Various soft tissue defect reconstructions using anterolateral thigh and vascularized fascia lata composite free flap.

The anterolateral thigh flap (ALT) is versatile for soft-tissue reconstruction of various body defects because of its thick and vascularized fascia component. We present our clinical experience with the functional one-stage reconstruction of complicated soft-tissue defects using ALTs with vascularized fascia lata (FL). Between April 2018 and February 2022, we transferred ALTs with FL components for various soft-tissue defects in 15 patients. The FL component was used for reconstruction of hand & forearm tendon, medial and lateral patellar synovial membrane, plantar aponeurosis, abdominal wall, dura and Achilles tendon. Functional outcomes were evaluated in each patient. Partial flap necrosis occurred in 2 patients and were treated successfully with minimal surgical debridement and dressing. The vascularized fascia could replace a tendon and fascial component and all the patients achieved satisfactory results without major postoperative complications. Anterolateral thigh flaps with vascularized FL provide reliable fascial and tendon components for single-stage reconstruction of complex soft tissue defects.

The Central Facial Defect Reconstruction Using a Radial Forearm Free Flap after Malignant Cutaneous Tumor Ablation.

PURPOSE: Acquired defects of the central face pose significant challenges in achieving acceptable cosmetic and functional outcomes. The site, size, and depth of tissue loss often render local tissues inadequate for the repair of major nasal defects. In this article, we aim to demonstrate the efficacy of radial forearm-free flaps as an ideal choice for various central facial unit reconstructions. METHODS: This study encompassed patients treated between 2020 and 2022 who underwent facial reconstruction using radial forearm flaps. These flaps were employed in eleven patients with defects involving the lower lid, nose, upper lip, and lower lip. Additionally, we used osteocutaneous flaps in one patient to reconstruct a right nasal bone defect. In three patients requiring medial and lateral canthal tendon reconstruction in one case and oral sphincter reconstruction in two cases, the palmaris longus tendon was included with the flap. RESULTS: In the majority of cases, we achieved good to excellent aesthetic and functional results. Notably, there were no instances of flap failure or partial necrosis in this series. All patients experienced uneventful healing at the donor site. CONCLUSIONS: The radial forearm-free flap stands as an ideal and reliable method for reconstructing various facial defects. It offers efficient and thin-conforming skin coverage.

Hydrothermally Grown Dual-Phase Heterogeneous Electrocatalysts for Highly Efficient Rechargeable Metal-Air Batteries with Long-Term Stability.

Metal-air batteries as alternatives to the existing lithium-ion battery are becoming increasingly attractive sources of power due to their high energy-cost competitiveness and inherent safety; however, their low oxygen evolution and reduction reaction (OER/ORR) performance and poor operational stability must be overcome prior to commercialization. Herein, it is demonstrated that a novel class of hydrothermally grown dual-phase heterogeneous electrocatalysts, in which silver-manganese (AgMn) heterometal nanoparticles are anchored on top of 2D nanosheet-like nickel vanadium oxide (NiV2 O6 ), allows an enlarged surface area and efficient charge transfer/redistribution, resulting in a bifunctional OER/ORR superior to those of conventional Pt/C or RuO2 . The dual-phase NiV2 O6 /AgMn catalysts on the air cathode of a zinc-air battery lead to a stable discharge-charge voltage gap of 0.83 V at 50 mA cm-2 , with a specific capacity of 660 mAh g-1 and life cycle stabilities of more than 146 h at 10 mA cm-2 and 11 h at 50 mA cm-2 . The proposed new class of dual-phase NiV2 O6 /AgMn catalysts are successfully applied as pouch-type zinc-air batteries with long-term stability over 33.9 h at 10 mA cm-2 .