Nasal reconstruction has continued to advance in accordance with Menick's vision as it was first conceived. His combination of radial forearm free flaps the gold standard paramedian forehead is highly regarded for producing superior outcomes, and received widespread praise a consequence. In this study, we present nine patients who had nose using flaps. All successful outcomes. Using FACE-Q ques...

The free scapular flap is a versatile flap for soft tissue and bony reconstruction of the head and neck. It has a very reliable blood supply and is easy to harvest. In this paper, we present our cumulative experience with the use of five cutaneous flaps and 31 osteocutaneous flaps.

The car-tyre friction injury has differences from other injuries. The components of injury which are burn, crushing, shearing, and degloving occur. Many treatment options can be performed for coverage of wound which are Vacuum Assisted Closure system (V.A.C), skin grafting, free flaps, local flaps and cross leg flap.

Hyperbaric oxygen has been advocated, both as an adjunctive or primary form of treatment, for a variety of disorders, including gas gangrene, osteoradionecrosis, and carbon monoxide poisoning. It has also been used to improve ischemic wounds before skin grafting and to support ischemic flaps. In this review, we analyze the available literature that investigates the use of hyperbaric oxygen for ...

Reconstruction of the distal foot, especially of the toe has always been a challenging problem. Various methods have been tried with variable success rates and limitations. Presented here is a series of four cases, where distally based flaps were used. Two of them were Extensor Digitorum Brevis (EDB) muscle flaps and the other two were first dorsal metatarsal artery (FDMA) based skin flaps. One...

The application of Taylor's concept about body angiosomes, referred to tissue transfers, has meant that the development of the perforator flaps and muscles is no longer needed as a carrier of skin flap vascularity. In this paper, we revise 59 lower limb reconstructions with local and free perforator flaps performed in the last 5 years, and a basic reconstructive algorithm is also suggested to h...

Abstract Introduction The post-operative monitoring of free-flaps can be a challenge, particularly for junior staff on-call and in patients with darker or mottled skin. We present case employing paediatric pulse oximetry to monitor free flap where clinical assessment was challenging, illustrating its value as an adjunct existing techniques such doppler. Case A 23-year-old patient underwent teno...

musculocutaneous pedicled/ free flaps are an essential prerequisite for reconstructive surgery. amongst the trunk muscles commonly harvested for flaps, the trapezius and rectus abdominis provide satisfactory coverage for cranial and trunk defects. unilateral/ bilateral or partial congenital absence of trapezius muscle is well documented and may result in muscular imbalances compromising posture...

Abstract Background Volar finger defects where critical structures exposed are always challenging for plastic surgeons. In these types of defects, local flaps, cross abdominal and free flaps used. Free dorsoulnar artery perforator (DUAP) superficial palmar branch radial (SPBRA) also this case, we present a patient who was scheduled to receive DUAP flap address defect on the second right hand; h...

Different reconstruction techniques of the anterior and middle skull base as consequence of a defect after surgical treatment of neoplastic pathologies are described in the literature. The aim of the present study is to present our experience regarding the use of microvascular free flaps for reconstruction of the anterior or middle skull base after large defects caused by removal of malignant n...