Lateral canthoplasty is a useful method to restore eyelid function and to protect the ocular surfaces. The success of the procedure depends on the proper analysis of periorbital anatomy as it relates to the specific indication for lateral canthoplasty. We report the experience with 129 lateral canthoplasties with emphasis on the evaluation of newer techniques that better address anatomic and functional requirements. Between 1994 and 2004, 129 lateral canthoplasties were performed in 105 patients, only for reconstructive purpose. A variety of surgical techniques have been described for lateral canthoplasty, and the evolution of the operative technique for lateral canthoplasty has been toward an operation that corresponds with the anatomy of the individual. Indications for the procedure include senile ectropion, tumors, cicatritial retraction, trauma, entropion, and congenital cleft. The evaluation of the newer procedures of lateral canthoplasty as unique reconstructive tools will be discussed.

• MeSH
• blefaroplastika metody   MeSH
• lidé MeSH
• oční nemoci chirurgie   MeSH
• retrospektivní studie MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

Cancers which involve the external ear are difficult to eradicate and recur and develop metastases more often than tumours in other areas of the skin. The anatomy of the external ear presents a difficult reconstructive challenge so that various surgical techniques have been described for its reconstruction, but many of these are complex procedures and are inappropriate in the older population suffering from skin tumours. We carried out a retrospective study of the patient who underwent ear reconstruction after cancer excision analyzing the data concerning the type of cancer, the surgical procedures and the follow up. We conclude that all major defects involving one-quarter or more of the auricle can be repaired with a combination of skin flaps and a chondrocutaneous flap from the affected auricle. Sentinel node biopsy may be a useful tool in diagnosing early lymphatic spread.

• MeSH
• biopsie sentinelové lymfatické uzliny MeSH
• chirurgické laloky * MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• lokální recidiva nádoru patologie   MeSH
• lymfatické metastázy patologie   MeSH
• nádory ucha patologie   chirurgie   MeSH
• retrospektivní studie MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• transplantace kůže * MeSH
• ušní chrupavka transplantace   MeSH
• zevní ucho chirurgie   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Vascular lesions are common in infants and children and can be grouped into two main classifications: vascular tumors and vascular malformations. Hemangiomas are proliferative lesions characterized by increased endothelial cell turnover. Vascular malformations are congenital abnormalities involving capillaries, veins and/or lymphatics. A multidisciplinary approach regarding diagnosis and treatment of vascular anomalies in children is crucial. Several options are available for the treatment of hemangiomas. Since January 2003, 14 cases of hemangioma located in the cervicofacial region were treated at "La Sapienza" University. Seven patients underwent surgical resection, using Varioscope, and seven laser therapy. The Varioscope is an operating microscope, which is mounted on the head. Specific advantages convinced the authors to use the Varioscope initially. Autofocus, a magnification range between 3.6-7.2X and automatic parallax control allow unlimited freedom of movement which alleviates the discomfort of keeping the same distance for a long time. Laser therapy can selectively destroy specific targets within the skin by using an appropriate wavelength and pulse duration. Laser treatment parameters are based on several factors, including lesion location, lesion morphology, and patient skin type. The purpose of our study was aesthetic and functional improvement in patients comparing surgical and laser therapy. We obtained an aesthetic improvement in 11 patients and local pain control in all patients. Analysis of the cosmetic results was subjective but all parents indicated satisfaction with their decision regarding their child's treatment.

• MeSH
• arteriovenózní malformace patologie   chirurgie   MeSH
• diferenciální diagnóza MeSH
• hemangiom patologie   chirurgie   MeSH
• kožní abnormality patologie   chirurgie   MeSH
• laserová terapie metody   MeSH
• lidé MeSH
• mikrochirurgie přístrojové vybavení   metody   MeSH
• nádory obličeje patologie   chirurgie   MeSH
• Sturgeův-Weberův syndrom chirurgie   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

The events leading to a tissue loss in the lower limbs are varied. The aetiology can be traumatic, infective, neoplastic, iatrogenic, vascular or systemic. Five patients with lesions involving the distal third of the lower limb, the ankle and the heel, traumatic in origin, presented at our service within the Faculty of Plastic and Reconstructive Surgery, University Hospital "La Sapienza" in Rome. In such patients, the surgical approach involved the repair of tissue loss through the use of the neurocutaneous distally based sural artery flap. The use of the reverse flow island sural flap, compared to other therapeutic options, is advantageous from varying points of view: ease in taking the sample, limited morbidity of the donator site, less time required for the surgical procedure. Regarding the flap, safety and simplicity of execution were implemented in accordance with our experience, dissecting a wide adipo-fascial peduncle. Post-operative precautions were implemented in order to avoid compression of the transposed flap and of the peduncle. The healing in these patients was satisfactory.

