BACKGROUND Functional outcomes of lower extremity reconstruction compared with amputation have been evaluated. However, there are little comparative data among the different reconstructive options. With the recent increase in perforator flaps, we compared the functional outcomes of muscle and perforator flaps. METHODS We conducted a retrospective review of 136 lower extremity trauma patients ...

plexus injury. Few studies report the rate of revision surgeries following free functional muscle transfers. We examinedthe reoperation rate and indication for reoperation after primary reconstruction of upper extremity function with a freegracilis transfer after brachial plexus injury.Methods: From 2003-2016, we identified 25 patients who underwent a free functional gracilis ...

To understand the role of the lateral thigh flap in head and neck reconstruction, we performed injection studies and anatomic dissections in 2 fresh and 61 preserved cadaver extremities followed by 10 clinical cases involving defects after tumor ablation. The flap, based on the third perforator of the profunda femoris artery, is designed on the posterolateral aspect of the distal thigh. The ped...

abstract: primary adenoid cystic carcinoma (acc) of bartholin’s gland is a rare gynecologic malignancy. we report a case of locally advanced acc of bartholin’s gland. a 62-year-old presented with left bartholin’s gland carcinoma and underwent left radical vulvectomy,left-sided inguinal-femoral lymph node dissection, posterior pelvic exenteration, and pedicle abdominal muscle flap. on her 3 mont...

ABSTRACT The management of post-radiation wound breakdown over the posterior cervico thoracic region can be a challenging task for a surgeon. The aim of the treatment is to produce a well vascularized and a low tensile flap which will close a large defect. We describe the use of the lower trapezius flap to reconstruct the wound breakdown and to obtain stable tissue coverage in a patient with po...

Introduction Most patients after either superficial or total parotidectomy develop facial deformity and Frey syndrome, which leads to a significant degree of patient dissatisfaction. Objective Assess the functional outcome and esthetic results of the superiorly based sternocleidomastoid muscle (SCM) flap after superficial or total parotidectomy. Methods A prospective cohort study for 11 patient...

BACKGROUND Simulation training is becoming an increasingly important component of skills acquisition in surgical specialties, including Plastic Surgery. Non-living simulation models have an established place in Plastic Surgical microsurgery training, and support the principles of replacement, reduction and refinement of animal use. A more sophisticated version of the basic chicken thigh microsu...

Soft tissue defect of the lower leg with exposure of bone, tendon, and osteosynthesis plates or total knee artthroplasty is a challenging therapeutic problem. The gastrocnemius muscle flap is one option for coverage. This flap is probably one of the safest flaps, and relatively easy to dissect. However, about functional loss for higher loads especially in sports activities is reported in the li...

PURPOSE A rectourethral fistula (RUF) is an uncommon complication resulting from surgery, radiation or trauma. Although various surgical procedures for the treatment of an RUF have been described, none has gained acceptance as the procedure of choice. The aim of this study was to review our experience with surgical management of RUF. METHODS The outcomes of 6 male patients (mean age, 51 years...

We report our experiences with 283 reconstructions of pharyngoesophageal defects after adequate extirpation of hypopharyngeal cancer that have been ac complished in the past 17 years through 1970 to 1986 using various kinds of pedicled flaps such as Bakamjian's DP skin flap, slit technique of DP skin flap, pectoralis major and latissimus dorsi myocutaneous flaps, skin-grafted pectoralis major m...