PURPOSE To introduce a new modification of transposition flap technique for reconstruction of the medial canthal region. METHODS This prospective study included 58 patients with the full thickness involvement of both upper and lower lid in the medial canthal area. Reconstruction of posterior lamella was performed by utilizing periosteal flaps and tarsoconjunctival grafts, and anterior lamella...

BACKGROUND The reconstruction of major burn and other deformities resulting from significant soft tissue deficits of the face and neck is a continuing challenge for surgeons who wish to reliably restore facial function and aesthetic appearance. A primary problem is deficiency of well-matched donor skin. Other problems include the unique characteristics of facial skin, the fine anatomic nuances,...

PURPOSE To evaluate the effect of respiratory function and exercise capacity after omental flap transposition. METHODS From October 2005 to December 2006, we classified mediastinitis patients treated with omental flap transposition (OT group; n = 10) and patients who underwent only cardiovascular surgery without developing complications (control group; n = 25). Percent vital capacity (%VC) wa...

Almost half a century ago, Tennison (1) proposed a triangular flap cleft lip repair that for the first time preserved the existing lip elements and permitted the creation of a normal Cupid’s bow. Brauer (2) and Randall (3) are better known for improving this original concept, but Millard (4) credits Marcks for popularizing Tennison’s method while developing his own Z-plasty modification. Trevas...

Squamous cell carcinoma (SCC) of the skin is one of the mostcommon non melanoma skin cancers (NMSC), along withbasal cell carcinoma (BCC). Besides ultraviolet radiation,exposure to industrial agents, ionizing radiation, and areas ofchronic inflammation are associated with the development ofSCC. Squamous cell carcinoma may also be associated withforeign bodies. We report a rare case of cutaneous...

1 SummaRy Our method of correcting the hollow lower eyelid is based on fabrication of the triangular flap from the pretarsal portion of the orbicularis oculi muscle of the lower eyelid and its transposition downward. The reasons for the “hollow” lower eyelid can be the involutive changes in the periorbital area, ptosis of the midface soft tissues, or the excessive removal of fatty hernia during...

BACKGROUND We present a clinical experience with a new local flap procedure, namely the triangular closure technique, for reconstruction of sacrococcygeal skin defects resulting from excision of the pilonidal sinus. MATERIAL AND METHODS In this technique, the defect is surgically converted to a triangle in shape. Then, the triangular defect is closed by transposition of 2 skin flaps designed in...

background pilonidal disease is a common condition that affects younger people in which over half of the affected patients present with a sacrococcygeal abscess. this study was performed to compare the outcome of excision and primary closure with that of rhomboid excision and flap procedure in patients with uncomplicated pilo­nidal disease. methods a total of 90 consecutive patients with piloni...

Delayed reconstruction of large lower lip defects after traumatic avulsion is a challenge in medically compromised patients with concomitant cheek skin burn. Combination of orthograde submental transposition flap and anteriorly based ventral rectangular myomucosal tongue flap is useful. The former reconstructs the body of the defect, and the latter masks the red lip, resembling vermilion. In th...