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The transverse abdominal island flap is not just another myocutaneous flap. Although it derives its blood supply from myocutaneous perforators, the portion of the skin and fat that overlies muscle comprises only about 20% of its surface. The surface area of the flap by far exceeds the surface area of the entire muscle that carries it. Its hemodynamics are(More)
The lower trapezius myocutaneous flap has proved to be another useful adjunct in the reconstructive armamentarium of the head and neck surgeon. The flap is based on the descending branch of the transverse cervical artery and vein. Providing these structures are protected during neck dissection, this flap may well become the first consideration of flaps for(More)
There are various degrees of expression of the fully developed tubular/tuberous deformity. To develop an adequate treatment plan for this condition, the individual deformities constituting the fully expressed syndrome must be diagnosed. The treatment plan must include maneuvers to correct each deficiency within the syndrome itself. We present the spectrum(More)
Most failure and recurrences after excision and grafting occur during the first five months postoperatively. We concluded that this most likely indicated inadequate excision rather than inefficacy of the procedure. For small pilonidal sinus with minor sinus tract and shallow natal cleft, excision with primary closure would seem to be the best procedure.(More)
Plastic and reconstructive surgeons have long sought the ideal material to fill and enhance defects of the head and body. Many of the most widely used materials present problems for the surgeon or the patient, so the search continues. For the past 15 months, we have been using expanded polytetrafluoroethylene (ePTFE) Gore-Tex Soft Tissue Patch to fill in(More)
Different approaches to aesthetic foreheadplasty have been thoroughly described and well documented. However, there has been a paucity of information in the literature describing indications for the various approaches. We detail our approach to planning the foreheadplasty; most commonly, we opt for the anterior forehead-hairline approach. We believe that(More)
Despite escalating interest in laser resurfacing techniques, chemical peel procedures remain an integral part of the armamentarium for resurfacing aging, sun-damaged, and diseased skin. Like other chemicals, the advantage of the technique of tricholoracetic (TCA) acid application is that the degree and depth of penetration within the skin can be controlled(More)