Restoration of adequate oral competence is especially challenging in double free flap reconstructions of massive head and neck defects resulting from composite resections. Our report illustrates that oral competence in double free flap reconstructions of extensive oromandibular defects can be successfully restored with tensor fascia lata suspension slings.

Fascia is a fibrous connective tissue whose importance has long been neglected. However, as our body of research has expanded, it is now understood that fascia is critically important to the structure and function of the musculoskeletal system. Indeed, it might not be long before the term musculoskeletal system is replaced by the term myofascioskeletal system. An understanding of the structure ...

We devised a new flap using the palmar cutaneous branch of the superficial radial artery proximally and anastomosed with a cutaneous perforator of the superficial palmar arch distally. We named our flap "the volar glabrous palmar flap." The flap was used both as a free flap and as a reverse-flow island flap. Thirty-six patients with volar hand defects (24 digits, 7 palms, and 5 first web space)...

Macroscopic examination of topographic and anatomical features of fascial-cellular structures in the gluteal region was carried out on 82 specimens of human fetuses aged 6-10 months. We described the splitting of the gluteal fascia into three layers: superficial, middle and deep ones. Superficial and middle layers form a fascial sheath for the gluteus maximus large muscle, which is separated fr...

BACKGROUND Superficial ulnar artery is a well-known vascular anomaly that may cause special risks because of possible impairment of the vessel by mistake during harvesting fasciocutaneous forearm flaps. METHODS The charts of patients who had undergone forearm flap transfer were reviewed for vascular anomalies. When a superficial ulnar artery was present, a superficial ulnar artery flap was ra...

BACKGROUND In reconstructive surgery, the ultimate goal in rebuilding a structure is to provide the most similar substitute from both the functional and structural points of view. At the same time, the reconstructive surgeon should focus on minimizing donor area complications. METHODS In this report, we present our experiences with the reconstruction of distal extremity defects using a free t...

BACKGROUND Breast reconstruction with deep inferior epigastric perforator (DIEP) flaps has gained considerable popularity due to reduced donor-site morbidity. Previous studies have identified the superficial venous system as the dominant outflow to DIEP flaps. DIEP flap venous congestion occurs if superficial venous outflow via the deep venous system is insufficient for effective flap drainage....

Loss of abduction power is a common problem after total hip arthroplasty (THA) and may lead to severe limp and instability. A surgical reconstruction technique using a gluteus maximus flap transfer was developed to repair deficient abductor muscles and capsule. The gluteus maximus muscle was split as in a posterior approach to the hip, and the anterior portion of the muscle was elevated as a fl...