BACKGROUND Use of the thoracodorsal artery perforator (TDAP) flap in combination with alloplastic devices has been proven to be a safe method of breast reconstruction. However, preoperative irradiation increases the complication rate and thus some consider preoperative radiotherapy a relative contraindication to alloplastic alone reconstruction. We evaluated the long-term outcomes of patients w...

OBJECTIVES/HYPOTHESIS Recurrent pneumonia due to intractable aspiration is a life-threatening disease. A tracheal flap method for children without previous tracheostomy has been previously reported. This study reports that improvements of this method and its three subtypes are widely applicable to patients with various conditions. STUDY DESIGN Surgical technique study. METHODS The tracheal ...

Trauma, oncological resections and pressure sores can cause major soft tissue defects. The evolution of cutaneous, myocutaneous, and fasciocutaneous flaps currently makes possible the restoration of contour and, in many cases, function. This evolution was closely related to the increased understanding of the vascular anatomy of the skin and subcutis and has led to the development of perforator ...

Large soft tissue defects involve significant tissue loss, requiring surgical reconstruction. Autologous flaps are occasionally scant, demand prolonged transfer surgery, and induce donor site morbidity. The present work set out to fabricate an engineered muscle flap bearing its own functional vascular pedicle for repair of a large soft tissue defect in mice. Full-thickness abdominal wall defect...

Radiation therapy, although a useful modality for cancer therapy, injures the surrounding uninvolved tissues. Although surgery is often necessary for non-healing ulcers, surgery of irradiated wounds is recognized as challenging. In this study, we evaluate the outcomes and complications of patients who underwent surgical treatment of irradiated wounds. We reviewed 36 patients who underwent recon...

BACKGROUND The whistle deformity is one of the common sequelae of secondary cleft lip deformities. Santos reported using a crossed-denuded flap for primary cleft lip repair to prevent a vermilion notching. The authors modified this technique to correct the whistle deformity, calling their version the cross-muscle flap. METHODS From May 2005 to January 2011, 14 secondary unilateral cleft lip p...

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While there are many reasons the medial gastrocnemius flap is often favored treatment for soft tissue defects around knee area, this has some disadvantages. Reduced volume at distal part of and a short reach complicate provision sufficient coverage superior to patella lateral knee. In order overcome these shortcomings, we modified typical surgical technique by combining muscle sural artery perf...