Department of Health in the United Kingdom has recently updated National Health Service Trusts across the country on implementation of cancer outcomes and service dataset. This applies to Head and…
Introduction: The colour of the flap is a very important component of clinical monitoring of free flaps. Poor colour memory, eye fatigue, colour blindness and viewing conditions can all affect…
Background and objective: Thrombosis of vascular anastomosis in the field of reconstructive microsurgery is a clinical problem of extraordinary importance for the devastating consequences for affected patients. Sildenafil has been…
Osteosarcoma is the most common malignant bone tumour, but about only 8% present primarily in the jaw. Complete excision is the treatment of choice whenever feasible. A 50 year-old female,…
Different techniques of reconstruction of the frontal sinus are described in the literature. The purpose of this report is to present a case of frontal fracture managed with microvascular free…
Objective: Microvascular free tissue reconstruction (MFTR) is an established technique in re-instating tissue following ablative head and neck surgery. It is widely practised in many European, American and Asian centres….
Background and objective: There exists limited outcome data regarding the survival of paediatric microvascular free flaps (MFFs) to the head and neck. The objectives of this study were to perform…
Aim: The aim of this work was to evaluate the use of two distant local flaps (temporalis muscle and temporoparietal fascioosseous flap) and one free flap (radial forearm flap) for…
Introduction: Reconstruction of midface defects is a challenge for the oral and maxillofacial surgeon. Ablative surgery, due to tumour and traumatic cases, causes an alteration of the stomatognathic system. Materials…
Serratus anterior muscle flap with vascularized rib incorporating a chondral segment (VCG) has peculiar advantages to reconstruct the defect of mandibular condyle-ramus with soft tissue augmentation. The purpose of study…
Background: Scapula flaps for mandible reconstruction may be an alternative if fibula free vascularized flap cannot be used, but its long term feasibility is still at debate. Purpose of this…
The submental island (SMI) flap is a pedicled flap graft suitable for the reconstruction of small and medium sized defects in the oral cavity. Currently, it is unclear whether the…
Aims: This study aims to define the role and review the current practice of composite radial forearm free flap usage at St George’s Hospital, London. Methods: A total of 20…
Background and objectives: The development of reconstructive surgery has changed the objectives in maxillary reconstruction to get optimal aesthetics and functional results. Methods We analysed all patients treated with reconstructive…
Simultaneous double free flaps reconstruction may be necessary in the patients with advanced oral cancer, especially in composite extensive defects involving oral mucosa, skin, mandible, muscles and soft tissues. Materials…
Purpose: The vascularized free fibula flap (VFFF) has become the popular reconstruction method after mandibular resection due to advantages of enough bone graft length and accepting dental implants. However, using…
Background: The reconstruction of extensive facial bony defects using microvascular transplants requires extensive surgery to achieve the full rehabilitation of form and function. This prospective study evaluates the virtual planning…
Introduction: Awaiting tissue engineering evolution, fibular free flap keeps the most frequently indications to repair large osteocutaneous resections especially mandible and maxilla defects. DSA stayed the gold standard during long…
Introduction: The creation of a microvascular anastomosis is a complex procedure. A reduction of the operation time by a faster, safer, yet qualitative equal microvascular procedure would be advantageous. N-fibroin,…
Purpose: Microvascularized free fibula flap have become established in the protocol for reconstruction of the mandible. However, because of the limited diameter of the fibula compared with the height of…
