Versatile Option Research Articles

Surgical and Transcatheter Mitral Valve Replacement in Mitral Annular Calcification: A Systematic Review.

Mitral annular calcification with mitral valve disease is a challenging problem that could necessitate surgical mitral valve replacement (SMVR). Transcatheter mitral valve replacement (TMVR) is emerging as a feasible alternative in high‐risk patients with appropriate anatomy. PubMed, Embase, and Cochrane Central Register of Controlled Trials were searched from inception to December 25, 2019 for studies discussing SMVR or TMVR in patients with mitral annular calcification; 27 of 1539 articles were selected for final review. TMVR was used in 15 studies. Relevant data were available on 82 patients who underwent hybrid transatrial TMVR, and 354 patients who underwent transapical or transseptal TMVR. Outcomes on SMVR were generally reported as small case series (447 patients from 11 studies); however, 1 large study recently reported outcomes in 9551 patients. Patients who underwent TMVR had a shorter median follow‐up of 9 to 12 months (range, in‐hospital‒19 months) compared with patients with SMVR (54 months; range, in‐hospital‒120 months). Overall, those undergoing TMVR were older and had higher Society of Thoracic Surgeons risk scores. SMVR showed a wide range of early (0%–27%; median 6.3%) and long‐term mortality (0%–65%; median at 1 year, 15.8%; 5 years, 38.8%, 10 years, 62.4%). The median in‐hospital, 30‐day, and 1‐year mortality rates were 16.7%, 22.7%, and 43%, respectively, for transseptal/transapical TMVR, and 9.5%, 20.0%, and 40%, respectively, for transatrial TMVR. Mitral annular calcification is a complex disease and TMVR, with a versatile option of transatrial approach in patients with challenging anatomy, offers a promising alternative to SMVR in high‐risk patients. However, further studies are needed to improve technology, patient selection, operative expertise, and long‐term outcomes.

Operation of Current Mirrors in SiGe BiCMOS Technology at Cryogenic Temperatures

Current mirrors (CMs) are essential building blocks for biasing electronic circuits. The present work demonstrates that errors in mirroring ratios increase at cryogenic temperatures, for all types of SiGe HBT and CMOS CMs. The sources of errors are attributed to the mismatch in operating conditions and a combination of process variations and layout effects. In particular, the effects of layout on device current are found to increase significantly at low temperatures, which can potentially contribute more to the CM error than process variations. Among all investigated CM configurations, the simple CM based on large geometry SiGe HBTs is the most versatile option with small errors, a large operational range, and a simple layout.

Costal Cartilage Lateral Crural Strut Graft for Correction of External Nasal Valve Dysfunction in Primary and Revision Rhinoplasty.

To evaluate and compare the costal cartilage lateral crural strut graft's (LCSG) ability to support a weak lateral crus in patients with external nasal valve dysfunction (EVD) undergoing primary versus revision functional rhinoplasty. This is a prospective cohort study of 26 patients (mean [SD]: 40.23 [6.75] years of age; 10 [38%] females) with clinically diagnosed EVD, who underwent primary versus revision functional rhinoplasty with the use of a costal cartilage LCSG (10 [38%] primary functional rhinoplasty patients and the 16 [62%] revision patients). Preoperative and 12-month postoperative subjective and objective functional measurements along with statistical analysis were performed. While all baseline demographic and preoperative functional measurement scores were similar between the 2 groups, the primary cohort's preoperative scores were higher overall. Follow-up was a mean of 14.58 months. The primary group demonstrated a greater difference in score improvement postoperatively in all categories. All patients had significantly improved visual analog scale (VAS), Nasal Obstruction Symptom Evaluation Scale, 22-Item Sinonasal Outcome Test, and nasal peak inspiratory flow (NPIF) scores. When comparing the overall score outcome and surgical efficacy of the LCSG, both groups had near equal final score outcomes with the exception of VASL and NPIF. The LCSG is a viable and versatile option in the management of EVD for both primary and revision rhinoplasty patients.

