The ideal monitoring tool to evaluate free flap success should be noninvasive, continuous, and reliable. A new device, the ViOptix Tissue Oximeter (ODISsey) based on near-infrared spectroscopy was evaluated in 30 patients undergoing autologous tissue perforator free flap breast reconstruction with continuous monitoring of the flap during elevation, transfer, and the postoperative period. The de...

Free serratus anterior muscle flap, classified as Mathes-Nahai type III, is a versatile and frequently preferred choice for soft tissue coverage of small to moderate-sized defects owing to its reliable circulation pattern; however, some anatomic variations in the flap vascularity can result in partial flap loss. Here we present two cases with free serratus anterior muscle transfer where the dis...

The free groin flap results in less donor-site morbidity than other skin flaps and is suitable for use in children and adolescents. However, the vascular pedicle is relatively short and vessel diameter is small, which makes vascular anastomosis technically difficult. To overcome this limitation, we harvested vein and arterial grafts from the flap elevation area without placing additional skin i...

OBJECTIVE To report outcomes in free flap reconstructive surgery in the setting of calcified arteriosclerosis affecting the flap pedicle. DESIGN Retrospective review, including a detailed analysis of medical records, histopathologic findings, and a comprehensive review of the literature. METHODS A total of 1329 consecutive microvascular free tissue transfers were performed by 2 reconstructive s...

Correspondence To the Editor: Free‑flap reconstructions involve factors that can increase the risk of myocardial infarction (MI; e.g., the intraoperative use of a vasoactive agent, body temperature maintenance, and postoperative administration of fluid therapy and/or antithrombotic drugs). [1] MI has been observed after free‑flap head and neck reconstruction [2] although it has not been reporte...

BACKGROUND Traditionally, reconstruction of concurrent maxillary and mandibular defects on opposite sides of the facial skeleton often requires use of 2 free osseocutaneous flaps. A new technique of using a differentially split osteomyocutaneous peroneal artery-based combined (OPAC) flap for 1-stage reconstruction of left maxillary and right mandibular defects is presented. METHODS An OPAC fl...

SUMMARY A 26-year-old woman sustained a traffic accident injury to her left medial malleolus. A soft-tissue defect 15 × 7 cm with exposure of bone was found and underwent free anterolateral thigh flap to cover it. On the second postoperative day, venous congestion occurred and re-exploration was performed. Re-anastomosis of the vein was done after the thrombectomy; unfortunately, the flap did n...

BACKGROUND The aim of this study is to define an algorithm for the choice of reconstructive method for defects after laryngo-pharyngo-esophagectomy for hypopharyngeal carcinoma. METHODS One hundred and forty two cases of hypopharyngeal carcinoma were included and operated on by either partial pharyngectomy, total pharyngectomy or esophagectomy. The reconstructive method was tailored according...

Reconstruction of head and neck defects is a delicate endeavor that poses numerous intrinsic extrinsic challenges, which are currently magnified by rising health care costs limitations in system resources. Current trends the United States heavily favor use free tissue transfer over locoregional pedicles flaps (LRPF); however, latter group often undervalued, offering high utility, practicality, ...