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The Challenge of Renaissance, not Reconstruction: the aftermath of an acid attack

What madness makes a human being perpetrate a crime that is so horrible, so evil that makes it a capital offense (in Bangladesh) even though the death involved is of a person who remains alive? The motivation behind an interpersonal...

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...

The superficial circumflex iliac artery perforator flap in intraoral reconstruction

There can be little disagreement that a groin flap, or one of its derivatives, can leave behind a scar which is without problems (except, perhaps to a pole dancer). Thus popularisation of such a flap is much to be desired,...

CAD/CAM assisted mandibular reconstruction free hand: is there a difference?

The gold standard for the reconstruction of the mandible is a free bony flap, the fibula is commonly used. The fibula is a straight bone and indeed all the other donor sites present various other considerations and difficulties, to allow...

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...

Contralateral breast symmetrisation in unilateral DIEP flap breast reconstruction

This paper is focused on whether an immediate breast symmetrisation procedure is beneficial when a patient undergoes contralateral breast resection plus an immediate free flap reconstruction for breast cancer. Free abdominal perforator flaps (DIEP) generally offer the highest postoperative satisfaction...

Abdominal problems following breast reconstruction using lower abdominal flaps

Abdominal problems following transverse rectus abdominis myocutaneous (TRAM) and deep inferior epigastric perforators (DIEP) flaps are well recognised in these otherwise excellent methods of breast reconstruction. The authors reviewed 399 patients, of whom 57.7% had surgical complications although most of...

Reconstruction with scapular tip following hemi-maxillectomy and rehabilitation with dental implants

Post ablative defects in the maxilla can be extremely complex, involve all three dimensions and result in significant morbidity. Rehabilitation is fraught with difficulties, and a number of options are available, such as an obturator or surgical reconstruction with a...

Temporary tracheostomies are not always necessary for head and neck free flap reconstruction

Complex head and neck cancer cases with reconstruction can be challenging due to the risk of loss of airway. Temporary tracheostomies are often used to protect the airway following complex oral and maxillofacial ablative surgery and reconstruction. However, while this...

Free flap reconstruction in stage 3 bisphosphonate related osteonecrosis

There is no widely accepted gold standard for the treatments of bisphosphonate-related osteonecrosis (BRONJ). Whereas the lesser stages of this BRONJ seem to respond well to conservative and minimal invasive therapies there is controversy regarding the treatment of the later...

How I Do It - Aesthetic reconstruction of the nasal radix-rhinion complex

The radix-rhinion complex forms one of the most important pillars of nasal aesthetics. Due to its complex anatomical nature and distance from the point of access, this region can be commonly involved in suboptimal results. Tailor-made operative planning Most of...

Reconstruction paediatric lower facial defects with an expanded flap from the submental region

Lower facial and perioral scars from burns or defects following treatment of vascular lesions can lead to serious facial deformity with lip ectropion and asymmetry. Conventional reconstructive methods like skin grafts or free flaps do not always give a satisfactory...