Management of extensive burns alopecia by pre-expanded bipedicle fronto-occipital flap

During the last two years, eight patients were treated from extensive post-burn cicatricial alopecia [including the frontal area] by bipedicle fronto-occipital flap using tissue expanders. The frontal hairline was recreated reasonably. Extensive scalp defects up to 350 cm2 or 40% of the skull surface were managed by this flap, obtaining a normal hair-bearing skin with a dense hair. The selected expander was according to its measurements and its shape in relation to the surface area of the defect and the site of expansion. Reconstruction of any residual sideburn can be accomplished by transferring a random postauricular scalp flap to the preauricular region [if available]. The technique advantages and results were discussed

Simultaneous primary cleft rhinoplasty and cleft lip repair

This study included a single operation for reconstruction of unilateral and asymmetric bilateral cleft of primary palate and evaluating its outcome in infancy and childhood. Twenty patients managed during 30 months are presented, 12 of them with unilateral cleft lip-nose deformity and 8 of them with asymmetric complete/incomplete bilateral cleft lip-nose deformity, in which the complete side was repaired primarily. The primary cleft nasal deformity was corrected at the time of lip repair by a similar technique used by Byrd and Salmon [2000]