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Complications of flap surgery

Free tissue transplantation is a routine procedure in reconstructive surgery. Although a lot of free flap techniques have been described, the postoperative management of complications has gained only little interest. Nevertheless, complications of perfusion after free tissue transplantation are not rare and require a systematic approach Complications from these procedures are readily apparent given the sensitive location of the surgical repair. Depending on the area treated, the complication may result in functional and/or aesthetic sequelae. Complications from local flap reconstruction result from tension-related, ischemic, hematologic, and infectious causes Some studies have reported high complication rates (up to 55 percent) for different flap types, with an increased rate in emergent lower extremity reconstruction and head and neck surgery compared with a low rate for breast reconstruction (when the patient is carefully assessed) 5,6 and if immediate soft-tissue coverage must always be considered in injuries where important structures are exposed Some potential flap complications that may occur include the following: Irregular Astigmatism - This flap complication occurs when the flap heals in an uneven or curved manner after it is set down. Epithelial In-Growth - This flap complications occurs when cells on the outside of the epithelium wind up growing inside the epithelium

[Treatment and outcome of complications after free flap

Like all surgery, latissimus dorsi flap surgery has some risks. Many of the risks associated with latissimus dorsi flap surgery are the same as the risks for mastectomy.If you've had an implant inserted along with latissimus dorsi reconstruction, there are also risks unique to implant reconstruction.However, there are some risks that are unique to latissimus dorsi flap reconstruction Flap necrosis is a relatively rare complication and if it happens, it leads to a negative effect on healing. Full or partial flap necrosis requires immediate sharp dissection of the necrotic tissue with a scalpel or surgical scissors. Any areas of exposed bone should be covered with chlortetracycline-soaked strips and a periodontal dressing.

Complications in Facial Flap Surgery Plastic Surgery Ke

  1. Flap complications occur during the healing process and essentially mean errors in the healing of this epithelial flap. This could mean an uneven corneal surface or just poor healing of the corneal flap in general. These complications can result in issues with vision as well as issues with patient comfort. Eye Problems Caused by Flap Complications
  2. Among the major complications associated with the techniques, plain flaps tended to more often be associated with donor site problems, as opposed to deep breast infections and partial flap necrosis..
  3. Complications in flap surgery can result in medico-legal issues. Plastic surgeons are responsible for their actions and can be sued by the patient for these complications in malpractice cases that sometimes reach a court of law. Keyword
  4. 54.4 Intraoperative Prevention of Complications. Because of a long-lasting operation time of usually more than 3 to 6 hours in unilateral and 6 to 10 hours in bilateral reconstruction cases, a standardized operative planning and OR setup is very important for successful microsurgical free flap breast reconstruction

A flap is a piece of tissue that is still attached to the body by a major artery and vein or at its base. This piece of tissue with its attached blood supply is used in reconstructive surgery by being set into a recipient site (injured area onto which a flap or graft is placed). Sometimes, the flap is comprised of skin and fatty tissue only, but a flap may also include muscle from the donor. DIEP Flap Reconstruction Complication. I have decided to share my DIEP Flap surgery journey in hopes that it might help someone else. In April, 2019, I had a nipple sparing double mastectomy with immediate DIEP Flap Reconstruction, following my third diagnosis of triple negative breast cancer. I have previously had a lumpectomy on each side. Surgical complications included infection or haematoma at the surgical site, the need for reoperation, and partial or total failure of the flap. Medical complications included pneumonia, myocardial infarction, sepsis, acute kidney injury, stroke, pulmonary embolism, deep venous thrombosis, and pulmonary oedema Flap surgery can help prevent hospitalization and decrease morbidity. Flap surgery is used to prevent and resolve complications, including surgical site infections and other infections, dehiscence, recurrence, flap necrosis, nutrient deficiencies, and prevention of future malignancy (Marjolin ulcer) and seroma or hematoma. Types of Surgical Flaps

