To reconstruct this defect which had upper lip, lower lip and buccal mucosa was a difficult challenge but we designed a radial forearm free flap
which would not only provide all the subunits but also give an acceptable aesthetic look to the patient also.
A free flap
based on the superficial palmar branch of the radial artery (SUBRA Flap
) has been used for digital reconstruction but is limited by size and useful in single digit defect.
Before they evolved the ability to fly, two-legged dinosaurs may have begun to flap
their wings as a passive effect of running along the ground, according to new research by Jing-Shan Zhao of Tsinghua University, Beijing, and his colleagues.
Different searches were performed using keywords "Fournier's gangrene" "plastic surgery," "reconstruction," and "flap
." The search was limited to the studies published in English and French.
Although there are different definitions for complications seen in free flap
surgery in the literature, generally, complications are considered major if they require surgical intervention (e.g., total flap
loss, thrombosis, and haematoma) and minor flap
complications if they can heal with minor intervention (e.g., infection, seroma, wound site problems, and partial loss).
In the present study, we compared the Limberg flap
and oval flap
techniques used in the surgical treatment of PSD with respect to the demographic characteristics of the patients as well as associated complications and recurrence; furthermore, we have discussed the results by referring to the available data.
Although it was described earlier, we believe that the subcutaneous pedicled rhomboid flap
has not found its worth.
Moreover, the musclecan be used as distally-based muscle flap
depending on the perforating branch of the posterior tibial artery.
reconstruction is a cornerstone in the management of many head and neck cancers.
Conclusion: Scalp and forehead defects, if treated adequately, can heal with stable and aesthetically acceptable results and flap
selection should be individualized according to the defects, patient's factors and availability of particular flap
The exact mechanism of lingual nerve damage during third molar surgery is controversial and among the most cited causes are: damage by injection needle, usage of lingual flap
retractor, usage of chisel by lingual approach associated with lingual plate fracture and supra crestal incision because the nerve can be located in this region in some cases and may be sectioned.6 The symptoms vary from difficulties in speech, swallowing, ability to maintain food and liquid competence and alteration of taste.8 There has been much discussion about how to prevent lingual nerve injury during third molar surgery.
The result is a mix of retro elegance and contemporary good taste, shown in the details: the strap is connected to the base with two metal rings, and the flap
has rounded edges.