Nasal basal cell carcinomas are the most common malignant tumors of the facial skin, which predilectively affect areas exposed to sunlight, including the nasal area. After their radical removal, there is a variable complex defect of the affected area (defect of all 3 layers of the nose) or even a composite defect (it also occupies the adjacent soft tissues around the nose), which are usually used to reconstruct this area. A 73-year-old female patient with recurrent infiltrative basal cell carcinoma of the left nasal ala underwent four re-excisions before histologically verified free margins without the presence of the tumor. The result was a composite defect that occupied the top of the dome of the right nostril, the entire left half of the soft nose, including the base of the wing, part of the upper lip, and a defect of the adjacent face area of 9 × 5cm. In the first phase, the left cheek and upper lip were reconstructed by advancement French plasty and coverage of the two residual skin defects with full-thickness skin graft. One month later, during the second phase of reconstruction, the flap was re-elevated, shifted and rotated, and a three-stage nasal reconstruction was started using a composite septal pivotal flap and left turbinate flap for inner lining reconstruction, and the nasal skeleton was reconstructed with a cartilaginous L-graft from the 6th rib, septal and conchal cartilages. The skin cover of the nose was reconstructed with the left paramedian forehead flap, which was thinned during the second stage with the simultaneous widening of the bottom of the left nostril by the transposition flap, during the third stage the flap pedicle was removed. In the reconstruction of a complex defect of the nose and its surroundings, it is first necessary to create a stable platform on which the reconstruction of the nose itself will be performed. To achieve an excellent functional and aesthetic result of nose reconstruction, it is appropriate to use a three-stage forehead flap. In this paper, we describe a unique method of nasal reconstruction - a combination of a septal pivotal flap with a turbinate flap to reconstruct the inner lining in conjunction with an L-graft to ensure a stable nasal skeleton and forehead flap to reconstruct the skin cover.

• Klíčová slova
• composite septal pivotal flap, forehead flap, nasal reconstruction, turbinate flap,
• MeSH
• čelo chirurgie   MeSH
• chirurgické laloky MeSH
• lidé MeSH
• nádory kůže * chirurgie   MeSH
• nádory nosu * chirurgie   MeSH
• nosní skořepy MeSH
• rinoplastika * MeSH
• senioři MeSH
• Check Tag
• lidé MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

BACKGROUND: Although syringoma is a common benign tumour of the sudoriferous gland, there is also an extremely rare malignant form known as syringoid eccrine carcinoma (SEC). SEC usually exhibits slow growth with deep invasion and a frequent tendency to relapse. The treatment of choice is radical wide resection, which poses a difficult reconstructive problem, especially when the tumour is located in the centre of the face. CASE PRESENTATION: In this case, a 70-year-old man was diagnosed with an SEC at the same location as a benign syringoma of the upper lip and nasal base that had undergone primary excision 7 years prior. Primary radical resection was performed with immediate Abbé flap reconstruction. Nevertheless, histology revealed positive margins, and 3 additional re-excisions were needed to achieve clear margins. Four months after the initial resection, the patient had undergone an innovative reconstruction technique including not only the Abbé flap but also a turbinate flap harvested with functional endonasal surgery and a three-stage forehead flap. CONCLUSION: To the best of our knowledge, this is the first case report of a suspect malignant transformation of a benign syringoma after 7 years. In addition, from oncoplastic and reconstructive points of view, the bilateral use of the turbinate flap for reconstructing the intranasal lining of the alar base is unusual, and the use of functional endonasal surgery in nasal reconstruction for reducing the risk of damaging the vascular supply of the flap is innovative.

• Klíčová slova
• Functional endonasal surgery, Head and neck malignancy, Nasal reconstruction, Syringoid eccrine carcinoma, Turbinate flap,
• MeSH
• čelo chirurgie   MeSH
• karcinom * chirurgie   MeSH
• lidé MeSH
• lokální recidiva nádoru chirurgie   MeSH
• nádory kožních adnex MeSH
• nádory kůže MeSH
• nádory potních žláz * chirurgie   MeSH
• nosní skořepy chirurgie   MeSH
• ret chirurgie   MeSH
• senioři MeSH
• syringom * chirurgie   MeSH
• zákroky plastické chirurgie * metody   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

The rapid exhaustion of fossil fuels and the ozone depletion caused by the excessive usage of the fossil fuels has prompted researchers to look towards bioinspired designs for both propulsion and energy extraction purposes. Limited amount of work has been done to present the effects of airfoil shape on the aerodynamic forces on flapping foils. In this paper, we examine in detail the effect of airfoil camber and its position on flapping foil performance in both energy extraction and propulsion regimes. We also examine the effect of reflex camber on flapping foil performance in both flow regimes. In total, 42 airfoils are analyzed using the NACA 4 and 5-series cross-sections. The man objective of this research is to identify a trend, between airfoil shape and aerodynamic forces. The database created as a result will be used in the future work for designing a hydrokinetic turbine and a bio-inspired unmanned aerial vehicle. The results from the numerical simulations indicate that the airfoil shape has significant effects on the time averaged drag force on the airfoil in both flow regimes. However, the time averaged lift force remains negligible for all cases.

• Publikační typ
• časopisecké články MeSH