Journal Reviews

Hyperbaric oxygen therapy and flap reconstruction: does it help?

1 May 2015 | | free flap reconstruction, hyperbaric oxygen, osteoradionecrosis, radiation complications, surgical complications

This is a multicentresite retrospective review from four clinics in the USA on patients who received radical debridement and free flap reconstruction for osteoradionecrosis (ORN) between 1 Jan 1995 and 30 June 2011. Patients were stratified divided based on having...

Postauricular advancement flap for partial helix defect repair

1 March 2015 | | Head and Neck, Skull Base Surgery | Conchal cartilage graft, Ear reconstruction, Helix defect, Postauricular advancement flap

Ear defects can be the result of trauma, burns or ablative surgery. The three dimensional structure of the pinna presents a difficult reconstructive challenge as successful ear reconstruction requires both similar tissue cover and a supporting framework. Partial ear reconstruction...

Multiple free flaps for head and neck cancer

1 March 2015 | | Head and Neck, Skull Base Surgery | Complications, Free tissue transfer flaps, Head and neck cancer, Maxilla-mandibular reconstruction, Microsurgical free flaps

Most patients with advanced head and neck cancers now undergo microvascular free flap reconstruction. This is mainly as flaps facilitate complete tumour and margin removal by providing reliable wound coverage and better restoration of form and function. However despite this,...

Vascularised tissue in salvage total laryngectomy

1 September 2014 | | Salvage laryngectomy, free flaps, pedicled flaps, pharyngocutaneous fistula, reconstruction, recurrent laryngeal cancer

Chemoradiation (CRT) has become the mainstay for locally advanced laryngeal cancer since the RTOG 91-11 trial. Unfortunately there is still a substantial demand for salvage laryngectomies, which have a higher complication rate, the most notable being pharyngocutaneous fistula (PCF). Several...

The use of Integra to allow early cover wounds

1 September 2014 | | Digital amputation, Ballistic, Battle wounds, Blast, Dermal substitute, Improvised explosive device, Injury, Integra, Soft tissue reconstruction, Stump

The authors present the use of Integra in a unique cohort of patients. Seven patients ages 21-31 in a six month period treated in one hospital. These were a very fit group of patients that had injuries caused by improvised...

  • 1
  • 2
  • 3 (current)