The forerunner of the heterodigital flaps was the standard cross-finger flap [1]. For a long time it was considered a random pattern regional flap, which employed the dorsal skin of an adjacent finger to provide soft tissue coverage for a volar defect including pulp defect. The conventional cross-finger flap provides stable padding, but sensory recovery is prolonged and often does not restore t...

The Keystone perforator island flap (Keystone flap), is a Type A fasciocutaneous advancement flap, consisting of two V to Y advancement flaps. Skin cancer excision around joints presents a number of reconstructive challenges. Owing to the mobile nature of joints, the optimal periarticular reconstructive option should possess the ability to provide adequate tissue coverage and withstand regional...

The keystone flap, an emerging reconstructive option that can be used in many parts of the body, is gaining popularity among reconstructive surgeons. These reliable and versatile flaps can be used for large myelomeningocele closure. A modified bilateral keystone flap was used to achieve tension-free closure of a large thoracolumbar myelomeningocele associated with severe kyphosis in a newborn g...

Finding an appropriate soft-tissue grafting material to close a wound located over the dorsum of a finger, especially the distal phalanx, can be a difficult task. The boomerang flap mobilized from the dorsum of the proximal phalanx of an adjacent digit can be useful when applied as an island pedicle skin flap. The vascular supply to the skin flap is derived from the retrograde perfusion of the ...

BACKGROUND We report on our experience with using a distally based island flap for soft tissue reconstruction of the foot in limb salvage surgery for malignant melanoma patients. METHODS A distally based sural flap was used for 10 cases for the hindfoot reconstruction, and a lateral supramalleolar flap was used for 3 cases for the lateral arch reconstruction of the mid- and forefoot after wid...

conclusions lower extremity movement extent was carefully evaluated and, in respect to muscle strength, the patient was able to walk independently three months after the surgery. the patient’s balance was studied and the results showed moderate levels of stability. case presentation this is a case report concerning a patient who had septic arthritis in the knee area and so underwent soft tissue...

Objectives: Indocyanine green angiography is a useful intraoperative tool to assess flap survivability that has been successfully applied in many areas of reconstructive surgery. Herein, we describe the first application of indocyanine green angiography in assessing the viability of a supraclavicular artery island flap (SCAIF) with the goal of demonstrating its usefulness in preventing major po...

Several researchers and clinicians have taken advantage of the omentum's rich vascular arcades to support skin grafts. We have previously described an experimental model using the omentum as a vascular carrier for prefabricated free flaps in the rat. In this study, we used this model to compare three different sizes of free flaps using the same size omental carrier. Twenty-four male Sprague-Daw...

BACKGROUND AND OBJECTIVES A broad range of skin flaps can be used to repair facial surgical defects after the excision of a tumor. The aim of our study was to develop a practical guideline covering the most useful skin grafts for each of the distinct facial cosmetic units. MATERIAL AND METHODS This was a multicenter study in which 10 dermatologists with extensive experience in reconstructive ...

UNLABELLED Adequate reconstruction of defects that are consequences of glossectomy is of primary importance for achieving satisfactory functional results and improving the quality of life. AIM The aim of this study was to report a case of free flap reconstruction of a subtotal glossectomy defect and discuss it in relation to other available methods. CASE REPORT A 48-year-old woman was opera...