Karapandzic flap technique pdf files

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. Lip reconstruction was improved by the introduction of the karapandzic flap in 1974. C programs that can access text files, convert those text files to a more efficient binary form, and read those binary files. The reconstructive techniques are usually varied but the ultimate objectives of treatment are to. Miguel angel luque fernandez faculty of epidemiology and. 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. Microvascular tissue transfer has been used in more complex cases. Early treatment, appropriate prophylaxis and surgical evaluation are the key to achieving desired treatment outcomes. Shape files to pdf files you can import a shapefile as a new layer to an existing pdf. As usefulness and practicality of the flap in reconstruction of lower lip surgical defects in asian ethnicity have not been documented, the authors present a case of successful lower lip. It is easy to master and affords coverage of large lip defects. Transoral crosslip abbeestlander flap as a viable and.

Add text layer to pdf of scanned handwritten notes in osx. Such defects may be the result of trauma, excision of neoplasm or other etiologies. Dec 11, 2009 a compound radial artery forearm flap for the reconstruction of lip and chin defect. Sophus august vilhelm stein of copenhagen, denmark, described bilateral upper cen. Patient was taken under general anaesthesia for secondary repair of lip with karapandzic flap. Flap is designed with height 1 to 2 mm greater than defect to be reconstructed. If authors do not have access to the source file and authoring tool, scanned images of text can. Crossvalidation is a model validation technique for assessing how the results of a statistical analysis will generalize to an independent data set. In 2011, an extended karapandzic flap technique was described by sood et al. Lower lip reconstruction using the karapandzic technique. A semicircular incision of adequate length to close the. 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.

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 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. University journal of surgery and surgical specialities. Pdf karapandzic flap, a possible solution to a case of.

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. In large defects, it might result in disproportion between the upper and lower lips and blunting of the. Smaller defects generally do not require such an extensive reconstructive option. Update on major reconstruction of the head and neck. Lip reconstruction may be required after trauma or surgical excision. It involved bilateral full thickness circumoral advancement rotation 11, 12 of the flap. Since the early nineteenth century, several techniques have been described for lower lip reconstruction.

Lip reconstruction after tumor ablation ali ebrahimi1, mohammad hossein kalantar motamedi2, azin ebrahimi3. Surgical technique the split orbicularis myomucosal flap. There was one documented infection, which was diagnosed three weeks postoperatively when the patient presented with drainage from her inframammary incision. The end result was characterized by scarring concealed in the physiological grooves and the maintenance of oral continence as well as the.

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 infraorbita nerve provides sensation to the upper lip, cheek, ala, and nasal sidewall. Generates a searchable pdfa file from a pdf file containing only. Modeling and simulation of ablationcontrolled plasmas ablation and plasma formation in high energy laser target interactions and arc discharges are studied numerically. 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. The split orbicularis myomucosal flap for lower lip reconstruction. The key feature of this reconstruction technique is preserving the neural and vascular structures that are encountered in the plane of dissection, so that. Jul 11, 2014 patient was taken under general anaesthesia for secondary repair of lip with karapandzic flap. Senator mike gravel reads the pentagon papers into. A single theory for some quasistatic, supersonic, atomic, and tectonic scale applications of dislocations xiaohan zhang, amit acharya, noel j. Aesthetic surgery journal effect of incision choice on. The upper lip receives its sensibility from the infraorbital nerve, which is a branch of the maxillary division of the trigeminal nerve. Free flaps are used to reconstruct sizeable defects of the head and neck. Simultaneous reconstruction of the upper and lower lips has been inconclusive and presents a challenge to the surgeon.

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. Pdf lower lip reconstruction using the karapandzic technique. Total lower lip reconstruction using sensate composite radial forearm flap. 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. And if on some point you think differently, that too god will make clear to you. Squamous cell carcinoma is one of the most common malignant tumors of the skin and oral mucosa. 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. Karapandzic flap is a modification of gilles fan flap is used for the reconstruction of total and subtotal defectof lower lip. Technical tips in reconstruction of the upper lip with the. Marys hospital, college of medicine, the catholic university of korea, uijeongbu, korea. With total or subtotal lip defects, unlike the former technique, the bernardburrowwebster flap is a good option for reconstruction.

A vshapedincision diagramed around lower lip lesion and proposed upper lip flap outlined. Pdf karapandzic flap for esthetic and functional reconstruction. Reconstruction of the lower lip using karapandzic and gilles flaps. Karapandzic flap is one the most commonly used technique for reconstruction of large defects of the lower lip. Fibula osseocutaneous flaps are now commonly employed to. Ferred, in order to reduce the file size or create multipage files, for example. Karapandzic flap and bernardburrowwebster flap for. Gale academic onefile document the karapandzic flap in. Karapandzic flap for reconstruction of lip defects.

