We describe a novel technique of scalp flap rearrangement for cochlear implant (CI) candidates who have previously undergone ipsilateral bone-anchored hearing aid (BAHA) placement. One patient with single-sided deafness (SSD) underwent removal of a BAHA with subsequent scalp rearrangement for coverage of the implant site. After adequate healing of the scalp rotational flap, he underwent uncompl...

PURPOSE Composed of sheets of cells detached from the underlying conjunctiva, conjunctival epithelial flap (CEF) is a recently reported phenomenon associated with contact lens wear with potential consequences for ocular health. Although CEF is generally asymptomatic, it is not known to what extent it might increase the longer-term risk of discomfort, inflammatory response, or infection. In this...

OBJECTIVES/HYPOTHESIS Extirpation via expanded endonasal approaches (EEA) to the skull base can result in defects requiring vascularized rotational flap reconstruction. The buccal fat pad (BFP) is a vascularized graft described in open skull base resections, but its harvest and adequacy of vascular supply have not been examined for use with EEA. STUDY DESIGN A transfacial cadaveric dissection...

An ingrown nail is a common disorder that occurs most frequently in the great toe and causes much discomfort in patients. Although many therapeutic methods have been described, most of them can lead to severe damage to the nail, poor cosmetic appearance, or frequent relapses. The treatment of choice for an ingrown toenail has been surgical rather than non-surgical. However, available surgical t...

OBJECTIVE To investigate the use of the occipital rotational flap as an alternative reconstructive technique following lateral temporal bone resection. METHODS A retrospective medical record review of 10 patients who underwent reconstruction with an occipital rotational flap after auriculectomy or lateral temporal bone resection. Patient and operative variables included age, preoperative ASA ...

We report a case of free flap deterioration which may have been induced by pressure gradient resulting from cranial defect overlying a ventriculoperitoneal shunt (VP shunt). The patient, male and aged 78, had a VP shunt operation for progressive hydrocephalus. Afterwards, the scalp skin flap surrounding the VP shunt collapsed and showed signs of necrosis, exposing part of the shunt catheter. Af...

Figure 1. Sacral wound after debridement and prior to flap coverage, 15 × 12 cm 2 in size that tunneled superiorly. Potential right and left rotational flaps were designed on the basis of the gluteal arteries that were identified by Doppler ultrasonography. The dotted line marks the scar from the original MMC repair used for exploration of the pseu-domeningocele. MMC indicates myelomeningocele.

Background: In recent years, many techniques for endoscopic closure of CSF leaks have been described and almost completely replaced the more traumatic transcranial and extracranial procedures. Aim of work: To evaluate endoscopic endonasal multilayer repair of CSF rhinorrhea of anterior and middle cranial fossae utilizing the vascularized middle turbinate rotational flap. Patients and methods: T...