BACKGROUND Primary and tension-free closure of a flap is often required after particular surgical procedures (e.g., guided bone regeneration). Other times, flap advancement may be desired for situations such as root coverage. METHODS The literature was searched for articles that addressed techniques, limitations, and complications associated with flap advancement. These articles were used as ...

BACKGROUND Minimizing donor-site morbidity after free flap harvest is of paramount importance. In this article, we share our experience with achieving primary closure of 58 anterolateral thigh (ALT) free flap donor sites using a simple algorithm in cases where primary closure would otherwise have not been possible. METHODS Between 2004 and 2010, 58 patients who underwent free ALT flap reconst...

The unique requirements of soft tissue coverage of the hand offer a challenge for the surgeon dealing with such defects. Local excision of such lesions may end in a defect that is not amenable to primary closure. Management of such defects requires the application of a graft or flap. We describe the application of a rotation flap for closure of a large defect on the dorsum of the hand following...

In cardiac surgery, poststernotomy wounds are life threatening complications, with mortality up to 50%. We described two patients, who underwent coronary artery bypass grafting and postoperatively developed a deep sternal wound infection. Reconstruction was combined with vacuum-assisted closure treatment, laparoscopic mobilization of an omental flap and split thickens skin grafts. The omental f...

The nasal ala is a challenging area for surgical reconstruction, with thick sebaceous skin, the lack of an ample tissue reservoir, and an adjacent free margin. Numerous flaps have been reported for the repair of alae defects. A 71-year-old woman with simultaneous basal cell carcinomas involving both nasal alae was treated by Mohs micrographic surgery. The surgical defects measured 1.5×1.5 cm on...

INTRODUCTION Scalp soft tissue defects are common and result from a variety of causes. Reconstructive methods should maximise cosmetic outcomes by maintaining hair-bearing tissue and aesthetic hairlines. This article outlines an algorithm based on a diverse clinical case series to optimise scalp soft tissue coverage. MATERIALS AND METHODS A retrospective analysis of scalp soft tissue reconstr...

reconstruction of breast with transverse rectus abdominis myocutaneous (tram) flap is the standard for reconstruction of breast following mastectomy. in this article, authors report their experience with pedicled tram flap reconstruction of the breast. records for the patients who had undergone breast reconstruction with pedicled tram flap were retrieved. records of outpatient follow-ups were a...

INTRODUCTION Excision of large dermatofibrosarcoma protuberans in the anterior aspect of the trunk often results in large surgical defects that frequently dictate the need for microsurgical reconstruction. However, this option is not always available. PRESENTATION OF CASE The authors describe two patients with very large anterior trunk dermatofibrosarcoma protuberans: one in the epigastric re...

Large, full-thickness defects of the scalp create a common reconstructive dilemma following Mohs micrographic surgery. In cases with exposed calvarium, transposition flap(s) followed by split-thickness skin graft(s) to secondary defect is an effective method reconstruction that allows for same-day repair, full coverage, and good functional outcomes. Herein, we present large utilizing bilateral ...

Introduction  The temporalis myofascial (TM) is an important reconstructive flap in palate reconstruction. Past studies have shown the temporalis myofascial flap to be safe as well as effective. Free flap reconstruction of palate defects is also a popular method used by contemporary surgeons. We aim to reaffirm the temporalis myofascial flap as a viable alternative to free flaps for palate reco...