RESUMO
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.
Assuntos
Neoplasias Labiais/patologia , Neoplasias Labiais/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Retalhos Cirúrgicos/irrigação sanguínea , Adulto , Idoso , Idoso de 80 Anos ou mais , Carcinoma Basocelular/patologia , Carcinoma Basocelular/cirurgia , Cicatriz/prevenção & controle , Estética , Feminino , Seguimentos , Humanos , Japão , Linfoma/patologia , Linfoma/cirurgia , Masculino , Pessoa de Meia-Idade , Nevo Pigmentado/patologia , Nevo Pigmentado/cirurgia , Estudos Retrospectivos , Estudos de Amostragem , Resultado do Tratamento , Cicatrização/fisiologia , Adulto JovemRESUMO
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.
