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...
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...
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...
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...
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...
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%...
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...
Oral squamous cell carcinoma is one of the more common cancers worldwide. Surgery is the mainstay of treatment and often these patients have had adjuvant therapies. In spite of improving five year survival rates, local recurrent progressive disease is still...
This is a retrospective study from Naples, Italy. The authors analyse and compare patients that had benign parotid disease that were reconstructed with three different techniques. Between February 2002 and March 2009, 224 patients were included; these patients had either...
This book has been authored by a number of recognised authorities in the world of perforator based flaps for breast reconstruction. It is a thoughtful and well set out book that looks at the requirements for providing this type of...
Mohs facial reconstructive surgery can be a difficult process for a patient to undergo. The goal of facial reconstruction is to restore contour, function and aesthetics while minimising morbidity. The authors conducted a review of 88 patients who underwent cervicofacial...
This is a cumulative meta-analysis from Hong Kong reviewing 27 articles and a total of 7389 flaps. The authors, at the outset, acknowledge that the number of anastomoses is not the only factor of venous compromise and flap failure. Nonetheless...