Reconstruction of the lower lip and chin using local and random-pattern flaps

Unlike the reconstruction of wounds found on more predictable and less variable anatomic subunits of the face, reconstruction of defects on the chin and lower lip often present special difficulties for the surgeon in accurately assessing and selecting the lines of incision that will provide the patient with the best cosmetic result. The author discusses the many factors which must be considered as part of that selection process and describes the uses of the most common local flaps for reconstructing wounds found in this anatomic location.     

Reconstruction of the nose with groin flap

Acid burns of the face is not infrequent. In one such case groin skin has been chosen for reconstruction of the nose following destruction of the skin and a part of the cartilages. The result was satisfactory.     

Reconstruction of alae of the nose and angle of the mouth with naso labial flap

Naso labial flap is an ideal flap for reconstruction of alae of the nose and angle of the mouth after excision for malignancy. Due to inconspicuous deformity of the donor area it is ideal in old age. We report our experience in 7 cases of basal cell carcinoma of the alae of the nose and 11 cases of carcinoma angle of the mouth.     

应用折叠型游离股前外侧皮瓣修复面颊贯通性缺损12例

目的：探讨折叠型游离股前外侧皮瓣在修复面颊贯通性缺损中的临床应用效果。方法：2010年1月至2014年10月,在中山大学附属肿瘤防治中心应用折叠型游离股前外侧皮瓣修复12例面颊贯通性缺损的患者。分析获取游离股前外侧皮瓣的手术过程、血管吻合技巧以及皮瓣存活率。结果：11例皮瓣存活,1例因术后静脉血栓形成而坏死。在12例患者中,游离股前外侧皮瓣的供区均一期缝合,供区的线性瘢痕隐蔽性好,且供区大腿的功能不受影响。结论：游离股前外侧皮瓣具有良好的可塑性,折叠后可同时修复面颊贯通性缺损的内侧及外侧,具有供区并发症少、外观易接受及患者满意率高的优点。     

International dermatosurgery: advancement local flaps in the reconstructive treatment of vulvar carcinoma

The only possible treatment of carcinoma of the vulva, the most frequent and malignant tumor of the external female genital area, is surgical excision. It is necessary to perform wide vulvectomy and bilateral node dissection which usually creates a problem in the reconstruction of the zone. Two local advancement flaps achieve excellent functional and aesthetic results.     

Half nose with proboscis

A very rare case of congenital half nose with proboscis is described. Relevant literature is reviewed.     

带蒂额肌帽状腱膜裂层颅骨瓣修复前颅底(英文)

Objective:The aim of our study was to reconstruct soft and hard tissue perforating defects of the anterior skull base in a 1-stage surgical procedure with a combined craniofacial approach. Methods:Soft and hard tissue defects of the anterior skull base were successfully reconstructed in 43 patients during a 1-stage surgery through the use of frontalis muscle galea aponeurotica skull flaps with 1 or 2 vascularized pedicles. The skull flap areas were up approximately 7cm × 14cm. Results:Intracranial infection and cerebrospinal fluid leakage were not observed in the 43 patients, and all incisions healed. Of 33 malignant tumor patients, 25 patients received follow-up examinations for longer than 2 years, and 18 patients survived for 2 years. Conclusion:Frontalis muscle galea aponeurotica skull pedicle flaps provided a constant blood supply and resulted in soft and thin tissue. The pedicle flaps, together with the external cranial bone plate, strengthened the support, but still allowed for bending and shaping. In addition, the flap harvesting approach was consistent with surgery approach, without aesthetic compromises.     

Clasmatocytic Lymphoma of the nose with unusual metastasis

Extranodal malignant lymphomas of the head and neck are rare tumours. A rare case of primary Clasmatocytic Lymphoma of the nose, showing unusual metastases to the skin of the anterior abdominal wall, is presented. The case also developed recurrence in the abdominal lymph nodes after a long period of remission with a fatal outcome.     

Plasmacytoma of the nose

A case of Plasmacytoma of nose which has been followed for 6 years, has been presented. The patient was treated by local excision of the mass. Prognosis of this disease is uncertain and histopathological examination is no guide to the future behaviour of the tumour. Follow up at regular intervals is necessary.     

Hamartoma of the nose

A Hamartoma of the Nose is being reported.     

Glomangioma of the nose

Glomangiomas of the skin, subcutaneous tissue and external ear & also, less commonly, of several viscera have been described. There is however, no mention of glomangioma of the nose, in literature. We report a case which presented as a nasal polyp. The histological study revealed the nature of the ‘polyp’ to be a glomangioma. It could be concluded that, considering the various sites mentioned in literature, there is no reason why this tumour cannot arise in any part of the body.     

Hornification of the nose

A case report of the hornification of the nose is presented. It was present since birth, which increased with the advancing age. There were dark pigmented spots all over the body and both the conjunctiva:. Histopathology revealed the nose mass to be a horn like structure and the skin biopsy revealed it to be xeroderma. No case sofar in the literature is available of the hornification of the nose.     

Fibrosarcoma of the nose

A case of fibrosarcoma of the nose in an adult pregnant lady is being reported.     

带蒂穿支皮瓣在乳房再造术中的应用

与游离穿支皮瓣相比,带蒂穿支皮瓣分离技术更加简单,安全系数更高,而且供区畸形更小。近年来,应用带蒂穿支皮瓣技术已经成为乳房再造手术一种新的选择, 甚至是一些患者的首选方案。常用的带蒂穿支皮瓣有胸背动脉穿支皮瓣、肋间动脉穿支皮瓣(外侧肋间动脉穿支皮瓣、前侧肋间动脉穿支皮瓣)等,其他可用的选择包括前锯肌动脉穿支皮瓣,腹壁上动脉穿支皮瓣,胸外侧动脉穿支皮瓣等。为了提高手术设计的精确性,术前需要评估穿支血管的质量,并对其定位穿支。皮瓣的设计相比游离皮瓣手术而言,显得更加重要。虽然带蒂穿支皮瓣在乳房再造领域的作用尚不能取代游离皮瓣的金标准地位,但随着“损伤最小化”重建概念的日渐推广,带蒂穿支皮瓣将会成为乳房再造领域里的一种新的趋势。     

Pleomorphic adenoma of the nose

Mixed parotid tumour of the nose is uncommon, Salivary gland tumours develop near or within the parotid gland nearly twenty times as often as they do in the submandibular gland. About 40% of all minor salivary tumours arise in the hard palate, 20% each in oral cavity and maxillary antrum, 10% in oropharynx and rest 10% are in upper respiratory tract. The average age of the patients with salivary tumours is 45 years, but the age range is wide, extending from childhood to adulthood and even over 80 years. Most series show a preponderance of females, especially if only tumours of the parotid glands are considered.     

Meningioma in the nose

A case of primary intranasal meningioma located in right nasal cavity and eroding right ethmoid, medial wall and floor of right orbit and medial wall of right antrum is presented with a brief review of relevant literature. To our knowledge, it forms 34th case of its kind, in the series of primary meningioma of the nasal cavity and paranasal sinuses” and is amongst the very few to have occured in a child of just eight years. Both primary tumor and its recurrence are successfully removed by lateral rhinotomy.