[Cavernous hemangioma of the nasal bones: a case report]. / Hemangioma cavernoso de huesos propios de la nariz: a propósito de un caso.

Cavernous hemangiomas represent less than 1% of all bone tumours, with the vertebrae and the skull being the most common locations. These tumours are extremely rare in the bones of the nose, with very few cases published in the medical literature, where they have been reported in turbinates, vomer, nasal bones or perpendicular lamina of the ethmoid. They usually present as a tumour lesion that grows over time, involving the bone and even the soft tissues, which can cause complications such as nasal obstruction, bleeding, ulcerations and infection. We present the case of a 37 year-old patient with a cavernous hemangioma located in the bones of the nose, reviewing the most notable aspects of this rare tumour. Keywords. Cavernous Hemangioma. Bone hemangioma. Nasal tumor. Nasal bones. Surgical treatment.

[Bilateral keloids secondary to otoplasty treated by excision and keloids flaps]. / Queloide bilateral secundario a otoplastia tratado mediante escisión y colgajos queloideos.

Keloids are tumour-like scars that appear some years after the original wound, and which spread beyond the limits of the scar. Prominent ears are the most common deformity of the earlobe. The correction of this abnormality with otoplasty achieves very satisfactory results. On the other hand, otoplasty could entail several adverse effects, of which the keloid scar must be considered. There are numerous techniques for the removal of keloids and for performing a subsequent coverage. The keloid flap consists in the excision of the keloid scar preserving a thin layer of skin which covers the keloid, with a pedicle attached to the normal skin, in order to close the defect. The keloid flap is an effective and simple solution for the coverage of large defects after complete giant keloid eradication.

Queloide bilateral secundario a otoplastia tratado mediante escisión y colgajos queloideos / Bilateral keloids secondary to otoplasty treated by excision and keloids flaps

Los queloides son cicatrices de aspecto tumoral que pueden aparecer hasta varios años después de la herida original, y se extienden más allá de los confines de ésta. La oreja prominente es la deformidad auricular estética más frecuente. La otoplastia para su corrección logra resultados altamente satisfactorios. Sin embargo, no está exenta de complicaciones, entre las que hay que considerar el desarrollo de queloides. Existen muchas técnicas para la extirpación y la posterior cobertura. La técnica del colgajo queloideo consiste en la escisión del queloide preservando una capa delgada de su cubierta cutánea, unida por un pedículo a la piel normal, para reparar el defecto. El colgajo queloideo es una solución sencilla y efectiva para la cobertura de defectos importantes tras la extirpación completa de grandes queloides. Se presenta un caso clínico ilustrativo, secundario a otoplastia, del empleo de dicho procedimiento (AU)

Keloids are tumour-like scars that appear some years after the original wound, and which spread beyond the limits of the scar. Prominent ears are the most common deformity of the earlobe. The correction of this abnormality with otoplasty achieves very satisfactory results. On the other hand, otoplasty could entail several adverse effects, of which the keloid scar must be considered. There are numerous techniques for the removal of keloids and for performing a subsequent coverage. The keloid flap consists in the excision of the keloid scar preserving a thin layer of skin which covers the keloid, with a pedicle attached to the normal skin, in order to close the defect. The keloid flap is an effective and simple solution for the coverage of large defects after complete giant keloid eradication (AU)

Secondary abdominoplasty.

BACKGROUND: Abdominoplasty is the most frequent excisional body contour procedure performed in aesthetic surgery. Secondary abdominoplasty refers to a new excisional procedure for a patient who has previously undergone an excisional abdominoplasty. In the authors' practice, more than 7% of abdominoplasties are secondary cases and deserve special consideration. METHODS: The authors present a retrospective analysis of their experience with 21 secondary cases among 298 abdominoplasties performed between 2001 and 2006. They have considered as secondary cases only those involving patients who have undergone excisional abdomen contour surgery previously. RESULTS: A total of 17 patients underwent surgery during the first year after the primary procedure, and 4 patients had surgery more than 5 years after that procedure. Following the principles described in this report, it was possible to solve the problem in each particular case and to obtain improvements in both trunk contour and patient satisfaction. CONCLUSIONS: In planning and designing the procedure, a precise diagnosis of the abdominal deformities is essential. The risks in secondary abdominoplasty are similar to those in the primary procedure.

[Reconstructive techniques in cutaneous defects of the nasal tip]. / Técnicas reconstructivas de los defectos cutáneos de la punta nasal.

Many techniques are used for repairing nasal tip defects. Our own guidelines are reviewed: Small defects often can be closed directly. Lesions of the nasal tip over 0.5 cm in diameter usually require a skin graft or flap. Postauricular, preauricular, and nasolabial full-thickness skin grafts may produce noticeable color or contour differences. The type of local skin flap used depends on defect size: Local rotation-transposition flaps or the nasalis myocutaneous sliding flap described by Rybka are used for defects 2 cm or less in diameter. Rieger and de Marchac frontonasal flaps are used for defects 2-3.5 cm in diameter. Forehead flaps are used for defects of 3.5 cm or more. We prefer Rybka's flap for nasal tip defects less of 2 cm because it has cosmetic advantages: incisions do not deform natural cutaneous crease lines and chronic edema and "dog ears" secondary to rotation-transposition pedicle flaps are avoided. For more extensive defects, we prefer frontonasal or forehead flaps.

[Superficial cutaneous nevus lipomatosus of Hoffmann-Zurhelle. Report of a case]. / Nevus lipomatoso cutáneo superficial de Hoffmann-Zurhelle. A propósitde un caso.

Nevus lipomatosus cutaneous superficialis is a rare idiopathic abnormality characterized by ectopic adipose tissue in the dermis. We present a typical case, making reference to the main clinical characteristics, histological peculiarities, pathogenical hypothesis and treatment of this tumor.

[Prominent ears. Correction using a modified Chongchet technique]. / Orejas prominentes. Correccion mediante la tecnica de Chongchet modificada.

The authors describe their experience with the correction of prominent ears using a modified Chongchet technique. This method is based on the investigations of GIBSON and DAVIS (1958), who showed the tendency of cartilage to warp when one surface is cut. The prominent ear is folded back to produce the desired antihelix fold, which is outlined with methylene blue. An elliptical piece of retroauricular skin is excised. An incision is made through the whole thickness of the cartilage, following the posterior marked linea of the new antihelical fold, from the superior crus to the tail of antihelix. The anterior surface of the cartilage is dissected from the skin. A series of parallel incisions are made through the taut outer layer of the future fold. The tension on that side is released, and therefore it will bend towards the opposite side. The antihelical fold is corrected. This method was used in 192 patients with prominent ears. The results were satisfactory, with a normal-looking fold of antihelix. No recurrence of the deformity was seen.

Costal chondritis following very deep flame burns involving the chest wall.

Costal chondritis, an unusual and severe infection of the costal cartilages, has infrequently been reported as a complication of burns. As deep burns of the chest wall may result in infection of these cartilages, therapy must be directed at complete resection of the involved cartilages. We describe the clinical course of a 19-year-old woman who sustained this complication following early and aggressive débridement of very deep flame burns involving the chest wall. Excision and coverage with skin grafts, involving several operations, resulted in complete healing 3 months after injury.