Introduction: Chronic osteomyelitis cases are challenging, as they require a multidisciplinary approach for reconstructive soft tissue coverage and orthopedic management. Proper debridement, stable coverage and effective antibiotic therapy are mandatory before application of flap coverage. Patients and Methods:We performed a retrospective comparative study between muscle and fasciocutaneous flaps used for coverage of chronic osteomyelitis related wounds of the lower limb. It included thirty patients who finished a 12 months of follow-up to assess the complications rate and the outcome of surgery. Color match, texture match and aesthetic satisfaction were compared between the 2 groups.Results: Thirty-one flaps including six free flaps and twenty-five local flaps were used to treat these cases. Complications included fluid collections in one case, sinus formation in two 2 cases, partial flap loss in one case. These complications were managed by prolonged antibiotic therapy and dressing changes. Cases in group B had higher scores (mean: 9.5±1.34) in comparison with cases in group A (mean: 7.25±1.29). Yet, there were no statistically significant differences between the 2 groups (p-value: 0.27). Conclusion:A multidisciplinary team is needed for management of cases with chronic osteomyelitis related wounds. Flap coverage can be achieved with either muscular or fasciocutaneous flaps with comparable successful rates.

Primary cleft rhinoplasty has been a topic of interest over the decades. The cleft nasal deformities challenge all plastic surgeons. There is significant variability in the anatomy of each cleft deformity, but iatrogenic changes and scarring from the previous surgeries add another layer of complexity. There are lots of techniques described to address such deformities. These techniques were further refined and modified over time, but no one protocol is reported to be entirely satisfactory. A perfect nose with no deformity is unusual, but reasonably good results are achieved when the principles of nasal repair are fully applied. Moreover, there is still paucity in the outcomes reported, which makes it harder to evaluate the results of the primary rhinoplasty. And, even the few reported results are not evaluated according to standardized methods, making the evaluation subjective. This work aims to review recent literature on long-term primary rhinoplasty outcomes of unilateral cleft lip.