Restoration of adequate oral competence is especially challenging in double free flap reconstructions of massive head and neck defects resulting from composite resections. Our report illustrates that oral competence in double free flap reconstructions of extensive oromandibular defects can be successfully restored with tensor fascia lata suspension slings.

most generally, however, advised to lay open a sinus along its whole course, for the complete discharge of the matter; or to make counter-openings for that purpose. Few mention the effects of compression, and none describe with fulness the mode of applying it. It is to extensive sinuses among the muscles of the thigh, where the benefits of compression are most conspicuous, that Dr. D. confines ...

We have treated two patients who had an Achilles tendon and overlying tissue defect using an anterolateral thigh flap with fascia lata. Postoperatively, skeletal suspension of the affected leg and intra-arterial heparin infusion were performed for seven days. Six weeks postoperatively, the patients could walk again.