background and aim . gingival recession as the apical migration of the gingival margin that results in exposure of the cementoenamel junction (cej) and the root surface. in this case series we aimed to demonstrate a combination technique using semilunar coronally positioned flap with free gingival graft for root coverage. materials and methods . a total of 12 healthy subjects, 25-45 years of ag...

Rhomboid release has been utilized in the reconstruction of flexion contractures. In this study a new refinement of the rhomboid subcutaneous flap with a combination of adjacent four-flap Z-plasties on both sides is presented. Satisfying functional results were obtained, keeping the rhomboid flap and the structures on the rhomboid flap in their original position. The new design of the previous ...

813 free perforator flap surgery and always have a second option in mind in case of flap failure. Further, a sufficient understanding of the wound characteristics, donor and recipient vessels, and design for insetting should precede the surgery. Lastly, the skin graft over the muscle flap is less durable than the fasciocutaneous flap and tends to form a callus. To prevent this complication, a p...

The origin of the muscolocutaneous latissimus dorsi flap dates back to 1906 when Igino Tansini, an Italian surgeon, described a procedure to reconstruct the mastectomy defect. After a detailed study of Tansini's original description and drawings, new insights about the pedicle of its compound flap have been found, showing that it has the same pedicle of the scapular flap. In the end, Tansini's ...

Figure 1: An intimal flap obstructing orifices of the arch vessels (A). Another flap was seen in the Valsalva sinus and outflow of the left ventricle (B, arrow). There was no intimal flap in the ascending aorta (C). Figure 2: Transoesophageal echocardiography showed the prolapse of the intimal flap into both the left ventricle (systolic and diastolic phase; Left, arrows) and the aortic arch (Ri...

BACKGROUND Conventional wisdom suggests that vascular interposition flaps are helpful in the treatment of all patients with vesicovaginal fistulas. Complicated fistulas are often treated with interposition omental flaps; however, failed omental flap repairs have not been described without the use of another interposition flap. CASE A 52-year-old woman with a history of cystotomy repair at the...

Today, the DIEP flap (deep inferior epigastric artery perforator flap) is becoming most popular method of breast reconstruction after mastectomy. The next step in evolution this should be to improve its sensitivity postoperative period. Recovery reconstructed mammary gland improves quality life patients, as well restores protective function skin. In addition, tactile plays a very important role...

Venous congestion in a free deep inferior epigastric perforator flap threatens the viability of the flap and can lead to eventual flap loss. We describe a novel technique for flap salvage by anastomosing the ipsilateral superficial inferior epigastric vein to a venae comitantes of the deep inferior epigastric pedicle. When recognized intraoperatively, venous congestion can be relieved immediate...

A local transposition flap can be used to close a large donor defect. This is a medially based transposition flap. Although the flap is randomly patterned in design, there is a rich supply of cutaneous perforators in this region of the trunk. These include anterior perforators from the internal thoracic artery, perforators from the superior and inferior epigastric arcades that can communicate a...

introduction: advanced lip carcinomas can invade adjacent structures. performing surgery for these cancers will lead to defects in this anatomically and functionally important area and will cause post-op difficulties such as drooling, speech alterations and aesthetic considerations, if not properly managed. case report: in this study, we will introduce a radial forearm free flap with palmaris l...