Closure of palatal fistula with buccal fat pad flap.

Palatal fistula as a complication of palatal surgery is difficult to manage due to the presence of fibrotic and scarred tissue and the absence of local virgin tissue. Recurrence rates are high. To investigate the efficacy of repairing small and medium sized palatal fistulas using the buccal fat pad (BFP), 20 patients (aged 2.

Retrusive chin reconstruction after burn injuries using submental and labiomental fat flaps: an innovative method.

Objective: A simple method has been introduced for augmentation and restoration of normal chin protrusion as an important element of facial contour in patients suffering from severe skin retraction and scar resulting from head and neck area burns.

Patients And Methods: For releasing skin retraction and compression of the mental area subcutaneous fat tissues, under general anesthesia, 2 incisions were made in the submental and labiomental areas, each about 3 to 5 cm. After dissection of the superior portions of labiomental and inferior pedicle of submental fat pads, turning over and attaching them together, the skin over the area was reconstructed as needed.

Segmental excision of the distal phalanx with sparing of neurovascular bundle in macrodactyly: a report of two cases.

Macrodactyly is a rare congenital condition in which overgrowth of one or more digits is seen. In this article, we introduce two patients with macrodactyly simplex congenita for which we used segmental excision of the distal phalanx with sparing of neurovascular bundles, eliminating the need for a secondary operation.

Toward shortening interoperation period in two-stage cross facial nerve graft with muscle transfer.

Cross facial nerve graft with free muscle transfer is a well-accepted method to deal with the long-standing facial paralysis, which is usually carried out in 2 separate operations including the nerve graft in first operation followed by a muscle transfer 10 to 12 months later. However, delayed rehabilitation of the nerve graft because of its long length leads to considerable interval between first and second operations. Nine patients with long-standing unilateral facial paralysis underwent 2-stage cross facial nerve graft with some modifications in techniques.

Cross-facial nerve graft: a report of chronically paralyzed facial muscle neurotization by a nerve graft.

A 21-year-old housewife with long-standing hemifacial paralysis on the left side decided to undergo the classic two-stage cross-facial nerve graft with muscle transfer. The first stage of the operation was performed successfully with the use of a sural nerve graft. After the appearance of Tinel's sign 8 months later, gain of function in the muscles of the paralyzed side was observed and negated the need for the second-stage muscle transfer.

Evaluation of moving and static two point discriminations of volar forearm skin before and after transfer as a sensate radial forearm island flap in reconstruction of degloving injury of the thumb.

In degloving injury of the thumb the large skin defect needs cover with sensate, glabrous and pliable skin. Although coverage of this defect with a sensate free flap from the foot is the best choice, most commonly, cover is achieved using a non-sensate distant pedicle flap. Between 2001 and 2003, degloving injuries of the thumb in eight patients were reconstructed using a sensate radial forearm flap in the sensory territory of the lateral ante-brachial nerve of the forearm which was repaired to the digital nerve of the thumb (six cases) or to a branch of the sensory radial nerve (two cases).

Reconstruction of the internal nasal valve with a splay conchal graft.

The internal nasal valve is the narrowest point in the nasal airway and thus is the controlling point that regulates inspiration flow. The cross-sectional area of the internal nasal valve is approximately 40 to 55 mm, and 40 to 50 percent of inspiratory resistance is attributable to internal nasal valve function. Collapse of one or both internal nasal valves can be a consequence of previous surgery, trauma, aging, or primary weakness of the upper lateral cartilage.

Closure of complicated palatal fistula with facial artery musculomucosal flap.

Background: Palatal fistulas occur most commonly as a complication of cleft palate surgery. Treatment of these fistulas, especially when they are wide and scarred, is a challenge for both patients and plastic surgeons, with a high rate of recurrence.

Methods: The authors have operated on 22 cases of wide, scarred, recurrent palatal fistula with the use of the facial artery musculomucosal flap, first introduced by Pribaz et al.

Frequency of Pseudomonas aeruginosa serotypes in burn wound infections and their resistance to antibiotics.

Pseudomonas aeruginosa plays a prominent role as an etiological agent involved in serious infections in burned patients. In this study P. aeruginosa infections were analyzed at the Motahari Burn Center in Tehran (from 22 December 1998 to April 1999) to estimate their frequency, antibiotic susceptibility and serotypes.

Free transfer of expanded parascapular, latissimus dorsi, and expander "capsule" flap for coverage of large lower-extremity soft-tissue defect.

The coverage of large soft-tissue defects usually requires a large flap transfer, especially in a combination and expanded form. However, some large soft-tissue defects still cannot be covered by such flaps. In this article, we present a case of a civil war injury in a patient from Afghanistan who had severe trauma to the right knee, lower thigh, and upper leg and a marked soft-tissue defect.