BACKGROUND In reconstructive surgery, the ultimate goal in rebuilding a structure is to provide the most similar substitute from both the functional and structural points of view. At the same time, the reconstructive surgeon should focus on minimizing donor area complications. METHODS In this report, we present our experiences with the reconstruction of distal extremity defects using a free t...

Due to the significant morbidity and mortality associated with pharyngocutaneous fistula in pharyngoesophageal reconstruction following cancer resection, the purpose of this retrospective study is to examine the selection of tubed skin flaps that impact anastomotic integrity. The flaps evaluated included radial forearm flap versus anterolateral thigh flap, and fasciocutaneous anterolateral thig...

BACKGROUND & OBJECTIVES Patey mastectomy implies complete removal of breast tissue. Likely area where residual breast tissue may be left is under the skin flaps. There is no study examining left over breast tissue under the Patey mastectomy skin flap. The present study was undertaken to study the presence of residual breast tissue in skin flaps after Patey mastectomy in patients with breast can...

BACKGROUND The rotation fasciocutaneous flap for buttock pressure sore coverage has the distinct advantage of allowing rerotation in the event of ulcer recurrence. The authors describe their approach of preserving and incorporating musculocutaneous perforators into the conventional rotation design. METHODS The skin incision is the same as that for the conventional gluteal rotation flap. The f...

Two-stage methods for reconstruction of congenital microtia have been widely utilised. To obtain a desirable auriculocephalic angle and provide a nutrient support to the constructed auricle, elevation of reconstructed ears using a costal cartilage graft, the anteriorly based mastoid fascial flap transfer and a skin graft was performed as the second operation for nine microtia patients. In this ...

BACKGROUND The optimal design of a skin flap requires an understanding of the concepts of tissue movement. OBJECTIVE The purpose of this manuscript was to demonstrate concepts of sliding and lifting tissue movement for flap reconstruction. METHODS Six similar defects located in the forehead-temple-eyebrow region were repaired using a different skin flap. RESULTS The specific flap design f...

Use of a fascial flap is often required for reconstruction of a skin defect on the dorsum of the hand. For this purpose, a distally based dorsal forearm fasciosubcutaneous flap based on the perforators of the posterior interosseous artery was developed. The distally based dorsal forearm fasciosubcutaneous flap and especially the posterior interosseous artery flap are a convenient and reliable a...

BACKGROUND The purpose of this article is to evaluate a new method of DIEP flap neurotization using a reliably located recipient nerve. We hypothesize that neurotization by this method (with either nerve conduit or direct nerve coaptation) will have a positive effect on sensory recovery. METHODS Fifty-seven deep inferior epigastric perforator (DIEP) flaps were performed on 35 patients. Neurot...

SUMMARY This study described a technique for reconstruction of a large lateral thoracic region defect after locally advanced breast cancer resection that allows for full coverage of the defect and primary closure of the flap donor site. The authors performed reconstruction using the newly designed 180-degree rotationally-divided latissimus-dorsi-musculocutaneous flap in a 42-year-old woman for ...

UNLABELLED We devised an improved type of the V-Y subcutaneous pedicle flap with the elements of both advancement and rotation flaps. This flexible curved V-Y subcutaneous flap was used for facial skin defect reconstruction in 15 patients. Curved flaps were designed according to the elasticity of the surrounding skin and the postoperative scar direction. RESULTS In all the 15 patients, the fl...