The ring fixator is an ideal apparatus to treat infected gap nonunion of the tibia and to correct deformity in multiple planes. However soft tissue problems may arise during transport and at docking. Although various options such as free flaps, neurocutaneous flaps, fasciocutaneous flaps and cross leg flaps are available for flap cover, this is always done prior to application of a ring fixator...

: Basal cell carcinoma (BCC) is a slow growing, locally destructive, malignant tumor of the skin. It derived from non- keratinizing cells that originate basal layer epidermis. After excision nasolabial flap, median forehead dorsal nasal glabellar flaps, bilobed cheek and craniofacial flaps are used for reconstruction. The Zitelli’s flap one most useful simple double transposition designed to mo...

BACKGROUND Tunneled transposition of the facial artery myomucosal (FAMM) island flap on the lingual side of the mandible has been reported for intraoral as well as oropharyngeal reconstruction. This modified technique overcomes the limitations of short range and dentition and further confirms the flexibility of the flap. This paper presents a case of reconstructing secondary soft palatal defect...

Nowadays, the transposition of microvascular free flaps is the most popular method for management of head and neck defects. However, not all patients are suitable candidates for free flap reconstruction. In addition, not every defect requires a free flap transfer to achieve good functional results. The aim of this study was to assess whether pedicled flap reconstruction of head and neck defects...

Muscle flap transposition is one of the surgical treatment options for empyema with alveolarpleural fistula (APF) or bronchopleural fistula (BPF). This surgical procedure is invasive because it is typically performed by standard thoracotomy. We performed video-assisted thoracoscopic surgery (VATS) debridement, decortication, and obliteration of an empyema cavity using a pedicled latissimus dors...

Introduction A pilonidal sinus or sinus pilonidalus (pilus = hair, nidus = nest) is an acute or chronic inflammation in subcutaneous fat tissue, usually in the coccygeal region. The first report was by Mayo in 1833. The disease affects predominantly young men in the 2nd and 3rd decade of life with an incidence of 26 per 100 000 population, with men affected 3x more frequently than women. Piloni...

In some patients, the coronary arteries originate in a single aortic sinus, and this anatomical configuration is regarded as a significant risk factor in the arterial switch operation for transposition of the great arteries. In these cases, the coronary transfer technique has to be individualized to suit the coronary anatomy (i.e., a single ostium or separate ostia). Since 2001, we have operate...

Thoracic oesophageal perforation, a life-threatening condition, is a therapeutic challenge. A 20 year old male developed a lower oesophageal perforation following an abdominal cardiomyotomy for achalasia of the lower oesophagus. The resulting suppurative mediastinitis and left empyema thoracis were treated by decortication. The oesophageal perforation was closed using a transposition pedicle le...

PURPOSE Despite the advances in microvascular free tissue transfer for intraoral reconstruction, this surgery is not recommended for all patients. In specific cases, the pedicled temporoparietal galeal flap may be an option for reconstructive procedures in the head and neck regions. The objective of this paper is to present the anatomical aspects of a galeal flap based on the superficial tempor...

Management of abdominal wall defects can occur after blast injury. Reconstruction requires a multidisciplinary approach management for speedy and satisfactory recovery. We present a case of blast injury which resulted in abdominal wall defect along with skin and soft tissue defect over penis. Abdominal wall was reconstructed by mesh application to strengthen the abdominal wall followed by a tra...