Microvascular Reconstruction of a Full Thickness Scalp and Skull Defect following Herpes Zoster Infection

1996 ◽  
Vol 4 (4) ◽  
pp. 1-7
Author(s):  
Ariel A Waitzman ◽  
Peter C Neligan
Keyword(s):  
Herpes Zoster ◽  
Central Area ◽  
Complete Recovery ◽  
Microvascular Reconstruction ◽  
Full Thickness ◽  
Toronto Hospital ◽  
Varicella Zoster ◽  
Thickness Skin ◽  
Common Infection

Herpes zoster is a common infection caused by reactivation of the varicella zoster virus. In most patients the disease runs a painful but benign course with complete recovery. A unique case of trigeminal ophthalmic herpes zoster presented to The Toronto Hospital, Toronto, Ontario. This patient had a unilateral full thickness defect of scalp and skull with secondary osteomyelitis and opacification of the eye. After appropriate medical therapy and surgical debridement, reconstruction was undertaken using a latissimus dorsi free flap and split thickness skin grafts. This achieved a satisfactory reconstruction with obliteration of the diseased tissue. On follow-up several months later, there was erosion through the central area of the skin graft. This appears to be secondary to trauma caused by the patient frequently scratching the area, and that the original defect likely had a factitious component of the same etiology.

Evidence-Based Homoeopathic Treatment of Acute Herpes Zoster (Shingles): A Case Report

2021 ◽  
Vol 34 (04) ◽  
pp. 307-310
Author(s):  
Yogeshwari Gupta ◽  
Khushbu Pandey
Keyword(s):  
Herpes Zoster ◽  
Causal Attribution ◽  
Complete Recovery ◽  
Future Research ◽  
Evidence Based ◽  
Acute Case ◽  
Varicella Zoster ◽  
Time Period ◽  
Short Time ◽  
Positive Results

AbstractHerpes zoster (HZ), also known as shingles, occurs due to reactivation of varicella zoster. It is manifested by unilateral, painful, vesicular rashes following a dermatome. Homoeopathy is well known for its tremendous results in chronic cases. This article presents the evidence-based significant result of single homoeopathic remedy in an acute case of HZ within a short time period without any post-herpetic neuralgia which usually follows the HZ for months. Three to four doses of Hypericum 30 CH provided significant relief within a day and complete recovery within 10 days. Modified Naranjo score is 9, indicating definite causal attribution. This case proves that by selecting appropriate similimum, promising and positive results are achieved by homoeopathy, be it acute or chronic cases in a safe and gentle way. No such existing homoeopathic literature provides any characteristic information particularly related to HZ in Hypericum. So, future research and clinical trials could be beneficial for better validation of Hypericum as a therapeutic for HZ.

scholarly journals Autologous full-thickness skin graft as reinforcement in parastomal hernia repair: a feasibility study

2020 ◽  
Author(s):  
V. Holmdahl ◽  
U. Gunnarsson ◽  
K. Strigård
Keyword(s):  
Hernia Repair ◽  
Skin Graft ◽  
Parastomal Hernia ◽  
Complication Rates ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Parastomal Hernia Repair

Abstract Background Parastomal hernia is a common complication of stoma formation and the methods of repair available today are unsatisfactory with high recurrence and complication rates. To improve outcome after surgical repair of parastomal hernia, a surgical method using autologous full-thickness skin grafts as intraperitoneal reinforcement has been developed. The purpose of this study was to evaluate the feasibility of this novel surgical technique in the repair of parastomal hernia. Methods A pilot study was conducted between January 2018 and June 2019 on four patients with symptomatic parastomal hernia. They had a laparotomy with suture reduction of the hernia and reinforcement of the abdominal wall with autologous full-thickness skin. They were then monitored for at least 1 year postoperatively for technique-related complications and recurrence. Results No major technique-related complications were noted during the follow-up Two patients developed a recurrent parastomal hernia at the long term follow-up. The other two had no recurrence. Conclusions Autologous full-thickness skin graft as reinforcement in parastomal hernia repair is feasible and should be evaluated in a larger clinical trial.

