Introduction The supraclavicular flap was reported first by Lamberty in 1979. The flap was not reported on further until Pallua reported its use in cases of neck contracture reconstruction in 1997. Since that time, the flap has been widely used…
Introduction The temporoparietal fascia flap (TPFF) is the thinnest, most pliable flap in the body, and can be used for moderate sized defects of up to 12 × 14 cm. The TPFF is highly vascularized and has a reliable arterial and venous pedicle.…
Introduction Over the years, numerous local flaps have been utilized for closure of facial defects. Owing to the robust blood supply of the facial soft tissues, many local flaps have been based on the dermal and subdermal capillary circulation and…
Introduction A failed free flap is a challenge for every microsurgeon no matter how experienced. When a flap is lost, the patient and family are disappointed, and disturbed over the need for additional surgery. The clinical support staff share a…
Introduction Microsurgical reconstruction with free tissue transfer has become standard practice for plastic surgeons around the world with varied uses and applications. However, perioperative management of these complex patients is diverse. As the understanding of flap physiology and refinement of…
Introduction Achieving success in microvascular free tissue transfers requires more than the technical ability to proficiently perform microvascular anastomoses. Preoperative planning, choice of recipient vessels, intraoperative execution of dissection, elevation and insetting, along with postoperative monitoring are all equally important…
Introduction It is something of a dent to personal pride to be singled out among so many internationally distinguished contributors to write a chapter on complications in microsurgery. How did the editors know we were so experienced in complications? We…
Purposes of Skin Flap Surgery The purposes of flap transfer are classified into four categories: surface coverage; volume restoration; framework creation; and functional reconstruction. Category one is surface coverage of the defect without the need for significant thickness. In clinical…
Introduction It is more than a century since Alexis Carrel introduced the techniques of vessel repair in 1906. The triangulation technique founded by him was used for the repair of major vessels. The origin of modern microvascular practice is credited…
Introduction and Historical Notes The peripheral nervous system (PNS) embodies unique anatomical structure and function that contributes immensely to human quality of life. Through the ages, the importance of the PNS has been recognized, but function and structure were often…