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Defying Standard Criteria for Digital Replantation: A Case Series
Casal, D; Gomez, MM; Antunes, P; Candeias, H; Almeida, MAINTRODUCTION: There is much controversy regarding the current indications and contraindications for digital replantation. PRESENTATION OF CASE: Three patients with absolute contraindications for digital replantation according to classical criteria are presented (Case 1: multilevel amputation of the hand and fingers; Case 3: avulsion of the thumb; Case 4: index amputation proximal to the insertion of the flexor...
Reconstruction of Large Defect of Foot with Extensive Bone Loss Exclusively Usi...
Gomez, MM; Casal, DIn cases of extensive damage to the foot, with significant bone loss, it is generally accepted that reconstruction must include bone flaps or grafts either in the emergency setting or subsequently. In this report, we describe the case of an 18-year-old student with an avulsion injury of the dorsum of his right foot. Consequently, he lost most of the soft tissue over the dorsum of the foot and the cuboid, navicu...
The Turbocharged Becker Flap: a Simple Variation that Allows Coverage of Most o...
Gomez, MM; Casal, DCover of medium and large defects of the dorsum of the hand remains a substantial surgical challenge that often requires free tissue transfer. We report the case of a 28-year-old male who presented with necrosis of most of the dorsum of his dominant hand after an iatrogenic injury. A large Becker flap was raised to cover the entire defect. However, venous insufficiency was noted intraoperatively. The flap was t...
Paralisia facial: técnicas de reconstrução neuro-muscular
Gomez, MM; Pereira, H; Gomes da Silva, A; Rego, JM; Almeida, MASeveral surgical procedures have been proposed through the years for the treatment of facial paralysis. The multiplicity and diversity of techniques portray the complexity and challenge represented by this pathology. Two basic dynamic options are available: -Reconstruction of nerve continuity through direct micro suture, with interposition grafts or nerve transpositions. -Regional muscular transposition, most o...
Paralisia Facial: Técnicas de Reconstrução Neuro-Muscular
Gomez, MM; Pereira, H; Gomes da Silva, A; Rego, JM; Almeida, MASeveral surgical procedures have been proposed through the years for the treatment of facial paralysis. The multiplicity and diversity of techniques portray the complexity and challenge represented by this pathology. Two basic dynamic options are available: -Reconstruction of nerve continuity through direct micro suture, with interposition grafts or nerve transpositions. -Regional muscular transposition, most o...
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