British journal of plastic surgery
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Case Reports
Fascial flaps based on perforators for reconstruction of defects in the distal forearm.
Twenty fascial flaps were used in the reconstruction of defects in the distal forearm, wrist and hand in 18 patients over a 2-year period. In 16 patients the fascial flaps were based on a single fascial feeding vessel or 'perforator' arising from the anterior interosseous artery and/or ulnar artery when the radial artery had been used as the donor vessel in free flap reconstruction elsewhere in the body. There was no loss of any fascial flap in the study. The use of fascial flaps based on fascial feeders of the anterior interosseous and ulnar arteries extends the range of fascial flaps that can be raised in the forearm for reconstruction of defects in the distal forearm, wrist and hand.
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Correction of prominent ears is a commonly performed operation, not without complications. We present a retrospective analysis of the results of 122 operations for correction of prominent ears performed in the 12 months from April 1995 to March 1996, and the results of a patient questionnaire. ⋯ Complication rates appear to be highest for unsupervised SHOs. Head bandages are particularly likely to fall off in boys under 7 years of age.