Combination of DGA and LN Columns: A Versatile Option for Isotope Production and Purification at Oak Ridge National Laboratory

ABSTRACT The chromatographic resins DGA and LN have been used sequentially to separate curium, californium, plutonium, and various fission products (FPs) to obtain products with a pure radioisotope or a radioelement with high isotopic purity. This 2-step combination of resins has found applications in the 252Cf and 238Pu campaigns performed at Oak Ridge National Laboratory. Experiments have been carried out in glove boxes, shielded caves, and hot cells, demonstrating that these resins are adequate and maintain their performance in highly radiolytic environments. Using these resins has led to the recovery of curium highly enriched (>95%) in 248Cm, the clean separation of 251Cf for the superheavy element research, and the recovery of 147Pm from the FP stream obtained during the 238Pu production campaign while demonstrating that the raffinate post DGA is essentially free of transuranic elements.

Versatility of Latissimus Dorsi Free Flap-a Prospective Study

Introduction: Free flaps offer a great variable of available tissues to cover larger, multifocal or multistructural defects. The choice among different free flap is dependent upon their recipient site requirement. Reconstruction with latissimus dorsi flap is now versatile tool in coverage. It can resurface large wound with reliable vascularity, consistent anatomy ,long pedicle length, opportunity for tailoring of flap. It has less donor site morbidity and has very little post-operative complications.
 Objective: To evaluate the versatility of free Latissimus dorsi flap for soft tissue reconstruction.
 Materials and methods: A prospective, observational study design was used in Department of Plastic Surgery of Dhaka Medical College and Hospital. Here 20 patients with soft tissue defect of variable sizes over lower limb, head neck and trunk underwent coverage with microvascular surgery. The study was carried out from July 2017 to June 2018.
 Result: Regarding the age distribution, the mean age was 35.65with an SD of + 10.81. The lowest age was 20years and the highest age was 56 years, Male female ratio was 3:2.The major cause (65.0%) of soft tissue defect of the samples was RTA. The flap was used to reconstruct the soft tissue defect over lower leg in 13 (65%)cases, on scalp 05 (25%) cases and over anterior trunk in two cases. The mean flap dimension was 229.25cm2 and its range was between 120 – 384 cm2. The standard myocutaneous flap was harvested in 80% cases, chimeric (10%) and partial Latissimus muscle flap in two cases. The donor site in all the 20 (100%) cases was closed primarily. The outcome of reconstruction was excellent in 16(80%), good in 02 (10%) cases and poor in 02 (10%) cases. There was no significant complication during the three months postoperative period.
 Conclusion: The Latissimus dorsi flap is a versatile option for resurfacing the soft tissue defect in different areas of the body with variable flap components and with minimal donor site morbidity.
 J Dhaka Medical College, Vol. 28, No.2, October, 2019, Page 142-152

Use of Homodigital Reverse Island Flaps for Digital Reconstruction-The Perspective of a Reconstructive Surgery Unit in Accra, Ghana

Several Local flaps can be used for the reconstruction of digital soft tissue defects with exposure of tendons and/or phalanges. The homodigital flap is a versatile option. This article discusses the use of the homodigital reverse vascular island flap-a regional, axial-patterned skin flap in the reconstruction of distal digital defects. Methods: 6 patients with a soft-tissue defect at the distal part of the finger were treated by homodigital island flaps for reconstruction. We evaluated the active range of motion of the involved finger, and the patient's satisfaction with the appearance of the finger after reconstruction. Results: All patients admitted to a good functional outcome. The donor site morbidity was minimal. The take of the split-thickness skin graft to the flap donor site was generally good. However one patient complained of numbness of the finger over the donor site Conclusion: The Homodigital flap is a handy multipurpose flap that can be used. Notwithstanding its limitation, it is easy to raise and it can be used to a variety of defects

Microvascular free flaps from the lower abdomen for preservation of amputation length in the lower extremity.

The length of the amputation stump is crucial for optimal prosthetic fitting and rehabilitation. Especially in traumatic amputation, direct closure of the stump may be challenging, and bone shortening is frequently needed. To avoid excessive bone shortening, coverage of exposed bone with free flaps is a versatile option. Here we present our experience with the utilization of free flaps from the lower abdomen for the coverage of amputations stumps of the lower extremity. Between March 2008 and October 2010, five patients (three female, two male) with complex wounds on amputation stumps of the lower extremity were treated with a mean age of 50 years (range: 15-72 years). Six abdominal free flaps were performed in five patients (one bilateral case), including four deep inferior epigastric artery (DIEP-) and two muscle-sparing transverse rectus abdominis muscle (ms-TRAM-) flaps. Patient's and operative data were collected retrospectively. One complete flap failure occurred (overall success rate: 83.3%). Three of five patients gained full ambulatory status. Due to the low donor site morbidity a long vascular pedicle and the large amount of available tissue, abdominal based free flaps represent our first choice for microsurgical reconstruction of lower extremity stumps.

