Effect of the surgical treatment on the keloid of mons pubis with postoperative radiotherapy / 中华医学美学美容杂志

Objective To explore an effective surgical treatment to the keloid of mons pubis.Methods From March 2008 to January 2015,local flap and adjacent flap (including ilioinguinal flap and rectus abdominal musculocutaneous flap) were performed,and used to repair the defect after surgical removal of the keloid in 25 patients,and all the patients were received postoperative local radiotherapy,and then chi square test was applied to evaluate the effect in the six aspects,including perineal form,skin color,pubic hair distribution,satisfactory effect,skin texture and sense.Results The local flap group was better than the adjacent flap group in perineal form,skin color,pubic hair distribution,satisfactory effect,but there was no significant difference in skin texture and sense.Conclusions For the keloid of mons pubis,the first choice is local flap graft,which can maintain the normal mons pubis formation as most as possible,while the wound is so large that the local flap cannot work,and therefore the vascular pedicle axial flap should be used.

A Case of Chromomycosis Showing Ulcerative Lesions on Dorsa of Hands / 대한피부과학회지

Chromomycosis is a chronic mycosis of the skin and subcutaneous tissue characterized by a brown, thick-walled, round, nonbudding form of causative fungi in the tissue. We report a case of chromomycosis caused by Fonsecaea pedrosoi in a 56-year-old Korean woman who showed 3 x 4cm sized deep ulcerations on the dorsa of both hands. Histopathologically, chronic granulomatous inflammation and sclerotic cells were observed. Fonsecaea pedrosoi was grown into typical black colonies in fungus culture. She was treated with pedicle flap graft followed by oral itraconazole, and showed clinical improvement.

Treatment of firearm injury of the maxillo-facial region according to anatomical structures / 解放军医学杂志

Objective The purpose of this study was to improve the clinical results of the treatment firearm injury to maxillofacial-cervical region, so as to raise the life quality of these patients. Methods Based on the study of the anatomical study of this region, different methods were adopted to reconstruct various maxillofacial-cervial firearms injuries. Three methods were adopted to reconstruct the mandibular region by early bone transplantation to the defects of the mandible in diffferent regions. In patients with combined defects of the mandible and soft tissue, the defects were repaired by transplantation of vascular pedicle graft with muscle and nerve or free tissue transplantation to restore function. Results The survival-rate of early bone transplantation was 91.52%(54/59). The rate of function restoration was 90.72%(88/97) in cases of tissue flap grafting. Conclusions Applied anatomy is the basic of design new surgery method. Tne new developed surgery methods can improve clinical cured effect of maxillofacial-neck region firearms injure.