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A new free flap for the head and neck
Whilst the radial forearm free flap (RFFF) is well known and tested, this group of surgeons from Sunderland, UK, discuss their experience with a comparable flap. They advocate the medial sural artery perforator flap (MSAPF), with a long pedicle if...
Review of free flap use in burns
The authors looked at 346 studies of the use of free flaps in burns and undertook a systematic review of 30 of these studies after applying inclusion and exclusion criteria. They found that the use of free flaps could be...
A new method for free-flap total nasal reconstruction
Total nasal reconstruction is a challenge for facial plastic surgeons. Although most cases can be handled with local flaps, a bad state of the perinasal soft tissues, such as patients with head and neck radiotherapy may preclude its use with...
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...
Postoperative antibiotics after a free flap surgery – is one dose enough?
Major head and neck surgery with ablation of oral cancer, neck dissection and free flap reconstruction is a well-established part of maxillofacial surgery. These patients however already have significant co-morbidities and together with a long operation, large wounds open for...
