Formation of the adipose tissue-derived mesenchymal stem cell-seeded and keratinocyte-coated autologous fibrin scaffold leads to significant skin replacement.

The authors presented their experiences with many volunteer cleft lip and palate trips to third world countries; however the structure of this article is not a new hypothesis and data based to support a scientific study, but observations are objective to get a conclusion. To perform one-stage definitive repair of the cleft lip and palate in late-presented patients was the reality that they had only 1 chance to undergo these operations. According to the terms and conditions of this challenging operation, one-stage simultaneous repair of cleft lip and palate is a more demanding and time-consuming procedure than is isolated cleft lip repair or cleft palate repair. Although technically challenging, single-stage repair of the whole deformity in late-presenting patients is a feasible, reliable, successful, and safe procedure in authors' experience.

4 Therapeautic.

Aim Thoarcoacromial artery‐based perforator flaps are rarely used in clinical practice, especially for the reconstruction of head, neck and axillary regions. In the present study, we present a case with an anterior chest wall soft tissue defect that was reconstructed using a thoarcoacromial artery‐based perforator flap based on the clavicular branch. Patients and Methods A 65‐year‐old male patient presented with an anterior chest wall defect secondary to tumour resection, which was reconstructed using a thoarcoacromial artery‐based perforator flap. Results The patient healed successfully without any early or late complications. To date, he is still followed up by plastic surgery and oncology departments. Conclusion Although there may be variable consistencies, the thoracoacromial artery perforator flap could be a good alternative to pectoralis major flap for upper chest wall, axilla and neck reconstructions.

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Postburn sequelae or excisional defect reconstruction after significant burn injury or resection of giant hairy nevus continues to be a significant challenge for the reconstructive surgeon. Unfortunately, the quality and quantity of available tissue for the repair of extensive defects is often limited. The techniques of tissue expansion have been used for many years to expand normal skin adjacent to the defect for the reconstruction of even wider defects in various parts of the body with its numerous advantages.Nine patients in whom reoverexpanded neighboring skin flaps were used to improve the capacity of wider soft-tissue defect coverage for postburn scar revision or excisional defect of giant hairy nevus in the various parts of the body is reported here.