Free serratus anterior muscle flap, classified as Mathes-Nahai type III, is a versatile and frequently preferred choice for soft tissue coverage of small to moderate-sized defects owing to its reliable circulation pattern; however, some anatomic variations in the flap vascularity can result in partial flap loss. Here we present two cases with free serratus anterior muscle transfer where the dis...

BACKGROUND Local reconstructive options for middle third of leg make good use of Soleus muscle flap. Soleus being the prime ankle planter flexor and stabiliser of the ankle in ambulation cannot be sacrificed without significant morbidity. Soleus is a bipennate muscle with independent blood supply of each half. Using one half retains its important function, increases arc of rotation, and makes i...

The aim of the work was to evaluate dielectric properties human tissues in ex vivo conditions. study performed on 68 tissue samples, 20 which were fragments muscle tissue, 17 – fatty, 11 fibrous and a full-layer skin flap. analysis carried out by method near-field resonant microwave sounding using special software hardware complex. made it possible verify presence pronounced differences dependi...

Recent reports of breast reconstruction with the deep inferior epigastric perforator (DIEP) flap indicate increased fat necrosis and venous congestion as compared with the free transverse rectus abdominis muscle (TRAM) flap. Although the benefits of the DIEP flap regarding the abdominal wall are well documented, its reconstructive advantage remains uncertain. The main objective of this study wa...

BACKGROUND Surgery for chronic pulmonary aspergillosis is often technically risky. The choice of immediate thoracoplasty or muscle flap plombage to prevent postoperative space problems remains controversial. This study focused on the use of muscle flaps to prevent postoperative complications. METHODS During an 8-year period (2004 to 2012), all patients surgically treated for chronic pulmonary...

OBJECTIVE This study aims to report the use of the unilateral pectoralis major muscle flap for the treatment of the sternal wound dehiscence. METHODS A retrospective study including patients who underwent unilateral pectoralis major muscle flap was performed for the treatment of sternotomy dehiscence due to coronary artery bypass, valve replacement, congenital heart disease correction and med...

OBJECTIVE A hemisplit turndown tibialis anterior muscle flap is described for coverage of distal leg wounds with preservation of active extensor function for open wounds of the distal ankle is presented. This is a new flap not previously described and is another local option for coverage of selected distal leg wounds. METHODS A description of the operative procedure and a clinical successful ...

abstract background: rehabilitation of facial paralysis is one of the greatest challenges faced by reconstructive surgeons today. the traditional method for treatment of patients with facial palsy is the two-stage free gracilis flap which has a long latency period of between the two stages of surgery. methods: in this paper, we prospectively compared the results of the one-stage gracilis flap m...

119 adduction, and internal rotation of the shoulder joint, it does not function independently. Since it moves in synchrony with a number of synergistic shoulder girdle muscles, the LD muscle can be sacrificed safely without affecting shoulder or arm action [5]. A major surgical advantage of using the LD muscle flap in the field of thoracic surgery is the fact that, because it is an extrathorac...

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...