BACKGROUND  Reconstruction of complex soft tissue defects of the thumb, with exposure of tendons, joints or bones, has always been a difficult task. We evaluated the functional and esthetic outcomes of 1st dorsal metacarpal artery island flap in reconstruction of post-traumatic soft tissue defects of the thumb. METHODS Between January 2012 and June 2014, fifteen patients with co...

Purpose: Large defects resulting from surgical excision of oral cancer require various kinds of flap to reconstruct the defect. Therefore the aim of this study is to assess the application potentials of submental island flap in lingual cancer. Methods: Over the 3 years, submental island flap has been studied in a 13 cases of lingual cancer patients and follow-up was accordingly done. The sites,...

BACKGROUND The submental artery island flap is a reliable reconstructive option for lower face defects. Advantages of this flap include suppleness of tissue, excellent color and texture match to facial skin, a wide arc of rotation, prominent blood supply, and a well-hidden donor site scar. METHODS This article describes a 61-year-old man with eccrine carcinoma of the chin necessitating extens...

We present a case of an epithelioid sarcoma of the right groin in which wide resection resulted in a complex groin defect involving the full thickness of the abdominal wall and the perineum. We reconstructed the defect using a combination of pedicled anterolateral thigh (ALT) flap and gluteal fold flap. The functional and aesthetic results were satisfactory. The ALT flap with a robust iliotibia...

Successful eyelid reconstructions have been reported when using an axial nasal chondromucosal flap based on the dorsal nasal artery. The present study aimed to present a detailed anatomical description of the blood supply of the lateral nasal region and the angular artery, in order to propose the angular vessels as a new vascular pedicle for the island nasal chondromucosal flap. A total of 11 c...

Permanent fecal abdominal stomas significantly decrease quality of life. Previous attempts to create continent stomas by using dynamic myoplasty procedures have resulted in disappointing outcomes, primarily owing to denervation atrophy of the muscle flap that was used in the creation of the sphincter and because of muscle fatigue resulting from continuous electrical stimulation that is received...

BACKGROUND Tunneled transposition of the facial artery myomucosal (FAMM) island flap on the lingual side of the mandible has been reported for intraoral as well as oropharyngeal reconstruction. This modified technique overcomes the limitations of short range and dentition and further confirms the flexibility of the flap. This paper presents a case of reconstructing secondary soft palatal defect...

UNLABELLED Based on his clinical observations the "red dot sign" and hyperemic flare, Behan has advocated the superior vascularity of the island flap design for at least 2 decades. The aim of this study was to determine whether (1) surgical islanding of a flap alters the vascularity or blood supply of the flap and (2) these changes in blood supply explain Behan's clinical observations of "red d...