INTRODUCTION: Free tissue transfer has become a popular procedure for head and neck defect reconstruction. However, the choice of optimal flap remains challenging especially in recurrent cancer cases involving multiple surgical resections. Here, we describe the novel lower medial thigh perforator (LMTP) flap that can be used reliably to reconstruct head and neck defects in such a difficult situ...

The options for breast reconstruction following mastectomy have greatly expanded. Current techniques include pedicle flaps and free tissue transfers. With the advent of perforator flaps, additional options have become available that have the advantage of reduced donor site morbidity. The purpose of this manuscript is to review the most common methods of breast reconstruction using autologous ti...

A 50-year-old man was transferred to a level I trauma center for penetrating injury. Industrial metal had penetrated his trunk, and he injured in internal organs. The organs were treated by the surgery team. peritoneum reconstructed with artificial dermal matrix graft. wound managed negative-pressure therapy, several debridement procedures performed. full-thickness abdominal defect covered mono...

SUMMARY The clinical value of distal ulnar or radial artery adipofascial perforator flaps is shown in a series of 30 patients with severe hand and wrist injuries and major soft tissue defects requiring coverage. There were 22 men and 8 women, aged 16-73 years. The defects were dorsal and/or palmar, with or without transpalmar or transcarpal amputation, or amputation of the thumb and/or the digi...

In perforator flap reconstruction, vascular mapping using preoperative computed tomography (CT) angiography is widely used to confirm the existence and location of an appropriate perforator. This study proposes a rapid, accurate, and convenient method for marking the perforator location on the skin surface. For 12 patients who underwent perforator flap reconstruction between November 2011 and N...

BACKGROUND AND AIMS Perforator flaps increasingly find acceptance and use in hand reconstructive surgery. A propeller flap is an island flap that moves from one orientation to another by rotating around its vascular pedicle. It is now possible to design propeller flaps based on a single perforator, so-called "perforator-based propeller flaps," but they are more prone to vascular impairment when...

BACKGROUND The lateral arm flap remains an underused flap, especially as a free flap. In this article, the authors describe the perforator anatomy to optimize flap design and harvest. METHODS Perforator locations were mapped in 12 cadavers (24 arms), and a retrospective review was conducted of 51 patients undergoing lateral arm flap surgery. RESULTS One to three reliable perforators supply ...

A number of commercial panel products, primarily particleboard and hardwood plywood, were tested for their formaldehyde emission behavior using desiccator, perforator, and dynamic chamber methods. The results were analyzed in terms of the source of formaldehyde observed in the tests (free vs. hydrolytically produced) and the potential utility of the testa as product standards for boards in mobi...