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INTRODUCTION: Synchronous tumors on the scalp are a common condition, and reconstruction methods of their defects should be considered together. The authors believe that the rotation flap combined with the Burow triangle, whose final scar looks like a question mark, can provide excellent results for suitable multiple tumor defects. MATERIALS AND METHODS: From September 2022 to June 2023, the question mark reconstruction method was performed on 8 patients. RESULTS: The mean age of the patients was 74.1 years (range, 69-80 y). All tumors were removed with sufficient negative margins. Hair-bearing skin was preserved in all patients, with only a narrow and acceptable scarred alopecic area. DISCUSSION: The question mark reconstruction method can provide excellent results for synchronous scalp defects by minimizing dog-ear deformity and unnecessary tissue excision and providing a "like-with-like" reconstruction.
RESUMO
Complete or partial lip clefts in the midline of the upper lip are defined as median clefts of the upper lip. In 1974, Tessier numbered the craniofacial clefts from 0 to 14 counterclockwise in a study involving 336 patients. Upper lip midline clefts are named Tessier 0 clefts. Despite the diversity in classifications, upper lip midline cleft is rare. Its incidence among cleft patients varies between 0.43% and 0.73%. If the more common forms of cleft lip and palate are not taken into account, the incidence of atypical cleft is estimated at 1/10 5 . A median upper lip cleft can be defined as a cleft that passes vertically through the midline of the upper lip. These clefts occur due to incomplete or complete nondevelopment of the medial nasal prominences. In this study, the authors shared a case diagnosed prenatally and referred to their clinic for cleft lip repair.
