The reconstruction of mandibular continuity defects after tumor resection with free vascularized bone flaps is considered to be a treatment option. Although the fibula flap presents many advantages, it does not offer sufficient bone height to restore the alveolar arch when reconstruction involves a dentate mandible. In this report, 2 patients who were referred to our clinic with reconstructed m...

The purpose of this research was to evaluate the efficacy utilizing anterolateral flap from thigh region for reconstructing oro-mandibular defects when compared other forms reconstruction. A propensity score-matched analysis patients with an oncologic head and neck defect who underwent microvascular reconstruction performed. Two surgical groups, i.e., ALT (anterolateral bridging Plate) only DFF...

ABSTRACT The management of post-radiation wound breakdown over the posterior cervico thoracic region can be a challenging task for a surgeon. The aim of the treatment is to produce a well vascularized and a low tensile flap which will close a large defect. We describe the use of the lower trapezius flap to reconstruct the wound breakdown and to obtain stable tissue coverage in a patient with po...

Context Pancreatoduodenectomy continues to be associated with a high morbidity. Pancreaticojejunostomy leak is one of the major complications of pancreaticoduodenectomy. Pancreaticojejunostomy leak leads to collection and abscess which erodes into the stumps of divided vessels e.g. gastroduodenal artery, to cause delayed intra-abdominal bleed. Delayed intra-abdominal bleed due to pancreaticojej...

Posttraumatic radioulnar synostosis (RUS) is a rare event following forearm fractures. Consequences are disabling for patients who suffer from functional limitation in forearm pronosupination. Distal RUS are even more rare and more difficult to treat because of high recurrence rates. The patient we describe in this paper came to our attention with a double distal RUS recurrence and a Darrach pr...

Lymphedema is a condition characterized by tissue swelling caused by localized fluid retention. Advanced lymphedema is characterized by irreversible skin fibrosis (stage IIIb) and nonpitting edema, with leather-like skin, skin crypts, and ulcers with or without involvement of the toes (stage IVa and IVb, respectively). Recently, surgical treatment of advanced lymphedema has been a challenging r...

We were pleased to read Paleri and coauthors’ article “Vascularized Tissue to Reduce Fistula Following Salvage Total Laryngectomy: A Systematic Review” published in The Laryngoscope’s August 2014 issue. The review found a decrease in the rate of pharyngocutaneous fistulas by one third in salvage laryngectomy patients treated with a vascularized flap. Our group has previously published on this m...

UNLABELLED BACKGROUND.: Microvascular free tissue transfer has become increasingly popular in the reconstruction of head and neck defects, but it also has its disadvantages. Tissue engineering allows the generation of neo-tissue for implantation, but these tissues are often avascular. We propose to combine tissue-engineering techniques together with flap prefabrication techniques to generate a ...