1 Koichi Ueda, MD, PhD Takashi Nuri, MD, PhD Yuki Otsuki, MD, PhD Department of Plastic and Reconstructive Surgery Osaka Medical College Takatsuki, Osaka, Japan Sir, I soft tissue with muscle is resected because of tumor invasion, muscle function is lost. The face has soft tissues with free borders, for example, lips, eyelids, and soft palate. If they are reconstructed without functional moveme...

Objective: We previously reported that near-infrared irradiation nonthermally induces long-lasting vasodilation of the subdermal plexus by causing apoptosis of vascular smooth muscle cells. To clarify the possible application of near-infrared irradiation to prevent skin flap necrosis, we evaluated the length of axial pattern flap survival in rats by near-infrared irradiation. Methods: A bilater...

We presented a case of penile torsion due to previous hypospadias surgery. A patient applied to our clinic for treatment of hypospadias fistula and accompanying penile torsion. Patient’s urethral fistula was repaired first and penile torsion was corrected in the second stage due to multiple fistula tracts. Proximal based flip flap technique was used for closure of the fistula and simple deglovi...

BACKGROUND The aim of this study was to investigate the neurovascular bundle (NVB) position with cone-beam computerized tomography (CBCT). METHODS CBCT images of 345 patients were evaluated. The distance from the neurovascular bundle to the cemento-enamel junction (CEJ) was measured (DNB). The distance from mid-palatal suture to the alveolar crest was used to determine the palatal depth. Pala...

BACKGROUND The purpose of this article is to evaluate a new method of DIEP flap neurotization using a reliably located recipient nerve. We hypothesize that neurotization by this method (with either nerve conduit or direct nerve coaptation) will have a positive effect on sensory recovery. METHODS Fifty-seven deep inferior epigastric perforator (DIEP) flaps were performed on 35 patients. Neurot...

OBJECTIVES/HYPOTHESIS Salvage laryngectomy following organ preservation therapy is a frequent condition that exposes patients to pharyngocutaneous and pharyngotracheal fistulas. Definitive treatment frequently requires well vascularized tissue harvested from the chest. To limit tracheostoma obstruction, a thin and pliable flap is preferable. The internal mammary artery perforator (IMAP) island ...

SUMMARY This study described a technique for reconstruction of a large lateral thoracic region defect after locally advanced breast cancer resection that allows for full coverage of the defect and primary closure of the flap donor site. The authors performed reconstruction using the newly designed 180-degree rotationally-divided latissimus-dorsi-musculocutaneous flap in a 42-year-old woman for ...

Objective: We describe a modification of the inferior pedicle reduction mammoplasty for oncoplastic reconstruction of a central tumor defect. Our technique involved a deepithelialized L-shaped medial inferior based flap with removal of lateral breast tissue after central lumpectomy with a contralateral Wise-pattern mastopexy with inferior pedicle for symmetry. This technique is ideal for patien...