Microvascular free-flaps have been in clinical use for nearly 3 decades becoming the gold standard in oral and oropharyngeal reconstruction. In this study, a comparison has been made between the radial forearm fasciocutaneous flap with the thinned anterolateral thigh cutaneous flap (tALT), showing the advantage of the anterolateral thigh cutaneous flap in oral and oropharyngeal reconstruction. ...

We report the case of a 48-year-old male with an exposition of a femorofemoral crossover bypass in the inguinal region and superficial femoral occlusion. This was successfully treated using an anteromedial thigh (AMT) pedicled flap based on the perforator vessel of the descending branch of the lateral circumflex femoral artery. Our report focuses on: i) considering the AMT flap as a safe and ea...

In the last decade, the antero-lateral thigh free flap (ALT) has become the most popular free flap for tongue reconstruction because of less donor site morbidity and better cosmetic outcomes. However, fascio-cutaneous ALT may be insufficient to reconstruct major tongue defects, while its muscular-cutaneous variant (using the vastus lateralis muscle) may be too bulky. The present study describes...

introduCtion: The pedicled ALT reaches defects from the mid-abdomen to the perineum, and can extend to cover the knee in reverse pedicled ALTs. The lateral femoral cutaneous nerve (LFCN) provides sensation to the well-known flap. Based off of the descending branch of the lateral femoral cutaneous artery, multiple skin islands and the vastus lateralis muscle can be combined. We present the safet...

introduCtion: The pedicled ALT reaches defects from the mid-abdomen to the perineum, and can extend to cover the knee in reverse pedicled ALTs. The lateral femoral cutaneous nerve (LFCN) provides sensation to the well-known flap. Based off of the descending branch of the lateral femoral cutaneous artery, multiple skin islands and the vastus lateralis muscle can be combined. We present the safet...

OBJECTIVE Exposure of tibia can result from severe traumatic wounds, such as injuries due to traffic accidents, crush injuries (machine) and amputation wounds. The free anterolateral thigh perforator flap is increasingly being used for trauma reconstruction. Here we report our case load with this surgical intervention. PATIENTS AND METHODS We reviewed 27 patients who underwent free anterolate...

The nerve originates from the L2/L3 segments and travels down, lateral to the psoas muscle. It crosses the iliacus muscle deep to the fascia and then passes through or under the lateral part of the inguinal ligament. It runs superficially and divides into anterior and posterior branches to innervate the lateral thigh. The course of the nerve can be variable. One study of cadaveric specimens fou...

OBJECTIVE The aim of this study is to analyse the possibilities and the results of using the serratus anterior muscle flap during reoperations in patients with a complicated course after major general thoracic procedures. MATERIAL AND METHODS We performed a retrospective study on 25 consecutive patients operated in a single center between 01.01.2002-01.01.2012, in whom we used the serratus an...