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Background: The anterior surface of the auricle is especially susceptible to a variety of traumatic insults and cutaneous malignancies. However, given the unique anatomy of this structure and the lack of local tissue available, the reconstruction of these defects is still a challenge. Despite of their positive outcomes, tunneled flaps have not been thoroughly explored in the literature.
Objectives: To review the clinical utility of tunneled flaps in reconstructing anterior auricle defects.
Materials And Methods: A review of the literature on surgical reconstruction of the anterior auricle surface was performed in PubMed, with specific reference to tunneled flaps.
Conclusions: When designed and executed properly, tunneled flaps offer unrivalled opportunities to reconstruct anterior auricle defects, with maximal preservation of the symmetry.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8149981 | PMC |
http://dx.doi.org/10.4103/JCAS.JCAS_169_19 | DOI Listing |
Sci Prog
September 2025
Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Single coronary ostium and intramural coronary artery variations in patients with transposition of the great arteries significantly increase the mortality and morbidity after arterial switch operation (ASO). In these patients, the classic coronary button implantation may cause kinking or twisting of the coronary artery which can cause coronary insufficiency. This case series presents two patients, a 15-month-old girl with transposition of the great arteries and a 10-month-old boy with a Taussig-Bing anomaly.
View Article and Find Full Text PDFZhonghua Nan Ke Xue
July 2025
Department of Urology, The Second Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang 310009, China.
Objective: To investigate the clinical effect of transposition of gracilis muscle flap in repairing urethral perineal fistula after Miles operation.
Methods: The clinical data of 3 patients with urethral perineal fistula treated in the Second Affiliated Hospital of Zhejiang University from September 2023 to November 2024 were analyzed retrospectively. All patients were male, aged from 59 to 68 years (mean 63 years).
Case Rep Dent
August 2025
Department of Implantology, Faculty of Odonto-Stomatology, Hong Bang International University, Ho Chi Minh City, Vietnam.
Several techniques have been proposed to deal with gingival recession and gain positive effectiveness and clinically acceptable results. Nevertheless, most require a two-stage surgical procedure with several drawbacks. The present clinical report describes the treatment procedure and clinical outcomes of a modified rotated flap technique incorporating a double-component releasing incision and one-sided tunnel approach for the management of gingival recession.
View Article and Find Full Text PDFTurk J Surg
September 2025
Department of Surgical Oncology, OCMU Oncology Center - Mansoura University Faculty of Medicine, Mansoura, Egypt.
Objective: The deltopectoral (DP) flap was and still is a workhorse flap in the reconstruction of head and neck defects following tumor resection, even in the current era of free microvascular flaps.
Material And Methods: We retrospectively recruited, from a prospectively maintained database, all patients with a history of defect reconstruction using one-stage tunneled de-epithelialized fasciocutaneous DP flap following resection of head and neck cancer between June 2020 and June 2023. Patient and disease characteristics, surgery parameters, flap specifics, oncological outcomes, and follow-up data were analyzed and reported.
Bioengineering (Basel)
July 2025
College Dentistry, University of Guayaquil, Guayas 090101, Ecuador.
Background: Gingival recession is a common condition involving apical displacement of the gingival margin, leading to root surface exposure and associated complications such as dentin hypersensitivity and root caries. Among the most effective treatment options are the tunneling technique (TUN) and the coronally advanced flap (CAF), both combined with connective tissue grafts (CTGs). This study aimed to evaluate and compare the clinical outcomes of TUN + CTG and CAF + CTG in terms of root coverage and keratinized tissue width (KTW) over a 6-12-month follow-up.
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