introduction: reconstruction of the oral cavity witha flap design containing the buccal mucosa and buccinator muscle but excluding the facial artery and vein is the topic of these case reports. case reports: this article uses random pattern vertically oriented partial thickness buccinator myomucosal flap for intraoral reconstruction in two cases. the first was for lining the mandibular anterior...

OBJECTIVES/HYPOTHESIS Failure in skull base defects reconstruction following tumor resection can have serious consequences such as ascending meningitis and pneumocephaly. The nasoseptal flap showed a very low incidence of cerebrospinal fluid leak but is not always available. The superiorly pedicled facial artery musculomucosal (FAMM) flap has been successfully used for reconstruction of head an...

abstract   the perfect method for breast reconstruction would be safe, reliable, reproducible, applicable to all patients, and would have no donor site morbidity. the ideal reconstructed breast would provide symmetric, permanent, and natural results. there has been development and refinement of autogenous methods of breast reconstruction throughout the literature. the tram flap remains the most...

BACKGROUND A soft tissue defect requiring flap cover which is longer than that provided by the conventional "long" free flaps like latissimus dorsi (LD) and anterolateral thigh (ALT) flap is a challenging problem. Often, in such a situation, a combination of flaps is required. Over the last 3 years, we have managed nine such defects successfully with a free "Boomerang-shaped" Extended Rectus Ab...

introduction : the pectoralis major flap is the best flap for head and neck defects. this flap has both a vascular pedicle and some disadvantages such as deformity, needing tunneling, clavicular f.x and shortening after the tunneling. case presentation: the patient was a 56 years old man with large face defect from child hood. the patient had two surgical failures in her history. external pecto...

the present article describes a case of prosthetic rehabilitation with the new technique of prefabricated osteo-cutaneous free fibula flap for reconstructing a maxillary defect which had resulted from ameloblastoma. the fibula and a cuff of 6-8 mm were prepared with its pedicle intact. the bone flap was left in place with its pedicle intact for 2 to 3 months; the skin graft and the flap were fr...

Background Previous surgery or slim body configuration can limit the size of the available abdominal flap in autologous breast reconstruction. However, redundant skin and subcutaneous tissue lateral to the mastectomy site can be utilized as the pedicled lateral intercostal artery perforator (LICAP) flap. This study evaluates the combination of a free abdominal flap and a pedicled LICAP flap to ...

purpose: to report a case of unilateral aspergillus fumigatus interface keratitis after laser in situ keratomileusis (lasik). case report: a 22-year-old woman developed corneal infiltrates located at the flap- stroma interface in her left eye 48 hours after myopic lasik. the infiltration progressed despite administration of topical fortified antibiotics therefore, the flap was lifted and irriga...

BACKGROUND Surgical treatment of pressure ulcers is challenging for high recurrence rates. Deepithelialized flaps have been used previously with the aim to eliminate shearing forces and the cone of pressure (COP) effect. The goal of this study is to adopt a standardized protocol and evaluate if 2 different flap techniques affect outcomes. METHODS The novel COP flap is illustrated. Twenty pati...

Objective When the use of the nasoseptal flap for endoscopic skull base reconstruction has been precluded, the posterior pedicle inferior turbinate flap is a viable option for small midclival defects. Limitations of the inferior turbinate flap include its small surface area and limited arc of rotation. We describe a novel extended inferior turbinate flap that expands the reconstructive applicat...