper perforator flap of the lateral malleolus, upper perforator flap of the medial malleolus and free anterolateral thigh flap. METHODS: We treated 23 cases of cutaneous malignant melanoma whose primary foci located on weight bearing area of the foot between January 13, 2010 and December 25, 2013. After wide excition of primary foci, we used medial plantar flap, upper perforator flap of the medial malleolus, upper perforator flap of the lateral malleolus, reverse island flap and free anterolateral thigh flap to reconstruct the defects. The clinical and follow-up data were analyzed. RESULTS: The area of defects ranged from 4 cm×4 cm to 11 cm×9 cm, and skin flaps was 5 cm×5 cm to 12 cm×10 cm in size. Forteen cases of medial plantar flaps survived, One of the biggest skin flaps was 7 cm×7 cm in size. one case of local reverse island flap had small necrosis area and healed late. All upper perforator flaps of the lateral malleolus survived, one of the biggest skin flaps was 12 cm×10 cm in size. In all 4 cases of free anterolateral thigh flaps, three survived perfectly, one flap survived with partial necrosis and healed after changing dressings. There was no secondary ulcers and pain-walking. Two cases using medial plantar flap appeared local recurrence. CONCLUSIONS: Various flaps can achieve good clinical effectiveness in treating defects of the foot after large resection in malignant melanoma. Small deficit (diameter<8 cm) located in front of the heel should use medial plantar flap, wide defects can use the lateral branch pedicle flap. Free antero lateral thigh flap can be used for the defects which can not be covered by local flaps in hospitals with microsurgical capacity. Source


Zheng W.-F.,Hangzhou Plastic Surgery Hospital | He B.-H.,Hangzhou Plastic Surgery Hospital | Fu J.,Hangzhou Plastic Surgery Hospital | Liu L.,Hangzhou Plastic Surgery Hospital
Journal of Clinical Dermatology | Year: 2015

Objective: To analyze the clinical efficacy, adverse reaction and the factors related to the efficacy for the treatment of perineal infantile hemangioma by long-pulsed 1 064 nm Nd:YAG laser or 595 nm pulsed dye laser or combination of the two lasers. Methods: Thirty-five cases of perineal infantile hemangioma were treated with long-pulsed 1 064 nm Nd:YAG laser or 595 nm pulsed dye laser or the combination of the two lasers. The course of treatment was 4-8 weeks. Statistical analysis of the efficacy and the factors influencing therapeutic effects were carried out. Results: Thirty-five cases, including 3 male and 32 female, aged 40 days to 2 years, and the areas of lesions ranged from 0.1∼15 cm2. The total effective rate was 100% after 1∼5 times of treatment. The common adverse reactions were erythema, edema and blister, which healed within 3∼5 days, The skin texture of 5 cases was changed after being cured, 2 cases had hyperpigmentation, and infection, scar formation and other adverse reactions were not observed. Conclusions: Long-pulsed 1 064 nm Nd:YAG laser or 595 nm pulsed dye laser are safe and effective for the treatment of perineal infantile hemangioma with mild adverse reactions, which can be widely used. Source

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