ABSTRACT
Reconstruction of the upper lip requires symmetrical reconstruction of the free border according to the aesthetic principle. We have reconstructed this area with a hatchet flap, so that the scars match the subunit line as far as possible by rotation and advancement of the flap. We operated on six patients. The lower pedicled flap was used in 4 cases and the upper pedicled flap in 2, who also needed reconstruction of the vermillion. In one patient the scar did not match the nasolabial fold. For the upper pedicled cases, scars made on the vermillion were not conspicuous. However, trap door deformity occurred in half, which was a disadvantage. We think that our flap is useful, because it leaves a minimal scar in an inconspicuous area.
Subject(s)
Lip Neoplasms/pathology , Lip Neoplasms/surgery , Plastic Surgery Procedures/methods , Surgical Flaps/blood supply , Adult , Aged , Aged, 80 and over , Carcinoma, Basal Cell/pathology , Carcinoma, Basal Cell/surgery , Cicatrix/prevention & control , Esthetics , Female , Follow-Up Studies , Humans , Japan , Lymphoma/pathology , Lymphoma/surgery , Male , Middle Aged , Nevus, Pigmented/pathology , Nevus, Pigmented/surgery , Retrospective Studies , Sampling Studies , Treatment Outcome , Wound Healing/physiology , Young AdultABSTRACT
Mycobacterium abscessus is an acid-fast nontuberculous mycobacterium that grows rapidly in culture. The organism is found in dust, soil, and water and after trauma, it may infect skin and soft tissue. The organism is rarely found in humans, and infections occurring after cardiovascular surgery are rare clinical events. To our knowledge, only a few cases of hemodialysis arteriovenous graft infection and endocarditis caused by M. abscessus have been described. We reported a first case of patient with M. abscessus graft infection after a stripping operation and skin grafting to a left lower leg ulcer.
