Radial forearm free flap is also considered by many as the gold standard for lip reconstruction.2 In cases where more than one subunit of face are involved like upper lip, lower lip, buccal mucosa or cheek, it is a challenge to address all the issues in a single stage while maintaining acceptable aesthetics in formation of oral commissure and achieving goals like oral continence and mouth opening.
To reconstruct this defect which had upper lip, lower lip and buccal mucosa was a difficult challenge but we designed a radial forearm free flap which would not only provide all the subunits but also give an acceptable aesthetic look to the patient also.
All these pigmented skin
flaps, however thin and pliable when transferred on the light coloured, glabrous and nonhairy palmar skin, create a gross mismatch in colour and texture [2].
Scrotal musculocutaneous or advancement
flaps provides good quality and elastic skin with reliable blood supply derived from anterior scrotal branches of the deep external pudendal artery.
Seroma occurrence was higher in patients treated using Limberg
flaps; however, the difference in seroma occurrence was not significant between the two groups.
Various techniques have been used for the release of scar contractures, including split and full-thickness skin grafts (8), local
flaps (9-12), and even free
flaps.
Reconstruction of defects in the distal third of the leg using local procedures is not always successful as relative deficiency of reliable local
flaps, and their small radius of extension in distal direction (Benito-Ruiz et al., 2004).
Flaps would not extend during preflight inspection.
Salvage of failed free
flaps used in head and neck reconstruction.
Rotation
flaps are a convenient method of reconstructing small to moderate sized scalp defect but when dealing with large to very large defects, scalp rotation remain inadequate for complete coverage.
The exact mechanism of lingual nerve damage during third molar surgery is controversial and among the most cited causes are: damage by injection needle, usage of lingual
flap retractor, usage of chisel by lingual approach associated with lingual plate fracture and supra crestal incision because the nerve can be located in this region in some cases and may be sectioned.6 The symptoms vary from difficulties in speech, swallowing, ability to maintain food and liquid competence and alteration of taste.8 There has been much discussion about how to prevent lingual nerve injury during third molar surgery.
The Furla Metropolis, available in five colors-Petal, Magnolia, Gold, Ruby and Onyx-has nine different
flaps to narrate the story of the brand that began in 1927.
Conclusion: Mini titanium plate and screw fixation of cranial
flaps is a simple, cost effective and safe option for repositioning and immediate stability as compared to traditional sutures.
