We designed one-and-a-half-barrel vascularized free fibular flap which is a further modification of the double-barrel technique, and we tried to overcome the discrepancy between mandible and fibula flap. We used this flap in case of a segmental mandibular defect that occurred as a result of a giant cell reparative granuloma excision. This new modification eliminated volume insufficiency of the ...

BACKGROUND The purpose of this study was to address questions concerning the functional outcome following mandibular reconstruction with vascularized fibula flap in skeletally immature children METHODS Eleven patients 14 years old or younger who underwent mandibular reconstruction using a free fibula flap were evaluated. RESULTS The mean follow-up was 3.4 years. One flap loss occurred and r...

The vascularized fibular flap is one of the standard treatment choices for the reconstruction of the mandible; however, the consequences of condylar restoration have not previously been reported. The use of three-dimensional models allows for a more predictable reconstruction. The purpose of the present study was to assess the outcome of stereolithographic model-assisted reconstruction of the m...

Objective: To assess the versatility of vascularized free fibula flap in reconstruction of various defects of mandible. Study Design: Prospective study. Duration of Study: March 2009 to March 2012. Methodology: The study group consisted of 10 patients who underwent resection of mandible for various reasons and reconstruction of continuity defects using a vascularized free fibular flap. The mand...

OBJECTIVE Vascularized groin lymph node flaps have been successfully transferred to the wrist to treat postmastecomy upper limb lymphedema. This study investigated the anatomy, mechanism and outcome of a novel vascularized submental lymph node (VSLN) flap transfer for the treatment of lower limb lymphedema. METHODS Bilateral regional submental flaps were dissected from three fresh adult cadav...

We present an interesting method of shaping a vascularized medial femoral condyle (MFC) flap into a "neophalanx" for phalangeal reconstruction. Our patient presented with limited strength and function secondary to fracture nonunion of the proximal phalanx of the dominant thumb. Following excision of the pseudarthrosis, an MFC corticoperiosteal flap was harvested, sculpted into a prism shape and...

Background. Reconstruction of intrapelvic defects can be a challenging problem in patients with limited regional muscle flap options and previously resected omentum. In such situations, alternative methods of mobilizing vascularized tissue may be required. Methods. A case of a patient that underwent pelvic extirpation for recurrent rectal cancer who had limited donor sites for flap reconstructi...

BACKGROUND: The iliac osteocutaneous flap provides excellent vascularized bone for hardware fixation and osseointegrated implants, but a main drawback is the reliability of the skin island. The purpose of our study was to present novel techniques to increase the reliability of the iliac osteocutaneous flap using vein grafting, resulting in a single flap donor site and a single set of recipient ...

Conjunctival melanoma is a rare and potentially deadly tumor. Therefore, adequate oncological resection essential, commonly leading to total orbital exenteration, which causes patients' extensive functional cosmetic impairment. As result, it essential reconstruct the region post-exenteration obliterate cavity, provide pliable cutaneous covering, restore stable vascularized tissue that can withs...

SUMMARY Craniofacial reconstruction remains the main application for virtual surgical planning (VSP). We present a case in which this technology was applied to reconstruct a bony defect of the first metatarsal bone from a gunshot injury. VSP was used to facilitate a 1-stage reconstruction with a fibular osteocutaneous flap. A template of the reconstructed bone was designed based on the virtual ...