Uncommon Klinefelter's variant (49,XXXXY) with cleft palate.

The karyotype 49,XXXXY is a rare form of Klinefelter's syndrome. Various anomalies can be found in this variant--more than other variants of Klinefelter's syndrome. Cleft palate is rarely seen among these anomalies. A cleft palate deformity can be diagnosed early and easily. This deformity should cause one to suspect an uncommon variant of Klinefelter's syndrome. Here we present a patient with an uncommon variant of Klinefelter's syndrome who was diagnosed with the help of the presence of an incomplete cleft palate deformity.

The surgical management of incomplete testicular feminization syndrome in three sisters.

Three sisters with incomplete testicular feminization syndrome are presented. Most of the patients with this syndrome are females and surgery is an important part of their multidisciplinary treatment. Two of the sisters had gonadectomies, herniorrhaphies, vaginoplasty with neurovascular pudendal thigh flaps, reduction clitoroplasty and labia minora reconstruction. The third sister had sufficient vaginal depth and had release of an introitus skin web, clitoroplasty and labia minora reconstruction. All patients had a good result. The reconstructed vaginas are stable and sensate.

Extensive bilateral eyelid ptosis caused by xanthoma palpebrarum.

Xanthoma palpebrarum is the most common form of xanthoma that appears in the eyelids. Usually there is no functional loss in the eyelids and plaque formation is typical. In this article, we present a patient who had xanthomatic masses that covered the whole upper eyelids. The masses caused a serious degree of ptosis in both upper eyelids. This patient was searched for systemic disease. After removal of the xanthoma palpebrarum, extensive ptosis has been relieved.

H-plasty: a new modification for correction of nasal stenosis.

Unilateral complete nasal stenosis is a rare condition and is usually acquired. The alar wing and nasal vestibule may be disturbed because of stenosis. We operated on 2 patients with complete nasal stenosis by using the H-flap technique described in this paper. Anterior nares are formed by this technique and, in one case, we used a cartilage graft for creating symmetry of the alar wings. Functional and aesthetic anterior nares are obtained by this technique.

Reverse W-M plasty in the repair of congenital syndactyly: a new method.

A W-M plasty is described as a means of establishing an interdigital web in the repair of congenital syndactyly. 25 cases of congenital syndactyly were operated using this method. The web created did not advance distally, nor cause a transverse scar-band.