Major scrotal defect with exposed testes and/or spermatic cords are a challenge for the reconstructive surgeon. The bacterial flora of the perineum, difficulty of immobilisation and the contour of the testes make testicular cover a difficult task [Br. J. Plast. Surg. 41 (1988) 190]. Traditional approaches have used simple skin grafts or if not feasible, multi-staged procedures with initial burying of the testes under delayed medial thigh flaps. Better techniques then evolved to permit early single-staged coverage using flaps rather than skin grafts in these usually contaminated and unsuitable wounds to improve the cosmetic outcome of the reconstruction and reduce patient discomfort and hospital stay. Muscle flaps represent an excellent reconstruction option in the contaminated perineum especially in patients with impaired ability to deal with infection such as diabetic or toxic patients. We present two cases of reconstruction of the scrotum using simple, reliable single-stage muscle flap techniques with good aesthetic results and review the literature.

Aged↗

PubMed2003

The bi-pedicle post-auricular tube flap for reconstruction of partial ear defects.

Reconstruction of partial ear defects represents a difficult challenge to the plastic surgeon, due to the delicate and intricate architecture of the chondrocutaneous sandwich of the external ear. These defects could be the result of laceration and avulsion injuries, animal and human bites, burns and tumour excision. Since its introduction to the plastic surgery field, by Gillies, in 1917, tube flaps have been successfully used to reconstruct many defects. Although, in the past two decades, tube flaps have been replaced by the more modern single-stage reconstruction techniques, it still represents an excellent tool for reconstruction of partial ear defects. We present three cases of reconstruction of partial ear defects using a modified two-stage post-auricular tube flap technique, which is simple and reliable technique with good aesthetic outcome.

Adolescent↗