Cranioplasty in pediatrics often results a poor outcome. Therefore, proper consideration and decision-making are needed choosing surgical techniques for cranioplasty children, especially autologous, which can cause abnormal skull brain growth. A 3-year-old girl presented to our outpatient clinic with complaint of left front-temporo-parietal defect due history acute subdural hemorrhage evacuatio...

Reconstruction of pharyngolaryngoesophageal defects following salvage surgery in patients with a history of chemoradiation is a challenging problem with a high incidence of pharyngocutaneous fistula. The authors describe three cases of successful reconstruction of partial pharyngolaryngoesophageal defects using a modified radial forearm free flap with additional dermal reinforcement and review ...

BACKGROUND Oral sub mucous fibrosis is a rare chronic, progressive, pre malignant collagen disorder of oral mucosa in people of Asian descent characterized by trismus, blanching and stiffness of mucosa, burning sensation in mouth and hypomobility of soft palate and tongue with loss of gustatory sensation. Betel nut chewing is the most common etiological agent. Surgery remains the main stay in s...

OBJECTIVES/HYPOTHESIS Review the literature on the use of the serratus anterior free flap in the head and neck reconstruction and describe new applications of the serratus anterior free flap. STUDY DESIGN Case series with retrospective chart review and literature review. METHODS A PubMed literature review was performed using the search terms "serratus free flap," "serratus skull base," "ser...

procedure. Ninety female patients had free flap breast reconstruction at the University of California, Irvine from January of 2004 to December of 2008. The average reimbursement was 38.3 percent of billed charges. The mean and median reimbursement was $6597 and $4962, respectively. Of these 90 patients, seven returned to the group for a cosmetic procedure, for a total of nine procedures. One of...

We designed one-and-a-half-barrel vascularized free fibular flap which is a further modification of the double-barrel technique, and we tried to overcome the discrepancy between mandible and fibula flap. We used this flap in case of a segmental mandibular defect that occurred as a result of a giant cell reparative granuloma excision. This new modification eliminated volume insufficiency of the ...

We are reporting a case of a 43-year-old woman, who developed a soft tissue defect of the knee region following complex lower limb trauma. The defect was covered with a microvascular latissimus dorsi (LD) flap. The patient required a total knee replacement and developed a defect at the anterior aspect of the knee. This defect was covered by a second free LD flap from the ipsilateral side with a...

BACKGROUND Free jejunal transfer has a high success rate, but if vascular thrombosis occurs, the salvage of failing flap with reanastomosis is difficult. This study described a combined deltopectoral (DP) and pectoralis major musculocutaneous (PMMC) flap 2-step technique for cervical esophageal reconstruction after free-jejunal-flap necrosis. METHODS In step 1, the detection of free jejunal f...

Posttraumatic wounds of the lower leg with soft tissue defects and exposed fractures are a reconstructive challenge due to the scarce availability of local tissues and recipient vessels. Even when a free tissue transfer can be performed the risk of failure remains considerable. When a free flap is contraindicated or after a free flap failure, the cross-leg flap is still nowadays a possible opti...