BaCkground: The distal placement of Vascularized lymph node is an effective method in the treatment of Breast Cancer Related Lymphedema. Despite the majority of patients’ concerns are functional, some aesthetic concerns may be raised due to placement of the flap in an exposed area. Our objective is to compare the functional improvement of the lymphedematous limb after the placement of the Vascu...

BaCkground: The distal placement of Vascularized lymph node is an effective method in the treatment of Breast Cancer Related Lymphedema. Despite the majority of patients’ concerns are functional, some aesthetic concerns may be raised due to placement of the flap in an exposed area. Our objective is to compare the functional improvement of the lymphedematous limb after the placement of the Vascu...

Bone loss was in the past treated by several methods, such as bone distraction and the use of nonvascularized or tissue-bank bone grafts. With the advent of modern microsurgical techniques, the vascularized bone flap has been used with good results; it resolves local nutritional problems, repairs soft tissue that is often damaged by severe trauma, and treats bone loss due to tumors, pseudarthro...

Periosteum is a promising tissue engineering scaffold in research of cartilage repair; so far however, periosteum transfers have not been realized successfully because of insufficient nourishment of the graft. In a translational approach we, for the first time, designed a vascularized periosteum flap as 'independent' biomaterial with its own blood supply to address this problem and to reconstru...

BACKGROUND In patients with large dural defects of the anterior and ventral skull base after endonasal skull base surgery, there is a significant risk of a postoperative cerebrospinal fluid leak after reconstruction. Reconstruction with vascularized tissue is desirable to facilitate rapid healing, especially in irradiated patients. METHODS We developed a neurovascular pedicled flap of the nas...

M oday, Sptem er 6, 2016 oncologic axillary and groin lymph node dissection. Vascularized lymph node transfer based on the omental flap has been proposed as a potential solution to lymphedema. However, literature characterizing the gastroepiploicbased omental flap and corresponding lymph nodes does not currently exist. The purpose of this study is to describe lymph node anatomy along the gastro...

Reconstruction of perineal and groin defects is a challenging problem. Commonly used methods of reconstruction include skin grafts and local flaps. The groin flap is a vascularized axial flap based on the superficial circumflex iliac artery arising from the femoral artery just below the inguinal ligament. Due to the location, the donor defect can usually be closed primarily, leaving an acceptab...

The complex reconstruction of nerves and soft tissue in the head and neck region is still challenging, especially in cases requiring external auditory canal reconstruction with facial nerve reconstruction. We report a case of left facial schwannoma extending into the external auditory canal beyond the tympanic membrane with facial paralysis in which the reconstruction of both the facial nerve a...

BACKGROUND Closure of salvage laryngectomy defects with vascularized tissue remains controversial. METHODS We evaluate outcomes in patients who required repair of a fistula after attempted primary closure of salvage laryngectomy defect and assess risk factors for persistent fistula. Between 2001 and 2010, 20 patients were treated for pharyngocutaneous fistulae after primary closure of a salva...

BACKGROUND The intention of mandibular reconstruction is to restore the complex anatomy with maximum possible functionality and high accuracy. The aim of this study was to evaluate the accuracy of computer-assisted surgery in primary mandibular reconstruction with an iliac crest bone flap compared with an osteomyocutaneous fibula flap. MATERIALS AND METHODS Preoperative computed tomography da...