PURPOSE Despite the advances in microvascular free tissue transfer for intraoral reconstruction, this surgery is not recommended for all patients. In specific cases, the pedicled temporoparietal galeal flap may be an option for reconstructive procedures in the head and neck regions. The objective of this paper is to present the anatomical aspects of a galeal flap based on the superficial tempor...

OBJECTIVES Superficial ulnar artery is a vascular anomaly that may be encountered during elevation of forearm flaps for head and neck reconstruction. This anomaly should be considered in patients with a positive Allen's test. STUDY DESIGN Case report and retrospective review of forearm flaps performed at our institution. METHODS A 72-year-old man with a history of total laryngectomy present...

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...

Urethral fistula formation after urethroplasty for hypospadias is a frequent complication. Repeated failures can occur even after multiple attempts at repair. A surgical procedure is described for a problematic resistant urethrocutaneous fistula (UF) with the transverse turnover flap using the Buck’s fascia of the corpus cavernosum. A 23-year-old male was admitted to our hospital with rec...

Necrotizing fasciitis is an uncommon but life-threatening infection primarily involving the superficial fascia. Note the blue-gray color change of the vulvar skin lateral to areas of ulceration (A), The superficial fascia of the vulva is in continuity with that of the anterior abdominal wall. This incision reveals normal-appearing subcutaneous tissue in its superior aspect compared to the dull ...

BACKGROUND Vascular endothelial growth factor (VEGF) is a hormone-like molecule which has been shown to act on a specific receptor system and in this way to be the basic regulator of angiogenesis. The effect on the survival of a long random skin flap was examined by exogenous administration of this cytokine, at flap's recipient site. MATERIALS & METHODS A standard dorsal skin flap measuring 1...

We were pleased to read Paleri and coauthors’ article “Vascularized Tissue to Reduce Fistula Following Salvage Total Laryngectomy: A Systematic Review” published in The Laryngoscope’s August 2014 issue. The review found a decrease in the rate of pharyngocutaneous fistulas by one third in salvage laryngectomy patients treated with a vascularized flap. Our group has previously published on this m...

Background: The latissimus dorsi muscle has long been a valuable muscle for reconstruction. Our study aims to determine the true anatomic origin of the latissimus dorsi muscle and identify the possibility of performing an extended musculocutaneous flap for better aesthetic outcome and avoiding the need of implant based reconstruction to add volume. Methods: 55 human cadaver bodies were dissecte...

INTRODUCTION The most common mechanisms of traumatic ear injury are bites, motor vehicle accidents, and assault with knives or firearms. Repair of traumatic auricle avulsion is technically and aesthetically challenging, primarily because of the irregular and unique cartilaginous anatomy of the ear. Classic replantation of a nonvascularized composite graft may succeed if the amputated portion of...