due to an adenocarcinoma of the right upper lobe with infiltration of the main bronchus a 49-years-old female patient underwent an upper bilobectomy with sleeve resection. after two completed chemotherapy bouts and signs of sepsis another thoracotomy was inevitable.  as a complicating factor a supracarinal, necrotic and perforating lesion of the trachea appeared. the defect can be initially rep...

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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 sutur...

introduction: malignant tumors of the parotid gland account scarcely for 5% of all head and neck tumors. most of these neoplasms have a high tendency for recurrence, local infiltration, perineural extension, and metastasis. although uncommon, these malignant tumors require complex surgical treatment sometimes involving a total parotidectomy including a complete facial nerve resection. severe fu...

reconstruction of breast with transverse rectus abdominis myocutaneous (tram) flap is the standard for reconstruction of breast following mastectomy. in this article, authors report their experience with pedicled tram flap reconstruction of the breast. records for the patients who had undergone breast reconstruction with pedicled tram flap were retrieved. records of outpatient follow-ups were a...

introduction: providing the material for penile reconstruction after release of chordee associated with hypospadias is challenging. we have used the preputial vascularized island flap for this purpose. we report the results of this prospective study. materials and methods: one hundred and twelve boys ranging from 13 months to 12 years of age were enrolled in this study. the location of meatus r...