the distally based sural fasciocutaneous flap has become a main part of the reconstruction of the lower leg, heel and foot. however, perfusion problems and venous congestion have been reported. over the past decade, several flap modifications have been reported to improve flap viability and to solve a myriad of reconstructive needs. the purpose of this paper is to describe our experience in har...

the coverage of soft- tissue defects of the hand specially volar side needs special consideration. although certain local flaps have been described and used for resurfacing the palm, extensive injury requires distant or free flaps for coverage. abdominal pedicle flap has been traditionally used for extensive hand injuries, however there is no doubt that one of the ideal tissues for resurfacing ...

introduction: coverage of bone grafts is very important in reconstructive surgery. in edentulous alveolar ridges this coverage is particularly important for supporting dental prostheses. here we present the case of a patient with a large deficient maxillary anterior region that was reconstructed with a bilateral palatal submucosal periosteal connective tissue flap: a soft tissue reserve for upp...

closure of fascia after transverse rectus abdominis musculocutaneous (tram) flap has usually been performed with direct closure or synthetic material. the dermal autograft was removed from zone iv of flap was an alternative to reinforce fascial closure. the dermal autograft was used in 34 patients after tram harvest for breast, head and neck reconstruction and prolene mesh was used in 42 other ...

there are many techniques for reconstruction after total pharyngolaryngoesophagectomy. the use of a transposed stomach to restore gastrointestinal continuity, and this combined cervical and abdominal approach for pharyngolaryngoesophagectomy and gastric pull up has become one of the most popular. this retrospective study is a review of 50 consecutive iranian patients who underwent pharyngolaryn...

burns account for a significant proportion of injuries, and of these the face, neck, and anterior torso are commonly affected. burn scars remain a lasting reminder of the insult both for the patient and the outside world. there is little doubt that the change in appearance and the limitation imposed by a burn scar contribute to negative body image. treatment of hypertrophic scars in the neck ha...

background an appropriate and well-timed surgery has great impact on a patient’s treatment and can prevent further damage to partially injured structures which if untreated will be lost leading to severe disability. in the present study we report our experience with early coverage of electrically injured upper extremity vital structures with encouraging results. objectives the aim of this study...

a chronic fungal infection in tropical regions, chromoblastomycosis is caused by dematiaceous fungi, the form-family of fungi imperfecti, usually affecting one lower limb at the site of a trauma but sometimes involving other areas of the body including head & neck. in this article, we report the case of a rare primary chromoblastomycosis of the palate and chest in a 27-year-old man who was succ...

Nose is one of the most important aesthetic unit of the face.Management of nasal trauma plays a significant role in the practices of the majority of facial and reconstructive surgeons. Replantation, although technically very challenging, is undoubtedly the procedure of choice following traumatic nasal amputation. Here we present an illustrative case report of the traumatic amputation of a nasal...

background anterior cruciate ligament (acl) injury is the most common sports injury in both athletes and nonathletes; it can cause disability if not treated correctly. in cases with minor injuries, conservative treatments suffice. but, in cases with acl tear, surgery by different methods and autografts are indicated. the most prevalent method for acl reconstruction is the use of hamstring tendo...