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[BACKGROUND] The fibula free flap (FFF) is a mainstay in maxillofacial reconstruction, yet donor site morbidity remains a significant clinical concern. Closure technique is a key factor influencing complication rates, but comparative data r…

Pyoderma gangrenosum (PG) is a rare inflammatory skin disease that is difficult to diagnose. PG may be an extra-intestinal manifestation of ulcerative colitis (UC). In recent times, coronavirus disease (COVID-19) vaccines have caused variou…

[BACKGROUND] Superficial circumflex iliac artery (SCIA) perforator (SCIP) flap is becoming popular for relatively small defect reconstruction. However, little is known regarding the use of the SCIA transverse branch (SCIAt) as a pedicle of …

Oral squamous cell carcinoma (OSCC) is the most common malignancy of the oral cavity, often necessitating extensive surgical resection. Such interventions may result in complex intraoral defects requiring immediate reconstruction to restore…

Pediatric lower lip reconstruction is rare and technically challenging due to small donor sites, ongoing facial growth, and functional demands, such as speech and oral competence. We present the case of a one-year-old male who sustained com…

[BACKGROUND] Large posterior trunk defects due to radical sarcoma excisions conventionally mandate a free flap, needing vein grafts for pedicle length and skin grafts for donor site. Conventional options like skin grafting or local (fascioc…

[CASE] We present a case of an elderly female patient with a chronic lower leg wound involving bone exposure in the tibia. Despite the absence of overt infection, low-grade osteomyelitis was suspected. Given the patient's age and overall fi…

Reconstruction of plantar melanoma presents a surgical challenge due to unique qualities of plantar soft tissue and its role as a weight-bearing surface. Therefore, careful design and selection of coverage option are required to optimize fu…

[OBJECTIVE] To explore clinical efficacy of membrane-induced technique combined with gastrocnemius muscle flap transposition in treating traumatic osteomyelitis of the upper tibia. [METHODS] A retrospective analysis was conducted on 7 pati…

[BACKGROUND] Severe scalp avulsion injury is a rare and surgically challenging due to extensive wounds, calvarial exposure, and associated soft tissue damage. Historically, management has evolved from skin grafting to microsurgical replanta…

A skin graft is a sheet of skin (epidermis with or without varying amounts of dermis) that is detached from its own blood supply and placed in a new area of the body while a flap is a tissue that is moved from one part of the body to anothe…

This case report describes the reconstruction of two adjacent fingertip pulp defects using a single free medial plantar artery perforator flap. A 30-year-old man sustained traumatic amputations of the left index and middle finger pulps. A f…

The aim of this study is to investigate the use of the temporoparietal fascial flap (TPFF) in the repair of tissue defects in the head and neck region. TPFF is a preferred method among surgeons due to its thin and flexible structure and its…

We present four reconstructive cases of large soft tissue extremity defects utilizing a modification of the classic scapular-latissimus dorsi chimeric flap, which we refer to as the extended chimeric scapular and latissimus dorsi muscle fla…

[INTRODUCTION AND IMPORTANCE] Dermatofibrosarcoma protuberans (DFSP) is a rare malignant tumor of the dermis and subcutaneous tissue, characterized by local aggressiveness and a high recurrence rate. The gold standard treatment is wide exci…

[OBJECTIVE] The aim of this study was to investigate the clinical efficacy of a free double skin paddle anterolateral thigh (ALT) flap in treating 2 separate high-voltage electrical burn wounds affecting the wrist and hand. [METHODS] A ret…

The radial forearm flap (RFF) is widely used for microvascular reconstruction in the head and neck region, but donor site complications, such as flexor tendon exposure, can impact patient recovery. This study retrospectively analyzed all pa…

[BACKGROUND] The traditional radial forearm free flap (TRFFF) combined with split-thickness skin grafting (STSG) for repairing oral defects presents unavoidable donor area complications, such as delayed healing and scar hyperplasia. This st…

Chronic osteomyelitis of the midfoot, particularly following high-energy trauma such as a landmine injury, presents a formidable challenge due to the region's limited soft tissue envelope, complex anatomy, and the critical need for effectiv…

[INTRODUCTION] The tongue is the most common site of oral malignancies, with surgical resection the mainstay of treatment. Tongue cancer resections have significant functional impacts. Ideal reconstruction would restore speech intelligibili…