Many of the risks associated with DIEP flap surgery are the same as the risks for mastectomy. However, there are some risks that are unique to DIEP flap reconstruction. Tissue breakdown: In rare instances, the tissue moved from your belly to your breast area won't get enough circulation and some of the tissue might die All of the surgeons we spoke to feel that in general, femtosecond laser technology has reduced the number and seriousness of LASIK flap complications they experience. The earlier generations of the IntraLase weren't as good as a keratome, but the most recent generation —the 60-kHz version—has resolved all of my concerns, says Dr. Donnenfeld The late complication rate was 7.2%. The mean follow-up is 40.0 months. The complication rates for CMF versus CAF chemotherapy suggest an adverse effect of methotrexate, which warrants further investigation. The use of the LDMF made wide resection of locally advanced lesions and radionecrosis possible; major complications were rare I found out that the Tram Flap comes with a >40% risk of developing hernias. I started a FB group in early 2016 related to Tram Flaps and yes, even some Dieps Flaps that have developed hernias and bulges. TRAM/DIEP- Complications And Hope. I'm under Tori Gaskins as well. My FB group is growing daily beyond what I ever anticipate mastectomy. Surgery to remove the whole breast, or as much of the breast tissue as possible. mastectomy, many women choose to have breast reconstruction surgery to rebuild their breasts. Many women opt for surgery that uses breast implants. Others undergo tissue, or flap, reconstruction, which uses a woman's own body

Possible Complications of Flap Surgery. If you experience bleeding for more than two days, you can develop an infection. Call your periodontist right away if this occurs. Other possible complications of gum flap surgery include: Gum Recession. Gum recession is when your gums begin to pull away from your teeth. As a result, the roots of your. Some of the complications of TRAM flap surgery are: Partial or complete tissue breakdown, or death of the flap (5-15%) Seroma (fluid collection, usually in the abdominal donor site) Hematoma (bleeding at the chest or abdomen Overall postoperative complication rates for flaps and donor sites were 33.5% and 22.3%, respectively. The incidence of donor-site complications was similar among BMI groups (22.5% vs 19.4% vs 24.2% for NL, OW, and OB groups, respectively). Flap-related complications occurred in 28.4% (NL), 33.3% (OW), and 38.8% (OB) Major complications (flap necrosis, nasal obstruction, alar notching) and minor adverse outcomes (partial nasal obstruction, epidermolysis, and alar asymmetry) were recorded. RESULTS: Two hundred five patients with a median age of 66 years had forehead flap reconstruction between October 1995 and July 2008. Sixty-two patients (30.2%) had full.

Epithelial Ingrowth - LasikComplications

Free Flap Complications: Common Causes for Reexploration

Risks and Complications. As with any surgery, there are some risks associated with DIEP flap. Patients face the risk of bleeding, infections or poor wound healing. Flap patients have the potential for partial or total flap loss cause dby a lack of blood flow to the flap, sometimes known as flap death CONCLUSIONS: The aesthetic and psychosocial benefits of staged free-flap breast reconstruction should be balanced with the increased risk of perioperative complications as compared to a delayed approach. Complications related to definitive flap reconstruction do not appear to be affected by the approach taken at the time of mastectomy

The surgery is generally done on an outpatient basis. Hernias can often come back. If you have a free TRAM flap or a pedicled TRAM flap, your risk of hernia is higher than if you have a muscle-sparing free TRAM flap. This is because more muscle has been moved to rebuild your breast and your abdominal muscles may be weaker Results: Flap creation is a pivotal step in LASIK surgery. Femtosecond laser-assisted flap creation allows a more reliable and reproducible flap and has led to more predictable and safe lamellar dissections. However, intraoperative complications can still occur and include issues with suction, epithelial defects, opaque bubble layer, vertical. Complications involving skin flaps and requiring re-surgery were observed and treated in 38 cases. We classified three main types of lesions: (1) dehiscence, (2) ulcer, and (3) necrosis. In all cases surgical decision making was performed in cooperation with plastic surgeons, to select the best treatment option Tram flap complications, chronic swelling in my abdomen Corsets for tram flap patienrs Tram Flap , Tummy Tuck and Breast Reconstruction Tram flap bilateral surgery, my incision area under right breast began leaking fluid i am praying that neural therapy will help me recover from this barbaric surgery pain after tram flap breast reconstructive. Late complications after skin surgery. Late complications after skin surgery may include: Unsightly cosmetic result; Recurrent tumours. Unsightly cosmetic result. The appearance of the healed surgical site varies, depending on the type of surgery and its site. Some scar tissue always forms during surgery because the dermis (deep skin layer) is.

