Achieving adequate coverage of soft tissue defects located on the lower third of the legs and feet is challenging for reconstructive surgeons. Fasciocutaneous flaps can be used to meet this challenge. Two common fasciocutaneous flaps used in this context are the reverse sural flap and lateral supramalleolar flap (LSMF). Plastic and reconstructive surgeons are relatively unfamiliar with the seco...

BACKGROUND The goal of this study was to investigate the anatomy of the peroneal artery and its perforators, and to report the clinical results of reconstruction with peroneal artery perforator flaps. METHODS The authors dissected 4 cadaver legs and investigated the distribution, course, origin, number, type, and length of the perforators. Peroneal artery perforator flap surgery was performed...

The early experience of free flap reconstruction in a regional plastic surgery unit was reviewed. Forty-seven free flap surgical procedures were performed for 46 patients during a 2-year period from 1 January 1995 to 31 December 1996 in a regional plastic surgery centre that specialises in head and neck, and breast reconstruction. Twenty-six free transverse rectus abdominus myocutaneous flaps w...

OBJECTIVES/HYPOTHESIS For a wide exposure of skull base and preservation of septal mucosa, we have raised bilateral modified nasoseptal rescue flaps in the endoscopic endonasal transsphenoidal approach (EETSA) and evaluated the usefulness of these flaps elevation. STUDY DESIGN Case series. METHODS The study population comprised the patients who underwent EETSA with bilateral modified nasose...

INTRODUCTION: The concept of freestyle propeller flaps provides a versatile opportunity for wound closure at any part of the body with minimal donor site morbidity. As experience and familiarity with microsurgical procedures has increased interest in identifying-harvesting perforator flaps originating from known major vessels has become more common. The “freestyle” concept developed by Wei and ...

BACKGROUND Compromised perfusion in autologous breast reconstruction results in fat necrosis and flap loss. Increased flap weight with fewer perforator vessels may exacerbate imbalances in flap perfusion. We studied deep inferior epigastric perforator (DIEP) and muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flaps to assess this concept. METHODS Data from patients who under...

BACKGROUND Functional outcomes of lower extremity reconstruction compared with amputation have been evaluated. However, there are little comparative data among the different reconstructive options. With the recent increase in perforator flaps, we compared the functional outcomes of muscle and perforator flaps. METHODS We conducted a retrospective review of 136 lower extremity trauma patients ...

BACKGROUND The thin and pliable skin of the neck is a region with multidirectional activity, and postburn scar contractures tend to form there easily. The supraclavicular flap is used to correct neck scar contractures. Its main vascular supply is the supraclavicular artery, and it can be harvested as either a skin pedicle flap or an island flap (vascular pedicle flap). OBJECTIVE In this artic...

Median sternotomy was first described in 1957 as an access route for cardiac surgery. Dehiscence of that incision has been associated with high indices of morbidity and mortality. In 1976, Lee et al 1 reported the use of the great omentum for covering that mediastinal flaw. A little later, Jurkiewicz et al 2 reported the use of muscular flaps, which favored the earlier repair of raw areas and a...

We utilize a high quality calcium fluoride whispering-gallery-mode resonator to passively stabilize a simple erbium doped fiber ring laser with an emission frequency of 196THz (wavelength 1530nm) to an instantaneous linewidth below 650Hz. This corresponds to a relative stability of 3.3 × 10(-12) over 16μs. In order to characterize the linewidth we use two identical self-built lasers and a comme...