Pedicled Anterolateral Thigh Flap

Background: Once it has been first described by Song et al., in 1984, anterolateral thigh (ALT) flap gains wide popularity as a free flap with only a few reports in the literature regarding its application as a pedicled flap in regional soft-tissue reconstruction in pediatric patients. Materials and Methods: The author describes his experience about the role of pedicled ALT flap in reconstruction of different local defects in pediatric patients. Representative cases are presented for illustration. Results: Nine patients with ischial, trochanteric, and groin defects have been reconstructed by pedicled ALT flap between January 2018 and January 2019. The patients were between 7- and 15-year-old. The size of the flaps measured from 4 cm × 6 cm to 19 cm × 17 cm. The type of the flap was myocutaneous flaps in six cases and as perforator flaps in three cases. Primary closure of the donor site has been done in seven cases while split-thickness skin grafts were done in two cases. Eight flaps have been totally survived while partial necrosis has been occurred in the distal end of one case. Conclusion: Pedicled ALT flap provide a reliable and versatile option for plastic surgeons in reconstruction of difficult regional soft-tissue defects in pediatric patients especially when bulkiness and resistance of infection is indicated, with accepted functional and cosmetic results.

Free tissue transfer for skull base reconstruction - a review

Evolutions in skull base surgery and reconstructive technique have given surgeons the confidence to resect and repair increasingly advanced skull base pathologies. Free tissue transfer (FTT) provides a versatile option capable of addressing numerous simultaneous reconstructive goals. This review highlights some of the nuances, challenges, and considerations of performing FTT for skull base reconstruction in the anterior, central and lateral skull base. This review combines the expert opinion of the senior authors with those of the field at large as queried through PubMed searches regarding skull base reconstruction and FTT. Reconstructive goals include separation of intracranial from extracranial cavities, obliteration of dead space, and protection of vascular and neural structures. Atypical vascular pedicle management is commonly needed, especially for endonasal and central skull base resection. Virtual surgical planning may be beneficial for complex bony reconstruction. Familiarity with common complications such as cerebrospinal fluid leak, nasocutaneous fistula, and inferior flap displacement, as well as associations for their development, can help plan the reconstruction to minimize morbidity.

The Preauricular Transmasseteric Approach: A Novel Option for the Exposure of Mandibular Condyle Fracture

Background: Mandibular Condyle fractures are common and the traditional method for the exposure is the retromandibular approach, however it presents some limitations and considerations among facial nerve palsy and parotid gland fistulae. This technical note present a novel approach to the subcondylar fractures, using preauricular incision with an innovative transmasseteric dissection. Study Design: Technical note. Objective: Present a novel approach to the subcondylar fractures, using preauricular incision with an innovative transmasseteric dissection. Methods: Patients diagnosed for mandibular condyle fractures in a Level 1 Trauma Center in Brazil. All the procedures were performed in the shortest possible time since the trauma. Traditional preauricular incision with gentle lower dissection through the superficial musculoaponeurotic system, the facial nerve branches are exposed and retracted. The parotid gland capsule plane is outlined and the parotid gland is retracted posteriorly. The masseteric fascia is exposed and the masseteric muscle is incised and the blunt dissection continues toward the periosteum and the mandibular condyle. Results: Eight patients were surgically managed in the acute trauma with a mean of 2.57 days to the operation. Transient parotid gland fistulae was observed in only 12.5% of the patients. Facial nerve palsy was observed in 37.5% of the patients in the first 7 days of postoperative time, with no records of persistent facial nerve paralysis. Conclusions: The preauricular transmasseteric approach is a reliable and versatile option for the exposure of the mandibular condyle, being a safe and aesthetic incision on the management of the subcondylar area. The surgical team use it as a novel tool in the approach for condyle fractures.

Reservoir Computing Using Complex Systems

Reservoir Computing is an emerging machine learning framework which is a versatile option for utilising physical systems for computation. In this paper, we demonstrate how a single node reservoir, made of a simple electronic circuit, can be employed for computation and explore the available options to improve the computational capability of the physical reservoirs. We build a reservoir computing system using a memristive chaotic oscillator as the reservoir. We choose two of the available hyperparameters to find the optimal working regime for the reservoir, resulting in two reservoir versions. We compare the performance of both the reservoirs in a set of three non-temporal tasks: approximating two non-chaotic polynomials and a chaotic trajectory of the Lorenz time series. We also demonstrate how the dynamics of the physical system plays a direct role in the reservoir's hyperparameters and hence in the reservoir's prediction ability.

