A 67-year-old man with squamous cell carcinoma underwent reconstruction with a free anterolateral thigh myocutaneous flap. Unroofing the skin perforators found that the skin perforators originated from the oblique branch of the lateral circumflex femoral artery with no connections with the descending branch. Thus, the flap was harvested based on the oblique branch, leaving the descending branch...

results: One to 3 reliable perforators supply the lateral arm flap. Based on cadaveric dissections, from the deltoid insertion, the A, B, and C perforators were located at 7.2 ± 1.0cm, 9.9 ± 1.2cm, and 11.8 ± 0.8cm which was 0.44, 0.61, and 0.72 of the distance from the deltoid insertion respectively. The average pedicle length was 7.0 ± 1.1cm. The cadavers were entirely symmetric in the number...

Free omental tissue transfer is a versatile reconstructive option for trunk, head and neck, and extremity reconstruction. Its utility is due to the length and caliber of the vascular pedicle and the malleability and surface area of the flap. We report our experience with omental free flap coverage of complex upper-extremity defects. A retrospective analysis of eight omental free-tissue transfer...

We report two cases of poliomyelitis in which an anterolateral thigh myocutaneous free flap was harvested from the paralytic limb for oral reconstruction. We observed a decrease in the pedicle diameter of the anterolateral thigh flap, but the blood supply to the skin paddle was adequate.

We used a free tarsal-conjunctival grate from the upper eyelid and a nasal-based pedicle skin-muscle flap for reconstruction of the medial aspect of the lower eyelid. This had the advantage of confining the reconstruction to the local area and eliminated the need for a temporal flap or an eyelid sharing procedure that necessitates occluding the fissure for several weeks.

Digital artery pedicle flap is a useful surgical technique for coverage of plantar foot defects. For diabetic forefoot ulcers that are subject to recurrence despite consistent care, this flap can provide long-term durable closure. The authors provide a case report and overview of this innovative reconstructive procedure.

The en-bloc resection of neoplasms on the abdominal wall often causes extensive defects that are difficult to manage. The anterolateral thigh (ALT) flap is a widely used flap in reconstructive surgery of defects. In this article, we present a case using bilateral pedicle anterolateral thigh flaps combined with a surgical polymesh to repair a large defect (22 cm × 18 cm) caused by dissection of ...

Background: The application of free skin flaps to repair severe peri-knee soft tissue defects is a common clinical approach. This article aims investigate efficacy and precautions using anterolateral thigh flap with the descending genicular vessels as recipient pedicle for repairing Gustilo IIIB IIIC around knee.

Tumors in cheek and oral commissure are not uncommon free flaps more acceptable solutions for large defects after tumor excision. Flap inset as the last stage of surgery reconstruction has its importance. Aesthetically, flap usually is what patient expects, due to or bizarre shapes. Every deformity this area significant unpleasant. There numerous refinement inset. Authors tried present their mo...

BACKGROUND The latissimus dorsi myocutaneous flap (LDMCF) is frequently applied to breast cancer patients for breast reconstruction. However, the LDMCF is considered inappropriate for patients with ptotic breast. The authors investigated combining LDMCF and two local flaps for large defects of the breast after partial mastectomy in patients with ptosis. METHODS Nineteen patients with breast c...