Double-free, flow-through flap reconstruction for complex scalp defects: a case report.

This case report describes the use of a double-free, flow-through flap as a valuable tool in reconstruction following oncological resection of a large, fungating, squamous cell carcinoma extending through the scalp, forehead, skull, and dura. An anterolateral thigh flap was utilized to supply: soft tissue for the forehead reconstruction, vascularized fascia lata for the dural repair, and to act vascular conduit to supply a distally placed latissmus dorsi flap for total scalp reconstruction. We believe this is the first time this combination of double-free, flow-through flap design has been published for the reconstruction of complex, composite scalp and calvarial defects.

The validation of the Depth Measurement Videomicroscope (DMV) as a noninvasive tool for the assessment of capillary vascular malformations.

The assessment of capillary vascular malformation (CM) morphology can be performed using videomicroscopy. Previously only the type of capillary pattern could be demonstrated. The Depth Measurement Videomicroscope (DMV) allows both depth and diameter of CM vessels to be measured.

The effect of varying pulse duration, wavelength, spot size, and fluence on the response of previously treated capillary vascular malformations to pulsed-dye laser treatment.

Modern lasers allow different parameters to be altered in an effort to gain further improvement in otherwise resistant capillary vascular malformations (CMs). The aim of this study was to examine the effect of changing the pulse duration, wavelength, spot size, and fluence on the color and capillary architecture of 585-nm pulsed-dye, laser-resistant CMs. Eighteen patients were assessed with a depth measurement videomicroscope (DMV) before and after 12 test patches with ScleroPlus and V-Beam lasers at specified parameters.

Noninvasive in vivo assessment of vessel characteristics in capillary vascular malformations exposed to five pulsed dye laser treatments.

Background: The treatment of capillary vascular malformations by pulsed dye laser results in fading of these disfiguring lesions in the majority of patients. In only a minority, however, is full clearance of the lesion achieved. It is believed that the capillary composition of a capillary vascular malformation is an important determinant of whether it will respond to further laser treatment.

The relationship between location, color, and vessel structure within capillary vascular malformations.

The treatment of capillary vascular malformations by laser is well established. Despite this, only a minority of patients obtain full clearance of their lesion after treatment. Both anatomic location and color have been proposed as prognostic factors determining the amount of improvement seen after laser treatment.

The depth measuring videomicroscope (DMV): a non-invasive tool for the assessment of capillary vascular malformations.

Background And Objectives: The response of capillary vascular malformations (CVMs) to laser treatment is believed to be due to the pattern of capillary ectasia, the depth, diameter, and flow through these capillaries and the amount of competing chromophores within the skin. Videomicroscopy has successfully been used to determine CVM capillary pattern and diameter of vessels. The depth measuring videomicroscope (DMV) allows the depth of capillaries to be measured also.