ABSTRACT
The evolution of neurocutaneous flaps has created a new concept in reconstructive surgery. These flaps, based on the arterial network around the superficial sensory nerves, are gaining popularity in soft-tissue coverage. Various flaps can be planned based on the neurocutaneous perforators. These kinds of flaps are available for extremity reconstruction. In the lower leg, reverse neurocutaneous flaps have been used successfully. Although these flaps in the lower leg are called neurocutaneous, they have been elevated with the underlying fascia like fasciocutaneous flaps, and thus the authors call these flaps neurofasciocutaneous flaps. They have used 11 reverse neurofasciocutaneous flaps (6 saphenous and 5 sural) since 1995. All flaps survived completely, and stable coverage of soft-tissue defects of the lower leg was achieved in all patients.
Subject(s)
Ankle/surgery , Foot/surgery , Microsurgery/methods , Surgical Flaps/innervation , Adult , Aged , Female , Follow-Up Studies , Graft Survival/physiology , Humans , Male , Middle Aged , Surgical Flaps/blood supply , Wound Healing/physiologyABSTRACT
Hypoglossia-hypodactyly syndrome is seen very rarely and its appearance is sporadic. Different degrees of tongue hypoplasia and transverse deficiencies in the upper extremities are seen. In the patient presented there was a sulcuslike deformity at the midline of the lower lip, and the continuity of the orbicularis oris muscle was disturbed at this location, in addition to the classic findings of hypoglossia-hypodactyly syndrome. A description of this variant and its treatment are described.
Subject(s)
Abnormalities, Multiple , Limb Deformities, Congenital , Lip/abnormalities , Tongue/abnormalities , Female , Humans , Infant , Lip/surgery , Surgical Flaps , Syndrome , Tongue/surgeryABSTRACT
The karyotype 49,XXXXY is a rare form of Klinefelter's syndrome. Various anomalies can be found in this variant--more than other variants of Klinefelter's syndrome. Cleft palate is rarely seen among these anomalies. A cleft palate deformity can be diagnosed early and easily. This deformity should cause one to suspect an uncommon variant of Klinefelter's syndrome. Here we present a patient with an uncommon variant of Klinefelter's syndrome who was diagnosed with the help of the presence of an incomplete cleft palate deformity.
Subject(s)
Cleft Palate/genetics , Klinefelter Syndrome/genetics , Child, Preschool , Cleft Palate/diagnosis , Cleft Palate/surgery , Follow-Up Studies , Humans , Infant , Karyotyping , Klinefelter Syndrome/diagnosis , Klinefelter Syndrome/surgery , MaleABSTRACT
Three sisters with incomplete testicular feminization syndrome are presented. Most of the patients with this syndrome are females and surgery is an important part of their multidisciplinary treatment. Two of the sisters had gonadectomies, herniorrhaphies, vaginoplasty with neurovascular pudendal thigh flaps, reduction clitoroplasty and labia minora reconstruction. The third sister had sufficient vaginal depth and had release of an introitus skin web, clitoroplasty and labia minora reconstruction. All patients had a good result. The reconstructed vaginas are stable and sensate.
Subject(s)
Androgen-Insensitivity Syndrome/surgery , Adolescent , Adult , Androgen-Insensitivity Syndrome/genetics , Androgen-Insensitivity Syndrome/pathology , Clitoris/surgery , Female , Follow-Up Studies , Humans , Male , Orchiectomy , Surgical Flaps/methods , Vagina/surgeryABSTRACT
Unilateral complete nasal stenosis is a rare condition and is usually acquired. The alar wing and nasal vestibule may be disturbed because of stenosis. We operated on 2 patients with complete nasal stenosis by using the H-flap technique described in this paper. Anterior nares are formed by this technique and, in one case, we used a cartilage graft for creating symmetry of the alar wings. Functional and aesthetic anterior nares are obtained by this technique.
