The autologous chondrofascial graft is appropriate for slight to mild dorsal nasal augmentation. The method, as with most rhinoplasty techniques, requires careful and judicious preoperative examination, planning, and execution. The postoperative scar is inconspicuous and the donor site morbidity is minimal.

Free tissue transfer has become a useful technique for reconstruction of type III complex pharyngoesophageal defects after enlarged laryngectomy and partial or total pharyngoesophageal resection. We present a retrospective analysis of our experience with 36 patients who received free flaps for reconstruction of complex pharyngoesophageal defects associated with skin and soft-tissue defects. Free fasciocutaneous flaps and jejunum combined with a deltopectoral flap and musculocutaneous pectoralis major flap, gastro-omental flap, and combined latissimus dorsi musculocutaneous and cutaneous scapular flaps were used for reconstruction. Adjuvant therapy included preoperative or postoperative radiotherapy. Free flap failure occurred in 2 of 36 patients. Twenty-eight patients had good swallowing function. Better results with fewer complications in reconstruction of type III complex pharyngoesophageal defects were obtained with the use of a combined latissimus dorsi and scapular flap.

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The authors present a case of free microsurgical transfer of combined flexor carpi radialis muscle and radial fasciocutaneous forearm flap in reconstruction of facial paralysis associated with severe ipsilateral skin scar deformity after removal of a giant cavernous hemangioma 22 years previously. The flexor carpi radialis muscle was used to reanimate the paralyzed face, and its fasciocutaneous radial forearm part restored overlying hemifacial skin, with good functional and rather pleasing aesthetic results. The follow-up period was 5 years.

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