PURPOSE: Vascularized lymph node (VLN) transfer is a promising treatment option for patients suffering from lymphedema. Despite positive preliminary outcomes, several questions remain unanswered, including mechanism of action and optimal flap design. The purpose of this study was to: 1) evaluate the mechanism of lymph drainage through the VLN flap, and 2) investigate if the number of VLNs impac...

The aim of this study is to determine the different therapeutic options described for the treatment of radioulnar synostosis, and report our experience with posterior interosseous antegrade flow pedicled flap with technical amendments. Two patients, who were treated with the designed flap, and with more than one year of follow-up, were reviewed. The technical innovations, end result and complic...

One-stage reconstruction of complex penile defects with functional and cosmetic results is a challenging procedure. The selection of proper technique and materials for reconstruction depends on the type of the deficient tissue components, the size of the wound surface, and the donor site. This article presented a case of a partial penile and urethral defect due to an infection in the previous s...

Recent reports have shown successful transfer of vascularized fibular flap in bisphosphonate-induced mandibular osteonecrosis. We present a case of a 50-year-old patient who presented with bisphosphonate-related osteonecrosis of bilateral maxilla, which is reconstructed using a fibular flap.

Severe upper extremity injuries are considered a potential source of significant disability. Appropriate soft tissue restoration is an essential component of any treatment protocol and often requires a vascularized flap to protect the neurovascular and musculo-tendinous structures. The use of latissimus dorsi muscle or myocutaneous flap is considered in ideal solution in such conditions as it p...

Background: The tensor fascia lata is a versatile flap with many uses in reconstructive plastic surgery. As a pedicled flap, its reach to the lower abdomen and groinmade it an attractive option for reconstructing soft tissue defects after tumour ablation. We present two cases with challenging anatomical reconstruction after tumour ablation using pedicled TFL flap. A pedicled tensor fascia lata ...

INTRODUCTION Malignant tumors of the parotid gland account scarcely for 5% of all head and neck tumors. Most of these neoplasms have a high tendency for recurrence, local infiltration, perineural extension, and metastasis. Although uncommon, these malignant tumors require complex surgical treatment sometimes involving a total parotidectomy including a complete facial nerve resection. Severe fun...

PURPOSE To present the results of a two-stage technique used for the treatment of proximal hypospadias with severe curvature. MATERIALS AND METHODS The medical records of children with proximal hypospadias and severe curvature were retrospectively analyzed. A 2-stage procedure was performed in 30 children. In the first stage, the release of chordee was performed, and a well-vascularized prepu...

In cases of skull trauma, emergency surgery for cranial decompression typically involves the shortest approach, with the incision lying directly on or immediately near the bony defect. Subsequent reconstructive plastic surgery for the skull is difficult in such cases because incisions taken on the previous scar overlying the bony defect are prone to dehiscence and infection. Herein, we describe...

Background: Nerve recovery after a complex trauma is affected by many factors and poorly vascularized bed often the cause of failure perineural scar. Many techniques have been devised to avoid this problem possibility transfer nerve with surrounding viable sliding tissue could help in purpose; Methods: We performed an anatomic study on 8 injected specimens investigate raise medial sural artery ...