더존카지노 – http://www.krvisnik.com/skinfood-gold-caviar-collagen-double-eye-serum/. The Limberg flap: It is a transposition flap, exhibiting closure of a rhomboid-formed defect. The interpolation flap rotates about a pivot level right into a close by however not adjacent defect, with the pedicle passing above or below a skin bridge. An instance is an island pedicle flap such because the Littler neurovascular flap for the hand. One seldom-used flap type is the de-epithelialized turnover flap. On this flap design, an space of skin adjoining to a wound is de-epithelized. This dermis is raised as a flap, maintaining a “hinge” space between the flap and the defect.
The flap is turned over like a web page in a book. Use distant flaps to cover nonadjacent defects. They may be transferred directly, tubed, or transferred by microvascular technique. Direct flap: A direct flap is transferred to a distant site straight in order that the donor and recipient websites are approximated. The flap is divided after 1-3 weeks and inset. Examples of direct flaps embody the groin flap (used for reconstruction of the hand) and the crossfinger or thenar flap (for fingertip reconstruction).
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