OBJECTIVES/HYPOTHESIS Endoscopic endonasal skull base surgery defects require effective reconstruction. Although the nasoseptal flap (NSF) has become our institution's workhorse for large skull base defects with cerebrospinal fluid (CSF) leaks, situations where it is unavailable require secondary flaps. Clinical outcomes, pearls and pitfalls, and an algorithm will be presented for these seconda...

BACKGROUND AND PURPOSE Myocutaneous flaps are commonly used for reconstruction in head and neck surgery. The purpose of this study was to characterize the MR imaging findings of the muscular component of these flaps, with an emphasis on enhancement patterns. Recognition of these imaging findings is important in differentiating postoperative changes from recurrent tumor. METHODS MR studies wer...

OBJECTIVE To create a comprehensive algorithmic approach to reconstruction after vulvar cancer ablative surgery, which includes both traditional and perforator flaps, evaluating anatomical subunits and shape of the defect. METHODS We retrospectively reviewed 80 cases of reconstruction after vulvar cancer ablative surgery, performed between June 2006 and January 2016, transferring 101 flaps. W...

Local advancement flaps are a key tool in the armamentarium of reconstructive surgeon. They can be used to repair small and large defects on all areas face with excellent skin color texture match, limited donor site morbidity, flexibility hide scars. In this review, we outline common categories discuss situations for their use.

Oral submucous fibrosis (OSMF), which presents with a severe degree of trismus, is a great surgical challenge. The surgical procedures include excision of fibrous bands with or without coverage of the surgically created defect. The use of vascularised flaps such as the palatal pedicled flap, tongue flaps, use of buccal fat pad and nasolabial flaps are becoming increasingly popular. We present a...

Venous flaps are defined as a composite flap of skin and subcutaneous veins that relies on the venous system alone for flap perfusion, that is, the primary blood supply enters and exits the flap through the venous system. [1] Unlike conventional arterial flaps, venous flaps do not sacrifice an artery of the donor site nor do they require deep dissection. This results in an easier procedure as w...

This study compares sensory recovery after total lower lip reconstruction in a wide variety of flaps including bilateral depressor anguli oris flap, submental island flap, bilateral fan flaps, radial forearm flap, and pectoralis major myocutaneous flaps in a large number of patients. Spontaneous return of flap sensation was documented by clinical testing in the majority (3%) of patients who und...

Received for publication June’ 2009 ... ........................... Purpose: To compare the success rate of external dacryocystorhinostomy (with intubation) with suturing of the posterior flaps and without suturing of the posterior flaps. Material and methods: A prospective comparative study of 70 patients attending the Ophthalmology Department Military Hospital Rawalpindi between Dec 2005 and ...

BACKGROUND There are different flaps based on the branches of the maxillary artery. Flaps based on the maxillary artery branches can be used for oral cavity reconstruction in selected cases, but there is lack of comprehensive review in this topic. METHODS A literature review was performed on Medline for maxillary artery based flaps and oral cavity reconstruction. Surgical techniques for each ...