Anatomical Landmarks of the Beard Region

BACKGROUND With recent advancements in hair restoration techniques, hair can be transplanted into nonscalp areas, such as the beard region, and the result looks natural. Although scalp zones and landmarks have been available for planning and designing the hairline, landmarks that will determine the beard lines are yet to be presented and made known for clinical practice. OBJECTIVE This study aimed to determine and analyze the beard lines and anatomical boundaries of the beard area to provide a more natural restoration/reconstruction appearance. MATERIALS AND METHODS The soft-tissue landmarks of the face that will enable physicians to create natural-looking beard lines were determined. Based on these important points, beard lines were analyzed with anthropometric methods by using the photographs of 32 male volunteers. RESULTS The ideal upper and lower beard lines and the anatomical boundaries of the beard area were determined using these landmarks. CONCLUSION These lines ensure that beard restoration/reconstruction provides a more natural appearance

Oxaliplatin Induced Digital Ischemia and Necrosis

Introduction. Digital ischemia is a rare complication of several chemotherapeutic medications. We aimed to present a patient with digital ischemia, secondary to a new generation chemotherapeutic drug, oxaliplatin. Case Report. 62-year-old woman presented to our department with severe pain, paresthesia, and distal acrocyanosis on her right hand fingertips. Her complaints started five days after the third cycle of a chemotherapy protocol consisting of 5-fluorourasil (5-FU), folinic acid, and oxaliplatin due to advanced colon carcinoma. On physical examination, hemorrhagic and partly ulcerative lesions were detected at her right hand fingertips. Radial and ulnar pulses were absent at affected side. Digital subtraction angiography revealed severe vascular resistance in the affected extremity. Iloprost trometamol treatment was started with the dosage of 1 ng/kg/min. In addition, low-molecule-weight heparin was used for preventing possible microemboli. Symptomatic relief was provided after five days, and patient was discharged on 7th day of treatment. Discussion. The pathogenesis of oxaliplatin induced vascular toxicity remains unclear. Endothelial damage, increased adherence of platelets, deposition of immune complexes as an immunologic effect of oxaliplatin, and hypercoagulable state may be the reason for arterial thrombosis, digital microemboli, possible digital ischemia, and their several consequences

Burn reconstruction: Severe mentosternal adhesion

Burn injuries are severe traumatic events with a range of local and systemic repercussions. Various complications may occur in the early and late stages of burn injuries depending on the causative agent, duration of contact, degree of burn, and extent of the harm. Long after their burn scars have healed, many patients still struggle with issues related to their burn injuries. Burn scars, hypertrophic scars, keloid, contractures, heterotopic ossifications, chronic ulcerations, and marginal ulcers are late-onset complications that hurt the quality of life and result in lost productivity. Escharotomy, fasciotomy, repeated debridement, and primary wound management can lower mortality and potential complications. Complex burns should ideally be treated in specialized burn centers supervised by plastic surgeons and a multidisciplinary team of experts who treat patients holistically. This case report presents a contracture that occurred following an extensive burn to the neck, arm, and finger joints, which was successfully treated with surgery and healed without complications