In ieee citations, the references should be numbered and appear in the order they appear in the text. Please make sure that you follow these guidelines in preparing your pdf files. Karapandzic flap and bernardburrowwebster flap for reconstruction of the lower lip 159 to 23 of the length of the lower lip. Pdfa for the decentralized scanning of credit files.

In terms of aesthetics and functionality, the face is an important human attribute, being the. In summary, the karapandzic flap is a reliable technique that offers consistently good functional and esthetic outcomes. Dec 31, 2016 the karapandzic flap is an effective means for reconstruction of large, fullthickness upper or lower lip defects. Karapandzic flap for esthetic and functional reconstruction of. A single theory for some quasistatic, supersonic, atomic. Jan 18, 2012 squamous cell carcinoma is one of the most common malignant tumors of the skin and oral mucosa. In all three cases of hematoma, the same implant was replaced. 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. Pdf modified karapandzic flap with radial forearm free. With bigger defects, the resulting microstomy limits the procedure. Ieee now only accepts 100 xplore compliant papers prepared in pdf format. Karapandzic flap, ecthyma gangrenosum, reconstruction. Verydoc free avi to flash converter is a converting tool used to convert avi to. All knees were operated between october 2014 and june 2015. The karapandzic flap is suitable for defects that take to 23 of the length of the lower lip. The sensory innervation of the lower lip is provided by the mental nerve. Consuming and the drawings require that i keep the pdf and the text document. The lips are considered the beginning of the oral cavity and are the most common site of oral cancer. However, squamous cell carcinoma involving near total upper and lower lip and oral commissure is rarely seen in the english literature. 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. Lower lip reconstruction using the karapandzic technique scielo.

This tutorial explains the use of the java secure socket extension jsse packages included. Beforetheadventoffree tissue transfer, regional flaps deltopectoral, trapezius, and others were used to reconstruct lower lip defects. The karapandzic flap is an effective means for reconstruction of large, fullthickness upper or lower lip defects. 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. Bernardvon burrow flap and unilateral webster modification. Surgical technique the split orbicularis myomucosal flap for. Keywords human lip bite lip reconstruction karapandzic flap. The objective of this study was to report 2 patients who underwent reconstruction of large lesions of the lower lip, using the karapandzic technique. Other flaps, such as the gracilis14 and the anterolateral thigh,15 havebeenusedaswell. It is mainly used in settings where the goal is prediction, and one wants to estimate how accurately a predictive model will. Reconstruction of oncologic defects of the eyelid, lips and ear. A professional pdf converter, pdf writer, pdf creator, pdf editor, html. Modeling and simulation of ablationcontrolled plasmas. Jul 11, 2014 human bite injuries are both deceptive and challenging in their presentation and management.

The operative technique for identification of neurovascular bundle is defined in this paper namely motor buccal branch. A compound radial artery forearm flap for the reconstruction of lip and chin defect. Fortran95 via c fortran95 programs that can read converted binary files using underlying c functions. When referring to a reference in the text of the document.

Karapandzic flap this is a sensate axial musculomucocutaneous flap based upon the superior and inferior labial arteries. Advanced squamous cell carcinoma involving both upper and. Human bite injuries are both deceptive and challenging in their presentation and management. Because new lip tissue is not recruited, microstomia may result after closure of larger defects. Each of the two processes is modeled separately due to the type of energy source and the resulting ow eld. 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. Scanned pdf file example sapors lane boole dorset bhzs 8br. The more supple composite free tissue that is available. Although a long list of reconstructive options have been in use since as far back as three millenia 5, e. Ozdemir r, ortak t, kocer u, celebioglu s, sensoz o, tiftikcioglu yo. 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.

Ahmad et 333al an analysis of banks performance in pakistan simar and wilson 2007 have identified several limitations of the twostage dea technique, i. This is a sensate axial musculomucocutaneous flap based upon the superior and inferior labial arteries. Karapandzic flap is a reliable technique with consistent functional and esthetic outcome. San doctor winter 28 2 dr reddy is a specialist plastic and reconstructive surgeon. Lower lip carcinoma reconstruction using abbe estlander flap. Any reconstruction of the lips must include both functional and cosmetic considerations. Walkington, jacobo bielak july 8, 2015 abstract we describe a model based in continuum mechanics that reduces the study of a signi. 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.