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...

A case of difficult oncologic oral reconstruction is illustrated, in which soft tissue deficits resulting from failure of conventional techniques were treated by successive free tissue transfers. A thirty-eight-year-old man presented with squamous cell carcinoma in the right retrotrigonal region. The tumor was resected and the defect was reconstructed with the use of a tongue flap and skin graf...

Objective: To explore clinical efficacy of forearm skin defect repaired by anterolateral thigh flap combined with external fixation. Methods: Twelve patients hospitalized in Jinshan hospital with forearm skin defect from October 2008 to June 2013 were retrospectively analysed. Area of forearm skin defect ranged from 9.5 cm × 4.5 cm to 20.5 cm × 12.0 cm. Ten patients were operated with emergent ...

The composite anterolateral thigh flap with vascularized fascia lata has emerged as a workhorse at our institution for complex Achilles defects requiring both tendon and soft tissue reconstruction. Safe elevation of this flap, however, is occasionally challenged by absent or inadequate perforators supplying the anterolateral thigh. When discovered intraoperatively, alternative options derived f...

The complex reconstruction of nerves and soft tissue in the head and neck region is still challenging, especially in cases requiring external auditory canal reconstruction with facial nerve reconstruction. We report a case of left facial schwannoma extending into the external auditory canal beyond the tympanic membrane with facial paralysis in which the reconstruction of both the facial nerve a...

A 63-year-old man dropped a metal chunk onto his left foot during his work and suffered a crush injury of the left forefoot. He underwent Chopart's amputation followed by stump coverage with sole skin at the orthopedic department on the same day. He was referred to our department for reconstruction because of poor vascularization and subsequent necrosis of tissue at the stump. After the necroti...

Background: Ankle and foot reconstruction is challenging for plastic surgeon due to paucity of local soft tissue poor blood supply. Anterolateral thigh (ALT) free flap become popular reconstructive option where microsurgical expertise available.Methods: Retrospective study 26 patients complex post traumatic ankle defect underwent anterolateral during 2 years duration.Results: ALT provides satis...

Reconstruction of the anterior skull base is one of the greatest challenges for reconstructive surgeons. Sometimes, the defect is so large that a local flap is insufficient for the reconstruction. In this report, we present a case of malignant meningioma of the anterior skull base. The tumor was treated by surgical excision resulting in a large defect from the anterior skull base to the nasal c...