İn Vitro Et’e Karşı Olan Tutumun Araştırılması: Erzurum Meslek Yüksekokulu Öğrencileri Örneği

Artan dünya nüfusu nedeniyle ete olan talep günümüzde sürekli olarak artmaktadır. Mevcut kaynakların yetersiz oluşu, etik kaygılar, hayvan refahı gibi faktörler alternatif et kaynaklarının keşfi konusunda yeni çalışmalar yapmaya teşvik etmektedir. Bu alternatiflerden biri de temelde bir laboratuar ortamında üretilen in vitro ettir (IVE). IVE oldukça yeni ve bilinmeyen bir alternatif olduğundan, tüketicilerin ürüne karşı algılarının ve algılarını etkileyen parametrelerin ortaya konulmasıyla ilgili çalışmalara ihtiyaç duyulmaktadır. Bu bağlamda, mevcut araştırmamız, IVE’ye karşı genel tutumları araştırmak ve tüketicilerin tutumları üzerinde bazı öngörücü faktörlerin bir etkisi olup olmadığını incelemek için kurulmuştur. Çalışma Atatürk Üniversitesi Erzurum Meslek Yüksekokulunda okuyan 80 erkek ve 81 kadın öğrenci katılımcı kullanılarak kurulmuştur. Katılımcılara sorulan tüm sorular 1 ± 5 likert tipi ölçekte sunulmuştur. Katılımcılar IVE'yi denemeyeceklerini belirttiyse, diğer takip soruları sunulmamıştır. Daha sonra tüm katılımcılara, hangi koşullarda IVE'yi denemek istemeyeceklerini araştıran çok yönlü bir seçenek verilmiştir. İstatistiksel analizler, öğrencilerin bir şekilde IVE tüketmeye istekli olduklarını göstermektedir. Diğer taraftan IVE tüketimi konusunda tat/görünüşün öncelikli engel olduğu belirlenmiştir. Bununla birlikte, cinsiyet ve et türünün, IVE’ye yönelik tutumda en önemli değişkenler olduğu tespit edilmiştir. Ancak elde edilen tüm sonuçlar IVE algısı konusunda derin bir karmaşının olduğunu göstermektedir. Çalışma küçük ölçekli olsa da, IVE’ye yönelik algıların ölçülmesinde önemli bir adım olduğu ve IVE konusu hakkında daha fazla araştırmanın gerekliliğini ortaya koymuştur.

Versatility of the inferiorly based nasolabial flap for reconstruction in early oral cancer patients: Our experience in a tertiary cancer centre

<p class="abstract"><strong>Background:</strong> The nasolabial flap is a simple, yet efficient method of soft tissue reconstruction with a very reliable blood supply which can be used to reconstruct soft tissue defects of various parts of the oral cavity. Aim of the study was to study the effectiveness of the inferiorly based nasolabial flaps for reconstruction in early oral cancer patients.</p><p class="abstract"><strong>Methods:</strong> 28 patients with T1 or T2 malignant lesions of the oral cavity were studied retrospectively who underwent reconstructions using the inferiorly based nasolabial flap. Flap viability, wound problems, infections, function, scar and recurrence were noted post-operatively for all the patients included in the study. All patients were followed up for a minimum of 6 months after the surgery. </p><p class="abstract"><strong>Results:</strong> The nasolabial flap was used to reconstruct defects of buccal mucosa, oral commissure, lower lip, lateral border of the tongue, hard palate and the floor of the mouth. The flap was viable in all patients with no recurrences. Cosmetic and functional outcomes were good. However few patients developed minor complications like post-operative trismus, severe wound contracture, ectropion and infection and wound dehiscence. Intra oral hair growth over the flap used were one of the main problems in the majority of male patients.</p><p><strong>Conclusions: </strong>If proper attention is given to flap designing, operative technique and post-operative management, the NLF is a viable and versatile option for reconstruction of small to intermediate defects of the oral cavity created post ablation of early tumors of the oral cavity.</p>

A notação logarítmica como opção de registro objetivo da estesiometria: um estudo piloto

