Large eyelid full-thickness defects are traditionally repaired using flaps with a blood-supplying pedicle, for the reconstruction of the anterior or posterior lamella or both. This is a 2-stage procedure involving occlusion of vision in the affected eye for 4-8 weeks, as the flap pedicle is not divided until vascularization is deemed adequate. However, the importance of using a flap with a pedi...

INTRODUCTION We present the method of pedicle labial urethroplasty for urethral reconstruction in female patients treated for urethral strictures. PATIENTS AND METHODS We performed urethral reconstruction using a pedicle labial flap in 2 female patients (23 and 70 years old) for urethral stricture (posttraumatic and postinflammatory origin). We used as a patch a pedicle skin flap obtained fro...

BACKGROUND Post-burn axillary and elbow scar contracture is a challenging problem to the reconstructive surgeon owing to the wide range of abduction and extension that should be achieved, respectively, while treating either of the joint. The aim of this paper is to highlight the use of subcutaneous pedicle propeller flap for the management of post-burn axillary and elbow contractures. METHODO...

This case report presents salvage of a partially failing anterolateral thigh flap. A 37-year-old male, a victim of head and neck squamous cell carcinoma, received tumor ablation and a chimeric anterolateral thigh skin and vastus lateralis muscle flap reconstruction. Before ligation of pedicle, both skin and muscle portions had robust blood supply; however, only the vastus lateralis muscular com...

Reconstruction of subtotal maxillectomy defects with columella deficit is challenging. We report a unique case facial reconstruction using free radial forearm flap and preauricular for the deficit. A 73-year-old woman was diagnosed recurrent sebaceous carcinoma nose. performed wide excision, including areas right cheek, nose, upper lip, maxilla, columella. The resultant defect reconstructed thr...

the coverage of soft- tissue defects of the hand specially volar side needs special consideration. although certain local flaps have been described and used for resurfacing the palm, extensive injury requires distant or free flaps for coverage. abdominal pedicle flap has been traditionally used for extensive hand injuries, however there is no doubt that one of the ideal tissues for resurfacing ...

OBJECTIVES/HYPOTHESIS Evaluate feasibility and success of elongating only the venous pedicle of the submental flap to increase the superior arc of rotation for the "hybrid" flap allowing coverage of more distal defects. STUDY DESIGN Retrospective evaluation of all submental flaps undergoing pedicle-lengthening procedure at a single institution. METHODS Medical records were reviewed for all ...

INTRODUCTION Many surgeons are using the ipsilateral rotation of the TRAM flap because of easier flap insetting and improved aesthetic outcomes; however studies evaluating these techniques are limited to case series without groups for comparison. Our purpose was to evaluate the safety of the ipsilateral technique through a retrospective cohort study. METHODS We retrospectively evaluated conse...

1 Sir: L indocyanine green angiography (most often using the SPY Elite System [LifeCell Corp., Branchburg, N.J.]) is a recent technology that is frequently described in the literature as a method useful for assessing flap viability and preventing flap failure. Although most of the attention on angiography surrounds breast reconstruction, fewer studies have focused on facial reconstruction and e...

IMPORTANCE Neuromuscular reanimation of the face provides the correct specific neural functional input and thereby prevents synkinesis. Unfortunately, this ideal situation is rarely encountered in the clinical setting. OBJECTIVES To assess the technical feasibility of and define the surgical procedure for harvesting the sternohyoid muscle as a novel free flap for use in facial reanimation ind...