Results of syndactyly release using a modification of the Flatt technique

2014 ◽  
Vol 39 (9) ◽  
pp. 984-988 ◽  
Author(s):  
A. G. Barabás ◽  
M. A. Pickford
Keyword(s):  
Graft Failure ◽  
Skin Grafts ◽  
Full Thickness ◽  
Full Thickness Skin ◽  
Straight Line ◽  
Thickness Skin ◽  
The Mean ◽  
Web Space ◽  
The Web

The results of 144 congenital syndactyly releases over a 12-year period by a single surgeon using a modified Flatt technique (dorsal hourglass flap, interdigitating zigzag flaps, and full-thickness skin grafts) are analyzed considering the association of skin grafts and web creep. The mean follow-up was 5 years. There were seven cases of graft failure, only one of which developed web creep. Web creep occurred in 4.2% of web releases. The results suggest that avoiding longitudinal straight-line scars across the web space may be an important factor in avoiding web creep when performing the modified Flatt technique described.

scholarly journals Herpes zoster in an immunocompetent infant with a history of varicella in early infancy and after a minor injury - case report and literature review

2021 ◽  
pp. 74-74
Author(s):  
Jovana Dimic ◽  
Boris Jegorovic
Keyword(s):  
Herpes Zoster ◽  
Herd Immunity ◽  
Preventive Measure ◽  
Male Infant ◽  
Complete Recovery ◽  
Early Infancy ◽  
Skin Changes ◽  
Varicella Zoster ◽  
History Of ◽  
Immunocompetent Infant

Introduction. Chickenpox is a common pediatric disease, while herpes zoster (HZ) is rare among children, especially among infants. HZ in infancy may appear after intrauterine or postnatal infection with varicella-zoster virus (VZV). We report on a case of HZ in an immunocompetent infant who had a history of chickenpox in early infancy. Case outline. A seven-month-old male infant was presented with skin changes in the left T1 and T2 dermatomes. Skin changes appeared eight days after the infant had a mild left-arm traction injury. The patient?s medical history revealed that he had a mild form of chickenpox at the age of three and a half months. After the clinical diagnosis of HZ was made, he was treated with oral acyclovir 20 mg/kg every six hours for five days and had complete recovery without any sequelae. Conclusion. Risk factors for pediatric HZ are immunosuppression and chickenpox during the first year of life. Local trauma is a reported risk for VZV reactivation among adults. To our best knowledge, our case is the first reported pediatric case in which the injury of the left arm precedes HZ appearance. Routine vaccination against chickenpox may be an important preventive measure because herd immunity will protect infants and immunocompromised children from getting chickenpox and thus HZ.

Dupuytren’s Contracture: A Comparative Study of Fasciectomy and Dermofasciectomy in One Hundred Patients

1984 ◽  
Vol 9 (2) ◽  
pp. 156-162 ◽  
Author(s):  
M. A. TONKIN ◽  
F. D. BURKE ◽  
J. P. W. VARIAN
Keyword(s):  
Comparative Study ◽  
Return To Work ◽  
Hand Function ◽  
Flexion Contracture ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Thickness Skin ◽  
Skin Replacement ◽  
Skin Excision

This study reviews one hundred patients with Dupuytren’s disease treated surgically by the Derby Hand Unit between January 1975 and September 1981. One hundred and twenty-eight operations were assessed with a follow-up period from nine months to ninety months, average thirty-eight months. In thirty-five patients the overlying skin was excised and replaced by a full-thickness skin graft (dermofasciectomy). The remaining patients were treated by fasciectomy without skin excision. The overall recurrence rate after surgery was found to be 46.5%. However skin excision and replacement following fasciectomy prevented any appreciable, if not all recurrence of Dupuytren’s tissue. The function of the hand was assessed with regard to the improvement in flexion contracture; ability to flex the finger to the distal palmar crease; sensibility of the replaced skin; time to return to work and full activity. It was concluded that skin replacement did not jeopardise hand function.

