Reconstruction of the chin using an expanded deltopectoral flap following multiple recurrences of oral cancer.

An important alternative to free tissue transfer in patients requiring correction of soft tissue chin defects are local and regional flaps, such as the pectoralis major myocutaneous flap and deltopectoral flap. With predictable vascular supply, potential for large size, and good aesthetic match for facial and cervical skin, the deltopectoral flap can offer the reconstructive surgeon additional options in patients who lack vessels suitable for free tissue transfer. The use of an expanded deltopectoral flap for a staged reconstruction of the chin in a patient with cancer recurrences, concomitant resections, radiation and multiple reconstructions is reported.

Les lambeaux locaux et régionaux, tels que le lambeau myocutané du grand pectoral et le lambeau deltopectoral, constituent une solution de rechange importante au transfert de tissus libres chez les patients qui ont besoin de faire corriger des anomalies des tissus mous du menton. Étant donné son alimentation vasculaire prévisible, sa grande dimension potentielle et sa correspondance esthétique avec la peau du visage et du cou, le lambeau deltopectoral peut offrir au chirurgien en reconstruction des possibilités supplémentaires auprès des patients dont les vaisseaux ne conviennent pas au transfert de tissus libres. Les auteurs décrivent le recours à un lambeau deltopectoralé largi dans le cadre d'une reconstruction graduelle du menton chez un patient subissant des récurrences de cancer, des résections concomitantes, une radiation et des reconstructions multiples.

Giant lipomas of the upper extremity: Case reports and a literature review.

Giant fibrolipomas involving the upper extremities are rare tumours. These large masses grow slowly and produce symptoms due to their size, location and compression of adjacent structures. Surgical excision usually leads to complete recovery from symptoms.

Les fibrolipomes géants des membres supérieurs sont des tumeurs rares. Ces grosses masses croissent lentement et provoquent des symptômes imputables à leur dimension, à leur foyer et à leur compression des structures adjacentes. En général, l'excision chirurgicale s'associe à une résolution complète des symptômes.

Intraneural lipoma of the ulnar nerve at the elbow: A case report and literature review.

Intraneural lipomas of the ulnar nerve or its branches are rare benign tumours. Although most intraneural lipomas present as asymptomatic tumours, some may present as compression neuropathies due to their location. In the majority of cases these tumours can be enucleated without damage to the nerve fibres.

Les lipomes intraneuraux du nerf ulnaire ou de ses branches sont des tumeurs bénignes rares. Même si la plupart des lipomes intraneuraux sont asymptomatiques, certains peuvent s'associer à des neuropathies de compression attribuables à leur foyer. Dans la majorité des cas, on peut énucléer ces tumeurs sans endommager les fibres nerveuses.

Acute carpal tunnel syndrome from burns of the hand and wrist.

Acute median nerve compression usually occurs from increased pressure within the carpal tunnel and forearm compartments. Although the hyperesthesia from burns may mimic symptoms of acute compression neuropathy, clinical diagnosis should be made from history, clinical signs and symptoms. Early recognition and decompression of the carpal tunnel either as part of the burn excision or along with escharotomy usually leads to full recovery.

Intraneural lipoma of the radial nerve presenting as Wartenberg syndrome: A case report and review of literature.

The superficial branch of the radial nerve is highly vulnerable to trauma, irritation and compression due to its anatomical location. Intraneural lipomas and fibrolipomas arising from the supporting tissues of this peripheral nerve can cause compression of the adjacent nerve leading to symptoms of neuritis of the radial nerve or Wartenberg syndrome.

Reversed dorsal metatarsal artery flap for reconstruction of a soft tissue defect of the big toe.

Soft tissue defects of the great toe that include exposed tendon and bone present a reconstructive challenge for plastic surgeons. A distally based dorsalis pedis island flap based on the first dorsal metatarsal artery, which has been successfully used to cover the soft tissue defect following wide excision of melanoma of the big toe, is reported.

Reconstruction of sacral defects following necrosis of buttocks due to embolization of internal iliac artery using a transverse lumbar flap.

Fractures of the pelvis associated with uncontrollable hypotension are managed by stabilization of fractures and arteriographic embolization of the bleeding vessels. Embolization of these arteries may result in necrosis of the buttocks. The use of a transverse lumbar artery-based flap can be used for repair of these defects.

Acute carpal tunnel syndrome as a result of spontaneous bleeding.

Acute carpal tunnel syndrome is the most common compression neuropathy of the upper extremity following trauma. A rare occurence of spontaneous bleeding into the carpal tunnel, presenting as acute carpal tunnel syndrome, is presented.