VOL. 52 NO. 4 NOVEMBER 2014 SAJS 105 Plastic surgeons are frequently cal led upon to provide definitive softtissue coverage for lower l imb defects associated with compound fractures of the tibia or fibula (Gustillo-Anderson IIIB). Usually defects of the upper and middle thirds of the leg are easily managed with either gastrocnemius myocutaneous flaps or hemi-soleus muscle coverage and skin gra...

It is difficult to completely resect huge anterior chest wall keloids and then close the wound directly. We report here our retrospective analysis of our case series of patients with such keloids who underwent reconstruction with internal mammary artery perforator (IMAP) pedicled propeller flaps and then received postoperative high-dose-rate superficial brachytherapy. METHODS All consecutive ...

The reconstruction of loss of substance due to trauma or oncological excision may have relevant functional and aesthetic implications. We report our experience in twenty-one cases of propeller flaps for the treatment of loss of substance of the upper and lower limbs. The etiology of defect was tumor excision in nine cases, trauma in seven cases, surgical wound complications in four cases, and c...

Introduction: Traditionally in reconstruction of lower limb soft tissue defects, muscle flaps have been the ‘Gold Standard’ for Gustillo Anderson Grade III B fracture involving upper and middle third defects. Lower third defects were usually reconstructed with free flaps. Evolution in flap surgery has enabled fasciocutaneous, adipofascial and superthin flaps to be harvested for the purpose of r...

A non-linear mathematical model, for the roll-yaw behaviour of a ship, is used to predict the prevention of capsize of a small ship. The problem was simulated using the digital package SIMULINK. Simulated responses of the ship with simple hydrodynamic fin stabilisers show that capsize could have been prevented by this means in waves up to 7 m in height. Active control using a simple full span c...

BACKGROUND Reconstruction of upper extremity deformities continues to be a challenge to the reconstructive surgeon. Various loco regional, distant and free flaps are available for reconstruction. However, each has its own set of advantages and disadvantages. Of the commonly performed local flaps, radial artery forearm flap, and the posterior interosseus artery flap stand out prominently. Recent...

BACKGROUND Classical flaps for perinasal defect reconstruction, such as forehead or nasolabial flaps, have some disadvantages involving limitations of the arc of rotation and two stages of surgery. However, a perforator-based flap is more versatile and allows freedom in flap design. We introduced our experience with reconstruction using a facial artery perforator-based propeller flap on the per...

Abstract Background Ear defect reconstruction still remains a surgical challenge today. Proper should result in correction of the deformity with minimum morbidity aim achieving most esthetically pleasing outcome possible. Herein, we present our clinical experience propeller flap external ear defects focus on indications and technique. Methods Fourteen patients underwent surgery at Plastic Surge...