scholarly journals Infantile Asymmetrical Diffuse Infiltrative Lipomatosis of the Abdomen and Upper Thighs: A Case Report with Long-Term Follow-up

2020 ◽  
Vol 2 (3) ◽  
Author(s):  
Fawzy Hamza ◽  
Tarek Elbanoby ◽  
Hazem Dahshan ◽  
Amr Elbatawy
Keyword(s):  
Case Report ◽  
Body Contouring ◽  
Early Age ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Level Of Evidence ◽  
Thickness Skin ◽  
Long Term Follow Up

Abstract The authors present the case of an 11-year-old male patient with a diffuse infiltrative lipomatosis involving the abdomen, flanks, and upper thighs by applying body contouring principles at this early age. Abdominoplasty can be used in children for various purposes, including harvesting a full-thickness skin graft in burns or to treat congenital anomalies involving the pelviabdominal area. Level of Evidence: 5

Long-Term Results of Syndactyly Correction: Full-Thickness versus Split-Thickness Skin Grafts

2003 ◽  
Vol 28 (2) ◽  
pp. 125-130 ◽  
Author(s):  
J. DEUNK ◽  
J. P. A. NICOLAI ◽  
S. M. HAMBURG
Keyword(s):  
Hair Growth ◽  
The Other ◽  
Long Term Results ◽  
Patient Records ◽  
Skin Grafts ◽  
Full Thickness ◽  
Thickness Skin ◽  
Flexion And Extension

In order to compare the long-term results of full-thickness and split-thickness skin grafts after the correction of congenital syndactyly, 27 patients have been investigated after an average follow-up of 21 years. Post-operative functional and cosmetic results have been assessed by patient records, questionnaires and physical examination. The webs that had received split-thickness grafts showed more flexion and extension lags and the overall spreading of the operated fingers was significantly decreased compared to the control fingers. On the other hand, more re-operations because of web creep had to be performed after full-thickness grafts. Hyperpigmentation and hair growth in the grafts was found in most of the full-thickness grafts, while breakdown of the graft was found in some of the split-thickness grafts. Therefore, based on the results of this study, either full- or split-thickness skin grafts can be used when treating of congenital syndactyly.

Feasibility and Advantages of Full Thickness Skin Graft from the Anterolateral Thigh

2017 ◽  
Vol 22 (04) ◽  
pp. 497-502 ◽  
Author(s):  
Seung-Han Shin ◽  
Chulkyu Kim ◽  
Yong-Suk Lee ◽  
Jin-Woo Kang ◽  
Yang-Guk Chung
Keyword(s):  
Skin Graft ◽  
Donor Site ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Recipient Site ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Anterolateral Thigh ◽  
Patient Reported

Background: Full thickness skin graft (FTSG) gives better outcomes than split thickness skin graft (STSG), but it has the drawback of limited donor sites. Anterolateral thigh (ALT), a popular donor site of STSG, is also a popular donor site of perforator flaps. This area has the advantage of large flap size available with primary closure. Based on this we harvested FTSG instead of STSG from the ALT. Methods: We retrospectively reviewed 10 cases of FTSG from the ALT, with the recipient site of foot in 3, ankle in 2, lower leg in 2, forearm in 2, and wrist in 1 patient. In all cases elliptical full thickness skin was harvested from the ALT, and the donor site was closed primarily. The skin was defatted and placed onto the defect with vacuum-assisted closure (VAC). The skin size ranged 7-30 cm in length and 3–12 cm in width. Mean follow up period was 7 months (range, 3–13). Results: FTSG from the ALT provided durable wound coverage, with excellent color and texture matching. Partial (< 20%) graft failure was observed in 1 case, but no additional surgery was necessary. No patient reported donor site pain at postoperative 2 weeks. No donor site complications were encountered. No patient complained a feeling of tension in the thigh at final follow-up. Conclusions: FTSG from the ALT is feasible with the aid of VAC. Considering the skin quality, large skin size available, early pain relief, and little donor site morbidity, the ALT should be revisited as a donor site of FTSG.

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