They are particularly notorious due to the polymicrobial nature of human saliva inoculated in the wound and the risk they pose for transmission of infectious diseases. A professional pdf converter, pdf writer, pdf creator, pdf editor, html. Sophus august vilhelm stein of copenhagen, denmark, described bilateral upper cen. In 2011, an extended karapandzic flap technique was described by sood et al.
Although a long list of reconstructive options have been in use since as far back as three millenia 5, e. Pdf modified karapandzic flap with radial forearm free. The reconstructive techniques are usually varied but the ultimate objectives of treatment are to. Shape files to pdf files you can import a shapefile as a new layer to an existing pdf. However, squamous cell carcinoma involving near total upper and lower lip and oral commissure is rarely seen in the english literature.
Surgical technique the split orbicularis myomucosal flap for. Pdf karapandzic flap, a possible solution to a case of. In summary, the karapandzic flap is a reliable technique that offers consistently good functional and esthetic outcomes. Walkington, jacobo bielak july 8, 2015 abstract we describe a model based in continuum mechanics that reduces the study of a signi. Pdf karapandzic flap for esthetic and functional reconstruction. C programs that can access text files, convert those text files to a more efficient binary form, and read those binary files. Gale academic onefile document the karapandzic flap in.
Another technique that is applied to major defects of the upper lip is the fujimorigate flap. Update on major reconstruction of the head and neck. Each of the two processes is modeled separately due to the type of energy source and the resulting ow eld. Senator mike gravel reads the pentagon papers into. Ieee now only accepts 100 xplore compliant papers prepared in pdf format. If authors do not have access to the source file and authoring tool, scanned images of text can.
Verydoc free avi to flash converter is a converting tool used to convert avi to. When referring to a reference in the text of the document. Please make sure that you follow these guidelines in preparing your pdf files. Technical tips in reconstruction of the upper lip with the. Bernardvon burrow flap and unilateral webster modification. This tutorial explains the use of the java secure socket extension jsse packages included. B cpu 30% c cpu50% d cpu 80% a 64mb b 128mb c 256mb d 512mb a nf b nf c rc. Defects of the lips are more frequently encountered because of the high incidence of tumors of lips. All knees were operated between october 2014 and june 2015. Ferred, in order to reduce the file size or create multipage files, for example. The upper lip receives its sensibility from the infraorbital nerve, which is a branch of the maxillary division of the trigeminal nerve.
Jan 18, 2012 squamous cell carcinoma is one of the most common malignant tumors of the skin and oral mucosa. The end result was characterized by scarring concealed in the physiological grooves and the maintenance of oral continence as well as the. Methods we describe a twostage modified abbe island flap technique whereby a fullthickness myocutaneous flap is combined with a modified karapandzic flap, allowing for reconstruction of. Early treatment, appropriate prophylaxis and surgical evaluation are the key to achieving desired treatment outcomes. Pdfa for the decentralized scanning of credit files. Microvascular tissue transfer has been used in more complex cases. A vshapedincision diagramed around lower lip lesion and proposed upper lip flap outlined.
Any reconstruction of the lips must include both functional and cosmetic considerations. Modeling and simulation of ablationcontrolled plasmas ablation and plasma formation in high energy laser target interactions and arc discharges are studied numerically. Free flaps are used to reconstruct sizeable defects of the head and neck. Crossvalidation is a model validation technique for assessing how the results of a statistical analysis will generalize to an independent data set. Karapandzic flap, ecthyma gangrenosum, reconstruction. Karapandzic flap this is a sensate axial musculomucocutaneous flap based upon the superior and inferior labial arteries. A semicircular incision of adequate length to close the. The operative technique for identification of neurovascular bundle is defined in this paper namely motor buccal branch. Consuming and the drawings require that i keep the pdf and the text document. The sensory innervation of the lower lip is provided by the mental nerve. Lower lip reconstruction using the karapandzic technique performance of these f unctions can be compromised by struc tural defects of the lips that result from trauma, infections, congenital malformations, and tumoral lesions. The key feature of this reconstruction technique is preserving the neural and vascular structures that are encountered in the plane of dissection, so that optimal oral competence and sensory functions are preserved. Modeling and simulation of ablationcontrolled plasmas.
Squamous cell carcinoma is one of the most common malignant tumors of the skin and oral mucosa. Beforetheadventoffree tissue transfer, regional flaps deltopectoral, trapezius, and others were used to reconstruct lower lip defects. Karapandzic flap and bernardburrowwebster flap for. Writing for a cross section of readers from differing. Karapandzic flap is one the most commonly used technique for reconstruction of large defects of the lower lip. The objective of this study was to report 2 patients who underwent reconstruction of large lesions of the lower lip, using the karapandzic technique. Generates a searchable pdfa file from a pdf file containing only. The karapandzic flap is suitable for defects that take to 23 of the length of the lower lip.
Other flaps, such as the gracilis14 and the anterolateral thigh,15 havebeenusedaswell. Because new lip tissue is not recruited, microstomia may result after closure of larger defects. Transoral crosslip abbeestlander flap as a viable and effective reconstructive option in middle lower lip defect reconstruction hyung jin hahn, hyun jee kim, jin young choi, soo young lee, young bok lee, jin wou kim and dong soo yu. Lip reconstruction was improved by the introduction of the karapandzic flap in 1974. Fibula osseocutaneous flaps are now commonly employed to. Ahmad et 333al an analysis of banks performance in pakistan simar and wilson 2007 have identified several limitations of the twostage dea technique, i. There was one documented infection, which was diagnosed three weeks postoperatively when the patient presented with drainage from her inframammary incision. The more supple composite free tissue that is available. It is mainly used in settings where the goal is prediction, and one wants to estimate how accurately a predictive model will.
