Vestibular stenosis is an uncommon but debilitating cause of nasal obstruction leading to serious impairment airway. It caused by granulation and fibrosis vestibular lining there circumferential scar retraction in the inlet cavities. Stenosis may be congenital or acquired. Causes acquired include burns, trauma, infections, iatrogenic insult vestibule. Surgical correction usually done excision f...

facial reconstruction is one of the most challenging problems faced by a reconstructive surgeon. we present a case of complex facial reconstruction with a composite trauma to the nose resulting in near total loss of skin and lining along with complete loss of left eyebrow with exposed frontal bone and partial loss of the left eyelid. we combined a temporoparietal fascial flap for reconstruction...

Abstract Aim National reported mastectomy rate varies from 25% - 45%. Also, when a reduction therapeutic mammoplasty is needed, symmetrisation of the contralateral side will follow. Can “relative new” technique local perforator flaps, reduce volume mastectomies and surgery in District General Hospital? Method Retrospective review yearly breast cancer treatment operations Ipswich Hospital. Resul...

Large neurofibromas often cause significant patient morbidity and present a unique challenge to dermatologists surgeons. Radical resection offers the lowest rate of recurrence but is not pursued due high risk intraoperative hemorrhage difficulty in repairing large defects. Subtotal debulking are more frequently performed, leading higher rates recurrence. This case highlights particularly neurof...

PURPOSE To introduce a new modification of transposition flap technique for reconstruction of the medial canthal region. METHODS This prospective study included 58 patients with the full thickness involvement of both upper and lower lid in the medial canthal area. Reconstruction of posterior lamella was performed by utilizing periosteal flaps and tarsoconjunctival grafts, and anterior lamella...

Although the development of microsurgery has improved resurfacing complicated wounds with various flaps, it also leads to some problems. The elevation of some flaps, such as forearm skin flaps and posterior tibial artery flaps, satisfies one of two main arteries that supply blood to the extremities. However, some patients feel cold on the distal part of their extremities after operation. The be...

BACKGROUND The trapezius muscle flap is not usually the first reconstructive option for skin and soft tissue defects in the posterior neck and scalp due to surgeons' unfamiliarity with the surgical anatomy and developments in free tissue transfer techniques. The goals of this study were to describe the clinical use of trapezius flaps in posterior neck and scalp reconstruction, and to investigat...

PURPOSE Purpose of this study is to assess different surgical techniques, comparing them in order to remove nasal skin cancer by restoring the anatomy and the function of the respiratory system without neglecting the aesthetic result. METHODS A total of 107 patients were enrolled in the study between January 2006 and December 2012. We compared the results obtained using 23 front-glabellar fla...

BACKGROUND The eyelid and canthal areas are common locations for cutaneous tumors. The medial canthus includes, among many other apparatuses, the canthal tendon and lacrimal canaliculi, and its characteristic thin and supple skin is hard to mimic and restore using tissue from other regions. Accordingly, reconstruction of the canthal area can prove challenging for surgeons. Although various meth...

BACKGROUND Lower limb ulcers are a major source of morbidity and mortality in diabetic patients. Surgical coverage of these wounds is fraught with a high complication rate. Although clinically perforator flaps lead to good results in diabetic patients, there is little experimental data to support this finding. METHODS A total of 60 Wistar rats were randomly assigned either to the diabetic (n ...