This case describes a subtotal cricoid cartilage defect reconstructed with a prefabricated composite free flap. A 61-year-old man with a chondrosarcoma of the cricoid cartilage required a subtotal cricoidectomy. The resulting defect was successfully reconstructed with a two-stage prefabricated radial forearm free flap utilizing auricular cartilage. Our case further adds to the evidence that pre...

OBJECTIVES To determine whether postoperative complication rates and speech outcomes differ between patients undergoing primary versus secondary tracheoesophageal puncture following total laryngectomy with free flap reconstruction. STUDY DESIGN Retrospective clinical study in a tertiary academic center. METHODS Between November 2004 and June 2010, 137 patients underwent total laryngectomy o...

The authors describe a patient with recurrent perineurioma arising in the subcutaneous tissue of the dorsal forearm and extending along the forearm fascia. Soft tissue perineurioma is a rare, originally benign peripheral nerve sheath neoplasm arising from the perineurium, a protective cell barrier surrounding the individual fascicles in peripheral nerves. Perineurioma has only recently been rec...

PURPOSE The radial forearm flap is one of the most commonly used methods for intraoral reconstruction in oral carcinoma surgery. One of its disadvantages is the residual functional and unaesthetic defect in the donor site. The objective of this report is to describe preliminary cases of a novel method to cover such donor sites based on the use of autologous skin equivalents (ASEs) and an artifi...

1 Koichi Ueda, MD, PhD Takashi Nuri, MD, PhD Yuki Otsuki, MD, PhD Department of Plastic and Reconstructive Surgery Osaka Medical College Takatsuki, Osaka, Japan Sir, I soft tissue with muscle is resected because of tumor invasion, muscle function is lost. The face has soft tissues with free borders, for example, lips, eyelids, and soft palate. If they are reconstructed without functional moveme...

BACKGROUND The goal of total phallic construction is the creation of a sensate and cosmetically acceptable phallus. An incorporated neourethra allows the patient to void while standing, and the insertion of a penile implant allows the patient to resume sexual activities, thus improving quality of life. OBJECTIVE To report our experience of total phallic construction with the use of the radial...

Aberrant branches of the radial artery at level forearm have rarely been reported. Preoperative workups to identify aberrant this type also seldom performed. However, surgeons elevating a artery-based flap should consider possibility arterial branching. Otherwise, circulation both and hand may be endangered. We present case an anomalous branch that resulted in intraoperative alteration design. ...