Developments in microsurgical techniques and instruments have enabled the high success rate of microvascular tissue transfers. Initially, the survival of a free flap is dependent on its vascular pedicle, and the failure of flaps generally occurs within seven days of surgery. Several experimental studies have shown that pedicles can be ligated 5 to 10 days after the operation. Hence, at that tim...

OBJECTIVES The antero-lateral thigh flap (ALTF) has become one of the workhorses of reconstructive procedures of the head and neck. The cosmetic result of this flap is uncertain during the main reconstructive procedure, so free flap contouring in head and neck reconstruction following cancer ablation is usually performed at the end of therapy. To obtain an adequate symmetry of the flap a safe t...

SUMMARY Wide-apart double defect in head and neck region is rare and difficult to reconstruct at one time. Double free flaps are normally used for this scenario and often tedious and technically complicated. This study presented a technique using branch-based anterolateral thigh free flap to simultaneously reconstruct the 2 defects separated wide apart. The concept, indications, surgical techni...

We present a rare case of forearm radiation ulcer. Recently, technological advances in intravascular treatments involving X-ray radiography have enabled the application this treatment more patients. This has caused frequent problems due to ulcers. Here we report 54-year-old man who developed an ulcer on his left six months after placing stent graft treat abdominal aortic aneurysm. A was diagnos...

OBJECTIVE To define the anatomic "safe zone" for placement of external fixator half pins into the anterior and lateral femur. METHODS In 20 fresh-frozen hemipelvis specimens, the femoral nerve and all branches crossing the femur were dissected out to their final muscular locations. The location where the nerves crossed the anterior femur was measured from the anterior superior iliac spine and...

BACKGROUND A thinned anterolateral thigh (ALT) flap is often harvested to achieve optimal skin resurfacing. Several techniques have been described to thin an ALT flap including an adipocutaneous flap, an adipofascial flap and delayed debulking. METHODS By systematically reviewing all of the available literature in English and French, the present manuscript attempts to identify the common surg...

An anterolateral thigh flap was salvaged using 110 medical leeches in the absence of an available vein for reanastomosis. After surgical construction of the flap for full-thickness thoracic wall reconstruction, the patient developed complete venous occlusion. Specifically, the anastomotic vein developed complete occlusion, and the internal jugular vein had a thrombus. In addition, because the l...

Figure 1. Recurrent cellulitis and draining sinus tracts of right medial thigh at previous gracilis flap donor site.

N and classification of compound perforator flaps can be as complex and convoluted as the vascular anatomy of these multicomponent flaps. The article “The Complete Nomenclature for Combined Perforator Flaps”1 presents the author’s proposed classification and standardized nomenclature for combined perforator flaps. I believe that the author’s classification of compound perforator flaps as either...