due to an adenocarcinoma of the right upper lobe with infiltration of the main bronchus a 49-years-old female patient underwent an upper bilobectomy with sleeve resection. after two completed chemotherapy bouts and signs of sepsis another thoracotomy was inevitable.  as a complicating factor a supracarinal, necrotic and perforating lesion of the trachea appeared. the defect can be initially rep...

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closure of donor site of the flap has special problems. reduction of this site will decrease the morbidity of operation. in this study, we present our experience in donor site size reduction. methods between 2006 and 2008, 15 patients with skin and soft tissue defects underwent operation. in all patients, coverage of defect was performed with various flaps. substratum horizontal mat-tress sutur...

introduction: malignant tumors of the parotid gland account scarcely for 5% of all head and neck tumors. most of these neoplasms have a high tendency for recurrence, local infiltration, perineural extension, and metastasis. although uncommon, these malignant tumors require complex surgical treatment sometimes involving a total parotidectomy including a complete facial nerve resection. severe fu...