BACKGROUND Despite the widespread use of free perforator flaps, pedicled perforator flaps seem not to be as widely accepted, probably because of the fear of vascular complications caused by transfer of a flap attached only by its vascular pedicle, prone to shearing, kinking, and trauma. In this article, the authors report on their experience with 85 consecutive cases, focusing on incidence, pre...

Electrical injury due to high-voltage contact (>1000 V) is one of the most challenging problems in emergency medicine and plastic surgery.1 High voltage electrical injury (HVEI) is one of the most important etiologic factors in the disruption of vascular systems and/or extremity amputations. Conversion of high voltage electrical energy into heat causes irreversible damage to different tissue ty...

The pectoralis major myocutaneous pedicle flap (PMMF) is still being used by many surgeons and plays an important role in head and neck reconstruction. The purpose of this series was to review our 10 years’ experience with the PMMF in head and neck reconstruction. One hundred and two patients who underwent the PMMF technique were reviewed on the clinical records. Postoperative complications wer...

BACKGROUND The iliacus muscle is proposed as a new solution for coverage of small to medium defects where either a bulky flap or conspicuous donor sites are undesirable. METHODS Dissection and Microfil studies were performed on fresh cadavers to define the gross and microvascular anatomy of the muscle. Live evaluation of the muscle was performed in combination with multiple iliac crest free t...

Degloving injuries to anterior abdominal wall are rare due to the mechanism of injury. Pedicled tensor fascia lata is known to be a versatile flap with ability to reach the lower anterior abdomen. A 34-year-old man who was involved in a road traffic accident presented with degloving injury and defect at the left inguinal region, sigmoid colon injury, and scrotal bruises. At investigation, he wa...

INTRODUCTION Cholesterol granulomas (CGs) are rare benign cystic lesions containing cholesterol crystals in a gluelike fluid and are frequently found in the petrous apex (PA) and in the nearby anatomical area. The gold standard treatment of PA CG counts on its surgical drainage and ventilation to prevent recurrence. Different surgical approaches have been described in the past to achieve draina...

OBJECTIVES/HYPOTHESIS Failure in skull base defects reconstruction following tumor resection can have serious consequences such as ascending meningitis and pneumocephaly. The nasoseptal flap showed a very low incidence of cerebrospinal fluid leak but is not always available. The superiorly pedicled facial artery musculomucosal (FAMM) flap has been successfully used for reconstruction of head an...

BACKGROUND Basal cell carcinoma (BCC) greater than 5 cm in diameter is called giant basal cell carcinoma (GBCC), or super giant basal cell carcinoma if it has a diameter larger than 20 cm. Giant BCC only accounts for 0.5% of BCCs and super giant BCC is exceedingly rare. On account of their rarity, there are no established guidelines for GBCC treatment. CASE REPORT We describe a peculiar case of...

OBJECTIVE Deep inferior epigastric artery perforator (DIEP) flap is an excellent option for breast reconstruction in young and active patients who have a history of chest wall radiation. One drawback, however, is that the entire capacity of abdominal pannus cannot be reliably transferred on a single pedicle. The purpose of this case report is to demonstrate a method of maximizing the volume of ...

Objectives: Surgical treatment of segment tracheal reconstruction longer than 6 cm needs trachea substitutes, tissue engineering can provide alternatives for tracheal reconstruction. Constructs with blood supply are preferred for tracheal replacement. Here we describe an approach for engineering of vascularized trachea with ectopic pedicled muscle flap. Methods: Poly (L-lactic-co-glycolic acid)...