Novel flaps for head and neck reconstruction.

The head and neck region is important both functionally and aesthetically and its reconstruction poses a formidable challenge for plastic surgeons. A perforator flap is a flap of skin or subcutaneous tissue supplied by a vessel that perforates the deep fascia to gain access to flap. With improvement in our knowledge of the anatomy of blood supply to the skin, the perforator flaps have opened a whole new horizon for the plastic surgeon to choose flaps with better function and cosmesis.

Managing venous discrepancy: simple method.

Microvascular anastomosis is an essential technique for free flap transfer and replantation surgery. Size discrepancy in microvascular anastomosis is a common issue in free flap transfer. Different methods are used by microvascular surgeons to solve the problem of vascular discrepancies.

Use of the submental island flap in orofacial reconstruction--a review of 20 cases.

The submental flap, though not a widely used flap, is extremely useful in orofacial reconstruction. We present our experience with this flap particularly in the post oncological setting and describe its technique, complications and precautions adopted in its use. Between January 2001 and January 2007 we performed 20 submental flaps for primary reconstruction of post tumour excision defects in the intraoral and facial region.

Bipaddle pectoralis major myocutaneous flap in reconstructing full thickness defects of cheek: a review of 47 cases.

We present a series of reconstruction of 47 patients with large full thickness cheek defects secondary to cancer ablative surgery. All patients were reconstructed primarily by bipaddle pectoralis major myocutaneous (PMMC) flap. The age of patients ranged from 25 to 85 years (mean 49.