Phalloplasty is indicated in various conditions of penile loss or absence. There are numerous techniques for phalloplasty including the pedicle and free flaps with the ultimate goal of micturition in standing position, attaining adequate size, aesthesis and sensations for sexual intercourse. Radial forearm phalloplasty is the gold standard flap to achieve above results but gives a very bad scar...

SOFT TISSUE RECONSTRUCTION of the conchal aspects of the external ear includes a variety of approaches, including granulation, graft, or local skin flap. We describe our experience with the single-stage subcutaneous island pedicle graft (flip-flop) flap for reconstruction of defects with a significant amount of exposed cartilage involving primarily the concha, antitragus, antihelix, and externa...

OBJECTIVES Head and neck reconstruction is still challenging in terms of esthetic and functional outcomes. This study investigated the feasibility of the angular branch-based scapular tip free flap (STFF). METHODS This was a retrospective study of 17 patients undergoing maxillectomy and mandibulectomy and either primary or secondary reconstruction by STFF. This study included surgical, esthet...

OBJECTIVE To present a 1-stage technique for orbital reconstruction after exenteration with the use of myocutaneous rectus abdominis free flap in children. SURGICAL TECHNIQUE After orbital exenteration, a myocutaneous rectus abdominis free flap with long vascular pedicle is harvested from the abdomen. The flap is transferred to the orbit and the vascular pedicle is passed through an opening m...

BACKGROUND For some patients seeking autologous breast reconstruction, there may be insufficient abdominal skin and soft tissue to reconstruct an adequately sized breast. Perfusion from a single-pedicle deep inferior epigastric perforator artery flap has a high degree of variability across the midline, and this further limits perfusion. We have found that bipedicle-conjoined abdominal perforato...

1 Koichi Ueda, MD, PhD Yuka Shigemura, MD Mai Hara, MD Takashi Nuri, MD, PhD Hiroyuki Iwanaga, MD Department of Plastic and Reconstructive Surgery Osaka Medical College Takatsuki, Osaka, Japan Sir: T usual choices for reconstruction of nasal alar defects are a nasolabial flap or a composite chondrocutaneous ear graft. For reconstruction of small full-thickness defects of the ala, the nasolabial...

Background: Lumbar skin flaps based on cutaneous perforators arising from the lumbar artery have been described for coverage of lumbosacral defects and as free flaps for autologous breast reconstruction. Thus, the purpose of this study is to clarify anatomical aspects of the lumbar artery perforator flaps pertaining improvement in utility and design of this flap. Methods: Five fresh human bodie...

Microsurgical scalp reconstruction is indicated in patients with large defects. The aim of this study was to compare the outcomes oncologic reconstructed latissimus dorsi (LD), anterolateral thigh (ALT), and omental (OM) free flaps. Thirty underwent LD (10), ALT (11), OM (9) length vascular pedicle, operation time, possibility a two-team approach, hospital stays, complications, aesthetic result...

abstract background: several case studies have described the use of the superficial inferior epigastric artery (siea) flap as a pedicled flap for reconstruction of upper and lower ex tremities, or a free fasciocutaneous flap when a large amount of skin coverage is required for hemifacial atrophy, breast or head and neck reconstruction. apparently, the anatomical findings of previous studies are...

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 ...