ABSTRACT
BACKGROUND AND OBJECTIVES: Gore-Tex is a popular graft material used in rhinoplasty. But there are several complications such as infection, seroma, and persistent swelling. Infection is the most common complication. The aim of this study was the evaluation of various protocols for Gore-Tex decontamination. SUBJECTS AND METHOD: Gore-Tex specimens were sectioned and separated into six groups. These were treated with povidone-iodine or antibiotics solution. Nasal cavity swab was performed both in the control group and patient group of chronic sinusitis. The culture of swab specimens incubated in agar plates were compared statistically. RESULTS: Povidone-iodine groups revealed significant decrease in the bacterial colony counts. CONCLUSION: The results suggested that impregnation of povidone-iodine supports the efficacy of decontamination Gore-Tex Implant.
Subject(s)
Humans , Agar , Anti-Bacterial Agents , Decontamination , Nasal Cavity , Polytetrafluoroethylene , Povidone-Iodine , Rhinoplasty , Seroma , Sinusitis , TransplantsABSTRACT
Cervical necrotizing fasciitis is a rare but life-threatening soft tissue infection primarily affecting the superficial and deep fascial planes. If proper treatment is delayed, the infection may cause extensive necrosis of overlying skin, destroying fascia, adipose tissue and muscle and producing severe systemic toxicity. So the key to the successful outcome is early recognition and rapid initiation of definitive radical debridement. The authors report, along with a literature review, one case of necrotizing fasciitis spreading into the anterior chest wall.
Subject(s)
Adipose Tissue , Debridement , Fascia , Fasciitis, Necrotizing , Muscles , Necrosis , Skin , Soft Tissue Infections , Thoracic Wall , ThoraxABSTRACT
BACKGROUND AND OBJECTIVES: Malignant skin cancer is the most common type of malignancy, and is frequently found and increasing nowadays. Surgery for removal of skin cancer is very important. The authors had good results from surgery and reconstruction of facial defect. The effective surgical method and variable method of reconstruction are described here with a clinical analysis. SUBJECTS AND METHOD: 19 patients who were diagnosed facial skin cancer were divided by age, sex, type of cancer, region, and reconstruction method, and they were analyzed retrospectively. RESULTS: Of the 19 patients, squamous cell carcinomas were 5, basal cell carcinomas 11, and Merkel cell carcinoma 2. One patient had basosquamous cell carcinoma. Sites of skin cancer occurrence was nasal region (11 patients), auricular region (4 patients), cheek (2 patients) and preauricle (2 patients). Reconstruction was done right after the excision. There was no recurrence cases to date. CONCLUSION: The authors had good results regarding reconstruction following the excision of the skin cancer. Therefore, every physician have to consider this method as a treatment of skin cancer, and think of as many reconstruction methods as possible for the patient.