A few of the possible complications of LASIK surgery are listed on the left menu bar. LASIK surgeons quote complication rates of 1% or less, but what defines a complication? LASIK surgeons don't consider dry eyes and night vision problems as complications, even though they may be debilitating and permanent Infection was the most common complication (2.9%), followed by bleeding (1.4%). Postoperative DVT rates were low (≤0.5%). In comparison, Little et al 10 performed a retrospective review of 205 patients undergoing forehead flap surgery for nasal reconstruction and found a 31.7% major complication rate and a 50.8% minor complication rate

McAllen LASIK Complications: Corneal Flap Issues After Surger

[Show full abstract] hypersensitivity, swelling, tris-mus, bruising, flap dehiscence, perforation after periodontal surgery. Reporting and management of such occurrences is of prime importance and. Surgery Overview. You may need surgery for severe gum disease (periodontitis) if it cannot be cured with antibiotics or root planing and scaling.A flap procedure cleans the roots of a tooth and repairs bone damage caused by gum disease.A gum specialist (periodontist) or an oral surgeon often performs the procedure Flap complications and dislocations more than one year after LASIK surgery are extremely uncommon. While it has been proven that the tensile strength of the LASIK flap is much lower than that of unoperated corneal tissue, most instances of flap dislocations still only occur as a result of significant blunt trauma

Flap Surgery - Types, Tests, Procedures and Complication

With a flap that stays connected to its original blood supply (a pedicled flap), this is much less likely. Free TRAM flaps and DIEP flaps have to be disconnected and reconnected to a new blood supply. With these techniques, some people can develop problems with the flap blood supply in the first 48 hours after surgery Complications with DIEP flap procedures are rare, but when they occur, it's typically within 48 hours of surgery. Tiny blood clots or twists in the delicate blood vessels can cause the flap to fail, which means the tissue turns purplish-blue and dies Fifty-five percent of all flap complications were considered major and required follow-up surgery. Ideal flap design that considers vascularity of the postauricular area, skull anatomy, device design, and proper surgical principles will prevent most complications from occurring

Total flap loss was seen in 1.2% of the cases. While surgical time decreased, the number of major complications decreased 9.3% in the unilateral and 20% in the bilateral series. Using lean strategies can safely reduce surgical time in DIEP flap breast reconstructions, while achieving, a reduction of complications DIEP flap. The DIEP (deep inferior epigastric perforator) flap uses fat and skin from the same area as the TRAM flap but does not use the muscle to form the breast shape. This method uses a free flap, meaning that the tissue is completely cut free from the tummy and then moved to the chest. As in the free TRAM surgery, a microscope is needed to connect the tiny blood vessels Generally, recovery after fibula flap surgery takes three to four weeks and includes 10 to 14 days in the hospital. The fibula is a long, thin bone of the outer leg alongside the shinbone. It is sometimes used to harvest bone that can be used in certain reconstructive surgeries of bone. The fibula can be removed without impacting the individual.

Breast reconstruction with flap surgery - Mayo Clini

Gum Graft Surgery: What is it, Possible Complications, and Solutions. During gum grafting surgery, a periodontist will commonly take connective tissue from the roof of the mouth (palate) and suture it to the affected gum-line Possible complications from a TRAM flap procedure are listed below. Fortunately, major complications are uncommon. [ 8] Fat necrosis/partial flap loss (5-15%) [ 9] Hernia (1-5%) [ 10] A study by. Skin flap surgery is done to treat large wounds that cannot be closed by skin grafting. It may also be done to repair surgical or traumatic scars to improve skin appearance. Skin flap surgery uses skin flaps, which are skin and tissue near the wound, to cover the wound. Skin flaps have good color matching and contain important skin structures. One in five requires more surgery, and in 5 percent of cases, reconstruction fails. Sections. and that the autologous tissue flap complication rate was so high, said Dr. David H. Song. Complications during the Lasik surgery procedure. Flap related problems - These are the problems that are related to the outermost flap which is created as the first step of LASIK surgery. Flap is created with either the motorized blade called microkeratome or by a more advanced and safer bladeless means using femtosecond laser- Femto Lasik

Martius flap Surgery, Complications, Recovery Time

  1. Before Surgery/After Surgery. Bilateral Immediate DIEP Flap - Before and After Images Patient 1. Before Surgery/After Surgery. Before Surgery/After Surgery. Before Surgery/After Surgery. Patient 2. Before Surgery/After Surgery. Before Surgery/After Surgery. Before Surgery/After Surgery
  2. Loss of circulation There is a risk of bleeding or loss of circulation to the whole tissue flap with all of the tissue flap methods of breast reconstruction. This can happen if the blood vessels that supply blood to the tissue flap becomes kinked or blocked, or are actively bleeding. After surgery, medications will be given to encourage blood flow through the blood vessels
  3. 10.1055/b-0040-176815 49 Preventing and Managing Complications in Latissimus Dorsi Flap ReconstructionGlyn E. Jones Summary This chapter summarizes the key complications in latissimus dorsi flap reconstruction. Each complication, its cause, and prevention is outlined. Key Teaching Points Pedicle torsion or traction injury should be prevented at all costs

