[Postmastectomy breast reconstruction using myocutaneous rectus abdominalis flap. Our experience]. / La ricostruzione mammaria dopo mastectomia con lembo miocutaneo di retto addominale. Nostra esperienza.

The paper compares the results of 34 patients undergoing reconstructive surgery following radical mastectomy using a TRAM flap with those reported in the literature. The parameters taken into consideration in this study were indications for reconstructive surgery, morbidity and the results of reconstruction. The monopedicle flap offered good cosmetic results and a low rate of complications if correctly and selectively used. This selection should exclude high-risk patients. The bipedicle flap is an effective alternative and the morbidity rate was no higher among the abdominal donor.

[External trans-columella access to nasal surgery. Results and impressions in 51 operated cases]. / L'accesso transcolumellare esterno nella chirurgia nasale. Risultati ed impressioni su 51 casi operati.

The Authors report their personal experience relating to 51 cases of nose plastic surgery using an external trans-columella access route. From an evaluation of results, it emerges that by allowing full exposure of the nasal cartilaginous structure, this technique is ideally suited to the treatment of congenital deformities, and post-traumatic and iatrogenic consequences. Given the good esthetic results of the cutaneous scar, with which all subjects were satisfied, this method might also be proposed in selected cases of nose plastic surgery for esthetic reasons. Extremely pointed, bifurcate or bulbous nose can easily be treated given the direct and "dynamic" view of the anatomic peculiarities present. In conclusion, the advantages offered by external access outweight its "invasiveness", which appears to be more theoretical than that observed during follow up.