An unexpected long-term complication of genital burn in a child: Secondary cryptorchidism

Genital and perineal burns are rare and challenging injuries with serious long-term complications. Involvement of the testes is a sign of severity. There is limited knowledge in the literature about the management of complications and testes involvement in genital and perineal burns. In this report, we present the case of an 8-year-old boy with secondary cryptorchidism due to burn contracture who was treated by increasing the scrotal volume by Z-plasties, skin graft, and orchidopexy. © 2018 Turkish Association of Trauma and Emergency Surgery

The management of nasal defects after non-melanoma skin cancer excision

Background: The reconstruction of the nasal defects occurring after a tumor excision is rather difficult. The purpose of this study is to present our choices of reconstruction using flaps or grafts depending on the size, localization, and depth of the nasal defects occurring after a basal cell carcinoma and squamous cell carcinoma and to demonstrate our clinical approach and algorithm. Patients and methods: We retrospectively reviewed 224 patients who underwent nasal reconstruction after excision of nonmelanoma skin cancer between January 2010 and January 2015. Data collected included patients’ age and sex, anatomic location, tumor diagnosis, defect size, depth of the defects, reconstruction methods, recurrence, follow-up time, related to smoke and complications required. Results: A total of 224 patients were included in this study. Basal cell carcinoma was diagnosed 145 patients (64.7%), squamous cell carcinoma was diagnosed in 79 patients (35.3%). The most common location for nasal reconstruction was the nasal dorsum and sidewalls (56%). The nasolabial flaps were the most commonly used flap (n=49), followed by bilobed flap (n=34), forehead flap (n=32), V-Y rotation advancement flap (n=27), glabellar flap (n=26), skin graft (n=15), single or bilateral transposition flap (n=20), and other combined flaps (n=21). Conclusions: Obtaining tumor-free borders and satisfying aesthetic results are foremost aim in nasal reconstruction after nasal skin cancer excision. In this study, our clinical approach for nasal defects reconstruction is presented, which is based on frequently performed local flaps and skin grafting. © 2016, E-Century Publishing Corporation. All rights reserved

Effect of concentrated growth factor on survival of diced cartilage graft

Background Diced cartilage grafts are important in rhinoplasty for raising the dorsum and eliminating dorsal irregularities. The most common problems with the use of diced cartilage are wrapping and cartilage resorption. Objectives To histopathologically investigate and compare the viability of diced cartilage grafts wrapped with concentrated growth factor, fascia and fenestrated fascia, or blood glue. Methods Cartilage grafts were harvested from the ears of 10 New Zealand White rabbits and diced into 0.5 to 1 mm3 pieces. The grafts were divided into five groups for comparison: (1) bare diced cartilage; (2) diced cartilage wrapped with fascia; (3) diced cartilage wrapped with fenestrated fascia; (4) diced cartilage wrapped with concentrated growth factor (CGF); and (5) diced cartilage wrapped with blood glue. Each of the five grafts was autologously implanted into a subcutaneous pocket in the back of each rabbit. Three months later, the rabbits were sacrificed and the implants were harvested and examined histopathologically. Results Nucleus loss, calcification, inflammation, and giant cell formation differed significantly between the CGF group and both fascia groups. Chondrocyte proliferation was the highest in the CGF group. Nucleus loss rates were similar between the fascia and fenestrated fascia groups. Conclusions Our findings suggest that CGF improves the viability of diced cartilage grafts, while fascia hampers it. Punching holes in the fascia does not improve diced cartilage graft viability and neither does blood glue wrapping. © copyright Crown 2016

Meme küçültme cerrahisinin solunum fonksiyon testleri üzerine etkisi

Introduction: Bilateral breast reduction surgery is the surgical treatment of bilateral breast hypertrophy. This is one of the most common breast surgery requested by women, and performed by plastic surgeons. The reasons that patients want this surgery are to re-size sagging breasts aesthetically, and to get rid of somatic symptoms such as shoulder, chest, back, and neck pain. We believe that the objective positive effects of breast reduction surgery exist beside aesthetic. In our study, our aim is to elicit positive effects of surgery on lungs, if there are, by making pulmonary function test and carbon monoxide diffusion test before surgery and after 6 months of surgery. Materials and Methods: Thirty patients agreed to participate in the study. Study is completed with 19 patients. Pulmonary function test and carbon monoxide diffusion test were made to all patients in preoperative and 6 months of postoperative period. Lung roentgenogram of all patients was performed and height, weight, body mass index were measured. Saturation level was measured. Results: There was a meaningful increase in FEV1 and FVC values in the postoperative period in comparison with pulmonary function test performed in preoperative period. DLCO in postoperative period decreased meaningfully as compared to the preoperative period. Conclusion: Breast reduction surgery seems to have positive effects on pulmonary function test values and relaxes patients clinically. Patients with big breasts should be evaluated from this perspective if they apply chest diseases clinic with shortness of breath. © 2017, Ankara University. All rights reserved

The use of the PlasmaBlade and acellular dermal matrix in rhinophyma surgery: A case report

Background: Rhinophyma is a rare, disfiguring disease characterized by a slow progressive overgrowth of the soft tissue of the nose associated with end-stage severe acne rosacea. Objective: We present a case of severe rhinophyma treated successfully using PlasmaBlade and acellular dermal matrix with split-thickness skin graft. Methods: This procedure combines deep excision with PlasmaBlade followed by coverage with an acellular dermal matrix for dermal substitution and split-thickness skin graft. Results: Functional and aesthetic results were satisfactory. Conclusion: We offer a new approach to surgical treatment of rhinophyma. Total excision of phymatous tissue and single session replacement of epidermal-dermal components is an effective treatment for patients with severe rhinophyma, resulting in satisfactory functional and aesthetic outcome. This combined treatment modality prevents the recurrence of rhinophyma. It should be considered an appropriate alternative in cases of severe rhinophyma. © The Author(s) 2016

Surgical repair of the isolated incomplete median cleft lip

Median cleft lip refers to a vertical cleft on the midline of the upper lip. It is a rare congenital craniofacial anomaly brought about by a fusion failure in the medial nasal prominence. A novel surgical approach to median cleft lips and their repair is reported herein, with reference to a clinical case. The patient had a cleft in the lower half of the upper lip. There were no other craniofacial anomalies in this patient other than the cleft. Within the framework of the patient's surgical treatment, a functional and cosmetically satisfactory result was achieved by performing a V–Y advancement flap on the columella base, Z-plasty in the vermillion zone, and Z pattern muscular tissue repair, without having to resort to any tissue excisions. © 2015 International Association of Oral and Maxillofacial Surgeon