The distally based sural island flap was first described by Masquelet, et al., in 1992. It is a skin island flap supplied by the vascular axis of the sural nerve. The aim of this paper is to demonstrate that it can be applied in coverage of difficult wound in the lower third of the leg. We treated nine patients with nine distally based sural island flaps. All the flaps survived, most of the fla...

Objective To explore the feasibility of the submental island flap in the repair of hypopharyngeal defects. Methods We collected wet specimens of fresh cadaveric heads from the Han Chinese adult population for applied anatomy of the submental island flap, and followed five patients with pyriform sinus carcinoma after reconstruction surgery using submental island flaps. Results We found that ...

conclusions scarring of the neck produces problems with function, and appearance. in our view, the supraclavicular flap, a thin flap of good texture, is an excellent and highly reliable flap for covering defects of the anterior neck. this flap is easy to harvest, with good functional and aesthetic results. results thirty-seven of the 41 flaps survived completely, but there were three cases of d...

The distal third of the tibia, ankle and heel area is difficult to reconstruct. For small to medium size defects, local flaps are often an easier alternative than free flap. In lower limb surgery, the sural flap is based on this principle and this flap is becoming increasingly popular. The distally based superficial sural artery flap, first described as a distally based neuro skin flap by masqu...

BACKGROUND  Reconstruction of complex soft tissue defects of the thumb, with exposure of tendons, joints or bones, has always been a difficult task. We evaluated the functional and esthetic outcomes of 1st dorsal metacarpal artery island flap in reconstruction of post-traumatic soft tissue defects of the thumb. METHODS Between January 2012 and June 2014, fifteen patients with co...

Purpose: Large defects resulting from surgical excision of oral cancer require various kinds of flap to reconstruct the defect. Therefore the aim of this study is to assess the application potentials of submental island flap in lingual cancer. Methods: Over the 3 years, submental island flap has been studied in a 13 cases of lingual cancer patients and follow-up was accordingly done. The sites,...

BACKGROUND The submental artery island flap is a reliable reconstructive option for lower face defects. Advantages of this flap include suppleness of tissue, excellent color and texture match to facial skin, a wide arc of rotation, prominent blood supply, and a well-hidden donor site scar. METHODS This article describes a 61-year-old man with eccrine carcinoma of the chin necessitating extens...

We present a case of an epithelioid sarcoma of the right groin in which wide resection resulted in a complex groin defect involving the full thickness of the abdominal wall and the perineum. We reconstructed the defect using a combination of pedicled anterolateral thigh (ALT) flap and gluteal fold flap. The functional and aesthetic results were satisfactory. The ALT flap with a robust iliotibia...

Successful eyelid reconstructions have been reported when using an axial nasal chondromucosal flap based on the dorsal nasal artery. The present study aimed to present a detailed anatomical description of the blood supply of the lateral nasal region and the angular artery, in order to propose the angular vessels as a new vascular pedicle for the island nasal chondromucosal flap. A total of 11 c...