19 research outputs found

    Simple technique for evacuation of traumatic subcutaneous haematomas under tension

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    BACKGROUND: Traumatic subcutaneous haematomas are common cases in the accident and emergency department. Occasionally, urgent evacuation is required to prevent skin necrosis. METHODS: We present a simple and safe technique, based on a principle similar to liposuction to evacuate traumatic subcutaneous haematomas under tension. Instruments readily available in the accident and emergency department are used without the need of general anaesthesia. RESULTS: The technique was performed in six cases without complication such as infection or re-collection of the haematoma under tension. We present two typical scenarios where urgent evacuation was indicated and the technique performed. CONCLUSION: The technique is useful as an urgent and safe procedure in the accident and emergency department setting

    The east -west advancement flap (horizontal advancement flap) to repair a defect on the nose ala.

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    Background The repair of an alar nasal defect is a frequent challenge for dermatologic surgeons for reasons of the high rate of non-melanoma cancers in the area. Objective Our aim was to describe the use of an east\u2013west cheek-based flap (horizontal advancement flap) to repair a surgical defect on the nose ala. Methods Benefits and limits of this surgical procedure are evaluated. Result The resulting S-shaped scar was well-camouflaged among the natural skin lines (melolabial fold and melonasal junction). No architectural distortion of the nose resulted from the procedure. Conclusion In selected patients with small-to-medium-size defects of the nasal ala, the horizontal advancement flap is a simple, reliable and aesthetic reconstruction option

    Bullous irritant contact dermatitis caused by an alcoholic extract from Juglans regia leaves

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    Phytotherapeutic remedies can be responsible for allergic and irritant contact dermatitis, and even chemical burns.We report a case of irritant contact dermatitis caused by an alcoholic extract from Juglans regia leaves

    A rare case of giant malignant eccrine spiradenoma

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    A 45-year-old man from Nigeria in generally good health presented with a giant occipital neoformation approximately 8 7 8 cm. The lesion, exophytic, ulcerated, bleeding, and foul-smelling, had first appeared 4 months earlier and had grown rapidly. There was another similar, smaller lesion near the original one, which was presumed to be an intransit metastasis. Contrast-enhanced computed tomography and positron emission tomography scans confirmed that the patient had already developed lung, bone, and kidney metastases
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