An alcoholic 50-year-old male patient with a history of schizophrenia sustained stab wounds into both ventricles and left lung, and survived following an emergency department thoracotomy. The EDT wound, however became infected requiring serial debridements of soft tissue, rib cartilage and sternum. Regional flap options such as pectoralis major and latissimus dorsi muscle flaps could not be emp...

BACKGROUND The aim of this study was to determine the efficacy of lateral intercostal artery perforator-based adipofascial free flaps for facial reconstruction in patients with facial soft tissue deficiency. METHODS We conducted a retrospective study of five consecutive patients diagnosed with facial soft tissue deficiency who underwent operations between July 2006 and November 2011. Flap des...

The subject of our case report is a young girl who was attacked by a raccoon when she was 5 months old. She lost the majority of her nose, her entire right ear, and part of her upper lip. She had previous attempts at reconstructive surgery with poor results. Our collective goals were to provide lifelong reconstruction without the use of synthetic implants and to organize the steps in a way that...

BACKGROUND Complex central chest wall resection defects present a challenging management problem for both thoracic and reconstructive surgeons. Although most chest wall defects can be repaired using local and regional flaps, more complicated cases require increasingly sophisticated techniques such as microsurgical free tissue transfer. This study reviews a single plastic surgeon's experience ov...

Chondrosarcoma's of the rib are a rare presentations and hence there's lot to be explored for best method surgical intervention. This case highlights how we used VATS excision chondrosarcoma reconstructed defect using prolene mesh PMMC flap.

a chronic fungal infection in tropical regions, chromoblastomycosis is caused by dematiaceous fungi, the form-family of fungi imperfecti, usually affecting one lower limb at the site of a trauma but sometimes involving other areas of the body including head & neck. in this article, we report the case of a rare primary chromoblastomycosis of the palate and chest in a 27-year-old man who was succ...

abstract background: several case studies have described the use of the superficial inferior epigastric artery (siea) flap as a pedicled flap for reconstruction of upper and lower ex tremities, or a free fasciocutaneous flap when a large amount of skin coverage is required for hemifacial atrophy, breast or head and neck reconstruction. apparently, the anatomical findings of previous studies are...

Aim: To evaluate the functional and aesthetic results of one-stage penile reconstruction (phalloplasty) using an island anterolateral thigh flap Patients and methods: Twelve male patients (age 16 to 43 years) were treated with a penile reconstruction admitted to plastic & reconstructive surgery unit of Bahawal Victoria Hospital Bahawalpur and Sheikh Zayed Hospital, Rahim Yar Khan from November ...