• MeSH
• arterie transplantace   MeSH
• bérec * MeSH
• chirurgické laloky * krevní zásobení   inervace   MeSH
• dospělí MeSH
• fascie transplantace   MeSH
• kotník MeSH
• lidé středního věku MeSH
• lidé MeSH
• nekróza chirurgie   MeSH
• nervus suralis transplantace   MeSH
• pata MeSH
• rány a poranění patologie   chirurgie   MeSH
• transplantace kůže * MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Discovered in 1830, paraffin oil, a purified hydrocarbon from petroleum, has been used in the past as an augmentation material in various parts of the human body, for restoration body defects or aesthetic body contouring. We illustrated the case of an 18-year-old guy who self-injected some paraffin oil (Baby Johnson's Oil) in his lips, cheek and chin, with aesthetical purpose. We showed the classical course and proper management of paraffinoma's lesions. The need for complete excision of all involved tissue to treat the condition successfully is illustrated, and a clinical, pathological and histological discussion is presented. To our knowledge paraffinoma of the face caused by a self-injection of mineral oil has been never reported in literature.

• MeSH
• injekce subkutánní MeSH
• kosmetické techniky škodlivé účinky   MeSH
• lidé MeSH
• mladiství MeSH
• oleje aplikace a dávkování   MeSH
• parafín aplikace a dávkování   MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH
• Názvy látek
• oleje MeSH
• paraffin oils MeSH Prohlížeč
• parafín MeSH

The hatchet flap, well known for repair of the nasal pyramid, laterofacial defects and pressure sores, is used to reconstruct different aesthetic units of the face. The authors describe the surgical technique and its clinical applications to the different face subunits in 38 patients, highlighting the easy learning curve, the versatility of the flap and the good aesthetic results when the principles of the facial units are respected. No previous detailed report has been described in the literature.

• MeSH
• chirurgické laloky * MeSH
• chirurgie operační škodlivé účinky   MeSH
• kožní nemoci chirurgie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• nádory kůže chirurgie   MeSH
• obličej chirurgie   MeSH
• rány a poranění etiologie   chirurgie   MeSH
• retrospektivní studie MeSH
• senioři MeSH
• výsledek terapie MeSH
• zákroky plastické chirurgie metody   MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Nipple reconstruction often gives the highest satisfaction to the patient despite being just a minor procedure. During the last 50 years, many techniques have been described in order to improve the cosmetic appearance. Star and skate flaps are two of the most frequently reported procedures. The aim of this study was to compare the personal experience of two plastic surgery departments that have been using these two different methods. Thirty patients have been included in this study. Nipple projection and cosmetic appearance have been evaluated by both patients and surgeons. Follow-up ranged between 1 and 5 years. Results have been compared. Both techniques proved to be versatile and valid. The skate flap seemed to keep projection for a longer time, while the star technique gave a better cosmetic appearance.

• MeSH
• chirurgické laloky * MeSH
• estetika MeSH
• lidé MeSH
• prsní bradavky chirurgie   MeSH
• zákroky plastické chirurgie metody   MeSH
• Check Tag
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• multicentrická studie MeSH
• srovnávací studie MeSH

UNLABELLED: Non-melanoma skin cancer (NMSC) is the most common type of skin cancer. Important controversial issues are the need for incisional biopsies, surgical margin, and timing of follow-up. METHODS: A retrospective study was undertaken on 2544 lesions. Accuracy of diagnosis and prevalence of incomplete excision were evaluated, comparing clinical and histological diagnosis using chi2 tests with Yates' correction. Kaplan-Meier recurrence graphs have been obtained. RESULTS: Lesions were correctly diagnosed in 94% of basal cell carcinomas (BCC) and in 69% of squamous cell carcinomas (SCC) (p < 0.001). Positive margins on pathological examination were 6.6% for BCC and 6.8% for SCC. A significant difference for incomplete excision has been found for BCC in the face (p < 0.001). Kaplan-Meier survival curves showed a different pattern for BCC and SCC. CONCLUSIONS: On the basis of our data, if clinical diagnosis is BCC, excision and reconstruction may be undertaken without an incisional biopsy. Alternatively, if clinical diagnosis is SCC, it is advisable to consider an incisional biopsy, before definitive surgical treatment.

• MeSH
• bazocelulární karcinom diagnóza   chirurgie   MeSH
• biopsie MeSH
• chybná diagnóza MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• lokální recidiva nádoru epidemiologie   MeSH
• nádory kůže diagnóza   chirurgie   MeSH
• retrospektivní studie MeSH
• senioři MeSH
• spinocelulární karcinom diagnóza   chirurgie   MeSH
• věkové rozložení MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Itálie epidemiologie   MeSH