OBJECTIVE To investigate the effects on overall flap dynamics of altering the length of the primary flap in the Zitelli bilobed flap procedure, because the standard Zitelli design can result in distortion of the alar margin after repair of cutaneous nasal alar defects. METHODS Identical 1.5-cm circular cutaneous defects were made on the nasal alae and cheeks of 6 fresh human cadavers. A recta...

Erik Widman, Elira Maksuti, Matilda Larsson, Anna Bjällmark, Tim Nordenfur, Kenneth Caidahl, Jan D’hooge Department of Medical Engineering, School of Technology and Health, Royal Institute of Technology, Stockholm, Sweden 2 Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden 3 Lab on cardiovascular imaging & dynamics, Department of Cardiovascular Sciences, KU L...

REASONS FOR PERFORMING STUDY Previous studies of sinus surgery on standing horses have been based on techniques which utilise powered hand bone saws and preserve the bone flap, which was thought to be essential for a good cosmetic result. This report describes a simplified technique applied to the standing horse where the sinus flap construction used a large skull trephine and where the bone fl...

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/bync/ 3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose: The reverse digital island flap is useful for the repair of various fingertip injur...

This case series describes a modified technique for increasing the width of the attached gingiva (AG). The described technique is a variation of the apically repositioned flap technique previously proposed by Freidman in 1962. The modified apically repositioned flap (MARF) technique uses a single horizontal incision within the keratinized tissue (KT), elevating a split-thickness flap, and sutur...

PURPOSE To introduce a new modification of transposition flap technique for reconstruction of the medial canthal region. METHODS This prospective study included 58 patients with the full thickness involvement of both upper and lower lid in the medial canthal area. Reconstruction of posterior lamella was performed by utilizing periosteal flaps and tarsoconjunctival grafts, and anterior lamella...

BACKGROUND The authors describe their experience with the retroauricular temporal flap in facial reconstruction. METHODS Twenty-two (20 females, 2 males) patients with composite tissue defect of various areas of the face have been esthetically reconstructed with a modified Washio flap. This flap is a good choice for facial reconstruction, due to its color match, reliability, feasibility, and ...

BACKGROUND Tunneled transposition of the facial artery myomucosal (FAMM) island flap on the lingual side of the mandible has been reported for intraoral as well as oropharyngeal reconstruction. This modified technique overcomes the limitations of short range and dentition and further confirms the flexibility of the flap. This paper presents a case of reconstructing secondary soft palatal defect...

BACKGROUND A soft tissue defect requiring flap cover which is longer than that provided by the conventional "long" free flaps like latissimus dorsi (LD) and anterolateral thigh (ALT) flap is a challenging problem. Often, in such a situation, a combination of flaps is required. Over the last 3 years, we have managed nine such defects successfully with a free "Boomerang-shaped" Extended Rectus Ab...