due to an adenocarcinoma of the right upper lobe with infiltration of the main bronchus a 49-years-old female patient underwent an upper bilobectomy with sleeve resection. after two completed chemotherapy bouts and signs of sepsis another thoracotomy was inevitable.  as a complicating factor a supracarinal, necrotic and perforating lesion of the trachea appeared. the defect can be initially rep...

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Head and neck defects following oncological surgery must often be repaired with soft tissue and/or bone from other areas of the body. Significant loss of soft tissue requires flaps of sufficient bulk to adequately reconstruct the defect. Microvascular free tissue transfer is a good method for reconstructing even large defects following oncological surgery for head and neck cancer. Continuous po...

BACKGROUND The reconstruction of volar surface defects is difficult because of the special histologic nature of the tissue involved. The plantar surface is the most homologous in shape and function and could be considered the most ideal of reconstructive options in select cases of volar surface defects. In this paper, we evaluate a single institutional case series of volar tissue defects manage...

Background Free-style flaps allow surgeons to overcome anatomical variations and raise perforator flaps wherever a pulsatile signal can be detected. We performed a systematic review and meta-analysis to identify the risk factors for complications and indications for free-style flaps in soft-tissue defect reconstructions. Methods This study was conducted according to the Preferred Reporting It...

surgery. The authors of the first chapter, Drs. Sullivan, Urken, Glenn, and Baker, present their results of microvascular free tissue reconstruction conducted over a two-year period at the Universities of Michigan and Washington and the Mt. Sinai Medical Center. They also discuss patient selection, choice of flap for specific reconstruction needs, and complication rates. Unfortunately, there is...

ABSTRACT OBJECTIVES Nasal reconstruction has be one of the most challenging procedures in reconstructive plastic surgery. Small nasal defects may be closed by primary suture or covered by small local flaps or skin graft. But in large nasal defects, we need to find a bigger source of color and texture matching tissue that will ensure functional and aesthetical outcomes. MATERIAL AND METHODS...

INTRODUCTION Despite impressive advances in endoscopic approaches to the frontal sinus, the osteoplastic flap approach to the frontal sinus remains an important tool for surgically treating frontal sinus pathology. In this approach, the anterior table of the frontal sinus is opened wide while maintaining a hinged attachment to the overlying periosteum and soft tissue along its inferior border. ...