Category Archives: Plastic surgery

Mathes and Nahai classification of Fasciocutaneous flaps

Mathes and Nahai is famous for their classification of Muscle and musculocutaneous flaps.This classification of fasciocutaneous flaps by Mathes and Nahai is of historical importance, as the more followed classification is by Cormack and Lamberty. Mathes and Nahai classification of …

Read more »

Z plasty technique and uses

What is Z plasty? It is a technique of wound closure, which involves transposition of two adjacent triangular-shaped flaps. Uses of Z plasty Increase the length of an area of tissue or scar Break up a straight-line scar Realign a …

Read more »

Cormack and Lamberty classification of Fasciocutaneous flaps

Fasciocutaneous flaps are designed based on blood vessels running either within or near the fascia. Cormack and Lamberty classification of FC flaps Type A • Dependent on multiple non-named fasciocutaneous vessels that enter the base of the flap. • Lower leg …

Read more »

Mathes and Nahai classification of muscle flaps

Type I • Single vascular pedicle. • Examples: Gastrocnemius Tensor fasciae latae (TFL) Abductor digiti minimi. Type II Dominant pedicle(s) and other minor pedicle(s). These flaps can be based on the dominant pedicle after the minor pedicle(s) are ligated.  Circulation …

Read more »

Dupuytrens disease

Dupuytrens disease is one of those diseases which present to our Plastic Surgery OPD frequently.Most of the patients come to us, when they are unable to work.So it is the functional limitation due to this disease that forces the person …

Read more »

Skin Grafting-Types of skin grafts

Split thickness skin grafts   Also known as thiersch graft,split-thickness grafts consist of epidermis and a variable thickness of dermis. Thinner grafts (<0.016 in.) have a higher rate of engraftment, whereas thicker grafts, with a greater amount of dermis, are …

Read more »

Classification of nerve injuries

Sunderlanda Seddonb Structure injured Prognosis First degree Neurapraxia Schwann cell (demyelination) Complete recovery within 12 wk Second degree Axonotmesis Axon (wallerian degeneration) Complete recovery regeneration 1 mm/day Third degree Endoneurium Incomplete recovery Fourth degree Perineurium No recovery Fifth degree Neurotmesis …

Read more »