scholarly journals Columella reconstruction with an inferiorly-based philtral advancement flap in a cocaine abuser

2017 ◽  
Vol 50 (01) ◽  
pp. 096-099 ◽  
Author(s):  
Davide Di Santo ◽  
Matteo Trimarchi ◽  
Andrea Galli ◽  
Mario Bussi
Keyword(s):  
Male Patient ◽  
Cocaine Abuse ◽  
Functional Results ◽  
Advancement Flap ◽  
Aesthetic Outcome ◽  
Aesthetic Appearance ◽  
Cocaine Abuser

ABSTRACTNasal columella defects can significantly impair aesthetic appearance. Columella reconstruction can be very challenging for surgeons, especially if due to cocaine abuse. The case of a 32-year-old male patient with subtotal columellar necrosis secondary to cocaine abuse is presented. An inferiorly based philtral advancement flap was performed to cover the defect. Aesthetic outcome was the primary goal of surgery. Reconstruction led to good aesthetic and functional results.

scholarly journals Inferior pedicle with inverted-T procedure for bilateral reduction mammoplasty provided satisfactory surgical and aesthetic outcome

2021 ◽  
Vol 8 (3) ◽  
pp. 807
Author(s):  
Waseem A. Shod
Keyword(s):  
Self Esteem ◽  
Reduction Mammoplasty ◽  
Skin Condition ◽  
Psychological Status ◽  
Aesthetic Outcome ◽  
Inferior Pedicle ◽  
Aesthetic Appearance ◽  
Breast Projection

Background: The objective of the study was to evaluate surgical and aesthetic outcomes of bilateral reduction mammoplasty (RM) through the inferior pedicle with inverted-T approach (PO).Methods: 23 women with bilateral symptomatizing macromastia underwent preoperative breast measurements, calculation of breast volume (BV), determination of quality of life (QoL) and self-esteem scorings using the breast reduction assessed severity scale (BRASS) and the Rosenberg self-esteem scale (RSES). RM was performed and intraoperative and PO data were collected. At 3-m PO, aesthetic outcome was evaluated using the ABNSW score, which assesses breasts asymmetry and shape, nipple deformation, skin condition and wound scar, and QoL outcome and overall satisfaction were determined.Results: Mean operative time was 240.4±39.7 min and mean weight of excised breast tissue was 2778.3±307.7 gm. Minor PO complications were managed conservatively and no patient required revision surgery. PO breast measurements were significantly improved with decreased BV and increased breast projection. Median ABNSW score was 10 and PO median BRASS and RSES scores were 9 and 17 with significant change in comparison to preoperative data. Preoperative BRASS score was negatively correlated age and body mass index, while RSES score was positively correlated with age. Nine women were highly satisfied by aesthetic outcome, 10 women were satisfied and 16 women were highly satisfied with overall outcome.Conclusions: RM significantly improved women QoL, aesthetic appearance and psychological status. Inferior pedicle with inverted T-mammoplasty is a safe, and applicable pattern of mammoplasty, allow significant reduction of BV with improved breast measurements and projection and provide satisfactory aesthetic outcome.

scholarly journals Surgical treatment of orbital floor blowout fracture in children: A case report

2015 ◽  
Vol 72 (9) ◽  
pp. 841-844 ◽  
Author(s):  
Sasa Tabakovic ◽  
Ivana Ilic-Dimitrijevic
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Functional Results ◽  
Orbital Floor ◽  
Traumatic Lesion ◽  
Blowout Fracture ◽  
Orbital Floor Fracture ◽  
Aesthetic Appearance ◽  
Orbital Floor Reconstruction ◽  
Craniofacial Complex

Introduction. Orbital floor blowout fracture is a common traumatic lesion of the craniofacial complex, but rarely in children population, consequently representing challenge in surgical treatment. Timely diagnosis and surgical treatment prevent the probability of the occurrence of the functional complications. Case report. We presented surgical treatment of on 8-year-old girl with a blowout orbital floor fracture one month after the injury. The predominant symptoms were: ocular bulb motility disorder with consecutive strabismus and double vision. Orbital floor reconstruction was made by an autogenous mandibular symphyseal graft. A year after the orbital floor reconstruction additional correction of strabismus was performed due to functional disorder of the bulbomotor muscles. Conclusion. Delayed surgical treatment of blowout orbital floor fracture in children leads to unsatisfactory functional results in the majority of cases. In such a situation surgical correction of strabismus is necessary in order to obtain functionally quality vision and satisfactory aesthetic appearance.

