INTRODUCTION The adoption of vascular pedicled flaps to reconstruct skull base defects following endoscopic endonasal skull base surgery is a significant milestone in the development of endoscopic endonasal approaches (EEAs). In 2006, Hadad and Bassagaisteguy introduced the pedicled nasoseptal flap (NSF). The NSF decreased initial postoperative cerebrospinal fluid (CSF) leak rates from >20% to ...

Objectives Comparing PES/WES scores, modified success rate, survival, success, buccal bone thickness and patient-reported outcomes of immediate dental implants placed in fresh alveolar sockets using a flap or minimal split-thickness envelope (MSTEF). Materials methods Implants following random assignment into MSTEF group were immediately anterior premolar areas. Guided regeneration autogenous c...

Internal carotid artery anomalies have been documented as a common clinical feature in velocardiofacial syndrome. There has been some controversy over the need for preoperative imaging procedures, such as magnetic resonance angiography, when planning pharyngeal surgery for correcting velopharyngeal insufficiency. The purpose of this article is to describe 20 patients with velocardiofacial syndr...

AIM OF THIS STUDY to report our results in a large series of patients with chronic pilonidal sinus (PS) at long term follow up. MATERIALS AND METHODS Two hundred sixteen patients underwent excision and rhomboid flap transposition (RFT) from 1986 to 2004 for PS, and followed for more than two years. Clinical presentation includes: pilonidal abscess treated by drainage (33%), chronic discharge ...

OBJECTIVES To evaluate a new technique of modified endoscopic dacryocystorhinostomy involving the creation of a large posterior flap at the lacrimal sac and to compare its success rate with that of the conventional endoscopic method of excising the entire medial lacrimal sac wall as a surgical treatment for epiphora caused by nasolacrimal duct obstruction. DESIGN Retrospective, interventional...

BACKGROUND The reconstruction of the posterior trunk, especially with large dead spaces, remains challenging. Regional muscle flaps may lack adequate volume and reach. The purpose of this report was to evaluate the efficacy of deepithelialized free-style perforator-based propeller flaps to obliterate defects with large dead space. METHODS A total of 7 patients with defects on the posterior tr...

BACKGROUND Alprostadil and sildenafil are known vasodilators used independently to improve flap survival in animal models. In this study, we investigate whether these agents act synergistically to decrease flap necrosis in rat models. METHODS After acclimation period, 4 groups of 10 male white rats were given a modified McFarlane skin flap. The postoperative treatment included saline control ...

BACKGROUND Reconstruction of extensive lower lip defects is challenging, and functional outcomes are difficult to achieve. METHODS A modified bilateral neurovascular cheek (MBNC) flap has been described. The data of patients with cancer of the lower lip treated with wide excision and reconstructed with the MBNC flap in the Plastic Surgery Unit, Srinagarind Hospital, Khon Kaen University, from...

OBJECTIVE To describe a technical modification that facilitates dorsal skin closure, improves cosmesis and eliminates chordee recurrence secondary to contracture of the dorsal penile skin in the repair of epispadias. PATIENTS AND METHODS Eleven patients with penopubic epispadias (mean age 1.8 years) had the epispadias repaired using a modified ventral penile skin flap. Four patients had isola...