You searched for "flap"

238 results found

Anteromedial thigh perforator free flaps

Forty-one consecutive anterior anteromedial thigh (AMT) free flaps are reported, with a success rate of 95%. This flap is being used as an alternative to the preferred anterolateral thigh flap (ALT), which is described as the ‘real workhorse’, when this...

Flaps and Reconstructive Surgery 2nd Edition

This second edition of the popular Flaps and Reconstructive Surgery builds impressively on the first. Whilst the editors need little introduction, their expertise is supplemented by contributions from over 180 authors and world-renowned experts, providing a thoroughly comprehensive text. Part...

Reconstructing large heel defects

A description of one method of reconstructing problematic soft tissue defects of the heel. It is always good to have several techniques available in your quiver, so that you can choose the most appropriate arrow for any particular problem. This...

Multiple free flaps for head and neck cancer

Most patients with advanced head and neck cancers now undergo microvascular free flap reconstruction. This is mainly as flaps facilitate complete tumour and margin removal by providing reliable wound coverage and better restoration of form and function. However, despite this,...

Additional venous anastomoses to safeguard DIEP flaps

That DIEP flaps can be troublesome is not news and many descriptions exist trying to circumvent these problems. The most common problem is venous congestion in the flap and this paper presents an ingenious method of anticipating and forestalling such...

Skin grafts vs local flaps in reconstruction of nasal defects

Nasal defects commonly are a result of removal of skin lesions. Cosmetic outcomes of local flap reconstructions are commonly accepted to be superior in comparison to skin grafts. However, local flap reconstructions require more adjunctive procedures than single-stage operations based...

Superiorly based nasolabial flaps

This interesting paper takes the common or garden nasolabial flap to new extremes. The flap is based on the contralateral superior orbital artery and behaves as an axial patterned flap as far as the alar rim, becoming a random patterned...

Treating laryngeal and hypopharyngeal cancers with pharyngolaryngectomy

The debate amongst head and neck surgeons, as to whether a skin flap or enteric flap offers superior outcomes in pharyngeal reconstruction, still rumbles on. The evidence pool is very shallow, even accounting for the so-called ‘landmark’ papers that swung...

Cheek and lip reconstruction

The authors present a well-structured review of the reconstruction of cutaneous defects of the cheek and lip. They present new findings that have an impact on the planning and understanding of local flaps for the reconstruction of both areas. Integrated...

Pedicle calcification an uncommon problem

Bony free flap reconstruction of the facial skeleton following ablative surgery is common. Replacement with like for like tissues to reduce morbidity and facilitate rehabilitation is accepted gold standard. Current microvascular flap transfers have success rates in excess of 90%...

Free style facial artery perforator flaps for nasal reconstruction

This is an update from the team of authors that originally described the free style facial artery perforator flap, for one stage nasal reconstruction, in 2009. They now update after 10 years of experience with these freestyle facial artery perforator...