Actas Dermosifiliogr. 2008;99:157-69 161 To the Editor: Reconstruction of the anterior aspect of the auricle of the ear after oncologic surgery is often complicated and requires imagination when planning the surgical technique. The techniques usually used are direct suture, grafts, second-intention healing, and postauricular pedicle flaps, in particular the “revolving door” flap.1 We describe a...

Background: Local facial flaps are frequently used reconstructive option and are carrying very good outcome as regard matching, texture, and less scarring. This study was designed retrospectively to evaluate the flap survival and aesthetic outcome of the three commonly used local facial flaps. Material and methods: Retrospective analysis of 175 patients whom were managed by local fasciocutanous...

Radiation-related wounds challenge surgeons in all disciplines of surgery. Wound-healing complications are commonplace, and solutions for reconstruction are limited. Muscle and musculocutaneous flaps have improved this situation. But the question is, does previous radiation of the muscle to be transposed affect the outcome? 143 consecutive previously irradiated patients treated with muscle...

We describe the successful treatment of pulmonary aspergilloma by limited thoracoplasty used simultaneously with single-stage cavernostomy and a muscle transposition flap. An 80-year-old man with dyspnea on effort and hemoptysis consulted our hospital. Chest computed tomography revealed a thick wall cavity containing a fungus ball surrounded by a crescent of air and diseased lung parenchyma, in...

BACKGROUND The facial artery myomucosal (FAMM) island flap is a cheek flap, pedicled on the facial artery and suitable for small to medium-sized reconstructions of the oral cavity and neighboring areas. A novel transposition of the flap to the hypopharynx after laryngectomy is presented in this report. METHODS A 58-year-old man, previously irradiated, was laryngopharyngectomized because of a ...

The anatomy and physiology of the lymphatic system of the extremities is reviewed, with special refe;ence to increasing knowledge from lymphan­giography.  The surgical treatment of primary lymphoedema of the extremities by transposition of superficial lym­phatics into the deep compartment of the limb em­ploying a buried "Shaved" skin flap "Thompson" operaion was ,used in 2 cases with excellent...

Aim The aim of this study was to evaluate spontaneous closure of the interincisive diastema in a group of patients, using a new surgical technique for the treatment of upper lip frenulum hypertrophy. Study design A triangular flap was lifted, rotated and sutured across the midline. A primary intention healing and positioning of the flap allowed minimal tissue contractures. Materials and methods...

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 ...

Five dogs with pressure ulcers over the greater trochanter were treated by debridement and transposition of the cranial part of the sartorius or the rectus femoris muscle. Both muscles had vascular anatomy that allowed transposition based on a major vascular pedicle. All wounds healed promptly by primary intention and no ulcer recurred. The cranial sartorius flap technique was easier to perform...

PRINCIPLES OF FLAP DESIGN The visor flap is a bipedicled flap based on the dorsal branches of the volar digital neurovascular bundles (Figure 1). Transverse amputations of the distal, middle and distal proximal phalanges are most suitable for this technique. Figure 2 illustrates the design of the dorsal flap. The volar/dorsal diameter of the amputation site is measured (A–B). To achieve adequat...