The combined external and intraoral approach: a new technique for mandibular angle resection.

To introduce a new technique for mandibular angle resection in facial esthetic surgery, a descriptive prospective study was performed in twenty-five prominent mandibular angle patients. All patients were treated surgically to reduce the prominent mandibular angle by using a newly designed method. This method is a combination of the existing external approach and intraoral approach in order to obtain the advantages and to eliminate the disadvantages of each approach. Satisfying cosmetic results were attained in all twenty-five patients without any serious complications. As such, the new combined technique of external and intraoral approach for mandibular angel resection is convenient and useful.

The anatomic basis of fasciocutaneous flap based on the posterior tibial vessels.

The skin of the medial aspect of the leg is supplied by the cutaneous perforating branches of the posterior tibial artery and can be raised as a flap based on the main artery or perforating branches. There are several studies regarding this vascular system but nothing about the true length of the perforating vessel has been mentioned. The present study was conducted in 20 cadaveric legs and the results showed that 1) The average diameters of perforators in the proximal, middle and distal thirds were 1.43, 1.20 and 1.12 mm respectively; 2) the average lengths were 35.11, 20.94 and 12.71 mm respectively; 3) the average location of the first branch was 7.35 cm from the tibial tubercle while the last branch resided 2.31 cm from the medial malleolus. This study provides some anatomical information, involving the vascular pedicle of the flap based on posterior tibial perforators, which could be beneficial in clinical practice.