BACKGROUND Microvascular reconstruction for oncologic defects is a challenging and rewarding endeavor, and successful outcomes are dependent on a multitude of factors. This study represents lessons learned from a personal prospective experience with 100 consecutive free flaps. METHODS All patients' medical records were reviewed for demographics, operative notes, and complications. RESULTS O...

A new surgical technique for the treatment of adjacent soft tissue marginal recession is presented. This technique combines the use of a tunnel procedure with double lateral pedicle flaps to cover a connective tissue graft. This approach combines the advantages of the tunnel technique with the increased blood supply and protection provided by pedicle flaps. Indications include adjacent Class I ...

Shoulder pathology consistent with osteochondritis dissecans of the humeral head was diagnosed in two small-breed dogs. In both cases, the diagnosis was made tentatively on the basis of radiography and confirmed by arthroscopy of the affected shoulder joint. Both dogs were successfully treated by surgical removal of a flap of cartilage from the affected area. Clinical and radiographic follow-up...

Surgeons conventionally use electrocautery dissection and surgical clip appliers to harvest free flaps. The ultrasonic Harmonic Scalpel is a new surgical instrument that provides high-quality dissection and hemostasis and minimizes tissue injury. The aim of this study was to evaluate the effectiveness and advantages of the ultrasonic Harmonic Scalpel compared to conventional surgical instrument...

The use of various grafts and flaps plays a critical role in the successful surgical management of urethral stricture disease. A thorough comprehension of relevant anatomy and principles of tissue transfer techniques are essential to understanding the appropriate use of grafts or flaps to optimize outcomes. We briefly review these principles and discuss which technique may be best suited for a ...

The paramount goal of soft tissue surgery is closure of wound flaps, in the absence of tension on the flaps, which will lead to optimal wound healing. Surgical procedures that require flap manipulation such as those used with traditional periodontal therapy, periodontal plastic cosmetic surgery, hard and soft tissue regeneration, and the excision of pathologic tissue require excellence in execu...

INTRODUCTION Reconstruction of intraoral soft tissue defects is important in restoring function and esthetic. In large defects, there will be demand for regional pedicle flaps or free flaps. Hard palate separates nasal and oral cavities. Due to the small surface area between flap and remaining palate after surgical resections, optimal blood supply of the flaps for hard palate reconstructions ar...

BACKGROUND Various surgical options are available for reconstruction of intraoral soft tissue defects. For smaller defects of the oral mucosa in different anatomic locations of the oral cavity the nasolabial flap is a very useful and simple alternative to other pedicled flaps and free flaps. METHODS The results of reconstruction of oral mucosal defects or facial skin defects using 29 nasolabi...

There have been sparse reports in literature of avulsion and degloving injuries of individual areas of face like the nose, eyelids, ear and even mandible. Hemi-facial degloving is extremely rare. We present a case of post-assault degloving of the nose, part of forehead with anterior wall of frontal sinus, entire upper and lower eyelids and the cheek. Proper planning and staging of the surgical ...

Adequate and correct manipulation of soft bone tissues during implant therapy is extremelyimportant. Knowledge the biological, histological course surgical characteristics canlargely be a predictor prosthetic rehabilitation. The main aim this research was to describeall aspects dental implantology procedures. We havemade adequate literature for articles relevant our topic-surgical hard tissuesd...