A flap is one with a persistent blood supply that does not rely on the recipient's bed to perfuse donor tissue. Free flaps are used in different context. Before reconstructing any wound bed, surgeon must ensure receiving properly prepared. The be free of necrotic or ischemic In addition, signs infection such as local cellulitis, significant edema, purulent drainage should have decreased. Flaps ...

Background and objectives: Perforator flaps, both pedicled and free flaps, are increasingly used in reconstructive surgery. However, the microvascular perfusion pattern within these flaps still remains essentially unknown. It is well known that in random-pattern flaps, flap length correlates directly with the width of the flap base. In perforator flaps, the importance of preserving a skin base ...

BACKGROUND Optimizing functional and aesthetic outcomes in postburn head and neck reconstruction remains a surgical challenge. Recurrent contractures, impaired range of motion, and disfigurement because of disruption of the aesthetic subunits of the face, can result in poor patient satisfaction and ultimately, contribute to social isolation of the patient. In an effort to improve the quality of...

OBJECTIVES Microvascular free tissue transfer within our subregion is fraught with considerable challenges. We aim to highlight our experiences gained with our first fifteen cases of microvascular free tissue transfer at the Lagos University Teaching Hospital. We believe our report will be useful to colleagues embarking on such reconstructions in similar settings. MATERIALS AND METHODS The cl...

OBJECTIVE To examine the indications for, and the success of, free flap reconstruction in patients with forehead and scalp defects. DESIGN Case series. SETTING Two tertiary referral university teaching hospitals. Patients Twenty-six consecutive patients, aged 31 to 85 years, presenting with 26 scalp defects, 5 forehead defects, and 1 combined defect (size, 70-672 cm(2)). Three patients requ...

Periodontal plastic surgical techniques have evolved to meet the demands of today's dental patient. Free gingival grafts (FGGs), pedicle flaps, subepithelial connective tissue grafts (SCTGs), acellular dermal matrix (ADM) grafts, and guided tissue regeneration (GTR) have all been used to cover denuded root surfaces. FGGs have demonstrated inconsistent results. Pedicle flaps have provided consis...

PURPOSE To describe a combined use of a free vascularised flap and an external fixator for reconstruction of lower extremity defects in children, and correction of equinus contracture developed after removal of the external fixator using a circular dynamic frame. METHODS Seven children (4 males) aged 4 to 12 (mean, 8) years were treated with 9 free vascularised flaps for 8 limbs (bilaterally ...

OBJECTIVE To review our substantial favorable experience with oromandibular free tissue reconstruction in pediatric patients, emphasizing technical pearls, which seem to be associated with favorable long-term aesthetic and functional outcomes. METHODS Retrospective review of a consecutive series of all free tissue transfers performed from 1997 to 2010 by the senior author (Y.D.) in patients y...

BACKGROUND Case payment mechanisms have become the principal means of remunerating hospitals in most developed countries. Our purpose was to analyse the reimbursement for different types of tissue transfer in five European countries. METHODS We looked at common surgical options for pedicled and free flaps. The recipient site of a flap and the principal diagnosis were systematically modified a...