Provision of soft-tissue coverage for defects in the distal leg and foot is a challenge, especially in patients with multiple injuries and major soft-tissue defects. Major flap reconstruction requires expertise and the results are variable, with high morbidity. We report a case in which a reverse flow sural fasciocutaneous flap was used for treatment of an open fracture-dislocation of the right...

Bandoh reported the 3-square-flap method as a procedure for interdigital space reconstruction in patients with minor syndactyly. We recently modified this flap design so that it could be used in the treatment of toe syndactyly involving fusion of the areas distal to the proximal interphalangeal joint. With our method, the reconstructed interdigital space consists of 4 oblong flaps (A through D)...

that of the population at large, so these patients should not be deprived of the benefits of restorative surgery [5]. In conclusion, this case shows that a microvascular operation with a radial forearm free flap was performed to reconstruct the cheek of a patient suffering from psychosis. If postoperative flap-related complications were to have appeared in the present case, it could have been d...

Rare occurrence and often misdiagnosed clinically ,we report a case of 42 year old male patient with very unusual diagnosis of superolateral dislocation of intact mandibular condyle bilaterally following traumatic insult to the mandible. Diffuse edema in the chin area and a left lateral deflection of the mandible, including an open bite and a crepitation in the Right parasymphyseal region. Thre...

PURPOSE To study the structural features of human post-LASIK corneas. METHODS A pair of post-mortem donor corneas, from a 55-year old patient who underwent uncomplicated LASIK surgery five years previously, were bisected and fixed in 4% paraformaldehyde. The right cornea and one half of the left cornea were processed for light microscopy and scanning electron microscopy. One half of the right...

Purpose. We describe a modified trabeculectomy technique in which the iris is used to prevent fibrosis of the scleral flap. Material and Methods. A retrospective case series of patients with medically uncontrolled open angle glaucoma underwent trabeculectomy. Instead of performing a classical iridectomy, the iris was used as spacer underneath the scleral flap. Postoperative management was ident...

Objective: Reconstruction of skin and soft tissue defects in the fingers is a huge challenge in recent years. We present a retrospective analysis of nine patients with arterialized venous flaps used to cover defects in the fingers. Methods: Nine patients with various finger tissue defects were treated using arterial venous flap from the hand. Seven patients were men and two were women with the ...

PURPOSE To investigate whether dilute brimonidine (0.025%) reduces patient discomfort, subconjunctival hemorrhage, and injection after LASIK without a significant increase in the rate of flap complications or surgical enhancements. METHODS This randomized, double-blind, prospective study enrolled 180 patients (360 eyes) in a contralateral eye comparison of topical dilute brimonidine, naphazol...

The vascularized fibular flap is one of the standard treatment choices for the reconstruction of the mandible; however, the consequences of condylar restoration have not previously been reported. The use of three-dimensional models allows for a more predictable reconstruction. The purpose of the present study was to assess the outcome of stereolithographic model-assisted reconstruction of the m...

PURPOSE To evaluate the feasability of immediate breast reconstruction (IBR) following mastectomy after neoadjuvant chemotherapy (NACT) and radiation therapy (RT) for operable invasive breast cancer (OIBC), in terms of incidence of local complications, locoregional control and survival. PATIENTS AND METHODS From 1990 to 2008, 210 patients were treated by NACT, RT and mastectomy with IBR for O...