Hypotony is one of the most dreaded complications of trabeculectomy and is one of the major causes of permanent reduction in visual acuity after glaucoma surgery. Hypotony itself, however, does not cause vision loss. Rather, the complications of hypotony, such as maculopathy, flat anterior chambers, and choroidal hemorrhages, can cause vision loss Download Citation | Complications in Facial Flap Surgery | Local flaps are a common reconstructive technique of the head and neck. Consequently, knowledge of fundamental concepts and pitfalls to.

Complications of periodontal surgery /certified fixed orthodontic courses by Indian dental academy Welcome to Indian Dental Academy The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats Complications of pharyngeal flap surgery are also rare , other authors stress, nevertheless, that this technique is one of the more dangerous pediatric procedures due to the potential for airway obstruction and patient death The rate of intraoperative complications reported in the literature varies from 0.16% to 15%, 1,2 and LASIK flap complications have been reported with both mechanical and laser cuts. Some complications are specifically associated with one technology or the other, such as epithelial defects with mechanical devices or opaque bubble layer.

Intraoperative Complications. The intraoperative complication rate has been reported between 0.7-6.6%, most commonly microkeratome-related, either mechanical or femtosecond (FS) Laser. Microkeratome-related flap complications Flap Buttonhole. caused by buckling of the cornea during flap creation, occurs predominantly in steep corneas A Quick Look at DIEP Flap Breast Reconstruction Surgery. diep flap surgery reviews, diep flap surgery complications, diep flap surgery cost, weight gain after diep flap reconstruction, life after diep flap, what to wear after diep flap surgery, second stage diep flap surgery, long-term effects of diep flap In these cases, the ophthalmologist will relift the flap and smooth it with a surgical sponge. NO. 5. EPITHELIAL INGROWTH . After LASIK, epithelial cells can migrate between the corneal flap and the stromal bed. Epithelial ingrowth typically occurs during the first 3 months after surgery, often in the first 1 to 2 weeks

Posterior Pharyngeal Flap (PPF) is a surgery done to help correct velopharyngeal dysfunction, or VPD. VPD occurs when the soft palate cannot properly separate the back of the mouth from the nose during speech. Children and adults with VPD often have nasal-sounding speech, with abnormal air leaking through the nose as they talk Recipient-site complications include (total or partial) flap necrosis, wound infection, dehiscence, hematoma or skin graft failure. To avoid major bleeding or sensibility disorders, the anatomy of the scalp must be respected, such as by making incisions parallel to rather than across blood vessels Gingival Flap Surgery involves the affected region of the gums, teeth, surrounding tissue, and blood vessels. Why is the Gingival Flap Surgery Performed? A Gingival Flap Surgery is performed to treat gum disease (periodontitis), to prevent the gum infection from spreading, and for improving one's cosmetic appearance Complications that may arise include microscopic wrinkles in the flap, abnormal growth of the outermost corneal layer or infection. A study in the Journal of Refractive Surgery indicates the occurrence of flap complications using the IntraLase 15- and 30-kHz Femtosecond Lasers is less than 1% Pharyngeal flap procedures. Posterior pharyngeal flap surgery is the most commonly used operation to restore velopharyngeal competence (i.e., develop a functional seal between the nasal cavity and the oral cavity), and therefore correct hypernasality and nasal air escape (Ysunza et al., 2002).Posterior pharyngeal flaps can be based superiorly or inferiorly and the velum can be split.

tram flap complications Breast Health discussions

  1. In the final of three articles, Mr Kelvin Ramsey - an expert plastic surgeon who has performed more than 500 DIEP flap operations - explains what recovery is like after undergoing DIEP flap surgery, and potential complications to be aware of
  2. Fingerprint Dive into the research topics of 'Anesthesia duration as an independent risk factor for postoperative complications in free flap surgery: A review of 1,305 surgical cases'. Together they form a unique fingerprint. Free Tissue Flaps Medicine & Life Science
  3. Patients who underwent rotation flap surgery had a higher rate of postoperative complications, and a significantly higher rate of postsurgical seroma (9/11) compared to those who underwent perforator flap surgery (3/20) (P 0.01). The results of this study show that the proportion of patients who develop a seroma following surgical repair of a.

