OBJECTIVE To valuate the influence of the color of footplate in the choice of the type of perforator. STUDY DESIGN Prospective study. Level of Evidence 1b. SETTINGS Single hospital study in Avellino, Italy. SUBJECTS AND METHODS From the first of September 2008 to the 30th of June 2009, we considered 83 patients affected by otosclerosis. Patients were divided into 2 groups under footplate ...

OBJECTIVE Theobjective of this study was to determine the indications, utility, advantages and surgical approach for the anteromedial thigh (AMT) flap. MATERIALS AND METHODS We reviewed the records of the patients in whom the AMT flap was used for head and neck reconstruction. We use an anterior approach to harvest the anterolateral thigh (ALT) flap with a non-committal straight line incision...

INTRODUCTION: The concept of freestyle propeller flaps provides a versatile opportunity for wound closure at any part of the body with minimal donor site morbidity. As experience and familiarity with microsurgical procedures has increased interest in identifying-harvesting perforator flaps originating from known major vessels has become more common. The “freestyle” concept developed by Wei and ...

The human dynamics of relocation , meanwhile, are more complex than in the past. With the prevalence of two-career families, relocation often affects not one but two careers. Recognizing the difficulty of relocating two-career couples, employers may consider single job candidates better suited for relocation. This myth, however, is rapidly exploding. Many single people now are reluctant to leav...

The deep inferior epigastric artery (DIEA) perforator (DIEP) flap has been widely described as a safe flap with reliable vascular anatomy. One of its limitations is potentially lengthy operating times during flap harvest, and many techniques have been reported to reduce operating times. One such technique is the preoperative selection of perforators with imaging, which has been shown to substan...

BACKGROUND The medial sural artery perforator (MSAP) flap is becoming a popular strategy for reconstructing intraoral defects. We present a case in which no MSAPs were present, however, a perforator-based calf flap was successfully raised on the sural artery and used for tongue reconstruction. A corresponding anatomic study was undertaken to establish if this finding was reproducible. METHODS...

Perforator flap breast reconstruction is an accepted surgical option for breast cancer patients electing to restore their body image after mastectomy. Since the introduction of the deep inferior epigastric perforator flap, microsurgical techniques have evolved to support a 99 percent success rate for a variety of flaps with donor sites that include the abdomen, buttock, thigh, and trunk. Recent...

A plethora of options exist for breast reconstruction and preoperative evaluation must be thorough to lead to a successful outcome. We review multiple components of the preoperative assessment including the patient's history, goals, imaging, and key elements of the physical exam. Consideration for tumor biology, staging, need or response to chemotherapy or radiation therapy is important in deci...