Introdução: A Avaliação objetiva é um valioso recurso na pesquisa. Contudo, o estesiômetro provê informações por cores. Objetivo: Apresentar a conversão logarítmica dos valores nominais do estesiômetro como opção representativa de registro na avaliação de prejuízo tátil. Método: Estudo Piloto aprovado com parecer nº 1.337. 714, realizado de agosto de 2018 a julho de 2019. Valores nominais (gF) dos monofilamentos do estesiômetro foram convertidos em logaritmo, o procedimento serviu para o registro e o acompanhamento de pacientes cerebrovasculares em reabilitação (n=13), comparado ao controle (n=10), para notações de qualidade, acurácia e poder de inferências dos dados na representação do estado tátil. Statistical analysis performed by the GraphPad Prism 6.0 Program. Resultados: As opções numéricas trabalhadas conseguem representar a percepção da sensibilidade tátil, sendo que a conversão em logaritmo demonstra objetividade, sensibilidade, coerência e consistência para gerar mais inferências. Conclusão: A notação logarítmica para registro da sensibilidade é uma opção versátil de análise e interpretação dos dados na pesquisa em reabilitação.

Implantable Doppler Ultrasound Monitoring in Head and Neck Free Flaps: Balancing the Pros and Cons.

Free flap transfer offers a versatile option for reconstruction in head and neck surgery, with success rates over 95%. There remains a substantial re-exploration rate of roughly 5% to 15%, with early recognition of compromise essential to flap survival. Monitoring techniques are highly desirable, with the gold standard being clinical monitoring. The Cook-Swartz Doppler (CSD) probe utilizes Doppler technology to inform clinicians about real-time flow. We aim to describe our adoption of this technology in 100 consecutive free flaps. Prospective case series. Prospective data were collected from July 2014 to June 2015 on 100 consecutive free flaps performed at a head and neck unit in London, Ontario. All patients had a CSD inserted for arterial and venous monitoring. A total of 100 free flaps were performed on 99 patients. Sensitivity was 87.1% and specificity was 85.7%. Positive predictive value was 98.8% and negative predictive value was 33.3%. False-negative and false-positive rate were 1.0% and 12.0%, respectively. The exploration rate was 12%, with no flap loss and two partial debridements. The CSD was helpful in management in 9% of cases and was clinically unhelpful in 11% of cases, with 10 of 11 abnormal signals ignored. There were three unique CSD complications; one retained wire, one pedicle laceration during extraction, and one clot around the probe interrupting signal. The CSD is a helpful adjunct to clinical monitoring but has unique complications, which were not previously described. Pros and cons must be considered for new centers adopting this technology. 4 Laryngoscope, 131:E1854-E1859, 2021.

Dorsal Metacarpal Artery Flap: An Underrated Workhorse Flap for Reconstruction of Dorsal Finger Defects

The dorsal metacarpal artery (DMCA) flap is a versatile option in the armamentarium of the reconstructive hand surgeon, especially for resurfacing dorsal finger defects where the flap options are limited. The flap fulfills most of the reconstructive principles such as “to replace like with like” and is simple, reliable, and easy to harvest with minimal donor site morbidity. In this report, we discuss the case of a 37-year-old male patient who presented with a partially healed wound over the right middle finger. Several variations of the DMCA flap have been described in the literature, and these are briefly described here along with their applications and vascular basis.

Reconstructive Options for Composite Maxillary Defects With Orbital Exenteration—The Royal Adelaide Experience

PURPOSE: Composite orbito-maxillary defects following maxillectomy and orbital exenteration remain one of the most sophisticated reconstructive challenges in head and neck surgery. We present the outcomes of a 15-year single-centre review of patients who underwent reconstruction of Cordeiro types IIIB and IV defects, and review the reconstructive options. METHODOLOGY: All patients who underwent maxillectomy with orbital exenteration between 2004 and 2019 were identified from the Royal Adelaide Hospital Plastic Surgery database. Patient’s medical records, operation notes, pre- and postoperative photographs were reviewed. The reconstructive methods were analysed based on defect components—skin, maxilla, orbit, palate, and skull base. RESULTS: A total of 22 patients underwent reconstruction for Cordeiro types IIIB and IV orbito-maxillary defects. The most common pathologies were SCC (59%) followed by melanoma (18%). Fourteen (64%) patients had type IIIB and 8 (36%) had type IV defects. The most commonly used free flaps were rectus abdominis with or without skin paddle (55%), ALT (22%), and ALT/vastus lateralis chimeric flap (14%). Reconstructive options for the skin, maxilla, orbit, palate, and skull base were analysed and described in detail. Flap survival rate was 95%. Other postoperative complications included hematoma (9%) and infection (9%). CONCLUSION: Reconstruction of Cordeiro types IIIB and IV defects should identify and address each defect component to achieve soft tissue coverage, contour, oronasal, and cranionasal separation. The most robust and versatile option is the rectus abdominis free flap. In our experience, bony reconstruction is not required for most Cordeiro IIIB and IV defects.

