Since its first description, the nasolabial flap is one of most preferred methods for ala nasi reconstruction. Because similarity in skin color and texture to nose, completely concealed scar sulcus makes it a better choice. The major drawback this that necessitates 2-stage procedure. To gain more freedom reconstruction alar defects, we planned harvest perforator around fold, which was fixed areas, included perforators from lateral nasal artery branch facial artery. Lateral obtained 8...

Abstract Major scrotal defects may result from infection due to Fournier's gangrene, excision of skin diseases, traumatic avulsion and penile skin, genital burns. The wide spectrum bacterial flora the perineum, difficulty in providing immobilisation, obtaining a natural contour testes make testicular cover very difficult. Various methods have been reported penoscrotal area, including grafting, transposing them medial thigh use local fasciocutaneous or musculocutaneous flaps. In this report,...

The purpose of our study was to evaluate the results reconstruction lower extremity defects with free flaps based on subscapular artery.Between January, 1998 and December, 2008, 51 patients (mean age 26 years; 16 female 35 male) presenting a defect underwent reconstructive surgery vascular system. Thirty-seven percent were located in crus, 19% sole, 16% heel, 14% dorsum foot. Eighty half had traffic-accident-related 13.5% burn-related tissue defects.Fifty-three latissimus dorsi muscle flaps,...

Background: Malignancies that arise from scars are referred to as Marjolin ulcers. The association between chronic ulcers and squamous cell carcinomas is well established. There many case reports in the literature regarding ulcer; however, randomized controlled clinical series describe a thorough evaluation of these patients rarely encountered. Objective: We present our clinic's 15 years experience with 34 ulcer their treatment modalities. Methods: A retrospective analysis 302 carcinoma who...

Hidradenitis suppurativa (HS) is a chronic inflammatory disease arising from the hair follicles in apocrine gland-rich areas. It also one of most common indications for axillary surgery. Reconstruction region after such surgery must be performed meticulously due to its critical location and crucial content. In this report, we present our experience reconstruction defects with posterior arm perforator flaps (PAPF) following radical excisions.A total 14 patients (9 male, 5 female) aged between...

BACKGROUND:Free flap surgery in the pediatric population has gained widespread acceptance regarding its technical utility and reliability.Initial concerns as to feasibility reliability of procedure children were resolved over time. METHODS:Thirty (15 boys, 15 girls) treated Sisli Etfal Training Research Hospital, Plastic Reconstructive Surgery Clinic.Their mean age was 10.8 years.Defects located on lower extremity (n=22), head neck (n=5) upper (n=3).The etiologies defects included vehicle...

Ischaemic preconditioning and postconditioning, which consist of one or a series short ischaemic events. This study aimed to determine the efficiency post-conditioning flap in minimisation loss after preconditioned skin flap.The rats were divided into five groups: sham group, control pre-con post-con pre + group. On postoperative days 3 7, entire flaps along with margins necrosis traced onto transparent sheets. The areas intact tissue recorded.The area percentage calculated for each animal....

Pericranial flap is a composite involving the periosteum of skull with its overlying loose areolar tissue termed subgaleal fascia. The multiple blood supply pericranial enables this versatility, rich, anastomosing arterial from supraorbital, supratrochlear, superficial temporal, posterior auricular, and occipital vessels. Thus, shape, size, location could be altered as long sufficient pedicle width fashioned to maintain supply. In our study, we have performed wide bipedicled in scalp...

Summary: Comprehensive knowledge of nasal anatomy is essential for obtaining aesthetically and functionally pleasing results in rhinoplasty. In this study, the authors described anatomy, histology, clinical relevance interdomal region, keystone, scroll complex. The current study examined these areas 26 fresh cadaver heads. All cadavers were fresh, no conservation or freezing processes applied. dissections performed by first author. It was determined that structure connected middle crura...

Acute renal failure (ARF) is a rare, but serious, complication after burn injury that commonly thought to be fatal. Before the modern era, there were few survivors of injuries who required dialysis. We report our 10-year experience with ARF and dialysis at Los Angeles County + USC unit. During period August 1994 February 2004, 3356 patients admitted. Furthermore, 1143 admitted intensive care unit 1125 had burns >10% TBSA. Thirty-three developed necessitating dialysis, equaling 0.98% all...

The study was undertaken to search whether pedicle selection for ischemic preconditioning (IP) and duration of global ischemia applied after IP influenced efficacy on flap viability in epigastric adipocutaneous island with bilateral pedicles rat model. In total, 159 rats were divided into one control three (primary, secondary, or pedicle) treatment groups. performed different by cycles 10 minutes clamping release. After procedure secondary ligated all groups, flaps exposed 0, 1, 2, 4, 6...

BACKGROUND:The aim of this study was to evaluate the clinical and epidemiological features 132 patients with orbital wall fracture who were treated at Şişli Etfal Teaching Research Hospital, Istanbul, between 2005-2012. METHODS:The medical records a diagnosis reviewed analyzed.The evaluated by age, gender, etiology, symptoms, examination findings, location, associated injuries, treatment, complications. RESULTS:The mean follow-up time 9 (6-16) months.The male-to-female ratio 5.3-1.The...

Objective The tarsal plate is the skeleton support system of eyelids; therefore, repair during eyelid reconstruction crucial. Many autogenous graft materials have been proposed for reconstruction, such as nasal cartilage, palatal mucosa, upper tarsus, and auricular cartilage. Nail thickness shape are similar to with enough eyelid. It also easily integrates host tissues. aim this experimental study was macroscopically histopathologically compare nail xenografts cartilage autografts when used...

Scalp defects may occur following trauma, radiotherapy, oncologic resection, and recurrent surgeries. The hair-bearing scalp has a dual role, which consists of protecting the calvarium contributing to aesthetic appearance. While "reconstructive ladder" approach be used close small medium-sized defects, it is not case for larger ones involving or with radiation therapy history. aim this study present cases operated due complex analyze complications, discuss choice reconstruction.The 14...

The shaping of the cartilage and keeping it in place is very significant for patients who need nasal reconstruction with costal grafts at traumatic or secondary rhinoplasties. In this study, a template prepared during surgery that shows dorsal defect 3-dimensional manner acts as guide while cartilage.Seventeen required rhinoplasties because trauma previous operations were included study. operated on between years 2009 2013. mean age was 24 (19-38 years). According to surgical technique, bone...

Background: Cartilage grafts are routinely used in secondary and posttraumatic rhinoplasty. However, most cases, there weak areas the nasal bones upper lateral cartilages. The purpose of this study was to seek a solution for keystone area dorsum nose revision rhinoplasty reconstruction saddle deformity including cartilage with roof-shaped graft. Methods: A retrospective review reconstructive rhinoplasties performed deformities conducted. part costochondral graft carved thinned (roof graft)...