Soft tissue augmentation in hemifacial microsomia patients is a challenging procedure. Free microvascular flap transfer is considered usually as the most accepted choice. On the other hand, bone grafting, simultaneous with facial soft tissue augmentation using de-epithelialized orthograde submental flap, is a suggested procedure. Moreover, preoperative evaluation of facial artery and anterior b...

Background: Soft tissue defect of dorsum hand is a difficult problem to deal with in reconstructive surgery. Various factors have be considered for planning the reconstruction. Aims and Objectives: To assess overall incidence soft on hand, evaluation different options coverage assessment outcome complications (both primary donor sites) procedures like tissue. Materials Methods: We present our e...

Radical resection of an extended malignant sarcoma of the chest wall requires full-thickness thoracic chest wall reconstruction. Reconstruction is tedious in the case of posteriorly located tumours, because the ipsilateral pedicled myocutaneous latissimus dorsi flap is involved and hence not usable for soft tissue coverage. We report an original case of a left giant dorsal chondrosarcoma origin...

SUMMARY Reconstruction of soft-tissue defects on multiple fingers is challenging because the number of recipient vessels for free flaps is limited. We report the use of a free radial forearm flap with multiple perforator-based skin islands for the reconstruction of complex soft-tissue defects involving multiple fingers. The injuries were caused by a heat press. The flap was transferred, like "b...

We report a case of necrotizing fasciitis of the hand treated by urgent debridement followed by serial debridements, hyperbaric oxygen, and delayed free muscle flap coverage. After control of the infection, a major soft-tissue defect remained on the dorsum of the wrist and hand, exposing all extensor tendons. A rectus muscle free flap was used for wound coverage and salvage of the exposed tendo...

IMPORTANCE Provides an approach to osseous free flap selection for reconstruction of segmental mandible defects that takes into consideration general medical status of the patient and reconstruction requirements; demonstrates the complementary qualities of fibular and subscapular system free flaps; and describes the different surgical indications for lateral border scapular and scapular tip fre...

Introduction: Advanced lip carcinomas can invade adjacent structures. Performing surgery for these cancers will lead to defects in this anatomically and functionally important area and will cause post-op difficulties such as drooling, speech alterations and aesthetic considerations, if not properly managed. Case Report: In this study, we will introduce a radial forearm free flap with palmari...

background and aims. localized gingival recession presents as a special therapeutic problem. subjective parameters and donor site morbidity are often overlooked while deciding on any treatment option. materials and methods. 22 subjects were equally divided in group a (lateral pedicle graft) and group b (free mucosal graft). subjective evaluation of post operative sensitivity, discomfort and ble...

Soft tissue reconstruction of a circumferentially degloved finger is major challenge. A 64-year-old male patient with underlying diabetes and hypertension presented biopsy-proven squamous cell carcinoma involving his entire finger. The entirety was to obtain safety margin. reconstructed using bilateral free hypothenar flap, the recovered without any complications.