Complications after DIEP Flap - anyone had the same

  1. Yet, in spite of all the care taken, complications do occur, especially during the post-operative period. In the present paper, a large series of pharyngeal flaps is discussed regarding post-operative complications and anesthesiological techniques. Brief Historical Survey A review of the technique of the pharyngeal flap is presented elsewhere (11)
  2. BACKGROUND: Despite advances in surgical techniques, postoperative complications are frequent after free flap surgery for cancer of the head and neck. The present study assessed quality of life (QOL) in patients with and without postoperative complications. METHODS: QOL was evaluated using RAND-36, EORTC-C30 and H&N-35, and UW-QOL questionnaires
  3. Although the surgery is rather straightforward in most cases, there is a growing body of evidence suggesting high complication rates, including surgical site infection (SSI) and bone flap resorption (BFR) [3-7]. This study is a retrospective, single-institution survey of all stroke and TBI patients undergoing acute DC and subsequent CP over a.
  4. Necrosis of the skin flap is a rare postparotidectomy complication.21 The necrosis usually develops inframastoidally at the caudal end of the flap . In particular, if extensive cutaneous flaps are prepared for cosmetic improvement, as in a facelift, the risk of necrosis is increased
  5. POSSESSED's JEFF BECERRA Details Post-Flap Surgery Complications. Jeff Becerra of Californian death metal pioneers POSSESSED says that he is dealing with an infection after recently undergoing.
  6. imize dryness in the eyes after the surgery. People who have unusually shaped corneas recover faster after PRK. If there is an infection or eye trauma after PRK, there is no corneal flap to dislodge

A panniculectomy is a surgical procedure to remove the pannus — excess skin and tissue from the lower abdomen. This excess skin is sometimes referred to as an apron.. Unlike a tummy tuck. A craniectomy is a surgery done to remove a part of your skull in order to relieve pressure in that area when your brain swells. A craniectomy is usually performed after a traumatic brain injury. Test all equipment before surgery to avoid complications. Flap diameter may be adjusted in relation to preoperative keratometric power. Flatter corneas have an increased risk of free caps or incomplete flaps, whereas steeper corneas are more prone to epithelial abrasions, buttonholes, and thin or irregular flaps 4 This is an uncommon complication, estimated to affect 3-7% of all patients that undergo fistula surgery. The risk depends on the position of the fistula and the type of surgery used to remove it

Latissimus Dorsi Flap Surgery Risk

Flap surgery. Flap surgery is especially helpful for people who have tartar deposits in deep pockets. The procedure involves lifting the gums off of the teeth to remove tartar buildup Lap Band TM Complications. Lap Band TM (or adjustable gastric band) surgery can cause many long-term complications. These complications often lead to gastric band removal. Unfortunately, unlike other bariatric surgical procedures, Lap Band TM surgery introduces a foreign body to your stomach. Because of this, the risk of complications increases over time; one study found that each year after.

Transvaginal mesh excision followed by transvaginal repairBlood Supply of Hemipelvectomy Flaps: The Anterior Flap

Post operative complications of periodontal surger

COMPLICATIONS IN HAND SURGERY. COMPLICATIONS OF TREATMENT. Common complications of the treatment of hand injuries. The most common complication of any hand injury is stiffness, due to the collaborative effects of inflammation, swelling and immobility.Attempts at prevention of stiffness are much more effective and worthwhile than later attempts to correct established stiffness Jeff Becerra of Californian death metal pioneers POSSESSED says that he is dealing with an infection after recently undergoing flap surgery.. Jeff's operation essentially involved taking a section of skin with an intact blood supply and placing it over the injured area to repair a serious pressure sore he had developed from being wheelchair-bound for so long

