Pilonidal sinus disease (PSD) is a common chronic, benign disease of young adulthood. Pilonidal disease is an infection under the skin in the gluteal cleft. Pilonidal literally means a „„nest of hair”. Known risk factors include family history, local trauma, sedentary occupation, and obesity. Pilonidal sinus disease is a blind track, which extends from the skin of natal cleft up to the presacra...

Necrotizing abdominal wall infections, enteric fistulae, or exposed prosthetic material after ventral hernia repair often results in a loss of abdominal wall integrity. Further surgical reconstruction with prosthetic material is usually contraindicated in the contaminated wound because of the high infection rate necessitating prosthetic removal and further abdominal wall debridement. Consequent...

We report a case of a 20-year-old patient who sustained a mutilating crush injury to the left hand. After thorough debridement and stabilization of the skeletal injury, a radial forearm fascial free flap was used to resurface the distal soft tissue volar defect of two adjacent digits. This thin fascial flap allows for stable soft tissue coverage and provides a gliding surface for the exposed te...

Background: The majority of septal perforations are caused by trauma either with or without infection. In most cases trauma is related to the surgery. Methods: Twenty patients with nasal perforation who underwent surgery from 2008 to 2011were retrospectively evaluated. Three different surgical approaches were used: bilateral rotational advancement flap of nose floor with fascia through open rhi...

We have treated two patients who had an Achilles tendon and overlying tissue defect using an anterolateral thigh flap with fascia lata. Postoperatively, skeletal suspension of the affected leg and intra-arterial heparin infusion were performed for seven days. Six weeks postoperatively, the patients could walk again.

A local transposition flap can be used to close a large donor defect. This is a medially based transposition flap. Although the flap is randomly patterned in design, there is a rich supply of cutaneous perforators in this region of the trunk. These include anterior perforators from the internal thoracic artery, perforators from the superior and inferior epigastric arcades that can communicate a...

Parotid lymphoepithelial carcinoma is extremely rare, and makes up only 0.4% of cases among the anaplastic variant salivary gland carcinoma. We present a 63-year-old man who had progressive enlarging right neck swelling for one year. He sought treatment in another centre underwent superficial parotidectomy, following an ultrasound assessment mass that was suggestive benign parotid tumour. There...