Repair of circular scar in the forearm by expanded double-pedicle omega-shaped flap at the rear flank of bottom-waist / 中华整形外科杂志

<p><b>OBJECTIVE</b>To discuss the method for repairing the circular scar in the forearm.</p><p><b>METHODS</b>Large expander (400-600 ml) were implanted subcutaneously at the rear flank of bottom-waist in the way of overlapping or continued expansion. After expansion was completed, the horizontal opened omega-shaped flap was formed by advancement of expanded skin with the two pedicles at the two sides. Then the forearm was tunneled under flap with the wound covered by flap. The pedicles were cut off at the third stage.</p><p><b>RESULTS</b>From April 1998 to June 2009, 8 cases were treated with no flap necrosis. The patients were followed up for 1 to 3 years with good flap color and thickness. Flap sensory was partially recovered. Linear atrophic scar was left in the donor sites.</p><p><b>CONCLUSIONS</b>It is feasible to repair forearm circular scar by expanded double-pedicle omega-shaped flap at the rear flank of bottom-waist.</p>

Reconstruction of skin defect at frontal hair line with mastoid fasciocutaneous island flap / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the reconstruction of skin defect at frontal and temporal hair line.</p><p><b>METHODS</b>5 cases with skin defect at frontal and temporal hair line were treated with mastoid fasciocutaneous island flap pedicled with parietal branch of superficial temporal artery.</p><p><b>RESULTS</b>All the flaps survived completely. Hair grew up 5 - 7 days after operation, showing good reconstructed hair line.</p><p><b>CONCLUSIONS</b>Mastoid fasciocutaneous island flap is a reliable method for reconstruction of skin defect at frontal and temporal hair line.</p>

The expanded cross-leg flap for repairing the soft tissue defects of the instep / 中华整形外科杂志

<p><b>OBJECTIVE</b>To explore the clinical application of the expanded cross-leg flap for repairing instep soft tissue defects with bone exposure.</p><p><b>METHODS</b>The expanded cross-leg flap was used to repair instep defects in 10 patients. After flap transferring the donor site was closed directly without skin grafting.</p><p><b>RESULTS</b>Satisfactory results were achieved in all the cases. The flaps survived well. The donor site had less scar and kept good appearance.</p><p><b>CONCLUSIONS</b>The expanded cross-leg flap is a better choice for repairing the soft tissue defects of the instep. It is simple and easy with less trauma to the donor site. After the operation, both the recipient and the donor areas had good appearance.</p>