Free flap success rates are in excess of 95%. Vascular occlusion (thrombosis) remains the primary reason for flap loss, with venous thrombosis being more common than arterial occlusion. The majority of flap failures occur within the first 48 hours. With early recognition and intervention of flap compromise salvage is possible. Successful salvage rates range from 28% to over 90%. Rapid re-explor...

Early wound healing after periodontal surgery with or without enamel matrix derivative/biphasic calcium phosphate (EMD/BCP) was characterized in terms of soft tissue closure, changes of microcirculation, and expression of pro- and anti-inflammatory cytokines in gingival crevicular fluid/wound fluid (GCF/WF). Periodontal surgery was carried out in 30 patients (18 patients: application of EMD/BCP...

BACKGROUND Surgical treatment of pressure ulcers is challenging for high recurrence rates. Deepithelialized flaps have been used previously with the aim to eliminate shearing forces and the cone of pressure (COP) effect. The goal of this study is to adopt a standardized protocol and evaluate if 2 different flap techniques affect outcomes. METHODS The novel COP flap is illustrated. Twenty pati...

BACKGROUND Free flap surgery for head and neck defects has gained popularity as an advanced microvascular surgical technique. The aims of this study are first, to determine whether the known risk factors such as comorbidity, tobacco use, obesity, and radiation increase the complications of a free flap transfer, and second, to identify the incidence of complications in a radial forearm free flap...

OBJECTIVE To analyze characteristics, clinical evolution and surgical techniques of oroantral communication (OAC). STUDY DESIGN We included all patients operated at the University Central Hospital (Oviedo, Spain) between 1996 and 2007. The variables assessed were age, sex, medical history, OAC size, sinus disease, surgical technique, duration of hospitalization and post-surgical evolution. ...

Reconstructing a large cutaneous cheek defect post tumour excision poses great challenge to the reconstructive surgeon. The surgical options are limited for functional and aesthetically acceptable outcome. microvascular free flap which is currently gold standard still not common place in our practice Nigeria. Cervicofacial flap, single stage procedure, offers an excellent alternative as it can ...

We devised a new surgical alternative to the conventional nasoseptal flap, pedicled posterior septal–nasal floor flap that we named Kegon flap. evaluated effectiveness of this for skull base reconstruction in patients with high-flow cerebrospinal fluid (CSF) leakage after sellar/parasellar tumor resection. The novel rescue was designed preserve blood flow and mucosa anterior nasal septum avoid ...