BACKGROUND The retroangular flap is usually used to reconstruct small ipsilateral facial defects. The purpose of this study was to explore the use of the contralateral retroangular island flap for reconstructing large midfacial defects. METHODS Retroangular flaps raised from the contralateral infraorbital region were used to reconstruct midfacial defects in 12 patients after the resection of ...

1 Mestak O, Kullac R, Mestak J, Nosek A, Krajcova A, Sukop A. Evaluation of the long-term stability of sheath plication using absorbable sutures in 51 patients with diastasis of the recti muscles: an ultrasonographic study. Plast Reconstr Surg. 2012 Nov;130(5):714e-719e. 2 Tadiparthi S1, Shokrollahi K, Doyle GS, Fahmy FS. Rectus sheath plication in abdominoplasty: assessment of its longevity an...

1 Benoit Chaput, MD Department of Plastic and Reconstructive Surgery Faculty of Medicine University of Toulouse CHU Rangueil Toulouse, France Guillaume de Bonnecaze, MD Department of Oto-rhino-laryngology Head and Neck Surgery University of Toulouse CHU Rangueil-Larrey Toulouse, France Raphael Lopez, MD, PhD Department of Maxillofacial Surgery University of Toulouse CHU Purpan Toulouse, France ...

Oral and oropharyngeal squamous cell carcinoma (Scc) occur most commonly in middle-aged and elderly individuals. Free flaps are commonly used for reconstruction of extensive tumor resection defects in the oral cavity. Age alone is not an independent variable for increased risk in microvascular reconstruction; however operative time and ASA risk score correlated with medical complications but no...

INTRODUCTION AND OBJECTIVES Micro-neurovascular free muscle flap transfer is currently the procedure of choice for long-standing facial paralysis. We present a case series of patients treated with gracilis muscle free flap with motor innervation by the masseteric nerve. We discuss the surgical technique and quantify the movement granted by the muscle, the improvement in quality of life and aest...

BACKGROUND Coverage of part of a soft tissue defect in the thumb, without bone shortening and without long-lasting immobilization in an inappropriate position leading to stiffness, is difficult to achieve OBJECTIVES To report our experience using Foucher's modification of the first dorsal metacarpal artery flap for thumb reconstruction in 21 cases. METHODS Foucher's flap is based on the neu...

Surgical resection of soft tissue sarcoma of the trunk can result in large defects requiring complex reconstruction for coverage of vital neurovascular structures and tissue defect. Large defects of the back could be reconstructed with multiple random pattern or local pedicled flaps. We present the case of a 48-year-old patient with a locally advanced dermatofibrosarcoma protuberans of the back...

BACKGROUND Injury to the face can result in the loss of critical specialized structures (the eyelids, lips, ears and nose). Vascularized composite allotransplantation (VCA) allows the surgeon to replace exactly what has been lost. The success of the clinical face transplants suggests the possibility of transplanting specialized units of the face. In this study we explore the neurovascular anato...

OBJECTIVES In this study, a modified surgical method was carried out to repair large nasal septal perforations with a galeal pericranial flap using endoscopic technique. MATERIALS AND METHODS Six adult human cadavers were dissected by applying the classic open rhinoplasty technique. Large perforations were created in the septal cartilages. To repair the perforations, we prepared galeal pericr...

Distally based radial artery perforator flap (DBRAPF) is useful for hand defects; however, the location of the perforator varies among individuals. Preoperative evaluation has been a problematic issue when performing this flap. A 64-year-old man developed squamous cell carcinoma on an old burn scar at the dorsal thumb and was referred to our clinic for further treatment. After wide resection of...