BACKGROUND Extended Soft tissue defect of leg including middle and distal parts always has been a challenge for many plastic surgeons and also a frustrated problem for patients and families. To introduce the use of the soleus muscle and reverse sural flaps as synchronous surgical treatment alternative of the leg bone exposure with large soft tissue defect, this study was conducted. METHODS T...

1 Koichi Ueda, MD, PhD Takashi Nuri, MD, PhD Yuki Otsuki, MD, PhD Department of Plastic and Reconstructive Surgery Osaka Medical College Takatsuki, Osaka, Japan Sir, I soft tissue with muscle is resected because of tumor invasion, muscle function is lost. The face has soft tissues with free borders, for example, lips, eyelids, and soft palate. If they are reconstructed without functional moveme...

permanent facial paralysis is a catastrophic event for involved patients. in long lasting paralysis with severe facial muscles atrophy, masseter muscle transfer is a very good choice. but its greatest problem is postoperative elongation of flap and gradual diminishing of early results and loss of symmetry. this article advocate a new modification for resolving this problem with concomitant elev...

 Abstract Background: Rehabilitation of facial paralysis is one of the greatest challenges faced by reconstructive surgeons today. The traditional method for treatment of patients with facial palsy is the two-stage free gracilis flap which has a long latency period of between the two stages of surgery. Methods: In this paper, we prospectively compared the results of the one-stage gracilis flap ...

INTRODUCTION Pedicled temporalis muscle flap presenting a good flap for closing large craniofacial defects. Careful surgeons usually do not mobilize temporalis muscle flap enough to make appropriate use, fully closure, especially if defect exceeds the median line. PATIENTS AND METHODS Temporalis flap was used in 16 patients, ages ranged between 12 and 76. In all cases defect reconstruction wa...

BACKGROUND Free muscle flaps are a mainstay for reconstruction of distal third leg wounds and for large lower extremity wounds with exposed bone. However a major problem is the significant postoperative flap swelling, which may take months to resolve. We studied the efficacy and safety of immediate application of a vacuum assisted closure (VAC) dressing after a free muscle flap to the lower ext...

BACKGROUND It can be difficult to select an appropriate flap for various defects on the hand. Although defects of the hand usually must be covered with a skin flap, some defects require a flap with rich blood supply and adequate additive soft tissue volume. The authors present their experience with the anconeus muscle free flap in the reconstruction of various defects and the release of scar co...

BACKGROUND The trapezius muscle flap is not usually the first reconstructive option for skin and soft tissue defects in the posterior neck and scalp due to surgeons' unfamiliarity with the surgical anatomy and developments in free tissue transfer techniques. The goals of this study were to describe the clinical use of trapezius flaps in posterior neck and scalp reconstruction, and to investigat...

Superficial circumflex iliac artery perforator flap (SCIP) is one of the most convenient flaps to cover distal extremity defects because it conceals scar donor area well and can be raised as a thin or super-thin flap. In recent years, various chimeric SCIP were reported, including sartorius muscle, lateral femoral cutaneous nerve, bone. However, sometimes difficult on pedicle, absence communica...

BACKGROUND Free flap surgery in the pediatric population has gained widespread acceptance regarding its technical utility and reliability. Initial concerns as to the feasibility and reliability of the procedure in children were resolved over time. METHODS Thirty children (15 boys, 15 girls) were treated in Sisli Etfal Training and Research Hospital, Plastic and Reconstructive Surgery Clinic. ...