Background: The last decades have witnessed remarkable progress in the field of endoscopic skull base surgery. The nose has become an established route for addressing different skull base lesions. The reconstruction after resection is a critical step for optimum surgical outcome. Objective: Evaluation of the difference in the clinical outcomes between the use of vascularized flaps and free graf...

The clinical case of a patient with a segmental humeral defect, in the context of an arthrogryposis congenita multiplex and morbid obesity, reconstructed with a pedicled segmental radial bone flap is reported. The use of the pedicled vascularized diaphyseal radial bone flap may be a useful technique for humerus reconstruction in patients with contraindication for microvascular bone transfers an...

METHODS: A retrospective chart review was performed at a tertiary academic medical center for all patients who underwent microvascular surgery of the scalp from July 2011 through December 2016. Reconstructions were evaluated by type of flap utilized (myofascial, myocutaneous, fasciocutaneous, or osteocutaneous) as well as type of cranial reconstruction performed (titanium implant, polyetherethe...

Segmental mandibular defects are typically reconstructed with vascularized bone grafts. Free transfer grafts require microvascular anastomosis, which may be difficult in vessel-depleted necks and high-risk patients. We report a case of squamous cell carcinoma of the lower gingiva involving the mandibular bone. We performed a combination of frozen autograft and pectoralis major (PM) flap to reco...

In cardiac surgery, poststernotomy wounds are life threatening complications, with mortality up to 50%. We described two patients, who underwent coronary artery bypass grafting and postoperatively developed a deep sternal wound infection. Reconstruction was combined with vacuum-assisted closure treatment, laparoscopic mobilization of an omental flap and split thickens skin grafts. The omental f...

PURPOSE To present the long-term results of failed vesicovaginal fistula repair using flap splitting techniques. MATERIALS AND METHODS Nine women with a previous failed vesicovaginal fistula repair, aged 18 to 69 years, underwent salvage vaginal reconstruction for damaged urethra or bladder, at a five-year interval lasting from 2003 to 2007. Fistulas were repaired using an interposed pedicula...

Sarday, M ay 6, 2017 moyamoya disease (6). Flaps included flow through radial forearm fasciocutaneous flaps (2), a flow through radial forearm fascial flap (1) and flow through pedicled temporoparietal fascial flaps (4). The superficial temporal vessels (6) and facial vessels (1) were used as the recipient site pedicle. Flow through reperfusion was established into the middle cerebral artery (5...

OBJECTIVE Severe bone loss associated with failed revision total knee arthroplasty is a challenging scenario. The pedicled fibular flap is a method to obtain vascularized bone for use in knee arthrodesis after failure of a total knee arthroplasty, with substantial loss of bone. METHODS We report 2 successful knee arthrodeses using this method in patients with infected, failed multiply revised...

OBJECTIVES/HYPOTHESIS The aim of this study was to present our experience with management of malignant lesions arising within the masticator space, and to describe a technique of en bloc resection and reconstruction. STUDY DESIGN Case series and case report. METHODS Eight cases of masticator space malignancies treated surgically with en bloc resection and free flap reconstruction were retro...

Breast cancer is the leading cause of cancer death in women worldwide. Its surgical approach has become less and less mutilating in the last decades. However, the overall number of breast reconstructions has significantly increased lately. Nowadays, breast reconstruction should be individualized at its best, first of all taking into consideration not only the oncological aspects of the tumor, n...