Flap Complications After LASIK - Broberg Eye Car

It's much easier to stop the complication as it's occurring than to manage a patient with a grade-3 chamber in which the lens and cornea are touching. The main causes of overdrainage are an insufficient number of sutures in the scleral flap, flap shrinkage due to overcauterization and/or a thin flap What potential complications should I be aware of? All surgeries carry the risk of complications, even though we have a 99% success rate with our DIEP flap procedure. Complications that could arise include bleeding or infection, fat lumps forming in the breast tissue, bulging or hernia (at the abdomen), and slow healing Wade RG, Razzano S, Sassoon EM, Haywood RM, Ali RS, Figus A. Complications in DIEP flap breast reconstruction after mastectomy for breast cancer: a prospective cohort study comparing unilateral versus bilateral reconstructions. Ann Surg Oncol. 2017;24(6):1465-1474 Complications following surgery are more common, more serious (e.g. deep infection), and more frequently permanent than those arising from splinting alone . Bowstringing due to incompetence of the flexor tendon pulley system may follow injury or iatrogenic injury during efforts to expose, retrieve, and repair the tendon Breast reconstruction using a free flap from the patient's abdomen is a safe procedure with a high success rate in older women opting for reconstruction after mastectomy, reports a study in the December issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).. Although the risk of some complications is higher, free-flap.

What are the possible complications of latissimus flap

CONCLUSION: Flap complications after lamellar refractive surgery are relatively common but rarely lead to a permanent decrease in visual acuity. Physician experience with the microkeratome and with the handling of the corneal flap decreases the incidence of flap complications This article focuses on flap-related complications after creation of a neophallus for transgender individuals. It outlines the most frequently used flaps for this procedure and how flap-related complications can affect the overall outcome of the phalloplasty

Complications of Flap Surgery SpringerLin

Karydakis flap Healing time. The healing duration depends on the patient's condition, but, most commonly, the people treated with this technique are recovered within two weeks. After this surgery, most patients are discharged on either the 3rd or 4th day. The suction drain is taken out after 1-2 days, and the sutures are removed after ten days Had DIEP Flap Surgery - Incision on Belly Splitting Badly. Martin Jugenburg, MD says: Wound dehiscence, wound breaking open after surgery, is a potential complication after DIEP or tummy tuck (or any surgery). It is not a life-threatening problem, but an annoying one. At this time the treatment is wound care The factors that were independently associated with healing time were reoperation after the cardiac surgery and complications after flap surgery, including loss of the flap (Table 5) Fistulas are the most common early urethral complication after TMGRS with UL. Fistula rates vary depending on flap choice, UL technique and whether a vaginectomy is performed simultaneously. 5 Severity and duration of postoperative edema also play a role in fistula development, and resolution of the edema often parallels fistula closure. Small, low output fistulas generally heal without. Flap reconstruction surgery also confers a risk of loss of sensation at both the donor and reconstruction sites. If your reconstruction is done using implants, you may experience any of the breast implant surgery risks, such as breast firmness (capsular contracture), implant rupture, double bubble, implant displacement or bottoming out

54 Prevention and Management of Complications in DIEP Flap

Bleeding. Blood clots. Fluid build-up in the breast or the donor site (for a tissue flap), with swelling and pain. Infection at the surgery site (s) Wound healing problems. Extreme tiredness ( fatigue) Problems that can occur later on include: Tissue death (necrosis) of all or part of a tissue flap, skin, or fat The Hughes procedure, or tarsoconjunctival flap advancement, is a frequently utilized technique to repair full-thickness lower eyelid defects involving > 50% of the lower eyelid margin.[1] The procedure was first presented and popularized by Dr. Wendel Hughes, a pioneer in oculoplastic surgery, in 1937.[2] The procedure is a dual-stage, eyelid-sharing surgery with the first stage. Myofascial Flap Closure Decreases Complications in Complex Surgery of the Craniocervical Junction in Ehlers-Danlos Patients Sofya Norman, BS 1, John K. Chae, BA 1, Andrew A. Marano, MD 1, Ali A. Baaj, MD 2, Jeffrey P. Greenfield, MD, PhD 1, David M. Otterburn, MD 1 1 New York Presbyterian Hospital, Weill Cornell Medical Center, New York, NY, 2 University of Arizona, Banner Health, Phoenix, A

Background: Complications of radiotherapy after implant-based reconstruction include capsular contracture development, seroma formation, and reoperation for implant removal or replacement.However, there is a lack of studies regarding aesthetic outcomes and complication rates following radiation therapy among patients undergoing latissimus dorsi (LD) flap-based reconstruction with implant. During surgery, a hinged flap is created in the epithelium (outer layer) and superficial stroma (outermost portion of the inner layer) of the cornea, granting access to the inner portion of the stroma. Traditionally, a blade has been used to create the flap The ACS NSQIP surgical risk calculator predicts the major complications of any surgery; however, it does not predict complications specific to our patient population that impair quality of life and increase LOS including fistula development and free flap failure requiring a second free flap or locoregional flap