BACKGROUND/AIM The pedicled transverse rectus abdominis myocutaneous (TRAM) flap remains widely used as a breast reconstruction technique. The bipedicled TRAM flap is not as preferable as it was formerly, mainly because of its donor site complications. However, in a number of situations, a bipedicled TRAM flap may be the only alternative. Therefore, a three-layer primary closure technique used ...

A series of eight axillary skin defect reconstructions in seven patients using the lateral thoracic island fasciocutaneous flap is presented. The defects originated from wide excision of recurrent hidradenitis axillaris suppurativa and in one case from radical melanoma resection with axillary lymph node clearance. The technique used to cover the resulting large defects is advancement or transpo...

Resection of malignant lesions in the oral and maxillofacial area causes functional morphological defects. In order to recover from these defects, reconstruction surgery is needed, such as a primary closure or flap. There are advantages disadvantages method using flap, choice procedure entirely up surgeon. The purpose this study evaluate availability patients. For 10 years, January 2010 May 202...

The bilobed flap is a local used for the reconstruction of small to moderate cutaneous nasal defects. It was first described by Esser in 1918 use tip reconstruction. double transposition where serves fill primary defect, and second smaller fills secondary defect. This approach seeks distribute tension across wider area. random pattern with no specified blood supply. study done at department pla...

PURPOSE To report the surgical technique and efficacy of the temporal inverted internal limiting membrane (ILM) flap technique for a patient with an idiopathic macular hole (MH) who is unable to maintain postoperative prone positioning. METHODS Case report. RESULTS A 73-year-old man with a Stage III MH in his left eye was scheduled to undergo surgery. Owing to his inability to maintain post...

Superficial temporal artery (STA) flaps are often used for reconstruction of hair-bearing areas. However, primary closure of the donor site is not easy when the size of the necessary skin island is relatively large. In such cases, skin grafts are needed at the donor site, resulting in baldness. We have solved this issue by applying the divided and sliding flap technique, which was first reporte...

OBJECTIVE To determine the optimal design of an O-to-Z flap for closure of facial skin defects. METHODS Prospective cadaver study. Multiple 2-cm-diameter circular skin defects were created in fresh cadavers. Three types of O-to-Z flaps were designed, varying the angle of a curved line about concentric radii of the defect: acute, intermediate, or wide angle flap. The tension of closure of each...

Background: Pilonidal sinus is a disease of young adults having single or multiple blind tracks lined by granulation tissue containing tuft of shed hair. Natal cleft is the commonest site; rarely involves umbilicus, axilla and inter-digital cleft. It has various methods of its treatment. The modalities of treatment vary from conservative medical management to complex surgical procedures. Aim:To...

Background: Sacrococcygeal pilonidal sinus is a common condition usually affecting young-to-middle-aged men. For managing sacrococcygeal illness, variety of lateralizing surgical flap procedures based on this principle have been published, including the Karydakis flap, Limberg modified Z-plasty, and Y-V advancement flap. Aim: To compare outcome simple excision with primary closure versus rhombo...

1 Benoit Chaput, MD Department of Plastic and Reconstructive Surgery Faculty of Medicine University of Toulouse CHU Rangueil Toulouse, France Guillaume de Bonnecaze, MD Department of Oto-rhino-laryngology Head and Neck Surgery University of Toulouse CHU Rangueil-Larrey Toulouse, France Raphael Lopez, MD, PhD Department of Maxillofacial Surgery University of Toulouse CHU Purpan Toulouse, France ...