The Use of a Neurotized Arterio-venous Flow-through Flap for Concurrent Pulp Revascularization and Reconstruction

Summary:. Digital fingertip soft tissue defects requiring both reconstruction and revascularization pose challenges to the reconstructive surgeon. Traditional options, including terminalization, vein graft and cross-finger flap, and free flow-through flaps, maybe unsuitable or unavailable, with pote...

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Autores principales:	Ankur Khajuria, MRCS, PhD, Arun Sethu, MRCS, Ruben Y. Kannan, PhD, FRCS(Plast)
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/6fec133ef5a2496ab7b061ccc9abead0
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spelling	oai:doaj.org-article:6fec133ef5a2496ab7b061ccc9abead02021-11-25T07:58:04ZThe Use of a Neurotized Arterio-venous Flow-through Flap for Concurrent Pulp Revascularization and Reconstruction2169-757410.1097/GOX.0000000000003894https://doaj.org/article/6fec133ef5a2496ab7b061ccc9abead02021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003894https://doaj.org/toc/2169-7574Summary:. Digital fingertip soft tissue defects requiring both reconstruction and revascularization pose challenges to the reconstructive surgeon. Traditional options, including terminalization, vein graft and cross-finger flap, and free flow-through flaps, maybe unsuitable or unavailable, with potential for significant donor site morbidity. Venous free flaps rely on venous circulation alone, with no sacrifice of an artery. We present a unique case of a self-employed tradesman with Raynaud’s disease, with four-finger injury, and three-finger ischemia for whom we performed a neurotized arterialized venous flow-through flap to revascularize and reconstruct a pulp defect (with a concomitant vessel gap of 2 cm). After allowing for a period of intrinsic delay, the neurotized arterialized venous flow-through flap was inset after 10 days. The flap survived and the patient began to return to his activities within a month of the injury.Ankur Khajuria, MRCS, PhDArun Sethu, MRCSRuben Y. Kannan, PhD, FRCS(Plast)Wolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3894 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Ankur Khajuria, MRCS, PhD Arun Sethu, MRCS Ruben Y. Kannan, PhD, FRCS(Plast) The Use of a Neurotized Arterio-venous Flow-through Flap for Concurrent Pulp Revascularization and Reconstruction
description	Summary:. Digital fingertip soft tissue defects requiring both reconstruction and revascularization pose challenges to the reconstructive surgeon. Traditional options, including terminalization, vein graft and cross-finger flap, and free flow-through flaps, maybe unsuitable or unavailable, with potential for significant donor site morbidity. Venous free flaps rely on venous circulation alone, with no sacrifice of an artery. We present a unique case of a self-employed tradesman with Raynaud’s disease, with four-finger injury, and three-finger ischemia for whom we performed a neurotized arterialized venous flow-through flap to revascularize and reconstruct a pulp defect (with a concomitant vessel gap of 2 cm). After allowing for a period of intrinsic delay, the neurotized arterialized venous flow-through flap was inset after 10 days. The flap survived and the patient began to return to his activities within a month of the injury.
format	article
author	Ankur Khajuria, MRCS, PhD Arun Sethu, MRCS Ruben Y. Kannan, PhD, FRCS(Plast)
author_facet	Ankur Khajuria, MRCS, PhD Arun Sethu, MRCS Ruben Y. Kannan, PhD, FRCS(Plast)
author_sort	Ankur Khajuria, MRCS, PhD
title	The Use of a Neurotized Arterio-venous Flow-through Flap for Concurrent Pulp Revascularization and Reconstruction
title_short	The Use of a Neurotized Arterio-venous Flow-through Flap for Concurrent Pulp Revascularization and Reconstruction
title_full	The Use of a Neurotized Arterio-venous Flow-through Flap for Concurrent Pulp Revascularization and Reconstruction
title_fullStr	The Use of a Neurotized Arterio-venous Flow-through Flap for Concurrent Pulp Revascularization and Reconstruction
title_full_unstemmed	The Use of a Neurotized Arterio-venous Flow-through Flap for Concurrent Pulp Revascularization and Reconstruction
title_sort	use of a neurotized arterio-venous flow-through flap for concurrent pulp revascularization and reconstruction
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/6fec133ef5a2496ab7b061ccc9abead0
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The Use of a Neurotized Arterio-venous Flow-through Flap for Concurrent Pulp Revascularization and Reconstruction

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