The helical free flap is a highly effective method for reconstructing the lower third of the nose, but traditionally suffers from a short pedicle length.
The authors describe their experience using a long pedicle helical free flap based on the frontal branch of the superficial temporal vessels in five patients with various nasal defects.
All flaps successfully survived, although one case experienced vein congestion which was treated successfully with a medical leech, demonstrating the flap's viability even for larger defects.
The study aimed to evaluate how effective plastic surgery is in treating giant congenital melanocytic nevus (GCMN) through various surgical techniques.
A total of 20 patients with 44 lesions underwent procedures like serial excision, skin grafting, and tissue expansion, with outcomes assessed at 10 days and 6 months post-surgery.
Results showed that serial excision had the best outcomes, with most patients reporting positive results from skin grafting and tissue expansion as well, confirming that plastic surgery is a viable treatment for GCMN.