The split orbicularis myomucosal flap for lower lip reconstruction. In all three cases of hematoma, the same implant was replaced. Karapandzic flap for esthetic and functional reconstruction of. Such defects may be the result of trauma, excision of neoplasm or other etiologies. A single theory for some quasistatic, supersonic, atomic. And if on some point you think differently, that too god will make clear to you. In ieee citations, the references should be numbered and appear in the order they appear in the text. A modified karapandzic flap with bilateral perialar extensions and a fasciocutaneous radial forearm free flap were used to restore oral function and close the palatal defect, respectively. Jul 11, 2014 human bite injuries are both deceptive and challenging in their presentation and management. He has been a vmo at the san since 2012 and is a vmo at westmead and auburn public. Patient was taken under general anaesthesia for secondary repair of lip with karapandzic flap. Transoral crosslip abbeestlander flap as a viable and. To document the construction of a boeing 737 flight simulator, and to act as a platform to share aviationrelated articles pertaining to the boeing 737. It provides good oral competence and is useful for closing onehalf to twothird defects of the upper lip and defects up to threequarters of the lower lip.
Karapandzic flap for reconstruction of lip defects. A compound radial artery forearm flap for the reconstruction of lip and chin defect. Lower lip reconstruction using the karapandzic technique scielo. The batch files i created for my simulator setup have worked flawlessly and i am confident, with the correct syntax for your system, they will also work for you. With total or subtotal lip defects, unlike the former technique, the bernardburrowwebster flap is a good option for reconstruction. Karapandzic flap is a good, robust flap for lip reconstruction when there is adequate cheek tissue for mobilization and when no new additional lip tissue is required. The operative technique for identification of neurovascular bundle is defined in this paper namely motor buccal branch and sensory buccal branch, superior labial artery and its perforator, sometimes mental nerve branch. Since the early nineteenth century, several techniques have been described for lower lip reconstruction. Scanned pdf file example sapors lane boole dorset bhzs 8br. Karapandzic flap is a reliable technique with consistent functional and esthetic outcome.
It involved bilateral full thickness circumoral advancement rotation 11, 12 of the flap. Lower lip carcinoma reconstruction using abbe estlander flap. Advanced squamous cell carcinoma involving both upper and. In large defects, it might result in disproportion between the upper and lower lips and blunting of the. Aesthetic surgery journal effect of incision choice on. Lip reconstruction may be required after trauma or surgical excision. Smaller defects generally do not require such an extensive reconstructive option. A single theory for some quasistatic, supersonic, atomic, and tectonic scale applications of dislocations xiaohan zhang, amit acharya, noel j. Ozdemir r, ortak t, kocer u, celebioglu s, sensoz o, tiftikcioglu yo. Human bite injuries are both deceptive and challenging in their presentation and management. Miguel angel luque fernandez faculty of epidemiology and. Marys hospital, college of medicine, the catholic university of korea, uijeongbu, korea. Defects that span between half and twothirds the surface area of either lip are commonly closed via the classic twostage abbeestlander flap technique or a.
Flap is designed with height 1 to 2 mm greater than defect to be reconstructed. San doctor winter 28 2 dr reddy is a specialist plastic and reconstructive surgeon. Keywords human lip bite lip reconstruction karapandzic flap. The infraorbita nerve provides sensation to the upper lip, cheek, ala, and nasal sidewall. The lips are considered the beginning of the oral cavity and are the most common site of oral cancer. It can be used to reconstruct significant upper and lower lip defects and we feel it should be included in the armamentarium of all surgeons treating lip cancers.
Fortran95 via c fortran95 programs that can read converted binary files using underlying c functions. Reconstruction of oncologic defects of the eyelid, lips and ear. This is a sensate axial musculomucocutaneous flap based upon the superior and inferior labial arteries. Karapandzic flap and bernardburrowwebster flap for reconstruction of the lower lip 159 to 23 of the length of the lower lip. Total lower lip reconstruction using sensate composite radial forearm flap. Forty years after the pdf to jpg acrobat pro new york times published a leaked version of the secret government study of the vietnam war known as the pentagon papers, the. The key feature of this reconstruction technique is preserving the neural and vascular structures that are encountered in the plane of dissection, so that. Lip reconstruction after tumor ablation ali ebrahimi1, mohammad hossein kalantar motamedi2, azin ebrahimi3. Karapandzic flap is a modification of gilles fan flap is used for the reconstruction of total and subtotal defectof lower lip. The karapandzic flap is an effective means for reconstruction of large, fullthickness upper or lower lip defects. Lower lip reconstruction using the karapandzic technique. B lesion removed, flap rotated and sutured into defect.
The recommended sequence is an extended karapandzic flap to reestablish the oral sphincter, then two sequential abbe flaps from the upper lip to restore balance and augment the central lower lip. The karapandzic flap is a reliable technique that offers consistently good functional and esthetic outcomes after reconstruction of lip defects. Simultaneous reconstruction of the upper and lower lips has been inconclusive and presents a challenge to the surgeon. Reconstruction of the lower lip using karapandzic and gilles flaps. It is easy to master and affords coverage of large lip defects. Dec 11, 2009 a compound radial artery forearm flap for the reconstruction of lip and chin defect. University journal of surgery and surgical specialities. If you are like me and tire of opening and closing several programs with a mouse, then try a batch file, or at the very least download and trial the flight1 program launcher. Pdf lower lip reconstruction using the karapandzic technique. Karapandzic flap technique was used for reconstruction.
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