BACKGROUND Esophageal injury following anterior cervical discectomy and fusion (ACDF) poses a significant reconstructive challenge. Buttressing flap repairs have proven beneficial; however, there remains a paucity of evidence to guide optimal flap selection. METHODS A retrospective chart review was performed for patients who presented to the senior author with esophageal perforations after AC...

OBJECTIVE Hand salvage and reconstruction following trauma and oncologic resection often dictates the use of innovative reconstructive techniques. Preservation of functional anatomy is paramount to success in this clinical setting. Further constraints are placed on the reconstructive surgeon in the setting of the aging US population. We report a case of successful hand salvage in an elderly pat...

BACKGROUND There are frequent reports of lumbosacral plexus and other neurological injuries occurring with extreme lateral interbody fusions (XLIF) and other related lateral lumbar techniques. METHODS This review focuses on the new neurological deficits (e.g. lumbosacral plexus, root injuries) that occur following minimally invasive surgery (MIS) XLIF and other related lateral lumbar techniqu...

We present a case report of patient who underwent complex reconstruction the pharynx and esophagus with microsurgical anterolateral thigh flap deltopectoral for an extensive defect in cervical region. will discuss little about flap, which was first choice defects past, but nowadays it is still important tool head neck reconstruction.

The reliability and versatility of the anterolateral thigh flap has been established; however, reducing donor-site morbidity continues to be a focus. The major donor-site difficulties reported include wound complications related to primary closure (i.e., wound dehiscence, muscle bulge, need for skin grafting) and mild lower extremity weakness.1–3 Techniques to further decrease donor-site morbid...

  Background: Electrical injury is daily compromise of our life and upper and lower extremities   are common sites of injury .   Case Presentation: A 23 years old man who had suffered high voltage electrical injury referred   to our center. He had severe left upper extremity burn and suffered from head and thoracic   injuries due to falling down from high altitude.   Treatment: Fasciotomy of th...

BACKGROUND Breast reshaping after massive weight loss represents a challenging procedure because of severe hypoplasia and tissue ptosis. Standard mastopexy techniques are often inadequate to restore a pleasant profile and volume. The authors present their experience with the anterior intercostal artery perforator flap in breast autologous augmentation and remodeling. METHODS Fifteen bariatric...