burns account for a significant proportion of injuries, and of these the face, neck, and anterior torso are commonly affected. burn scars remain a lasting reminder of the insult both for the patient and the outside world. there is little doubt that the change in appearance and the limitation imposed by a burn scar contribute to negative body image. treatment of hypertrophic scars in the neck ha...

background one of the main challenges in skin flap surgery is tissue ischemia and following necrosis. the present study compares the effects of fibroblast growth factors 1 and 2 on increasing cutaneous vasculature, improving ischemia, and preventing distal necrosis in ischemic skin flaps in rat model. methods thirty rats were allocated into 3 groups (n=10) and 2×8 cm dorsal random-pattern skin ...

Free skin grafting has become recognised as a valuable part of the primary treatment of traumatic skin defects. However, free skin grafts can be used only when the base of the wound is vascularised. Fascia and muscle are ideal recipient sites whereas covering of tendons, bones and open joints needs pedicle flaps carrying their own blood supply. When extensive skin loss has occurred around an op...

OBJECTIVE In this report, we present our experience with reconstruction of the skin defects on the dorsum of the digits using multiple flaps. METHODS Between November 2010 and March 2013, 45 patients with dorsal digital defects underwent reconstruction using homodigital dorsal digital fasciocutaneous flap (n = 17), heterodigital dorsal digital fasciocutaneous flap (n = 14), dorsal metacarpal ...

for the first time we have used eyelid skin expansion to facilitate reconstruction of selected patients with shortage of lid skin (e.g. for burn scar and after excision of tumors). this method allows for a controlled increase in skin, need for reconstruction, and offers many advantages over grafted skin transfered from a distance. color, texture, thinness, delicacy and adnexal structures are ae...

PURPOSE To assess the viability of McFarlane skin flaps in rats with administration of sildenafil. METHODS Twenty Wistar rats were distributed into two groups: Control (dorsal skin flap, subdermal application of saline solution at 0.9%) and Study (dorsal skin flap, subdermal application of sildenafil). Seven days after the surgery, flaps were photographed and graphically rendered. Then, they ...

The bipalpebral flap (BPF) consists of two cutaneous flaps-a sliding flap from the lower lid and a rotating flap from the upper lid. These skin flaps are dissected from the orbicularis muscle with careful coagulation of all tiny bleeding vessels. Skin flaps were preferred to myocutaneous flaps because they allow a simpler surgical procedure. The principal advantage of this technique is that it ...

OBJECTIVE To determine the vascular and collagen effects of supplemental basic fibroblast growth factor (bFGF) in irradiated porcine skin flaps. INTERVENTION Animals were subjected to 2 fractions of 650 cGy orthovoltage radiation. Following this, the skin flaps were administered bFGF intracuticularly for 6 days before and after surgery. The animals were sacrificed 3 weeks after the start of b...

BACKGROUND Lesions in perineal area are common. The usual treatment is coverage by skin graft and flaps which may be local, pedicled or free types. In this paper V-Y flaps were used to cover the defects. METHODS V-Y flaps were used in the gluteal area in 15 patients. Lesions were due to different causes. RESULTS Of 15 patients, 11 were males and 4 were females. Their ages ranged from 3...