DOI: 10.1097/01.prs.0000279495.73662.ca

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PMID: 17898607

Issn Print: 0032-1052

Publication Date: 2007/10/01


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A Prefabricated, Tissue-Engineered Integra Free Flap

John M. Houle; Michael W. Neumeister

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Excerpt

Prefabricated flaps were first described by Yao in 1981.1 A vascular pedicle is transferred from its native site to another area of the body and placed under the skin. The overlying skin obtain its blood supply from vessels sprouting from the vascular pedicle. The overlying paddle of skin can then be subsequently transferred as an axial or free flap based solely on the repositioned vascular pedicle.
Some patients, such as those who are severely burned, may not have adequate normal skin to allow prefabrication of a flap. We present a case of prefabrication of Integra (Life Sciences Corp., Plainsboro, N.J.) that was then successfully microsurgically transferred as a free flap following contracture release of the left elbow.
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