Internal carotid artery redundancy and dissection in a young cocaine abuser

Vascular ◽  
2013 ◽  
Vol 21 (4) ◽  
pp. 243-245 ◽  
Author(s):  
M Meghani ◽  
M N Siddique ◽  
T Bhat ◽  
M Samarneh ◽  
S Elsayegh
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cocaine Abuse ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Imaging Studies ◽  
Cocaine Abuser ◽  
History Of ◽  
The Right ◽  
Internal Carotid Arteries

Carotid artery redundancies are common findings on routine imaging studies and are usually considered to be benign variants. We present a case of a 40-year-old man, with a history of cocaine abuse, who was diagnosed with dissection of the right internal carotid artery and looping of the bilateral internal carotid arteries. This report attempts to highlight the possible association between carotid artery redundancy and dissection, especially in the context of vascular injury such as cocaine abuse, as in our case.

scholarly journals 57 The Use of a Hemi Glabella Flap for Reconstruction of Medial Canthus Defects

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
P Tan ◽  
J Agilinko ◽  
A Khalil
Keyword(s):  
Donor Site ◽  
Advancement Flap ◽  
Senior Author ◽  
Lateral Nasal Wall ◽  
Oral Antibiotics ◽  
Aesthetic Outcome ◽  
Medial Canthus ◽  
Complex Anatomy ◽  
The Aesthetic

Abstract Background Medial canthal reconstruction is a challenging task due to the complex anatomy. The glabellar flap is a common viable technique; however, this results in narrowing of the eyebrows, bulky nasal dorsum and horizontal scarring which is aesthetically displeasing. The senior author in this paper has developed an intuitive modification to the technique. Method A rotational advancement flap involving the upper lateral nasal wall with the hemi glabella was formed and transferred to the medial canthal defect. The donor site was closed in a V-Y manner. Complete closure of defect was achieved in all patients. Results Reconstruction using the Hemi-Glabellar technique was performed on 12 patients following resection of BCC in or near the medial canthus area. Superficial cellulitis was noted in 2 patients, they were managed oral antibiotics. There was bruising in 7 patient which resolve spontaneously in 4-7 days. All patients had a good outcome at 2 months and 6 months follow up. There was no flap loss and all patients were satisfied with the aesthetic outcome. Conclusions The technique highlighted can be performed easily and is applicable to reconstruction to defects of the medial canthus with excellent aesthetic outcomes with an inconspicuous scar and supple skin with matching colour

scholarly journals Propellar flap: safe, reliable option for coverage of exposed tendo achilles

2018 ◽  
Vol 4 (4) ◽  
pp. 572
Author(s):  
Srinivas S. Jammula ◽  
Srikanth Rangachari ◽  
Prakash Panagatla
Keyword(s):  
Individual Case ◽  
Advancement Flap ◽  
Propeller Flap ◽  
Skin Cover ◽  
Aesthetic Appearance ◽  
Male Patients ◽  
Distally Based ◽  
Flap Cover ◽  
Open Injuries

<p class="abstract"><strong>Background:</strong> Stable skin cover over exposed tendo achilles is absolutely essential for proper healing and recovery of tendo achilles function. Exposed tendo achilles can be a result of open injuries, repair of closed TArupture, complications after repair like suture dehiscence, skin necrosis, infection, delayed exposure and recurrent rupture. Various methods have been described for coverage of repaired tendo achilles like distally based skin flaps, advancement flap, free tissue transfers and islanded flaps. This study describes the usefulness of islanded propeller flap for stable skin cover over tendo achilles.</p><p class="abstract"><strong>Methods:</strong> Over a period of 4 years from March 2012 to August 2016 with total cases were 6, all male patients between 16 to 56 years of age were included in the study. Method of tendo achilles repair/reconstruction was planned, based on individual case requirement. All patients underwent islanded propeller flap for coverage of exposed tendo achilles. All cases were followed up for at least 1 year.<strong></strong></p><p class="abstract"><strong>Results:</strong> All flaps except one case survived and on follow up the function of tendo achilles was excellent with stable, supple, healthy skin overlying the tendon. Tendoachilles strength was assessed by asking the patient to stand on toes.</p><p><strong>Conclusions:</strong> Islanded propeller flap cover over tendoachilles provides a stable, reliable, single stage procedure with good aesthetic appearance. </p>

scholarly journals Mimical Reconstruction And Aesthetic Repair of The Nail After Resection of Subungual Melanocytic Nevus

2021 ◽  
Author(s):  
Wenpeng Xu ◽  
Xiucun Li ◽  
Songhua Cao ◽  
Ning Zhang ◽  
Yong Hu
Keyword(s):  
Melanocytic Nevus ◽  
Island Flap ◽  
Aesthetic Outcome ◽  
Level Of Evidence ◽  
Time Of Surgery ◽  
Aesthetic Appearance ◽  
The Aesthetic

