Treatment of alveolar cleft performing a pyramidal pocket and an autologous bone grafting

none7noneMorselli PG; Giuliani R; Pinto V; Oranges CM; Negosanti L; Tavaniello B; Morellini A.Morselli PG; Giuliani R; Pinto V; Oranges CM; Negosanti L; Tavaniello B; Morellini A

Cross-leg as salvage procedure after free flaps transfer failure: a case report

Abstract: Posttraumatic wounds of the lower leg with soft tissue defects and exposed fractures are a reconstructive challenge due to the scarce availability of local tissues and recipient vessels. Even when a free tissue transfer can be performed the risk of failure remains considerable. When a free flap is contraindicated or after a free flap failure, the cross-leg flap is still nowadays a possible option. We report a case of a male with a severe posttraumatic wound of the lower leg with exposed tibia fracture firstly treated with two consecutive latissimus dorsi muscular free flaps, failed for vascular thrombosis; the coverage was then achieved with a cross-leg flap with acceptable results

Electrochemotherapy for Primary or Metastatic Skin Tumours: A Single Institution Experience

none8DOI della sezione: 10.1159/000321283noneB. Tavaniello; A. Ceccone; S. Palo; D. Tassone;L. Negosanti; P. Nejad; V. Pinto; G. ZannettiB. Tavaniello; A. Ceccone; S. Palo; D. Tassone;L. Negosanti; P. Nejad; V. Pinto; G. Zannett

Tensor fascia latae perforator flap: An alternative reconstructive choice for anterolateral thigh flap when no sizable skin perforator is available

Introduction: The anterolateral thigh flap (ALT) is a versatile flap and very useful for the reconstruction of different anatomical districts. The main disadvantage of this flap is the anatomical variability in number and location of perforators. In general, absence of perforators is extremely rare. In literature, it is reported to be from 0.89% to 5.4%. If no sizable perforators are found, an alternative reconstructive strategy must be considered. Tensor fascia lata (TFL) perforator flap can be a good alternative in these cases: Perforator vessels are always present, the anatomy is more constant and it is possible to harvest it through the same surgical access. The skin island of the flap can be very large and can be thinned removing a large part of the muscle allowing its use for almost the same indications of the ALT flap. Materials and Methods: We report 11 cases of reconstruction firstly planned with the ALT flap, then converted into TFL perforator flap. Results and Conclusion: The result was always satisfactory in terms of the donor site morbidity and reconstructive outcome

VAC\uae therapy for wound management in patients with contraindications to surgical treatment

The treatment of complex wounds often requires multiple surgical debridement and eventually reconstruction with skin grafts or flaps, under local or general anesthesia. When the patient\u2019s general conditions contraindicate surgical procedures, topical negative pressure with Vacuum Assisted Closure (VAC\uae) device can achieve wound healing with reduction of healing time and simpler manage- ment. We treated with VAC\uae device four patients with complex wounds and important contraindica- tions to surgery. In all the patients, we used VAC\uae device with common protocol of topical negative pressure. The healing was obtained in a period variable between 18 and 40 days; the results were satisfactory in three cases, one patient developed an aesthetically unpleasant scar. We present our experience to propose VAC\uae when surgical procedures are contraindicated