괴사 Necrosis

[INTRODUCTION] Reconstruction of the distal lower limb is often complex due to limited local tissues. The pedicled extensor digitorum brevis (EDB) flap is a reliable, loco-regional option for small- to medium-sized ankle and foot defects. T…

This case report describes a rare occurrence of soft tissue tuberculosis (TB) following lipoabdominoplasty in a 34-year-old female patient. The patient developed progressive flap necrosis and prolonged wound healing despite optimal treatmen…

[BACKGROUND] Free nipple grafting (FNG) has been long reported as a viable alternative for aesthetic results and patient satisfaction in the setting of reduction mammaplasty in severe macromastia. This study demonstrates that FNG concepts u…

[PURPOSE] Radiation therapy following implant-based reconstruction (IBR) is known to contribute to increased complication rates and aesthetic challenges, particularly breast asymmetry, which often necessitates additional revision procedures…

[OBJECTIVE] The lower trapezius musculocutaneous flap (LTMF) is a workhorse flap for the reconstruction of soft-tissue defects of the head and neck. However, when harvesting a large LTMF to repair massive defects, primary closure of the don…

[BACKGROUND] Mastopexy remains the gold standard for correcting breast ptosis, yet persistent limitations include insufficient restoration of upper pole fullness and lack of long-term projection. While prosthetic augmentation addresses thes…

[BACKGROUND] The superomedial pedicle (SMP) is favored for preserving nipple-areolar complex (NAC) vascularity and superior pole fullness. However, its use in breast reductions (BR) with sternal notch-to-nipple (SN-N) distances ≥40 cm is de…

[BACKGROUND] Dermal filler procedures have become increasingly popular in aesthetic medicine; however, they carry the risk of vascular adverse events (VAEs) that can lead to complications such as tissue necrosis and vision loss. [OBJECTIVE…

[BACKGROUND] The repair of defects in the nasal columella has consistently posed a significant clinical challenge. This study aims to examine the feasibility and effectiveness of scalp composite tissue transplantation for the reconstruction…

Autologous breast reconstruction using donor-site flaps such as the deep inferior epigastric perforator (DIEP) flap, transverse rectus abdominis myocutaneous (TRAM) flap, latissimus dorsi flap, profunda artery perforator (PAP) flap, and aut…

[BACKGROUND] Nipple-sparing mastectomy (NSM) improves aesthetic outcomes but carries a higher risk of ischemic complications, particularly in patients with large, ptotic breasts. This study evaluates whether reduction mammaplasty prior to N…

High-energy open tibial fractures with segmental bone loss and extensive soft-tissue necrosis remain limb-threatening, especially when only one recipient artery is patent. We report a 37-year-old man with a Gustilo-Anderson type IIIB open d…

[BACKGROUND] Postoperative wound healing remains a critical challenge, particularly in complex reconstructions such as free flap surgeries. Despite technical improvements, perfusion-related complications may cause partial flap loss. Followi…

[BACKGROUND] The anterolateral thigh free flap is a versatile reconstructive option for lower limb and head and neck defects. It provides a large skin paddle with a reliable vascular pedicle-the descending branch of the lateral circumflex f…

[BACKGROUND] The widespread use of hyaluronic acid (HA) dermal fillers has been accompanied by an increase in vascular complications, including ischemia and cutaneous necrosis. Although uncommon, filler-induced vascular compromise represent…

[BACKGROUND] Autologous fat transfer (AFT) is increasingly used for breast augmentation, either for primary augmentation or symmetrization in the unaffected, native breasts following breast reconstruction. However, the incidence of fat necr…

[BACKGROUND] Breast sharing using the contralateral breast is a reconstructive option for selected patients undergoing unilateral mastectomy who present with moderate to large ptotic breasts. The internal mammary artery perforator (IMAP) fl…

[INTRODUCTION] Genital self-mutilation is an infrequent uro-psychiatric emergency in urological practice. Many authors have emphasized its rarity in the literature. In Burkina Faso, the incidence and prevalence are poorly due to under-notif…

Risk-reducing mastectomy and risk-reducing salpingo-oophorectomy (RRSO) for patients with hereditary breast and ovarian cancer with a BRCA gene mutation can be performed with simultaneous breast reconstruction. In this report, we present a …