jaya krishnan - Academia.edu (original) (raw)
Papers by jaya krishnan
European Journal of Plastic Surgery, 2001
Fourteen patients with a soft tissue defect of the lower leg are presented. The cause of the defe... more Fourteen patients with a soft tissue defect of the lower leg are presented. The cause of the defect was trauma in eight cases; unstable scar in two and the remaining cases had chronic osteomyelitis, pathological fracture, chronic non-healing ulcer, and diabetic foot. Each defect was covered by a distally based saphenous neurocutaneous island flap. Clinically, the flaps ranged in size from 4×5 cm to 18×8 cm. Nine flaps survived completely, two had marginal necrosis, another two had partial necrosis while one flap was lost completely. However, the fascia in failed flaps survived, allowing subsequent grafting. The distally based saphenous neurocutaneous island flap is a simple, versatile, one-stage procedure with a good arc of rotation and it does not require sacrifice of a major artery.
Annals of Plastic Surgery, 2002
The need for a thin flap has increased for contour or coverage of the shallow defects caused by t... more The need for a thin flap has increased for contour or coverage of the shallow defects caused by trauma, tumor ablative surgery, or defects created after the release of contractures. The authors describe their experience with the use of an extremely thin anterolateral thigh free flap for covering such defects in a series of 12 patients. Extreme thinning of the flap (4-5 mm) was achieved by removal of deep fascia and subcutaneous fat except for a 3- to 4-cm area around the entry of the perforator into the flap. Subdermal fat and immediate underlying superficial veins should be preserved during the thinning procedure for venous drainage of the flap. Their clinical experiences with 12 patients indicate that an extremely thin, long flap can survive on a single perforator.
European Journal of Plastic Surgery, 2001
The main nutrient vessel of the anterolateral thigh flap is the perforator originating from the d... more The main nutrient vessel of the anterolateral thigh flap is the perforator originating from the descending branch of the lateral circumflex femoral artery (LCFA). It supplies a large area of skin on the anterolateral aspect of the thigh. We present the experience of 20 consecutive anterolateral thigh flaps used for a variety of soft tissue defects. Fourteen flaps were used for lower leg reconstruction, four in the head and neck, and the remaining two in the hand. The largest flap was 30×15 cm. All flaps survived except two which had partial skin necrosis, but the underlying adipose tissue survived and was grafted. Reexploration was needed for one patient in whom a thrombus blocking the vein was removed, and the flap survived completely. The anterolateral thigh flap has the advantage of a long vascular pedicle, large-caliber vessels, availability of a large skin flap area, and suitability as a flow-through flap.
European Journal of Plastic Surgery, 2001
Fourteen patients with a soft tissue defect of the lower leg are presented. The cause of the defe... more Fourteen patients with a soft tissue defect of the lower leg are presented. The cause of the defect was trauma in eight cases; unstable scar in two and the remaining cases had chronic osteomyelitis, pathological fracture, chronic non-healing ulcer, and diabetic foot. Each defect was covered by a distally based saphenous neurocutaneous island flap. Clinically, the flaps ranged in size from 4×5 cm to 18×8 cm. Nine flaps survived completely, two had marginal necrosis, another two had partial necrosis while one flap was lost completely. However, the fascia in failed flaps survived, allowing subsequent grafting. The distally based saphenous neurocutaneous island flap is a simple, versatile, one-stage procedure with a good arc of rotation and it does not require sacrifice of a major artery.
Annals of Plastic Surgery, 2002
The need for a thin flap has increased for contour or coverage of the shallow defects caused by t... more The need for a thin flap has increased for contour or coverage of the shallow defects caused by trauma, tumor ablative surgery, or defects created after the release of contractures. The authors describe their experience with the use of an extremely thin anterolateral thigh free flap for covering such defects in a series of 12 patients. Extreme thinning of the flap (4-5 mm) was achieved by removal of deep fascia and subcutaneous fat except for a 3- to 4-cm area around the entry of the perforator into the flap. Subdermal fat and immediate underlying superficial veins should be preserved during the thinning procedure for venous drainage of the flap. Their clinical experiences with 12 patients indicate that an extremely thin, long flap can survive on a single perforator.
European Journal of Plastic Surgery, 2001
The main nutrient vessel of the anterolateral thigh flap is the perforator originating from the d... more The main nutrient vessel of the anterolateral thigh flap is the perforator originating from the descending branch of the lateral circumflex femoral artery (LCFA). It supplies a large area of skin on the anterolateral aspect of the thigh. We present the experience of 20 consecutive anterolateral thigh flaps used for a variety of soft tissue defects. Fourteen flaps were used for lower leg reconstruction, four in the head and neck, and the remaining two in the hand. The largest flap was 30×15 cm. All flaps survived except two which had partial skin necrosis, but the underlying adipose tissue survived and was grafted. Reexploration was needed for one patient in whom a thrombus blocking the vein was removed, and the flap survived completely. The anterolateral thigh flap has the advantage of a long vascular pedicle, large-caliber vessels, availability of a large skin flap area, and suitability as a flow-through flap.
