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 ...

PURPOSE The use of an S-type oblique excision with a bilateral gluteus maximus advancement flap has recently been described for the surgical treatment of sacrococcygeal pilonidal sinus (SPS). Its use in wide lesions has been limited due to the need for a full-thickness flap. We describe the use of an S-type oblique incision together with the Dufourmentel flap in wide lesions. METHOD Twenty-on...

OBJECTIVE To explore the use of the contralateral full-thickness retroangular island flap for reconstructing midfacial through-and-through defects. METHODS Full-thickness retroangular flaps raised from the contralateral infraorbital region were used to reconstruct midfacial through-and-through defects in eight patients following the resection of skin cancers. The defects ranged in size from 4...

BACKGROUND Ischemic complications after nipple-sparing mastectomy (NSM) have been associated with numerous variables. However, the impact of NSM flap thickness has been incompletely evaluated. METHODS NSM flap thickness was determined for all NSMs from 2006 to 2016 with available pre- or postoperative breast magnetic resonance imaging (MRIs). Demographics and outcomes were stratified by those...

Eyelid reconstruction is complex and challenging since it is not only for structural and functional restoration, but also for an acceptable aesthetic result. In full thickness eyelid injuries, it will involve both anterior and posterior lamella. Therefore, when reconstructing the defect, it requires at least two layers; one will be a flap with blood supply, and the other can be a free graft. In...

The development of the flap transfer technique in plastic and reconstructive surgery has evolved to the stage where free transplantation of a full-thickness skin flap, by means of microvascular anastomosis, has become posssible. For the first time in South Africa, a case is documented where such a free graft was used successfully to reconstruct a severe burn contracture of the neck. Experience ...

Since the first article by Bronemark about the modern state-of-the-art method of performing implant surgery, the accepted method of implant placement has been determining the location of the implant, raising a flap using a scalpel, elevating the full thickness flap using a periosteal elevator and then drilling a progressively larger opening in the bone using a very precise low speed drill with ...

Postmastectomy nipple necrosis is a factor that leads to poor aesthetic outcome in breast reconstruction because of the unique projective structure nipple. We present case successful using de-epithelialized rectangular flap. A 45-year-old woman was diagnosed with left cancer. She had vertical scar below nipple-areolar complex due previous reduction mammoplasty. underwent nipple-sparing mastecto...

Large eyelid full-thickness defects are traditionally repaired using flaps with a blood-supplying pedicle, for the reconstruction of the anterior or posterior lamella or both. This is a 2-stage procedure involving occlusion of vision in the affected eye for 4-8 weeks, as the flap pedicle is not divided until vascularization is deemed adequate. However, the importance of using a flap with a pedi...

OBJECTIVE To evaluate the efficacy of using a porcine small intestinal submucosa (SIS) graft covered by a conjunctival flap for the surgical repair of full-thickness corneal wounds in dogs, cats and horses. PROCEDURE All records dating from August 1999 to February 2003 from Purdue University Veterinary Teaching Hospital of patients that had undergone ophthalmic surgical procedures and receive...