the present article describes a case of prosthetic rehabilitation with the new technique of prefabricated osteo-cutaneous free fibula flap for reconstructing a maxillary defect which had resulted from ameloblastoma. the fibula and a cuff of 6-8 mm were prepared with its pedicle intact. the bone flap was left in place with its pedicle intact for 2 to 3 months; the skin graft and the flap were fr...

Abstract Background Volar finger defects where critical structures exposed are always challenging for plastic surgeons. In these types of defects, local flaps, cross abdominal and free flaps used. Free dorsoulnar artery perforator (DUAP) superficial palmar branch radial (SPBRA) also this case, we present a patient who was scheduled to receive DUAP flap address defect on the second right hand; h...

Background: The standard methods for reconstruction of soft tissue defects in the leg include gastrocnemius flap for proximal third defects, soleus flap for middle third and free flap in the distal third. However, there are problems with the use of free flap, like increased operative time, damage of major vessels and the need for experienced microsurgeon. Mathods: This prospective study was und...

Introduction: Reconstruction of intraoral soft tissue defects is important in restoring function and esthetic. In large defects, there will be demand for regional pedicle flaps or free flaps. Hard palate separates nasal and oral cavities. Due to the small surface area between flap and remaining palate after surgical resections, optimal blood supply of the flaps for hard palate reconstructions ...

introduction: advanced lip carcinomas can invade adjacent structures. performing surgery for these cancers will lead to defects in this anatomically and functionally important area and will cause post-op difficulties such as drooling, speech alterations and aesthetic considerations, if not properly managed. case report: in this study, we will introduce a radial forearm free flap with palmaris l...

SUMMARY Advancements in microsurgical techniques as applied to perforator flaps have made harvesting flaps in a free-style manner a practical reality. A hand-held Doppler identifies sizable perforators on which flaps can be based. In free-style free flap harvesting, any region of the body can be chosen as a donor site as long as there is an audible pulsatile Doppler signal. The value of the fre...

BACKGROUND The purpose of this study was to determine the causes of head and neck free flap loss and to evaluate outcomes after subsequent microvascular and non-microvascular reconstruction. METHODS Patients who experienced free flap loss between 2000 and 2012 were reviewed. RESULTS There were 40 flap losses out of 3090 free flaps (1.3%). Twenty-eight patients underwent subsequent free flap...

UNLABELLED Background. Post-burn flexion contractures of the knee may arise even with adequate treatment of the burn injury. After release of the contracture, most of these defects require flap coverage. Here we describe the application of the perforator plus flap concept in the management of these contractures. Method. Between December 2010 and December 2011 five female and two male patients w...

We show that the free energy of the topological string admits a certain pole structure by using the operator formalism. Combined with the results of Peng that proved the integrality, this gives a combinatoric proof of the Gopakumar–Vafa conjecture.