Subject(s)
Hemangioma/surgery , Nose Neoplasms/surgery , Rhinoplasty/methods , Adolescent , Child , Female , Follow-Up Studies , Humans , Infant , Young AdultABSTRACT
The tuberous breast deformity is a rare entity affecting young women bilaterally or unilaterally. The deformity is characterized by a constricting ring at the base of the breast, which leads to deficient horizontal and vertical development of the breast with or without herniation of the breast parenchyma toward the nipple-areola complex and areola enlargement. Several methods have been put forward to correct the deformity, but most of these fail to address the issue of the constricting ring and subsequently yield results that are not aesthetically satisfactory. A new approach to the treatment of the deformity is presented, which consists of a periareolar approach and rearrangement of the inferior part of the breast parenchyma by division of the constricting ring, thus creating two breast pillars. These pillars are allowed to redrape, and in cases of volume deficiency, a silicone breast implant is placed in a subglandular pocket. The procedure is completed by a donut-type excision to address the size of the nipple-areola complex. The technique has used on 11 patients (21 breasts) with excellent aesthetic results.
Subject(s)
Breast/abnormalities , Breast/surgery , Mammaplasty/methods , Adolescent , Adult , Female , HumansABSTRACT
The authors report a case of suicidal elemental mercury injection in the antecubital fossa, resulting in granuloma formation, which was treated with delayed resection. A 21-year-old man presented with a granuloma in the antecubital fossa after a suicide attempt by self-injection of elemental mercury. The patient was treated surgically with excision of the necrotic skin and granuloma under X-ray guidance, with good result. Despite the fact that human exposure to mercury has been ongoing for centuries, the deposition of metallic mercury into the skin and subcutaneous tissue, causing cutaneous granuloma formation is uncommon, with fewer than 100 reports presented in the dermatologic, toxicologic and general medical literature. On the contrary, there is a lack of reports of this soft-tissue injury in the orthopaedic literature.
