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...

Closure of donor site of the flap has special problems. Reduction of this site will decrease the morbidity of operation. In this study, we present our experience in donor site size reduction. METHODS Between 2006 and 2008, 15 patients with skin and soft tissue defects underwent operation. In all patients, coverage of defect was performed with various flaps. Substratum horizontal mat-tress sut...

Surgical defects following Mohs surgery can present challenging reconstructive problems. Defect size, shape, and depth cannot be predetermined; and consequently, repairs cannot be preplanned. As a result, the reconstructive surgeon, when designing a cosmetic repair, has to be both ingenious and resourceful. Multiple factors must be considered, including lines of minimal tension, innervation, va...

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...

BACKGROUND Hidradenitis suppurativa (HS) is a chronic skin condition that can affect any area with apocrine sweat glands and has the potential to involve multiple sites concurrently. Commonly affected sites include the axilla, groin, perineum and perianal areas. In this study we performed a literature review on the surgical methods for HS and describe an innovative technique for reconstructing ...

The forehead and temporal region are frequent areas of skin cancer development. After tumor removal, reconstruction must be performed, maintaining the frontal–temporal line scalp symmetry eyebrows in an attempt to hide scars within these marks or natural folds wrinkles. Second wound healing grafts generally do not produce acceptable cosmetic result. When direct closure is possible, technique ch...

Oroantral communication is a pathological communication between the oral and antral cavities. When oroantral communication is left open, epithelial tissue may develop namely oroantral fistula. The primary purpose is to close the communication and prevent sinusitis. OAF closures can be achieved using different flaps. The most widely employed flaps are vestibular flap, palatal flap and buccal fat...

When pleural empyema is treated with open-window thoracostomy, only 35% of cases are successfully closed, requiring an average 4.5 months treatment until wound closure. Conventional treatments such as daily gauze replacement often result in insufficient re-expansion the collapsed lung, and surgical procedures thoracoplasty, muscle flap transposition, omentoplasty necessary. We report a case acu...