INTRODUCTION: Patients with large breasts are often the most difficult to reconstruct utilizing free tissue transfer after mastectomy. This is especially true when suitable abdominal tissue is unavailable. These subjects often require two simultaneous free flaps to provide adequate tissue. 1,2 This study provides a review of our experience and lessons learned utilizing unilateral dual free tiss...

Intractable rectovaginal fistula (RVF) is a troublesome complication after treatment of perineal cancers or infection. Complex fistulas which are larger than 2.5 cm in diameter or the recurrent cases may be repaired with abdominal procedure or tissue transposition. Gracilis muscle flap is widely used in various reconstruction in regarding to the donor site deformity and bacterial resistance. En...

Brachial plexus injured patients are difficult at best to treat from an orthotic or prosthetic perspective. Often times these patients present with multiple problems resulting from a flail arm presentation which may include distal “hanging” weight, lack of supporting musculature, chronic subluxation of the glenohumeral joint, scapular instability, and chronic pain [1]. Advancements in surgical ...

 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 ...

Various facial reanimation procedures can be performed for treating patients with chronic facial nerve paralysis. The radiologic imaging features of static and dynamic techniques are reviewed in this article with clinical correlation, including brow lift, eyelid weights and springs, gracilis free flaps, fascia lata grafts, temporalis flaps, and Gore-Tex suspension slings. Although the anatomic ...

Despite low donor-site morbidity and a straightforward dissection, the gracilis muscle flap is still for many surgeons a second choice in microsurgical reconstruction of the lower extremity in cases of osteomyelitis. They underscore the difficulty of the procedure, and the problems of insufficient muscle volume and a small sized vascular pedicle. The aim of this study was to assess the reliabil...