Composite defects of oral cavity are a reconstructive challenge. Anterolateral thigh flap provides large and pliable tissue for reconstruction of these defects. However, wide variations in the vascular anatomy, variable perforator number and location are reported. The aim of this study was to evaluate the reliability of single perforator based large anterolateral thigh for reconstruction of com...

It is over 20 years since the inaugural deep inferior epigastric perforator (DIEP) flap breast reconstruction. We review the type of flap utilized and indications in 2,850 microvascular breast reconstruction over the subsequent 20 years in the senior author's practice (Robert J. Allen). Data were extracted from a personal logbook of all microsurgical free flap breast reconstructions performed b...

BACKGROUND The keystone design perforator island flap is useful for the reconstruction of lower extremity defects. We performed a systematic review with the objective of identifying complication rates associated with using the keystone design perforator island flap to treat such defects. METHODS The MEDLINE, PubMed Central, Embase, and Cochrane databases were searched from January 2003 to Aug...

BACKGROUND A mathematical model to help explain the hemodynamic characteristics of perforator flaps based on blood flow resistance systems within the flap will serve as a theoretical guide for the future study and clinical applications of these flaps. METHODS There are 3 major blood flow resistance network systems of a perforator flap. These were defined as the blood flow resistance of an ana...

SUMMARY Advancements in microsurgical techniques as applied to perforator flaps have made harvesting flaps in a free-style manner a practical reality. A hand-held Doppler identifies sizable perforators on which flaps can be based. In free-style free flap harvesting, any region of the body can be chosen as a donor site as long as there is an audible pulsatile Doppler signal. The value of the fre...

After oncological tumor resections at the back, large defects can remain that depending on the size and location may represent reconstructive challenges to plastic surgeons. Flap selection includes the entire armamentarium of coverage, including transposition flaps, perforator flaps, pedicled muscle flaps, and free flaps. Most defects can be closed and reconstructed with local or pedicled muscl...

T husday, M ay 6, 2016 retrograde IMV except one patient who used the IMV and an IMV perforator. Over the time period, there was an increasing use of perforator DIEP and SIEA flaps as well as the use of the IMV as recipients. Complications included delayed wound healing (n=5), abdominal bulge (n=2), cellulitis (n=3), seroma (n=2), and fat necrosis (n=3). There was one partial flap loss where th...

T husday, M ay 6, 2016 retrograde IMV except one patient who used the IMV and an IMV perforator. Over the time period, there was an increasing use of perforator DIEP and SIEA flaps as well as the use of the IMV as recipients. Complications included delayed wound healing (n=5), abdominal bulge (n=2), cellulitis (n=3), seroma (n=2), and fat necrosis (n=3). There was one partial flap loss where th...

Background The treatment of deep wound sternal infection requires loco-regional pedicled flaps, usually with muscular flaps. Perforator propeller flaps represent the ultimate progress in history reconstructive surgery. We report here our experience superior epigastric artery perforator (SEAP) to repair defect. Patients and methods Six patients presenting wounds were treated SEAP flap, between M...