The objectives of the study were to introduce and investigate the reliability of a new flap for postauricular defects using the retroauricular artery perforator.Twenty auricles from 10 Asian human cadavers were dissected to examine the retroauricular perforator distribution and diameter. Fourteen patients with postauricular defects underwent reconstruction using the retroauricular artery perfor...

BACKGROUND Large soft tissue defects of ankle and foot always have been challenging to reconstruct. Reverse sural flaps, free flaps have been used for this problem with variable success. Reverse peroneal artery flap is an option to use with reliability without microvascular repair. Connections of peroneal artery around talus and ankle joint are deep and reliable with anterior tibial and post...

BACKGROUND Optimal surgical outcomes in autogenous breast reconstruction require a balance between the reliability of older transverse rectus abdominis musculocutaneous (TRAM) flap techniques and the decreased donor-site morbidity of the newer deep inferior epigastric perforator (DIEP) flap techniques. This article presents an approach to autogenous breast reconstruction that uses principles of...

We evaluate function outcomes of the reverse-flow ALT perforator flap to reconstruct severe post-burn knee contracture. Between October 2012 and December 2014, 10 patients with severe post-burn knee contracture were subjected to reconstruction with 10 ipsilateral reversed-flow ALT perforator flaps. All the patients were male. Ages ranged from 15 to 47 years (mean = 32 years). Time from burn inj...

Background: Reconstruction of soft tissue defects of the hand possesses a challenge to the plastic and reconstructive surgeons. In recent years, the radial forearm fasciocutaneous flap has been used extensively to cover hand soft tissue defects. With the routine use of this flap some drawbacks have become apparent. The need to sacrifice the radial artery during the harvest of the flap and the d...

LEARNING OBJECTIVES After studying this article, the participant should be able to: 1. Recognize the major role of the vascular supply to a cutaneous flap. 2. Predict its reliability. 3. Understand basic schemes for classification. 4. Realize that the evolution of these concepts is an ongoing dynamic process. Currently, the vascular supply to the fascial plexus is considered the factor of great...

Background. Injuries to the elbow have led to consequences varying from significant limitation in function to loss of the entire upper limb. Soft tissue reconstruction with durable and pliable coverage balanced with the ability to mobilize the joint early to optimize rehabilitation outcomes is paramount. Methods. Methods of flap reconstruction have evolved from local and pedicled flaps to perfo...