This article presents the case of a 53 years old patient, with ulcerated and infected dermatofibrosarcoma, extended on the anterolateral side of the left knee. The postexcisional defect, exposing patella, was covered through a regional cutaneous flap of the distal third of the thigh, upper lateral genicular artery-based, measuring 20/10 cm, together with expanded free skin split grafts, applied...

Rhomboid flaps are frequently used in facial reconstruction to repair rhombus-shaped defects. The aesthetic and mechanical properties of these flaps make them especially useful for reconstruction of defects on the cheek, temple, lips, nose, and eyelids. Rhomboid flaps are full-thickness cutaneous local flaps with a random blood supply; they rely on the dermal–subdermal plexus of blood vessels. ...

In 16 male dogs who suffered from perineal hernia, polypropylene mesh was used to close a defect in the pelvic diaphragm. Pelvic bone was drilled on the pelvic floor and mesh was sutured through holes by polypropylene suture. Strong pelvic diaphragm, good long-term results and time-sparing by this technique was achieved. Suture sinuses were developed in two dogs one month postoperatively. Objec...

Surgical extraction of impacted mandibular third molars often result in a wide range of complications such as trismus, pain, swelling and occasionally ecchymosis. The purpose of this study was to assess the effect of two flap designs (triangular and envelope flaps) on such consequences.Twenty healthy patients with similarly positioned bilateral impacted mandibular third molars participated in t...

There are a number of approaches for the repair of scalp defects, including local, regional, and distant options. The use of a local double triangular hatchet flap has numerous advantages due to its mixed rotational and advancement components, its large size, and the possibility of maintaining the cosmetic appearance of the hairline as the flap has similar characteristics to those of the area t...

Objectives: To evaluate the amnion graft in vaginoplasty, to assess the advantage of a flap placed over fourchette and to evaluate the benefit of gauze mould. Methods: Out of the 35 subjects of primary amenorrhea, eight with complete vaginal agenesis were selected for vaginoplasty. Half of these received split thickness skin graft and other half received amnion graft. An additional triangular f...

Reconstruction of small dural defects is independent of which technique is used, and vascularized tissue does not appear to be critical. In contrast, large dural defects have been traditionally repaired using regional vascularized flaps, as they promote healing and diminish complications. Recently, novel regional vascularized flaps that do not require cutaneous incisions have been designed: nas...

BACKGROUND Breast-conserving surgery is widely accepted as an appropriate method in breast cancer, and the lateral thoracodorsal flap provides a simple, reliable technique, especially when a mass is located in the lateral breast. This study describes the usefulness of a lateral thoracodorsal flap after breast conserving surgery in laterally located breast cancer. METHODS From September 2008 t...

A 28-day-old infant with D-transposition of the great arteries underwent arterial switch operation. The coronary pattern was Yacoub type A, in which coronary transfer is usually thought to be easy. However, a dominant conus branch diverged from the proximal portion of the left coronary artery (LCA). Moreover, the LCA ostium itself was near the remote commissure in sinus 1, very far from the tar...

esthetic outcome, but would also prevent collapse with inspiration. This could be overcome by adding a free cartilage graft from the concha of auricle or a titanium mesh, although such procedures were considered unnecessary in this case given the age of the patient. Other reconstruction options requiring a single intervention are nasolabial transposition flap or subcutaneous turnover pedicle, b...