Introduction The deltopectoral flap (DP), introduced by Bakamjian in 1965, dramatically changed how defects in the head and neck were reconstructed. For instance, reconstruction following total laryngopharyngectomy was accomplished using a combination of local skin flaps (Wookey procedure); delayed pedicle…
Introduction The pedicled temporalis muscle flap is a very versatile, local, axial flap with many uses in craniofacial reconstruction (e.g., orbital cavity augmentation following exenteration, coverage of a temporal/subtemporal calvarial defect, maxillectomy augmentation, hemipalatectomy reconstruction, and mastoid/temporal defect reconstruction). As…
Introduction In general, the temporoparietal fascia is a poorly recognized, but highly useful, layer of tissue that invests the lateral scalp overlying and extending beyond the surface area of the underlying temporalis muscle. Skill in recognizing and elevating the temporoparietal…
Introduction Surgical extirpation and reconstruction represent the shared common core goals in both open and endoscopic anterior skull base surgery. Successful operative intervention requires thoughtful planning in the context of the patient’s anatomy, pathology, and comorbidities. It is important to…
Introduction The origin of forehead flaps dates back thousands of years. Practitioners in ancient India were the first known to harvest skin from the forehead to repair facial defects, mainly of the nose. Due to nasal amputation as a common…
Introduction Scalp defects can occur secondary to trauma, tumor resection, infection, radiation, and congenital abnormalities. Strategies for scalp reconstruction must take into account the size of the defect, its characteristics, quality of surrounding tissue, donor site morbidity, timing of the…
Introduction The nose is of critical aesthetic and functional significance. Mastery of nasal reconstruction requires not only a knowledge of flaps and grafts but also an appreciation of facial aesthetics and functional rhinoplasty. A skin graft or local flap will…
Introduction Free tissue transfer offers a well-accepted, superior ability to restore form and function to certain major defects of the head and neck. Microvascular surgery provides distinct advantages for reconstruction of osseous defects of the mandible, large glossectomy defects, total…
Introduction Cancer of the skin is the most common form of cancer in humans. The incidence of skin cancer is greater than that of all other forms of cancer combined and is increasing more rapidly than any other, largely because…
Introduction Aesthetic procedures have gradually become more mainstream and popular over the past 15 years, largely led by the significant increase in minimally invasive procedures since the US Food and Drug Administration (FDA) approval of Botox Cosmetic treatment for glabellar…