BACKGROUND Despite the most heroic efforts, sometimes free flaps fail. Perforator free flaps are not invincible and can suffer the same fate. The real challenge is how to decide what is the next best choice for achieving the desired outcome. METHODS Over the past decade, 298 free perforator flaps were used in our institution. Total failure occurred in 16 patients, and partial failure requirin...

We develop a model describing how certain American men, those men who have been described as emasculated by recent socioeconomic changes, construct themselves as masculine through their everyday consumption. We find that American mass culture idealizes the man-of-action hero—an idealized model of manhood that resolves the inherent weaknesses in two other prominent models (the breadwinner and th...