Conjunctival melanoma is a rare and potentially deadly tumor. Therefore, adequate oncological resection essential, commonly leading to total orbital exenteration, which causes patients' extensive functional cosmetic impairment. As result, it essential reconstruct the region post-exenteration obliterate cavity, provide pliable cutaneous covering, restore stable vascularized tissue that can withs...

INTRODUCTION Fournier's gangrene is a poly-microbial necrotizing fasciitis that involves the perineum and/or external genitalia. Urgent surgical debridement is well recognized as essential acute treatment yet unique challenges arise for plastic surgical reconstruction to obtain a complete functional recovery. This case describes a successful delayed pedicle flap repair based upon the anterior a...

Many surgical techniques have been described for the repair of lip loss substance. There is no single solution each repair. are classical indications, and plastic surgeon must know principal ones. Each case being particular, often adapt these or combine them. The objective to achieve ideal result according etiology, extent substance local tissue availability. authors report a reconstruction upp...

SUMMARY Advancements in microsurgical techniques as applied to perforator flaps have made harvesting flaps in a free-style manner a practical reality. A hand-held Doppler identifies sizable perforators on which flaps can be based. In free-style free flap harvesting, any region of the body can be chosen as a donor site as long as there is an audible pulsatile Doppler signal. The value of the fre...

Today, the DIEP flap (deep inferior epigastric artery perforator flap) is becoming most popular method of breast reconstruction after mastectomy. The next step in evolution this should be to improve its sensitivity postoperative period. Recovery reconstructed mammary gland improves quality life patients, as well restores protective function skin. In addition, tactile plays a very important role...

The reconstruction of lower third of the leg is one of the most challenging problems for plastic and reconstructive surgeons and current approaches are still disappointing. We show an easy option to obtain a coverage of traumatic pretibial defects with good aesthetic and functional results: the association of negative pressure wound therapy, acellular dermal matrix, and skin graft. The choice o...

Delayed reconstruction of large lower lip defects after traumatic avulsion is a challenge in medically compromised patients with concomitant cheek skin burn. Combination of orthograde submental transposition flap and anteriorly based ventral rectangular myomucosal tongue flap is useful. The former reconstructs the body of the defect, and the latter masks the red lip, resembling vermilion. In th...

Repairing surgical defects of the nasal tip is challenging, mainly because of the lack of freely mobile skin available peripherally. The Peng flap is a one-stage cutaneous flap that circumvents this difficulty by recruiting skin from the nasal dorsum and sidewall regions. The design produces a tridimensional shape perfectly adapted to the configuration of the nasal tip and allows for an inconsp...

The number of breast reconstruction procedures has been increasing in recent years. One of the suggested treatment methods is breast reconstruction with a pedicled skin and muscle TRAM flap (transverse rectus abdominis muscle - TRAM). Surgical incisions performed during a cholecystectomy procedure may be located in the areas significant for flap survival. The aim of this paper is to present ana...

BACKGROUND Despite the most heroic efforts, sometimes free flaps fail. Perforator free flaps are not invincible and can suffer the same fate. The real challenge is how to decide what is the next best choice for achieving the desired outcome. METHODS Over the past decade, 298 free perforator flaps were used in our institution. Total failure occurred in 16 patients, and partial failure requirin...