ABSTRACT
We describe the first case of a femur free flap in which we utilized the femur to restore pelvic ring continuity following a combined external hemipelvectomy-sacrectomy for cancer. We feel that the femur flap can be an important reconstructive tool for load-bearing bony reconstruction of the pelvis and spine when lower extremity amputation is required. We also utilized a fibula flap to stabilize the spine and a fillet of leg flap to provide soft tissue coverage as part of a chimeric femur-fibula-fillet of leg free flap from the same limb, allowing us to reconstruct a large, complex defect with "spare parts" from the discarded lower extremity, thereby totally eliminating any donor site morbidity.
Subject(s)
Bone Neoplasms/surgery , Femur/surgery , Fibula/surgery , Free Tissue Flaps , Ilium , Orthopedic Procedures/methods , Osteosarcoma/surgery , Plastic Surgery Procedures/methods , Anastomosis, Surgical , Bone Neoplasms/pathology , Female , Femoral Vein/surgery , Free Tissue Flaps/blood supply , Hemipelvectomy , Humans , Iliac Artery/pathology , Iliac Vein/pathology , Neoplasm Invasiveness , Osteosarcoma/pathology , Young AdultABSTRACT
Congenital synmastia, or absence of the intermammary sulcus, is a rare breast anomaly in the pediatric population. While acquired synmastia after breast augmentation is a well-documented entity, congenital synmastia is a rare condition with only four previous cases reported in the surgical literature. We describe the first patient with concurrent presentation of congenital synmastia and multiple fibroadenomas. A combined technique was used to both address the patient's breast lesions and correct the defect.
Subject(s)
Breast Neoplasms/diagnosis , Breast/abnormalities , Fibroadenoma/diagnosis , Adolescent , Breast Neoplasms/complications , Female , Fibroadenoma/complications , HumansSubject(s)
Hernia, Ventral/complications , Liver , Postoperative Complications , Sternum/surgery , Surgical Flaps , Abdominal Muscles/diagnostic imaging , Aged , Coronary Artery Bypass , Hernia, Ventral/diagnostic imaging , Hernia, Ventral/etiology , Humans , Liver/diagnostic imaging , Male , Tomography, X-Ray ComputedABSTRACT
Traumatic facial soft tissue injuries are commonly encountered in the emergency department by plastic surgeons and other providers. Although rarely life-threatening, the treatment of these injuries can be complex and may have significant impact on the patient's facial function and aesthetics. This article provides a review of the relevant literature related to this topic and describes the authors' approach to the evaluation and management of the patient with facial soft tissue injuries.