ABSTRACT
INTRODUCTION: Reconstructing large defects of the columella and upper lip is an interesting challenge in facial reconstruction due to the high visibility of this aesthetic subunit and the difficulties posed by the unique characteristics of the skin in these areas, which differs from that of the surrounding regions. Among the various techniques proposed, the use of local flaps remains the most commonly used and effective method in this type of reconstruction. PRESENTATION OF THE CASE: A 47-year-old man in good clinical condition presented with a nodular lesion on the columella and upper lip. The lesion was excised (revealing it to be a squamous cell carcinoma) and reconstructed using two opposing nasogenian flaps, resulting in an optimal aesthetic and functional restoration. DISCUSSION: The use of local flaps remains the most effective technique for columella defect reconstruction. However, many described techniques require multiple surgical stages or result in visible scarring. Additionally, they do not guarantee effective reconstruction in cases involving the upper lip. On the other hand, the use of free flaps, while more expensive and requiring expert teams, may not ensure optimal color and skin texture matching. CONCLUSIONS: The use of opposing nasogenian flaps allows for a rapid and effective reconstruction of defects involving the columella and upper lip, leading to a swift return to normal life for the patient.
Subject(s)
Breast Neoplasms/surgery , Mammaplasty/methods , Surgical Flaps , Tissue Expansion , Fascia , Female , Humans , Time FactorsABSTRACT
The exposure of prosthetic vascular graft is a dangerous complication in revascularization procedures. In this case report, we describe a successful coverage of an exposed prosthetic femorofemoral vascular graft in the suprapubic area, with a vertical rectus abdominis myocutaneous (VRAM) island flap.
Subject(s)
Health Services Accessibility/legislation & jurisprudence , Mental Health Services/legislation & jurisprudence , Health Services Accessibility/standards , Insurance Coverage/legislation & jurisprudence , Patient Advocacy/legislation & jurisprudence , Quality of Health Care , Social Justice , United StatesABSTRACT
The authors report one case of giant varicose ulcer in a woman aged 85 years, who suffered from diffuse subcutaneous calcinosis, in which, after a period of shooting pain, spontaneous rupture of the anterior tibial artery occurred. Suture of this artery at the base of the ulcer did not hinder healing.
