The management of soft-tissue defects in the lower third leg and foot presents a considerable problem because composite tissue defects, inadequate tight local for reconstruction, poor circulation. Although reverse sural flap is frequently preferred fairly reliable, some complications arising from circulation may be encountered large flaps or diabetic patients. In present study, we developed new modification by supercharging to reduce venous congestion edema increase reliability flap. We...

Absorption of autologous fat graft in the recipient area necessitates recurrent transplantation. Harvesting extra tissue during first operation and storing it for future use is considered a solution to this problem.Fat was removed from inguinal region 40 Swiss albino mice, which were arranged into four equal groups, treated as follows: immediately transplanted donor animal; dry-frozen; immersed glycerol; or frozen liquid nitrogen. The grafts that glycerol stored at -35 degrees C 6 months...

Background: Microsurgery training is very expensive and complex, achieving a high level of efficiency in short time essential. In this study, scale was developed to make the courses more effective. Material Methods: A with ranges from Level 1 10 created, each had be mastered order advance next level; processes required achieved at were listed. When trainees these processes, they could then proceed level. Discussion: Those who passed 5 considered successful, group trainees, 92% successful....

Background: Velopharyngeal insufficiency (VPI) expresses the structural and neuromuscular disorder of soft palate pharyngeal walls inhibiting normal functions velopharyngeal (VP) sphincter mechanism. In this study, efficacy dynamic magnetic resonance imaging in diagnosis VPI is investigated. Materials Methods: A total 32 cases, 16 controls cleft palates, were included study. T1 fast spin echo-weighted during rest, investigations with True-fast steady-state precession sequence /sss/ /mmm/...

Background: Facial contour augmentation is an entity often encountered by reconstructive surgeons. To date, very different autologous tissues such as fat, dermofat, dermal fascia, muscle, cartilage, and bone in the manner of grafts or flaps according to requirements defect have been used for facial augmentation. Although many free flap procedures become popular contouring, these microsurgical methods some limitations risks, especially patients who are not suitable microsurgery. Moreover,...

Small meningomylocele defects can be closed primarily. Other repair techniques are required for closure of meningomyelocele >5 cm. In this anomaly, in which random or musculocutaneous flaps usually used, the technique skin defect should have following criteria: a safely harvested flap with good blood supply; minimal morbidity donor site; adequate thickness to protect underlying neural structure; and prevent leakage cerebrospinal fluid. The dorsal intercostal artery perforator is new large...

The aims of the cleft palate repair techniques are to reduce velopharyngeal insufficiency risk and oronasal fistula development minimal levels without affecting maxillofacial development. In this article, we present a retrospective study comparing conventional palatoplasty with new technique rotation for fistula.Of 100 patients who were operated on because between years 2002 2008, 12 had Furlow palatoplasty, 88 received Veau-Wardill-Kilner (V-Y pushback) operation (group C). A total 67 2008...

The short-term and the long-term effects of abdominoplasty on respiratory function healthy adults are not known because a lack studies this subject. Theoretically one might suggest that can cause decompensation resulting from musculofascial plication, which reduces reserve by decreasing intra-abdominal volume diaphragmatic excursion. This prospective study was performed to evaluate pulmonary 14 consecutive otherwise subjects. Calculation body mass index, measurement waist circumference,...

After studying this article, the participant should be able to: 1. Describe anatomy of temporal region. 2. Identify types and possible indications temple group flaps to selected depending on defects, then raise flap safely for reconstruction. 3. Predict manage successfully potential complications surgery.Good harmony color texture with surrounding tissues, thinness adequate pliability, good alignment, obliteration cavities, minimal donor-site morbidity are main features an ideal used in...

Despite widespread studies that have been commonly performed recently on skin perforators and perforator flaps of various regions the body, investigations back region body are still insufficient. This study investigates anatomical characteristics clinical applications perforating vessels in region.The between right left, 7th to 11th thoracic vertebrae 10 fresh cadavers were raised as flaps. Perforating perfusing with pedicle diameters over 1 mm included study. The localization, diameter,...

In Brief The loss of web space may be congenital or acquired. Although local skin flaps are usually preferred, recurrence rate is fairly high. this study, we used the VM-plasty as a versatile technique to create and expanded its applications. Thirteen patients (7 males 6 females) with 22 syndactylous webs were operated on using technique. contractures developed scarred tissues in 9 patients, whereas only 4 cases presented primary syndactylies. graft was not any patients. All gained functions...

: Melkersson-Rosenthal Syndrome (MRS) is a rare granulomatous disease characterized by triad, including orofacial swelling, facial palsy and lingua plicata with usually recurrent or progressive course. Orofacial the most often sign of MRS, leads to both esthetic functional deformities. Because its unknown etiology, rational treatment difficult management MRS still remains symptomatic, aiming at remove swelling mainly. Although many nonsurgical therapies have been mentioned in literature,...

Abstract Background. The reconstruction of columellar defects is still a challenging procedure because limited local and regional flap options the characteristics anatomy this site. Although number methods are available to repair nasal columella defects, no treatment choice ensuring an excellent texture‐ color‐matched tissue in one stage has been determined date. Method. In case, we used reverse‐flow submental island prefabricated with costal cartilage for complex defect. Result. survived...

Closure of large meningomyelocele defects presents a challenging problem. In this paper, the procedure and outcome bilobed fasciocutaneous flap closure meningomyeloceles have been discussed.Bilobed was used in 20 patients with defects, largest which 77 cm2. A dissection performed defect area covered by tension-free closure.In follow-up period 6 weeks, partial loss patient cerebrospinal fluid leak inferior to another 2 were observed. These recovered dressing without loss.Utilization flaps for...

The delay phenomenon is a surgical procedure performed to raise wider skin flap and improve the survival of flaps. Surgery, chemicals, sutures, lasers can be used for procedure. In this study, delayed forehead flaps created by suturing were coverage nasal defects in eleven patients. 7 patients, cross-paramedian was increase extent lengthening. first session, suture on both sides margin. second elevated sutured its new position, 10 days after initial surgery. All completely viable, patient...

The triangular flap repair is one of the most common techniques used in cleft lip surgery. However, inability to address nasal deformity and loss orbicularis wholeness accompanied with incomplete reorientation have been two major handicaps repair. Therefore, we developed our personal technique, called ala nasi (TAN) repair, including a perialar incision distinct approach skin muscle. We applied TAN technique 32 consecutive (19 male 13 female) patients unilateral cleft. mean age at was 2.5...