The Medial Sural Artery Perforator Flap: Lessons Learned from 200 Consecutive Cases

The medial sural artery perforator flap is a versatile option in reconstructive microsurgery. However, most reports of this flap have been limited by sample size. This study reviews the experience of a single large-volume center using the medial sural artery perforator flap and its variants for a variety of reconstructive purposes. A retrospective review of all patients who received the medial sural artery perforator flap reconstruction between March of 2006 and July of 2014 was performed. Two-hundred medial sural artery perforator flaps were used at three anatomical regions: head and neck (n = 129), upper extremity (n = 47), and lower extremity (n = 24). Flaps were transferred as free (n = 189) and pedicled (n = 11). Overall flap survival was 96 percent. Flap variants used included chimeric flap (n = 11) and dual skin paddle (n = 2). Plantaris tendon and saphenous/sural nerve graft were harvested in conjunction in 20 and seven patients, respectively. In 5 percent of the cases harvested in the conventional manner, a reliable perforator could not be found. The medial sural artery perforator flap is a reliable, alternative workhorse flap for nearly any small- to medium-size defect. It can be harvested as free or pedicled and the option to include multiple tissue components further expands its versatility. Therapeutic, IV.

Defect Reconstruction Using the Propeller Flaps Based on the Perforators Derived From the Lateral Circumflex Femoral Artery System.

Although propeller flaps are a useful option for soft tissue defect reconstruction, reports based on the perforators of the lateral circumflex femoral artery (LCFA) are rare. We aimed to present our experience in defect reconstruction using the propeller flaps based on perforators from different branches of LCFA and apply these flaps in soft tissue defect reconstruction of the lower extremities. Twenty nine patients (32 flaps) underwent defect reconstruction using propeller flaps based on the perforator of the LCFA. Defects were located from the groin to the proximal leg. According to the source vessels from which the perforator originated, flaps were categorized into types I, II, III and IV, which represented perforators from the transverse, descending, oblique, and rectus femoris branches, respectively. Type II flaps were subdivided into types IIa and IIb flaps based on antegrade and reverse flows of the descending branch. Flap sizes ranged from 12 × 6 cm to 30 × 15 cm (average, 22.69 × 9.19 cm) with the length of the vascular pedicle ranging from 3 to 7 cm (average, 4.86 cm). Flaps were rotated from 60° to 180° (average, 144.06°). There were 3 type I, 10 type IIa, 4 type IIb, 13 type III and, and 2 type IV flaps. Twenty-nine flaps survived after surgery. Total flap necrosis and venous congestion of the distal flap portion occurred in 1 and 2 patients, respectively. Reconstruction using propeller flaps based on perforators of the LCFA is a safe, reliable, and versatile option for defect reconstruction of the lower extremities; however, it requires meticulous surgical dissection and patience.

Use of homodigital reverse island flaps for digital reconstruction – the perspective of a reconstructive surgery unit in Accra, Ghana

Several Local flaps can be used for the reconstruction of digital soft tissue defects with exposure of tendons and/or phalanges. The homodigital flap is a versatile option. This article discusses the use of the homodigital reverse vascular island flap-a regional, axial-patterned skin flap in the reconstruction of distal digital defects. Methods: 6 patients with a soft-tissue defect at the distal part of the finger were treated by homodigital island flaps for reconstruction. We evaluated the active range of motion of the involved finger, and the patient's satisfaction with the appearance of the finger after reconstruction. Results: All patients admitted to a good functional outcome. The donor site morbidity was minimal. The take of the split-thickness skin graft to the flap donor site was generally good. However one patient complained of numbness of the finger over the donor site Conclusion: The Homodigital flap is a handy multipurpose flap that can be used. Notwithstanding its limitation, it is easy to raise and it can be used to a variety of defects