use of island groin flap in the reconstruction of the lower abdomen and perineal region

In this study, an island groin flap was used for a satisfactory reconstruction of soft tissue defects of the lower abdomen and perineal region in eight patients. This flap had several advantages; simple operation, wide range of coverage, large rotation arc, direct closure of the donor site and no sacrifice of muscle in comparison with musculocutaneous flaps. It was of a great value in the reconstruction of lower abdominal wall soft tissue defects with intact underlying fascia or sufficient scarring to prevent herniation. It can be used in the reconstruction of almost all defects in perineal region

Refinements of the inferior dermal pedicle technique and a modified pattern suited for reduction of huge gigantomastia

In this study, several modifications in the original Wise's pattern used in the inferior dermal pedicle technique and several technique refinements were introduced. Thirty cases were randomly selected from individuals who have sought consultation and requested reduction mammoplasty. It was concluded that the inferior dermo-glandular pedicle technique with some modifications was an adaptable technique for the reduction of hugely enlarged breasts with safety as regards the viability of areola and nipple complex and with good esthetic results

Surgical treatment of lagophthalmos in long-standing facial palsy: Ear cartilage graft for elongating the levator palpebrae muscle

Lagophthalmos is a major problem facing any patient with long-standing facial palsy. Unopposed action of the levator palpebrae following orbicularis oculi paralysis gives an unnatural, wide-eyed look compared to the normal side. The resultant corneal exposure produces dryness and cortical keratitis. Many techniques have been described for correcting lagophthalmos in long-standing facial palsy. The aim of this report is to present some clinical experience using the ear cartilage graft for surgical treatment of lagophthalmos in facial palsy. The graft is sutured between the tarsal plate and the levator palpebrae superiorsis. The graft provides elongation of the levator muscle and also decreases its strength, since there is no opposing orbicularis oculi muscle. This technique offers a better dynamic, aesthetic and functional results, improving significantly the eye symptoms in cases of long-standing paralytic lagophthalmos. Some techniqual refinements will be described in this paper to avoid postoperative ptosis and to decrease the residual lagophthalmos