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Residual palatal fistulas are common after repair of palatal cleft and tumar incision in palate and nasal cavity. Repair of residual oronasal fistula is not always successful. Twolayer closure techniques that close these fistulas with soft tissue are a common practice. Turnover flaps are the most used flaps and often the sole method for nasal side closure of fistula. Anteriorly based inferior turbinate flap can be used to provide soft tissue for nasal-side closure when turnover flaps will not provide sufficient tissue for this purpose.
vestibular oro-nasal fistulas and alveolar clefts associate with cleft lip and palate. Sliding flaps are the most used flaps and often the sole method for closure of vestibular oro-nasal fistulas and alveolar clefts. cheek flap can be used instead of Sliding flaps.
The management of lower extremity trauma has evolved over the last two decades to the point that many extremities that would have required amputation are routinely salvaged. The use of transposition muscle is regarded as the optimal method for the treatment of extensive defects of soft tissues in limb traumatology. The aim of the study is to investigate the therapeutic effect of repairing soft tissue defects of mid-tibia open fractures with muscle flap pedicled with medial half of soleus. A retrospective study of our outcome of 10 performed soft-tissue reconstruction of an open tibial wound cases. All these patients were operated using the proposed surgical technique between 2013 and 2015 in AL-ASSAD University Hospital in Lattakia, Syria. The results of this technique of reconstruction are excellent. Medial hemisoleus flap is a valuable option for soft tissue coverage of middle third of lower leg. It does not sacrifice the whole function of the Soleus muscle. Due to its longer arc of rotation, this flap can cover the defects of different size and shape in middle third of leg. The operation is relatively easy. The muscle can fill the narrow cavity and repair the soft tissue defect simultaneously. The donor-site injury is minor.
Nasal reconstruction is considered as one of the difficult reconstructive problems to solve. That is due to the importance of the cosmetic appearance of the nose, the several types of tissues forming the nose and the complexity of the anatomy of th e nose. Due to the small nostrils, delicate tissue and lack of surrounding tissues enough for reconstruction, this problem becomes more difficult to in the reconstruction of children’s noses, The aim of this research is to look at the cases of nasal reconstruction in children at Mouassat university hospital, and to suggest a new modification on the forehead flap, which leads to lengthening the flap by recruiting a piece of the Galea as a facial flap connected to the distal end of the forehead flap. This flap will be covered with a split thickness skin graft, then it will be folded to reconstruct the inner surface of the nose.
The necessity of Meatoplasty In Radical Mastoidectomy for good postoperative cleaning of mastoid cavity and to reduce recurrence rate.This study aim to evaluate the results of Meatoplasty By Rotating door flap method In Radical or modified radical Mastoidectomy (open technique).
Coarctation represents 5-8% of congenital heart disease.We present here a study which aimed to assess the results of this malformation correction by using left subclavian artery flap aortoplasty technique(Waldhausen) and compare these results with those of other surgical options.
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