Superomedial Pedicle Technique and Management of Circulation Problems in Gigantomastia : Treatment of Gigantomastia.

Breast reduction surgeries encompass a wide range of methods that are continuously evolving to discover more reliable and satisfactory techniques. This presentation aims to address the research gap by sharing outcomes and experiences using the superomedial pedicle in gigantomastia, as well as the implemented protocol for managing nipple-areola complex (NAC) ischemia. The Wise pattern and superomedial pedicle reduction mammaplasty method were utilized in treating 19 patients (38 breasts).

Versatile Approach to Septonasal Deformity: Skyscraper Construction Based on an Old Relic.

Introduction: Severely deformed noses usually harbor a combination of both bony pyramid and septal deformities. In this retrospective study, the authors aimed to evaluate our results of repair in patients with severe nasal deformities and importance of a versatile approach in these cases.

Materials And Methods: A total of 32 cases with congenital or acquired (traumas or surgeries) severe nasal deformity were included in this retrospective study.

Management of a Multi-Level Forearm Microsurgical Reconstruction and the Following Transfusion-Related Acute Lung Injury.

Transfusion-related acute lung injury (TRALI) is a clinical syndrome characterized by acute respiratory distress following blood transfusion. This case-based technical report documents a case on the management of a multi-level forearm microsurgical reconstruction and the following TRALI syndrome that developed shortly after blood transfusion in a 29-year-old male. Multilevel microsurgical revascularization was performed via saphenous vein autograft arterial reconstruction from the proximal 1/3 ulnar artery to the ulnar side of the deep superficial palmar arterial arch.

Face-neck lifting and ancillary procedures: A series of 203 cases.

Various methods and ancillary procedures have been defined in the era of face-lifting surgery.The purpose of this study was to evaluate the esthetic outcomes of our face-neck cases and the importance of adding ancillary procedures based on individual assessment.We conducted a retrospective review of 203 face-neck cases, basically following the endoscopic and open principles of Vasconez.

One-Stage Combined Postbariatric Surgery: A Series of 248 Procedures in 55 Cases.

Introduction: Combined and/or multistage operations often are needed in postbariatric surgery.

Aim: With this retrospective study of a series of 55 cases, we aim to determine the effectiveness and safety of one-stage combined postbariatric surgery.

Materials And Methods: A total of 248 postbariatric procedures were performed in one session (except one-staged gynecomastia case) in 55 patients.

Reconstruction of Eyelids and Related Structures.

Eyelids and related structures such as ligamentous and lacrimal system make the reconstruction of the periorbital area a challenge. The authors present 5 patients with periorbital reconstruction after tumor excision or trauma with special considerations. A detailed analysis of the problem and reconstruction of all of the injured systems or structures are mandatory to achieve a satisfactory result on the periorbital area.

A new technique for correction of distal penile hypospadias.

The major aims of correction of hypospadias include construction of a neourethra, removal of the chordee, and reduction of the probability of postoperative fistulization. Here, we describe a new technique that can be easily used in cases with subcoronal distal penile hypospadias (even those with chordee) for the construction of the urethra using meatus-based transverse flaps. This new technique was used in 10 patients (mean age, 4.

Roles of periosteum, dura, and adjacent bone on healing of cranial osteonecrosis.

It has been reported that large cranial osteonecrotic areas can heal. It was hypothesized that optimal healing is possible by the synchronized contribution of the osteogenic structures (periosteum, dura, and adjacent bone) that envelop the necrotic cranium. This hypothesis was tested by preserving or isolating the contribution of these osteogenic tissues.

Prefabricated galeal flap based on superficial temporal and posterior auricular vessels.

Scalp layers are widely used in reconstructive procedures. The authors used prefabricated galeal flaps based on the superficial temporal or postauricular vessels for ear, cheek, mandible, and cranium reconstructions in three cases. In case 1, synchronous beard and ear reconstructions were accomplished by using the temporoparietal and retroauricular flaps.

Modified free nipple graft reduction mammaplasty to increase breast projection with superior and inferior dermoglandular flaps.

Classic free nipple graft reduction mammaplasty often yields flat, boxy breasts with poor projection. The authors modified this technique using superior and inferior pyramidal dermoglandular flaps to increase the fullness and projection of the breast. Six patients (12 breasts) with gigantomastia underwent breast reduction by this method.

Osteogaleal flaps in pediatric cranioplasty.

Reconstruction of cranial defects larger than 2 to 3 cm in diameter and frontal defects of any size is indicated for mechanical protection and cosmetic reasons. The authors used osteogaleal flaps for cranioplasty in 2 pediatric patients with the aim of decreasing infection risk and maximizing bone healing. In the first patient, bone was harvested from the diploë.