Resurfacing of the medial canthal region and bony nasal dorsum is a problem frequently encountered after tumor excisions. Traditional flaps used in this region from the glabellar and frontal areas are bulky, and donor site scar may be unsightly. A medial pedicled orbicularis oculi myocutaneous flap is an alternative. A total of 12 flaps have been used to resurface the defects secondary to basal...

The nasal lobule is subdivided into the supratip, tip, and infratip. Various local flaps derived from the dorsal aspect of the nose are often used for resurfacing nasal tip defects, including some parts of the infratip and/or the supratip region.1–5 Isolated infratip defects after excisional therapies are less commonly encountered. In our opinion, it does not seem reasonable to reconstruct an i...

Orthoplastic techniques are effective tools for limb salvage in the lower extremity. In order to apply proper successfully, a surgeon must be aware of all different types flaps available. Proper pre-operative evaluation and patient selection also important factors. The following review covers six papers that give surgeons strong foundation anatomical basis surgical technique intrinsic muscle ot...

Closure of donor site of the flap has special problems. Reduction of this site will decrease the morbidity of operation. In this study, we present our experience in donor site size reduction. METHODS Between 2006 and 2008, 15 patients with skin and soft tissue defects underwent operation. In all patients, coverage of defect was performed with various flaps. Substratum horizontal mat-tress sut...

Objective(s): Skin flap necrosis is the most common postoperative side effect in reconstructive surgeries. Glutamine (GLN) has been shown to accelerate wound healing process. The purpose of this study was to evaluate the effects of GLN either in free form or in the dipeptide form along with L- alanyl (Ala-GLN) on random skin flaps survival in rats.Materials and Methods: Dorsal skin flaps with c...

BACKGROUND Scalp defects may be caused by various etiological factors, and they represent a significant surgical and aesthetic concern. Various surgical techniques can be applied for reconstructive work such as primary closure, skin grafting, pedicled or free flaps. In this article, the authors share their clinical experience with scalp operations using the technique of local flaps and discuss ...

Destruction of the skin and subcutaneous tissues of the lower limb is often associated with injury to underyling tendons or bone. Sometimes the skin lesions are allowed to heal by granulation, or they are closed more rapidly by the application of split-skin grafts, and the results of such treatment may be entirely satisfactory. But healing by granulation often leads to chronic ulceration, and h...