In surgical treatment of head and neck cancer, when local tumor recurrence or failure the previous reconstruction method occurs, reoperation for complicated soft-tissue defects can become a challenge plastic surgeon. This article describes authors' experience with extended vertical trapezius myocutaneous flap in nine patients ranging age from 17 to 72 years. The causes were squamous cell carcinoma external ear (n = 2), lip larynx 1), oral cavity floor 1); congenital hemifacial...

Abstract COVID‐19 pandemia began in Wuhan, China, December 2019. A total of 1 878 489 people were infected and 119 044 lost because the disease its complications by 15 April. Severe morbidity mortality are mostly seen elderly patients having comorbidities. Diabetic foot ulcers (DFUs) one severe diabetes mellitus it may require urgent surgical interventions. In this paper, we aimed to create a management algorithm prevent unexpected that occur health care workers during evaluation DFU who...

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...

Prolonged inflammation after tracheal injury invariably results in a degree of stenosis. The topical application platelet-rich plasma (PRP) and human amniotic fluid-derived cell culture medium (ACCM) have been shown to promote wound healing. effects PRP (Gibco AmnioMAX - II ) were investigated rat model through morphometric, histological, biochemical parameters.Thirty-two male Sprague Dawley rats included the study: 4 provided for preparation PRP. Three groups 7 divided into ACCM groups,...

Objective: The goals of this study were: (1) To determine the efficacy 2% procaine (the most commonly used concentra- tion) in wound healing; and (2) proper open injection site. Materials Methods: Thirty adult male Sprague-Dawley rats weighing between 250 350 g were used. Two full thickness defects made on two sides midline 1 cm away from midline. skin areas approxi- mately 1.5 × cm. animals randomly divided into three groups: Group (control group, n = 8), 2 (injection directly base wound,...

Aim Thoarcoacromial artery‐based perforator flaps are rarely used in clinical practice, especially for the reconstruction of head, neck and axillary regions. In present study, we a case with an anterior chest wall soft tissue defect that was reconstructed using thoarcoacromial flap based on clavicular branch. Patients Methods A 65‐year‐old male patient presented secondary to tumour resection, which flap. Results The healed successfully without any early or late complications. To date, he is...

Excessive surgical removal or traumatic loss of the tissues supporting nasal roof can result in “saddle nose” deformity. It involves both cartilage and bone deficiencies. Two main resources are used to reconstruct this difficult deformity: autogenous grafts alloplastic materials. This study presents reconstruction dorsum, septum, internal valve, anterior structures tip nose using a block molded graft. We called it “sail graft,” because looks like sail from lateral view. The mast is oriented...

Objective: The motor development of the upper extremity and hand is actually a result learning intentional fine motions in correlation with physical growth, central nervous system differentiation acquired cognitive abilities which are gained early childhood. Therefore, such injuries ages may impair process as whole. We aimed to investigate epidemiology, etiology treatment outcomes very young patients suffering from this study. Material Methods: A retrospective investigation records 507...

We present hybrid reconstruction of distal lateral "through-and-through" nasal defects (skin, cartilage, and mucosa) due to resection tumor and/or infection. Retrospective descriptive study. The study was performed in multicenter clinics between July 2011 September 2016. 13 patients with full thickness secondary infection were included. Defects included dorsal caudal septum, upper or inner/outer valve. Caudal-based turn-in flaps planned used repair inner lining cavity. Conchal septal...

Objective: The surgical flap delaying has been shown to be effective in preventing partial loss or preparing larger flaps. However, there is no gold standard delay method the literature. In this study, authors aimed compare 3 types of methods determine which model would increase more survival. also investigated effect on circulating mononuclear leukocytes as a parameter DNA damage. Methods: Twenty-four Sprague-Dawley male rats were divided into 4 groups. All subjects had 10 × cm modified...

Objective: To assess the efficacy of a modified pedicled latissimus dorsi myocutaneous flap (LDMF) in reconstruction defects head and neck region.Methods: The retrospective analysis 17 consecutive patients operated between 2010 2014 Plastic Reconstructive Surgery Department tertiary care center was performed.Among them, four (23.5%) were initially diagnosed with trauma, while 13 (76.5%)had squamous cell carcinoma originating from region.Tumor recurrence, necrosis free flap, advanced age,...

Aim The anterolateral thigh flap is a workhorse perforator option that can be used as flow‐through in the reconstruction of defects with vascular insufficiency. In present study, concept was introduced terms preserving blood inflow and establishing flow to distal portion supercharge technique. Patients Methods A 43‐year‐old male patient suffered from diabetic foot. After precise wound debridements infection control, free planned for reconstruction. There were two perforators: one...

Objective: This study presents a simple and versatile finger fixation method facilitating rehabilitation in the early period better functional results replantation toe-to-hand transfer patients. Methods:In 12 patients, bone fixations were performed by using dynamic external fixator system.The duration of was recorded.The potential complications, such as non-union, pain, joint stiffness, infection pins, inadequate stabilization, swelling, documented.Subjective pain scale applied on each...

Purpose: Achievement of the correct alignment malpositioned mandibular segments with displaced condyles and soft-tissue contraction is relatively challenging in patients requiring secondary reconstruction. The aim this study was to demonstrate utility virtual surgical planning (VSP) forward engineering computer-aided design (CAD)/computer-aided manufacturing (CAM) technology late Patients Methods: sample included 14 aged 18–74 years treated between 2012 2017 using segmental VSP used for...