INTRODUCTION Pedicled temporalis muscle flap presenting a good flap for closing large craniofacial defects. Careful surgeons usually do not mobilize temporalis muscle flap enough to make appropriate use, fully closure, especially if defect exceeds the median line. PATIENTS AND METHODS Temporalis flap was used in 16 patients, ages ranged between 12 and 76. In all cases defect reconstruction wa...

Toe injuries frequently occur as traumatic or oncologic defects. Compared with finger reconstruction, toe reconstruction has been rarely reported in the literature, because of difficulty toes’ relatively thin soft tissue envelope, their requirement for challenging surgical techniques, and slight improvements gait. Therefore, can be plastic surgeons, especially cases exposure a tendon, bone, joi...

Introduction: Gold standard for alveolar cleft bone grafting is autogenous bone. Advantage of adding the growth factors to the bone is established, so adding PRF to the autogenous bone may have beneficial effects. Methods:  Platelet-rich plasma admixed with autogenous bone and as a biologic membrane over the bone grafted alveolar cleft was used. Results:  Autogenous bone in all (four cases...

The authors review and compare posterior lumbar interbody fusion (PLIF) with transforaminal lumbar interbody fusion (TLIF). A review of the literature is performed wherein the history, indications for surgery, surgical procedures with their respective biomechanical advantages, potential complications, and grafting substances are presented. Along with the technical advancements and improvements ...

We report the case of a patient who underwent explantation of a Maverick total disc prosthesis at the L5S1 level because of severe persisting pain one year after initial implantation. Dynamic radiographic imaging studies showed good position and size of the prosthesis and no evidence of loosening. Intraoperatively residual mobility at the proximal bone-prosthesis interface was detected, as well...

background current teaching suggests increased perfusion in free transverse rectus abdominis myocutaneous (tram) flaps over pedicled tram flaps, broadening indications for its use in high risk patients. this study compared perfusion analysis of free muscle-sparing versus pedicle tram flaps in vivo in the peri-operative and late post-operative periods. methods the spy-elite system using indocyan...

Introduction: Treatment of edentulous atrophic mandible with severe atrophy is a challenge based on local conditions and systemic diseases confronted by the age group affected. If bone grafting is indicated, it is often used in lateral or inferior aspects of the mandible.  Case Report: A 70-year-old male with a unilateral fracture of the atrophied left mandibular body was managed by lingual bon...

background there is evidence in support of low bone density in young patients with disorders of phenylalanine metabolism; however, little is known about muscle and fat mass in these patients, especially in those with mild hyperphenylalaninemia (mhpa). objectives we aimed to evaluate body composition of children and adolescents with early-diagnosed disorders of phenylalanine metabolism. patients...