Abstract
Elective microsurgical procedures include reconstructive operations on vessels and nerves as well as free tissue transplants. In children, this form of therapy is mainly used for specific clinical pictures and injury sequelae. Frequent locations for application of free tissue transplants are congenital combined soft tissue defects of the face and neck region. Beside, so-called free flaps are used in contractures, in traumatic and iatrogenic soft tissue defects and for functional reconstruction. Irrespective of this, vessels and nerves can be reconstructed using microsurgical techniques. A more recent development relatively rare for children are so-called neurotizations, in which muscles are reinnervated by coapting functioning terminal nerves or single fascicles to the supplying nerve.
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Böttcher, R. (2021). Secondary Microsurgery. In: Bahm, J. (eds) Movement Disorders of the Upper Extremities in Children. Springer, Cham. https://doi.org/10.1007/978-3-030-53622-0_23
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DOI: https://doi.org/10.1007/978-3-030-53622-0_23
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