British journal of plastic surgery
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Comprehensive management of acute neck burns is directed towards a satisfactory aesthetic and functional result. Primary microsurgical burn reconstruction of the anterior neck may offer advantages over the traditional technique of skin grafting and delayed reconstruction. It can be indicated in selected patients, obtaining good aesthetic results, with earlier functional recovery and reducing the number of surgical procedures required.
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This paper discusses possible contraindications to sentinel node biopsy in cutaneous malignant melanoma based on a large series from our Melanoma Unit.
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We reviewed 17 patients for a mean of 25 months period after free vascularised fibular transfer to reconstruct massive bone defect or recalcitrant nonunion of the femur. There were 11 cases of posttraumatic nonunion and six patients had a large bony defect following resection of bone tumour. Ten patients underwent double or folded and seven patients underwent single vascularised fibula graft transfer. ⋯ Donor-site morbidity was minimum. Vascularised fibula grafting is a reliable and safe reconstructive procedure for massive femur defects. Folded or double fibula grafts cannot prevent stress fractures and the key point is to rigidly stabilise the femur in an anatomically aligned position.
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The distally based superficial sural artery flap is an important skin flap that can be used for soft tissue defects of the distal lower limb and proximal foot. It is a versatile flap, has a wide arc of rotation and requires minimal expertise. ⋯ The arc of rotation of the flap was N 90-180 degrees with minimal flap loss in most of the cases. On this basis we would like to reintroduce the safe and reliable use of the sural flap to treat large soft tissue defects of the distal lower limb and the proximal foot.
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To evaluate the impact of TRAM flap delayed breast reconstruction on health related quality of life in patients who had undergone mastectomy. ⋯ The data of this study suggest that delayed breast reconstruction with the use of the pedicled TRAM flap provides an improvement in health related quality of life of patients who have undergone mastectomy.