Abstract Background: The purpose of this study is to report the outcomes of mimical reconstruction and aesthetic repair of the nail.Methods: When the width of the pigmented bands was more than 1/2 of the whole nail width, the mimical reconstruction of the nail, the lateral toe pulp island flap covered the wound via the subcutaneous channel, was performed. If the width of the pigmented bands ranged from 1/4 to 2/5 of the entire nail, the aesthetic repair of the nail, the split-thickness excision under microscope, would be carried out.Results: The average age at the time of surgery was 14.5 years. The lesions were located at the toes in 5 patients and fingers in 3 patients. No complications occurred postoperatively. In 5 patients with the mimical reconstruction of the nail, all of toenail showed well-settled flap. In three patients with the aesthetic repair of the nail, there was no nail malnutrition or deformity, and all nails have an aesthetic appearance.Conclusions: Mimical reconstruction and aesthetic repair of the nail following resection of subungual melanocytic nevus is reliable and feasible. It seems to be satisfactory that “like tissue” repairs the complex nail defects. All patients obtain an excellent aesthetic outcome.Level of Evidence: V

A Flap for Segmental Loss of a Digital Nerve

1995 ◽  
Vol 20 (4) ◽  
pp. 532-534 ◽  
Author(s):  
G. V. SCERRI ◽  
A. J. PARK ◽  
J. S. HURREN
Keyword(s):  
Soft Tissue ◽  
Primary Repair ◽  
Functional Results ◽  
Advancement Flap ◽  
Soft Tissue Defect ◽  
Neurovascular Bundle ◽  
Digital Nerve ◽  
Immediate Reconstruction ◽  
Tissue Defect

The use of a V-Y advancement flap for reconstruction of a volar/lateral soft tissue defect in a digit involving segmental loss of the neurovascular bundle of up to 10 mm at middle phalangeal level is described. This flap allows immediate reconstruction with primary repair of the nerve and gives good functional results. Two cases are presented.

Moyamoya syndrome associated with cocaine abuse

1998 ◽  
Vol 5 (5) ◽  
pp. E9 ◽  
Author(s):  
Marc S. Schwartz ◽  
R. Michael Scott
Keyword(s):  
Cocaine Abuse ◽  
Arterial Stenosis ◽  
Cerebral Vasculature ◽  
Moyamoya Syndrome ◽  
Subsequent Formation ◽  
Chronic Cocaine ◽  
Intranasal Cocaine ◽  
Cocaine Abuser ◽  
Multiple Cerebral Infarctions

The authors report the case of a 30-year-old woman who was a long-term intranasal cocaine abuser and who presented with transient ischemic attacks and multiple cerebral infarctions that were associated with moyamoya syndrome. The authors suggest that, because of its sympathomimetic effects, chronic cocaine use may promote intracranial arterial stenosis, distal ischemia, and subsequent formation of moyamoya-like vessels. The patient has remained clinically stable with no new episodes of stroke 6 years after undergoing “pial synangiosis” (modified encephaloduroarteriosynangiosis) to revascularize both hemispheres. Cocaine abuse may lead to moyamoya syndrome and may represent a chronic effect on the cerebral vasculature.

scholarly journals Mimical Reconstruction and Aesthetic Repair of the Nail After Resection of Subungual Melanocytic Nevus

2021 ◽  
Author(s):  
Xiucun Li ◽  
Songhua Cao ◽  
Zhengxun Li ◽  
Ning Zhang ◽  
Yong Hu
Keyword(s):  
Melanocytic Nevus ◽  
Island Flap ◽  
Band Width ◽  
Aesthetic Outcome ◽  
Melanocytic Nevi ◽  
Time Of Surgery ◽  
Aesthetic Appearance ◽  
The Aesthetic

Abstract Background: Previous studies have shown about 25% - 33% of cutaneous melanomas result from melanocytic nevi. Currently, there are no consensus on treatment of the subungual melanocytic nevi with the pigmented band width > 3mm. However, some options change post-operative nail appearance and cannot obtain a well aesthetic outcome. The purpose of this study is to report the outcomes of mimical reconstruction and aesthetic repair of the nail.Methods: When the width of the pigmented bands was more than 1/2 of the whole nail width, the mimical reconstruction of the nail, the lateral toe pulp island flap covered the wound via the subcutaneous channel, was performed. If the width of the pigmented bands ranged from 1/4 to 2/5 of the entire nail, the aesthetic repair of the nail, the split-thickness excision under microscope, would be carried out.Results: The average age at the time of surgery was 14.5 years. The lesions were located at the toes in 5 patients and fingers in 3 patients. No complications occurred postoperatively. In 5 patients with the mimical reconstruction of the nail, all of toenail showed well-settled flap. In three patients with the aesthetic repair of the nail, there was no nail malnutrition or deformity, and all nails have an aesthetic appearance.Conclusions: Mimical reconstruction and aesthetic repair of the nail following resection of subungual melanocytic nevus is a reliable and feasible. It seems to be satisfactory that “like tissue” repairs the complex nail defects. All patients obtain an excellent aesthetic outcome.

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