This procedure was developed for preservation of the rectus muscle components and deep inferior epigastric vessel after deep inferior epigastric perforator (DIEP) flap harvesting. A 53-year-old woman with granuloma caused by silicone injection underwent bilateral nipple-sparing mastectomies and immediate reconstruction with "mini-flow-through" DIEP flaps. The flaps were dissected based on the s...

OBJECTIVE To determine the results of using the free vascularized fibular flap for comprehensive reconstruction of postresection or post-traumatic mandibular defects. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Department of Oral and Maxillofacial Surgery, King Edward Medical University, Lahore, from March 2007 to June 2009. METHODOLOGY The study group consisted of patients who ...

BACKGROUND The expansion of endoscopic endonasal skull base surgery has resulted in an increased demand for reconstructive options. Reconstruction with vascularized tissue has proven indispensable for reliably separating the cranial contents from the paranasal sinuses following extended endoscopic endonasal approaches (EEA). The introduction of the Hadad-Bassagasteguy flap (vascular pedicle nas...

Sarcomas of the gluteal region often result in sizable defects following resection that are challenging to reconstruct due to their location, particularly in patients who have received radiation therapy. Reconstruction of these defects has been seldom discussed in the literature. We present two patients with large radiated gluteal defects following sarcoma resection, of which one patient receiv...

While amputation was traditionally the only option available for patients with sarcomas of the extremities, chemotherapy, radiation, and advances in microsurgical technique have allowed many patients to undergo limb-salvaging procedures. Given the low incidence and heterogeneity of these tumors, there is currently no standard treatment algorithm for limb reconstruction after large sarcoma resec...

PURPOSE: A lack of recipient vessels for microsurgical extremity reconstructions may result from peripheral vascular disease, trauma, or oncologic resections and can be managed by vascular reconstructions with arteriovenous (AV) loops, which serve as recipient vessels for free flap anastomoses. In small and large animal models AV loops promote angiogenesis, presumably through elevated shear str...

The vascularized free osteocutaneous fibula flap has become a universal technique for reconstruction of bone and soft tissue defects in the lower leg since Taylor et alfirst described it in 1975.1 The fibula and overlying skin paddle are usually nourished by a single pedicle composed of the peroneal artery and comitant veins. However, to the best of our knowledge, five authors have described a ...

Infected tibial nonunions with bone loss pose an extremely challenging problem for the orthopaedic surgeon. A comprehensive approach that addresses the infection, bone quality, and overlying soft-tissue integrity must be considered for a successful outcome. Acute shortening with an Ilizarov frame has been shown to be helpful in the treatment of open tibia fractures with simultaneous bone and so...

Bleb revision for hypotony maculopathy following trabeculectomy is an effective technique for raising intraocular pressure and limiting visual loss. The presence for scleral fistula causing over-filtration obviates the need for reinforcing materials, such as donor sclera or pericardium to cover the defect. However, if the surrounding scleral tissue is healthy, a partial thickness scleral flap c...

BACKGROUND Although the surgical literature recommends vascularized tissue for repair of cerebrospinal fluid (CSF) leaks, closure has been successful using autogenous nonvascularized grafts at our institution. High-risk patients were defined as those with CSF leaks and at least 2 of the following: (1) failed attempt at repair, (2) previous radiation, (3) infection, and (4) osteomyelitis/osteone...