Soft tissue coverage after the resection of a large malignant peripheral neural sheath tumor (MPNST) is a challenge. We report the successful reconstruction of an extensive shoulder defect after MPNST resection in a patient with a type 1 neurofibromatosis with a novel combination of flaps. A 70-year-old man with type 1 neurofibromatosis presented with a recurrent MPNST on his right shoulder. He...

Introduction: The heel has two parts, weight bearing and non-weight bearing part. Soft tissue heel reconstruction has been a challenge due to its complex nature of anatomy, weight bearing part of foot and the mechanism of injury requiring reconstruction. The pattern of injury includes from simple laceration to a complex wound with loss of soft tissue and fracture involving various degrees of ca...

INTRODUCTION: Free tissue transfer has become a safe and reliable means for repairing soft tissue and bony defects of the head and neck. Although success rates for free flaps in the head and neck are high, at around 97 to 98%, the incidence of postoperative complications is also relatively high. One significant complication is postoperative hematoma formation. However, few published studies hav...

BACKGROUND Identification of a single donor site capable of providing all the components of the soft tissue envelope and the ability to selectively harvest a subset of these components is a central requirement for the microvascular reconstruction of the trauma patient. The anterolateral thigh (ALT) flap's long pedicle and adaptability in supporting a variety of tissues (muscle, fascia, soft tis...

BACKGROUND The scapula osteocutaneous free flap is frequently used to reconstruct complex head and neck defects given its tissue versatility. Because of minimal atherosclerotic changes in its vascular pedicle, this flap also may be used as a second choice when other osseous flaps are not available because of vascular disease at a preferred donor site. METHODS We performed a retrospective char...

Background: Plastic and reconstructive surgeons consider a variety of options to salvage limbs patients when operating on soft tissue defects the plantar forefoot in diabetic foot ulcers. This study focuses efficacy durability perforator flaps compared that random flaps, covering area patients.<br/>Methods: From January 2011 August 2020, we performed 49 reconstructions cover diabetes usin...

Purpose: Skin and soft tissue infections (SSTIs) caused by mycobacteria are rare difficult to diagnose treat. Furthermore, systematic treatment protocols for mycobacterial SSTIs have not been established. This study introduces a strategy with radical resection resurfacing using thoracodorsal artery perforator (TDAP) free flaps.Methods: From December 2013 February 2022, 13 patients underwent rec...

The purpose of this study was to explore the effectiveness combined one-stage reconstruction extensive complex defects lower limb tissues and analyze postoperative complications. Material methods . research involved 25 patients with bone soft tissue extremities. first group included 16 patients, where replacement soft-tissue leg carried out one bone-skin graft. second consisted 9 who, along maj...

The authors present a comprehensive treatment guide to nasal septal perforations. Successful surgical repair requires vascularized tissue flaps, interpositional tissue scaffolding, and tension-free closure. However, surgical techniques vary with the size of the defect, and there is no single universally effective procedure.

BACKGROUND Lesions in perineal area are common. The usual treatment is coverage by skin graft and flaps which may be local, pedicled or free types. In this paper V-Y flaps were used to cover the defects. METHODS V-Y flaps were used in the gluteal area in 15 patients. Lesions were due to different causes. RESULTS Of 15 patients, 11 were males and 4 were females. Their ages ranged from 3...