Extended vertical rectus abdominis myocutaneous flap for reconstruction of large pelviperineal defects following oncologic resection.

Background And Objectives: Extended vertical rectus abdominis myocutaneous (eVRAM) flap has been proposed for reconstruction of large pelviperineal defects where traditional VRAM flap is insufficient. We present our experience with eVRAM flap for pelviperineal reconstruction following oncologic resection.

Methods: A retrospective study was conducted, including all the patients who underwent reconstruction with eVRAM flap after complex pelvic resection, between 2012 and 2020.

[Contact lens in children: epidemiological aspects].

Purpose: To describe the epidemiology of children submitted to contact lens fit.

Methods: Retrospective study of 73 children that had been submitted to contact lens fit at the "Universidade Federal de São Paulo". This study analyzed sex distribution, age, diagnosis, indications and contact lens fitted at first examination.

Reconstruction of the upper lip, columella and premaxilla with an extended Abbé flap: report of a case.

The resection of malignant tumours affecting the upper lip, columella, premaxilla and/or caudal septum requires reconstructive surgery, which does not always produce satisfactory results-either aesthetic or functional. We have designed a modification of the Abbé flap consisting of the extension of the distal portion of the latter over the chin, and the inclusion of a fragment of rib cartilage in this portion of the flap. The columella is reconstructed in this way, and the cartilage serves to buttress the pyramid tip and prevent its collapse.