European Journal of Plastic Surgery, 2001
Fourteen patients with a soft tissue defect of the lower leg are presented. The cause of the defe... more Fourteen patients with a soft tissue defect of the lower leg are presented. The cause of the defect was trauma in eight cases; unstable scar in two and the remaining cases had chronic osteomyelitis, pathological fracture, chronic non-healing ulcer, and diabetic foot. Each defect was covered by a distally based saphenous neurocutaneous island flap. Clinically, the flaps ranged in size from 4×5 cm to 18×8 cm. Nine flaps survived completely, two had marginal necrosis, another two had partial necrosis while one flap was lost completely. However, the fascia in failed flaps survived, allowing subsequent grafting. The distally based saphenous neurocutaneous island flap is a simple, versatile, one-stage procedure with a good arc of rotation and it does not require sacrifice of a major artery.
Annals of Plastic Surgery, 2002
The need for a thin flap has increased for contour or coverage of the shallow defects caused by t... more The need for a thin flap has increased for contour or coverage of the shallow defects caused by trauma, tumor ablative surgery, or defects created after the release of contractures. The authors describe their experience with the use of an extremely thin anterolateral thigh free flap for covering such defects in a series of 12 patients. Extreme thinning of the flap (4-5 mm) was achieved by removal of deep fascia and subcutaneous fat except for a 3- to 4-cm area around the entry of the perforator into the flap. Subdermal fat and immediate underlying superficial veins should be preserved during the thinning procedure for venous drainage of the flap. Their clinical experiences with 12 patients indicate that an extremely thin, long flap can survive on a single perforator.
European Journal of Plastic Surgery, 2001
The main nutrient vessel of the anterolateral thigh flap is the perforator originating from the d... more The main nutrient vessel of the anterolateral thigh flap is the perforator originating from the descending branch of the lateral circumflex femoral artery (LCFA). It supplies a large area of skin on the anterolateral aspect of the thigh. We present the experience of 20 consecutive anterolateral thigh flaps used for a variety of soft tissue defects. Fourteen flaps were used for lower leg reconstruction, four in the head and neck, and the remaining two in the hand. The largest flap was 30×15 cm. All flaps survived except two which had partial skin necrosis, but the underlying adipose tissue survived and was grafted. Reexploration was needed for one patient in whom a thrombus blocking the vein was removed, and the flap survived completely. The anterolateral thigh flap has the advantage of a long vascular pedicle, large-caliber vessels, availability of a large skin flap area, and suitability as a flow-through flap.
European Journal of Plastic Surgery, 2001
Fourteen patients with a soft tissue defect of the lower leg are presented. The cause of the defe... more Fourteen patients with a soft tissue defect of the lower leg are presented. The cause of the defect was trauma in eight cases; unstable scar in two and the remaining cases had chronic osteomyelitis, pathological fracture, chronic non-healing ulcer, and diabetic foot. Each defect was covered by a distally based saphenous neurocutaneous island flap. Clinically, the flaps ranged in size from 4×5 cm to 18×8 cm. Nine flaps survived completely, two had marginal necrosis, another two had partial necrosis while one flap was lost completely. However, the fascia in failed flaps survived, allowing subsequent grafting. The distally based saphenous neurocutaneous island flap is a simple, versatile, one-stage procedure with a good arc of rotation and it does not require sacrifice of a major artery.
Annals of Plastic Surgery, 2002
The need for a thin flap has increased for contour or coverage of the shallow defects caused by t... more The need for a thin flap has increased for contour or coverage of the shallow defects caused by trauma, tumor ablative surgery, or defects created after the release of contractures. The authors describe their experience with the use of an extremely thin anterolateral thigh free flap for covering such defects in a series of 12 patients. Extreme thinning of the flap (4-5 mm) was achieved by removal of deep fascia and subcutaneous fat except for a 3- to 4-cm area around the entry of the perforator into the flap. Subdermal fat and immediate underlying superficial veins should be preserved during the thinning procedure for venous drainage of the flap. Their clinical experiences with 12 patients indicate that an extremely thin, long flap can survive on a single perforator.
European Journal of Plastic Surgery, 2001
The main nutrient vessel of the anterolateral thigh flap is the perforator originating from the d... more The main nutrient vessel of the anterolateral thigh flap is the perforator originating from the descending branch of the lateral circumflex femoral artery (LCFA). It supplies a large area of skin on the anterolateral aspect of the thigh. We present the experience of 20 consecutive anterolateral thigh flaps used for a variety of soft tissue defects. Fourteen flaps were used for lower leg reconstruction, four in the head and neck, and the remaining two in the hand. The largest flap was 30×15 cm. All flaps survived except two which had partial skin necrosis, but the underlying adipose tissue survived and was grafted. Reexploration was needed for one patient in whom a thrombus blocking the vein was removed, and the flap survived completely. The anterolateral thigh flap has the advantage of a long vascular pedicle, large-caliber vessels, availability of a large skin flap area, and suitability as a flow-through flap.