iraj pourahmadian

NAC reconstruction represents the final stage of breast reconstruction. This can be  accomplished thr ough non-surgical and surgical procedures, each with its own set of advantages and disadvantages. The majority of surgeons employ the Skate flap. The following is a de monstration of a modific ation to this flap.A woman, 56 years of age, who had previously undergone breast reconstruction using a TRAM flap, was admitted for nipple reconstruction. During the design of the star flap, a modification was executed, which involved reciprocally changing the orientation of the lateral flaps. Both flaps were properly positioned in their prepared locations during the flap inset and skin closure. The final outcome was satisfactory and aesthetically pleasing.The modification in the design of the Skate flap alters the orientation of the transferred flaps, making the final inse t feasible with less dis figurement.

Syndactyly, as one of the most common congenital hand abnormalities, requires surgical repair according to various approaches.

We report a 28-year-old man with simple syndactyly in his third web.

The common concern is about skin defect coverage, and we illustrated in a mathematical objective survey, if distance between to phalanxes’ center was more than 1.5 times diameter (each of phalanxes), then there would not necessary to use skin graft.