[1984-1994: Ten years of skin flaps. Development of transfer techniques. New methods of autoplasty described during this period].
Ten years of flaps represent a little and a lot. It is little compared to the 2600 years since the first flap in plastic surgery: the Susruta Indian flap, but it is a lot in view of the phenomenal acceleration of this speciality since the Second World War. In 1994 alone, more than two hundred references are listed under the heading "new flaps". As it is impossible to be exhaustive, the author has chosen to focus on two main aspects: a theoretical review of new transfer techniques, dealing successively with: the principles of reverse flow flaps, venous flaps, neurocutaneous flaps, so-called "extracorporeal" transfers, reverse flow YV technique; and practical aspects based on a review of eighteen autoplasties or donor sites selected for their surgical value, their reproductibility and their innovative nature. The author's objective is not to present a technical treatise, but rather to make the reader aware of several key points or even, in some cases, the very existence of these autoplasties. This paper is designed to be didactic, with extensive references, in order to act as a practical guide. It also demonstrates, as if there were any need, to what extent plastic surgery is able to create new solutions and the essential value of continuing research.
Martin
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Service de Chirurgie Plastique, Reconstructrice et Esthétique, Chirurgie de la Main et Microchirurgie, Bordeaux.
D001132:Arm / Q000601:surgery*; D001158:Arteries; D005152:Facial Muscles / Q000601:surgery; D005260:Female; D049673:History, 20th Century; D006801:Humans; D007866:Leg / Q000601:surgery; D008297:Male; D008833:Microcirculation; D008866:Microsurgery; D009334:Neck Muscles / Q000601:surgery; D012867:Skin / Q000098:blood supply; D013518:Surgery, Plastic / Q000266:history / Q000379:methods*; D013524:Surgical Flaps / Q000266:history; D014182:Transplantation, Autologous / Q000266:history / Q000379:methods*; D014680:Veins
1984-1994: Dix ans de lambeaux cutanés. Evolution des techniques de transfert. Nouvelles autoplasties décrites pendant cette période.