Grade III and IV sacral pressure sores are required surgical closure. The gluteal fascio-cutaneous rotation advancement flap with V-Y closure was performed in our hospital on 50 cases of sore from 2017 to 2019. largest defects closed a unilateral were up 14 cm, bilateral needed close 15-22 cm diameter. In 1.5 24 months follow-up time, none the patients developed wound dehiscence or necrosis req...

BACKGROUND Post-auricular flaps have proved very effective in the reconstruction of most types of partial auricular defects. However, few reports exist regarding the reconstruction of centrally located perforating defects of the auricle. OBJECTIVES This paper aimed to describe a one-stage technique including a post-auricular folded flap (PAFF) for reconstruction of full-thickness defects of c...

BACKGROUND The reconstruction of ankle and heel defects remains a significant problem for plastic surgeons. The following options exist for reconstructing such defects: local random flaps, reverse flow island flaps, and free flaps. However, each of these methods has certain drawbacks. Peroneal artery perforators have many advantages; in particular, they are predictable and reliable for ankle an...

Defects in the lateral wall of the sphenoid sinus are a rare cause of cerebrospinal fluid (CSF) rhinorrhea. The etiology of these defects may be congenital or acquired. A dehiscent lateral craniopharyngeal canal, or Sternberg canal, arises from a malunion of two parts of the developing sphenoid bone: the greater wing and the basisphenoid.1,2 Originally reported in 4% of healthy adults,3 its tru...

STUDY OBJECTIVE The aim of this study was to estimate the cumulative incidence of vaginal cuff dehiscence in robotic-assisted total hysterectomies in our patients and to provide recommendations to decrease the incidence of vaginal cuff dehiscence. METHODS This was an observational case series, Canadian Task Force Classification II-3 conducted at an academic and community teaching hospital. A ...

PURPOSE To describe the CT findings characterizing dehiscence of the lamina papyracea. METHODS Axial and coronal CT scanning of the paranasal sinuses was performed on 783 patients. RESULTS Dehiscence of the lamina papyracea was noted incidentally in six patients. In all cases dehiscence was characterized by protrusion of orbital fat through a gap in the anterior ethmoid. The posterior limit...

BACKGROUND Wound closure is accomplished in most cases of myelomeningocele (MMC) by undermining of the skin edges surrounding the defect. However, large defects cannot be closed reliably by this simple technique. Due to the technical challenge associated with large MMC, surgeons have devised different methods for repairing large defects. In this paper, we report our experience of managing large...

BACKGROUND Perineal defects are commonly encountered during the treatment of conditions such as malignancy, infectious disease, and trauma. Covering large defects in the perineal area is challenging due to its complicated anatomy and the need for functional preservation. METHODS Fourteen patients who underwent reconstructive surgery with multiple perforator flaps for defects >100 cm(2) in the...

Semicircular canal dehiscence (SCD) is a pathological opening in the bony wall of the inner ear that can result in conductive hearing loss. The hearing loss is variable across patients, and the precise mechanism and source of variability are not fully understood. Simultaneous measurements of basal intracochlear sound pressures in scala vestibuli (SV) and scala tympani (ST) enable quantification...