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...

Introduction A pilonidal sinus or sinus pilonidalus (pilus = hair, nidus = nest) is an acute or chronic inflammation in subcutaneous fat tissue, usually in the coccygeal region. The first report was by Mayo in 1833. The disease affects predominantly young men in the 2nd and 3rd decade of life with an incidence of 26 per 100 000 population, with men affected 3x more frequently than women. Piloni...

BACKGROUND There are several options for closure of a given surgical defect after tumor extirpation is confirmed. Flap reconstruction is one of these options. OBJECTIVE The purpose of this article is to introduce the three basic types of flap movement: advancement, rotation, and transposition. METHODS Five similar defects located on the nasal sidewall were repaired, each using a different f...

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...

BACKGROUND Hidradenitis suppurativa is a chronic inflammatory disease of the cutis with furuncles, fistulas, and abscesses. The disease is mostly located in groin and axilla. As conservative treatment can usually not prevent recurrence, surgical treatment is the method of choice. METHODS We report on 20 patients with axillary hidradenitis suppurativa. The inflammatory region was excised in a ...

Figure 1. Mediastinal defect with exposed pros-thetic aortic root graft. DESCRIPTION A 70-year-old woman with short stature and hypermastia underwent ascending aortic aneurysm repair with a prosthetic graft, complicated by postoperative mediastinitis and sternal dehiscence. She was treated with aggressive sternal debridement and negative pressure wound therapy for 1 week (Fig 1) prior to defini...

Abstract Objective Although most cases with spina bifida cystica could be closed by primary skin closure or without undermining its edges, about 25% of patients have large defects not amenable for these simple methods. We conducted this study to review our techniques in closing defects. Methods retrospectively reviewed the data consecutive 21 diagnosed setting. According surface area defect, ap...

STUDY DESIGN Case series. PURPOSE To describe paraspinal transposition flap for coverage of sacral soft tissue defects. OVERVIEW OF LITERATURE Soft tissue defects in the sacral region pose a major challenge to the reconstructive surgeon. Goals of sacral wound reconstruction are to provide a durable skin and soft tissue cover adequate for even large sacral defects; minimize recurrence; and m...

: Basal cell carcinoma (BCC) is a slow growing, locally destructive, malignant tumor of the skin. It derived from non- keratinizing cells that originate basal layer epidermis. After excision nasolabial flap, median forehead dorsal nasal glabellar flaps, bilobed cheek and craniofacial flaps are used for reconstruction. The Zitelli’s flap one most useful simple double transposition designed to mo...

OBJECTIVES To evaluate morbidity associated with the radial forearm free flap donor site and to compare functional and aesthetic outcomes of ulnar-based transposition flap (UBTF) vs split-thickness skin graft (STSG) closure of the donor site. DESIGN Case-control study. SETTING Tertiary care institution. PATIENTS The inclusion criteria were flap size not exceeding 30 cm(2), patient availab...