Facial dog bite injuries in children: treatment and outcome assessment.

Dog bite injuries to a child's face are not an infrequent occurrence. They may require primary and revisional surgery. All result in permanent facial scars.

Effects of comorbidities and implant reinforcement on outcomes after component reconstruction of the abdominal wall.

A series of patients undergoing component reconstruction of midline abdominal wall separations was analyzed to assess the effects of comorbidities and biological implant reinforcements on outcomes. Thirty-nine patients were identified as fitting the technical definition of component repairs and having at least 12 months of documented follow-up. This group of procedures had a 67% primary healing rate, 18% and 13% rate of major and minor complications, respectively, and a total of 90% successful reconstructions after secondary procedures.

The extended peroneal artery perforator flap for lower extremity reconstruction.

The peroneal artery perforator flap and its modifications have been widely used for coverage of soft tissue defects of ankle and foot in the past decade. In this article, we report on a series of upper knee, ankle, and foot reconstructions with a proximally or distally based extended peroneal artery perforator (EPAP) flap supplied by distinct perforating branches off the proximal or distal peroneal artery. Total pedicle length obtained ranged from 6 to 12 cm.

Nonorthodontic orthognathic surgery.

Orthognathic surgery for occlusal improvement commonly requires preoperative and postoperative orthodontic treatments to fine-tune intercuspation. This report focuses on the feasibility, treatment goals, and outcomes of orthognathic surgery in a series of patients with congenital dentofacial anomalies who were considered ineligible for or noncompliant with orthodontic treatment. Despite suboptimal occlusal outcomes, the orthognathic procedures resulted in tangible benefits for the patients.

Management strategies following microsurgical flap failure.

Although increasingly rare, failed microsurgical flaps are a complicated clinical problem when they occur. Review of reports of management following microsurgical flap failure offers an outline of options. A substantial number of breast and extremity patients elect abandonment of reconstruction.

The aesthetic correction of the ptotic breast by the procedure of nipple-areola transposition - a contemporary translation and commentary.

'No vertical scar' techniques of breast shaping have received increasing attention during the last decade and are sometimes viewed as 'new' methods. In this article, we provide a comprehensive introduction to the roots of this procedure. Raymond Passot has to be credited with the original design of 'no vertical scar' methods.

A case of latissimus dorsi pedicle arising from the lateral thoracic vessels.

The thoracodorsal system represents a versatile, yet reliable system for the harvest of tissues for microsurgical transplantation. Also, the donor vessel anatomy is generally thought to be highly predictable in terms of topography and branching patterns. In this article we describe for the first time the occurrence of a branching pattern during a clinical harvest of the latissimus dorsi muscle flap, previously encountered only in cadaver dissections.