RATIONALE A pedicle pectoralis major musculocutaneous (PMMC) flap is one of the strategies for head and neck reconstruction. Seldom studies reported the case in which the skin area of previous modified radical mastectomy (MRM) had been used as a PMMC flap in head and neck reconstruction. PATIENT CONCERNS An 84-year-old female who had suffered from left breast cancer and undergone a left modif...

When flap failure occurs in bilateral breast reconstruction, surgeons need to deal with the situation effectively in order to optimize the prosthetic reconstruction and to make the bilateral reconstruction successful [1]. A 46-year-old woman underwent bilateral mastectomy for breast cancer. Axillary dissection, a skin graft from the abdomen, and postmastectomy radiotherapy were also performed o...

BACKGROUND Extensive pulp defects of the thumb, with the exposure of tendon or bone, are challenging reconstructive problems. Surgical treatment includes the use of local, regional, and free flaps. AIM This paper is focused in Foucher's neuro vascular flap. First DMCA or Foucher's pedicle flap is a successful thumb reconstruction method, especially in patients not disturbed by its cosmetic ap...

The present article describes a case of prosthetic rehabilitation with the new technique of prefabricated osteo-cutaneous free fibula flap for reconstructing a maxillary defect which had resulted from ameloblastoma. The fibula and a cuff of 6-8 mm were prepared with its pedicle intact. The bone flap was left in place with its pedicle intact for 2 to 3 months; the skin graft and the flap were fr...

The peroneal artery perforator (PNAP) flap is a good choice for reconstruction in intraoral soft-tissue rehabilitation. In this article, the authors propose the use of a modified PNAP flap with pedicle extension.

BACKGROUND Lengthy microvascular procedures carry hypothermia risk, yet limited published data evaluate the overall impact of core temperature on patient and flap morbidity. Although hypothermia may contribute to complications, warming measures are challenged by conflicting reports of intraoperative hypothermia improving anastomotic patency. METHODS A retrospective review included all free fl...

Finding an appropriate soft-tissue grafting material to close a wound located over the dorsum of a finger, especially the distal phalanx, can be a difficult task. The boomerang flap mobilized from the dorsum of the proximal phalanx of an adjacent digit can be useful when applied as an island pedicle skin flap. The vascular supply to the skin flap is derived from the retrograde perfusion of the ...

two patients with penile skin loss who were operated in 1991 are reviewed retrospectively. in both of them skin grafting was mandatory (due to large skin defects on the penile shaft). causative factors were localized infection in one case and verrucae accuminata in another. in both cases a random flap from the skin of the inner surface of the thigh was applied. the pedicle flap was later transe...

OBJECTIVE To present the use of indocyanine green and the LifeCell SpyElite System to confirm perfusion and viability of a forehead flap prior to division and inset, thereby eliminating the question of flap survival based on clinical judgment alone. METHODS A case report of a 67-year-old man with a forehead flap reconstruction following an acquired nasal defect due to resection of an adenoid ...

BACKGROUND The aim of this study was to determine the efficacy of lateral intercostal artery perforator-based adipofascial free flaps for facial reconstruction in patients with facial soft tissue deficiency. METHODS We conducted a retrospective study of five consecutive patients diagnosed with facial soft tissue deficiency who underwent operations between July 2006 and November 2011. Flap des...