radiation-related wounds challenge surgeons in all disciplines of surgery. wound-healing complications are commonplace, and solutions for reconstruction are limited. muscle and musculocutaneous flaps have improved this situation. but the question is, does previous radiation of the muscle to be transposed affect the outcome? 143 consecutive previously irradiated patients treated with muscle or m...

smoking has been shown to be a complicating factor in normal wound healing. both nicotine and carbon monoxide adversely affect multiple stages of the healing process. from 1991 to 1999,407 muscle flap procedures were performed on 374 patients in a single surgical unit. a retrospective review of 261 patients was completed. patients were divided into three groups: group a, no smoking history grou...

background: the standard methods for reconstruction of soft tissue defects in the leg include gastrocnemius flap for proximal third defects, soleus flap for middle third and free flap in the distal third. however, there are problems with the use of free flap, like increased operative time, damage of major vessels and the need for experienced microsurgeon. mathods: this prospective study was und...

  Background: Electrical injury is daily compromise of our life and upper and lower extremities   are common sites of injury .   Case Presentation: A 23 years old man who had suffered high voltage electrical injury referred   to our center. He had severe left upper extremity burn and suffered from head and thoracic   injuries due to falling down from high altitude.   Treatment: Fasciotomy of th...

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...

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: The inferiorly and laterally based platysma myocutaneous flap contains hair in some ethnics; therefore, it is required to change the myocutaneous flap to myofascial flap to prevent the hair growth after its transfer to the oral cavity.   Materials and Methods: Five male mongrel dogs were selected for this study. De-epithelialized laterally based platysma fl...

Introduction: Reconstruction of the oral cavity witha flap design containing the buccal mucosa and buccinator muscle but excluding the facial artery and vein is the topic of these case reports. Case Reports: This article uses random pattern vertically oriented partial thickness buccinator myomucosal flap for intraoral reconstruction in two cases. The first was for lining the mandibular anterior...

introduction: reconstruction of the oral cavity witha flap design containing the buccal mucosa and buccinator muscle but excluding the facial artery and vein is the topic of these case reports. case reports: this article uses random pattern vertically oriented partial thickness buccinator myomucosal flap for intraoral reconstruction in two cases. the first was for lining the mandibular anterior...

Permanent fecal abdominal stomas significantly decrease quality of life. Previous attempts to create continent stomas by using dynamic myoplasty procedures have resulted in disappointing outcomes, primarily owing to denervation atrophy of the muscle flap that was used in the creation of the sphincter and because of muscle fatigue resulting from continuous electrical stimulation that is received...