Reconstruction of High-Pressure Paint Gun Injection Injured Finger Using Free Flaps with T-Shaped Pedicles and Multiple Venous Anastomoses

Lee, Jun Beom; Choi, Hwan Jun; Kim, Jun Hyuk; Cheon, Nam Ju; Lee, Young Man

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자료유형: 학술저널

저자정보: Lee, Jun Beom (Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine) Choi, Hwan Jun (Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine) Kim, Jun Hyuk (Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine) Cheon, Nam Ju (Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine) Lee, Young Man (Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine)

저널정보: 대한미세수술학회 대한미세수술학회지 대한미세수술학회지 제24권 제2호

발행연도: 2015.1

수록면: 75 - 78 (4page)

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High-pressure (HP) injection injury to the upper extremity often causes a very serious clinical problem, leading to poor outcomes, including amputation, so that a true surgical emergency is required. The outcomes can be improved with emergent wide surgical debridement. However the diagnosis of these injuries is often delayed due to underestimated evaluation at first appearance and lack of common knowledge of the seriousness of this injury. The type and pressure of the infecting material is an important factor in prognosis and organic solvents infected pressure injury can cause poor outcome and increased amputation rate. In this case, we report on reconstruction of HP oil-based paint injection injuries of the finger using T-shaped pedicles and multiple venous anastomoses. In this concept, arterial flow can be maintained by the reverse flow of distal anastomosis when there is difficulty with the proximal anastomosis. And venous flow can be preserved by deep and superficial vein anastomosis. This concept has various advantages including preserving patency of the pedicle in chronic vasculopathy or trauma cases and maintaining the arterial flow by the reverse flow of distal anastomosis and can improve the free flap survival by a two vascular anastomosis system.

#High pressure #Paint #Anastomosis #Free flap

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