A Clinical Experience of Frontal Periosteal Osteoma: 20 Cases

Osteoma is benign tumor composed of mature compact or cancellous bone. Generally it is classified as periosteal(or peripheral) osteoma and endosteal(or central) osteoma by its origin. Clinically, periosteal osteoma on forehead is usually asymptomatic. From March 2002 to February 2005, We experienced 20 patients(23 cases) of histologically confirmed frontal osteoma. 20 patients are classified as sex, age, the number of osteoma, size, location and shape. Out of 20 patients, 16 were female and 4 were male in sex and mean age was 46. 18 patients have only one lesion but one patient has two lesions and another patient has three lesions. The size of osteoma varied from 7 x 5 x 3 mm to 16 x 14 x 6 mm and mean size is 12 x 10 x 5 mm. All osteomas were located at midline of forehead and shape of attachment was all sessile type. Surgical excision was superficial ostectomy through direct cutaneous incision or endoscopic approach. we obtained satisfactory result without specific complication.

A Case of Severe Scleroderma en Coup de Sabre with Ipsilateral Body Atrophy

Linear scleroderma is a variant of localized scleroderma which may occur in the head, trunk and extremities, affecting variously the skin, subcutaneous tissue, muscle, cartilage and bone. Particularly, scleroderma en coup de sabre is the descriptive term denoting linear scleroderma of the frontoparietal area of the scalp and face. We report a case of severe scleroderma en coup de sabre with ipsilateral body atrophy(total hemiatrophy) who underwent multidisciplinary assessment and required both two-jaw surgery and groin free flap to correct the underlying skeletal deformities and augment the facial soft tissues. The reason for classifying this as a case of scleroderma en coup de sabre in preference to Parry-Romberg syndrome is because of the striking clinical features seen in this patient.

Reduction mammaplasty using inferior pyramidal dermal pedicle technique

Hypermastia has always been a serious problem for women, frequently causing physical pain and deformity as well as psychological disorders associated with self image. At present time, there are various techniques of reduction mammaplasty to help women's self esteem. Among these, inferior pyramidal dermal pedicle technique of reduction mammaplsty has some advantages including ease of performance and teaching, good preservation of the neurovascular supply to the nipple, applicability over a wide range of reduction size, and reliable reproducibility. We report ten patients with hypermastia and breast ptosis who underwent reduction mammaplasty and mastopexy using by our modified inferior pyramidal dermal pedicle technique, that is based on the concept of Courtiss & Goldwyn and Georgiade. In conclusion , inferior pyramidal dermal pedicle technique for hypermastia is a valuable technique for the reasons of time-tested simplicity and reliable reproducibility.

Clinical Experiences With The 3m Microvascular Coupling Anastomotic Device In Free Flaps

Recently, there is a increasing tendency in microvascular free flap reconstruction. But microvascular free flap transfer requires much time in mastering the suture technique as well as long operation time. Moreover it carrys the risk for thrombosis and total flap failure. So, these factors have inspired the need for quicker and easier methods for microvascular anastomosis. Since the Nakayama`s experimental work on ring-pin anastomotic device, many experimental and clinical works on mechanical anastomosis system have been developed. Authors have tried 3M microvascular anastomotic device in 25 cases of free flap transfer for the last 3 years. The results are as follows: 1) Mean follow-up period was 5.2 months. 2) Mean time for the vein anastomosis was 5.5 minutes. 3) Survival rate of the flap was 100 %. We got a conclusion that 3M microvascular coupling device can be a safe, fast and reliable adjunct for soft and friable venous microvascular anastomosis.

Clinical Experiences With The 3m Microvascular Coupling Anastomotic Device In Free Flaps

Recently, there is a increasing tendency in microvascular free flap reconstruction. But microvascular free flap transfer requires much time in mastering the suture technique as well as long operation time. Moreover it carrys the risk for thrombosis and total flap failure. So, these factors have inspired the need for quicker and easier methods for microvascular anastomosis. Since the Nakayama`s experimental work on ring-pin anastomotic device, many experimental and clinical works on mechanical anastomosis system have been developed. Authors have tried 3M microvascular anastomotic device in 25 cases of free flap transfer for the last 3 years. The results are as follows: 1) Mean follow-up period was 5.2 months. 2) Mean time for the vein anastomosis was 5.5 minutes. 3) Survival rate of the flap was 100 %. We got a conclusion that 3M microvascular coupling device can be a safe, fast and reliable adjunct for soft and friable venous microvascular anastomosis.