Keloids and hypertrophic scars are thick, raised dermal scars, caused by derailing of the normal scarring process. Extensive research on such abnormal has been done; however, these being refractory disorders specific to humans, it difficult establish a universal animal model. A wide variety models have used. These include athymic mouse, rats, rabbits, pigs. Although provided valuable insight into scarring, there is currently still no ideal This paper reviews that developed.

Morel-Lavallee lesion (MLL) is a closed degloving injury resulting from blunt shearing or tangential forces. In this condition, hemolymph collected in the space between separated subcutaneous tissue and underlying fascia. The clinical manifestation of MLL varies soft fluctuant swelling to skin necrosis wound sepsis. Due its inconsistent manifestations delayed onset, it rarely described. We present case 28-month-old child who developed arising pelvic fracture after motor vehicle accident....

Necrotizing fasciitis (NF) is a rapid progressive infection of the subcutaneous tissue or fascia and may result in large open wounds. The surgical options to cover these wounds are often limited by patient condition suboptimal functional cosmetic wound coverage. Dermatotraction can restore function appearance fasciotomy less invasive patients with comorbidities. However, dermatotraction for scarred, stiff NF ineffective, resulting skin necrosis. authors use extended negative pressure therapy...

Human adipose-derived mesenchymal stem cells (MSCs) were differentiated into chondrogenic MSCs, and fibrin glue was used together to explore the feasibility of whether cartilages can be generated in vivo by injecting cells. Mesenchymal extracted from human adipose such mixed with injected subcutaneously back nude mouse. In addition visual evaluation tissues formed after 4, 8, 12 weeks, hematoxylin-eosin staining, Masson trichrome measurement glycosaminoglycan concentration using...

Abstract Combinations of various treatment modalities were shown to be more effective than monotherapy when treating hypertrophic scars and keloids. This study was conducted assess the effectiveness combination therapy with non‐ablative fractional laser intralesional steroid injection. From May 2015 June 2017, a total 38 patients or keloids evaluated. The control group 21 received injection alone, 17 (the combined group) 1550‐nm erbium‐glass simultaneously. mean number sessions statistically...

Replantation is a prime indication for distal digital amputation, as it helps restore hand aesthetics and functions; however, venous anastomosis often not feasible. Previous studies used systemic anticoagulation in artery only replantation surgery to improve success rate, which yielded limited level of clinical evidence. This study aimed compare controlled continuous heparinization (CCH) intermittent bolus (IBH) surgical outcome variables after single surgery. A single-institution,...

Abstract Background Mycobacteirum wolinskyi is a member of the Mycobacterium smegmatis group, which less frequently found in clinical settings than other nontuberculous mycobacterium (NTM) species. However, its significance has recently increased opportunistic infections. This case first report facial skin and soft tissue infection by M. complicating cosmetic procedures. Case presentation A 56-year-old Asian female patient with history receiving multiple procedures over preceding 2 years was...

Schwannoma is a benign tumor rarely found in the head and neck much less commonly intraparotid facial nerve. It slow-growing encapsulated originating from Schwann cells or axonal nerve sheath. can occur anywhere along course of Patients may present with symptoms palsy, but most common presenting symptom an asymptomatic swelling. Diagnosis usually difficult before surgical removal histopathological examination. We report rare case schwannoma 57-year-old female who had sustained mass right...

Abstract A brachial artery pseudoaneurysm is a rare but serious condition that can be limb threatening. number of reports have found it may the result damage to blood vessels around artery, either directly or indirectly, due trauma systemic diseases. We present our experience delayed rupture in rehabilitation patient with burns upper extremity who underwent fasciotomy and musculocutaneous flap coverage. also provide review pseudoaneurysm.

Eccrine porocarcinoma is a rare malignant tumor arising from the intraepidermal ductal portion of eccrine sweat gland. It develops either spontaneously or long standing benign poroma. This entity usually affects older people and commonly located on lower extremities, trunk, head. We report case left cheek in an 85-year-old male. In our case, was treated with wide excision postoperative adjuvant radiation therapy. The patient recovered well without local recurrence distant metastasis during...

The ulnar forearm flap has been performed by many authors for the reconstruction of finger injuries. This article describes refinement perforator anatomy based on artery and presents our clinical experience using free resurfacing.An anatomical study conducted in 10 cadaver forearms demonstrated consistent origin from 40 mm proximal to pisiform. diameter was 0.9 average length skin 20 mm. Based this anatomic knowledge, 5 patients underwent operations resurfacing.All flaps survived without...

Epidermal inclusion cyst is one of the most common subcutaneous tumors, and its size normally varies from 1 to 5 cm in diameter. Only few giant epidermal cysts have been reported literature, face has never reported. An 83-year-old woman visited our hospital for a huge mass on right side her extending temporal area, creating deformity ear. The was 15 × 8 cm3 with soft, cystic nature. It developed since 20 years ago no known etiology. Computed tomography scan obtained preoperative evaluation,...

Parotidectomy is the treatment of choice in many parotid tumors. Due to extensive nature procedure, unfavorable complications such as gustatory sweating, surgical site depression are common. Various techniques using fascia, muscle or AlloDerm have been developed but debate still remains regarding its availability and affordability. We applied a newly acellular dermal matrix (Insuregraf) parotidectomy field act physical barrier provide adequate filling effect for prevention functional...

Scalp necrosis is an infrequent complication of Moyamoya disease surgery, which more prevalent in the parietotemporal area. Because scalp vascularity severely compromised after reconstruction defects with local tissue challenging. To cover defects, a flap needed that highly vascularized and has great mobility territory to avoid existing scars. After tracing ipsilateral occipital artery, advancement was based on artery vein designed fit defect. The elevated subperiosteal layer advanced...

Recently, a case of deep-lobe lipoma with enucleation was reported, but frozen-section biopsy for the confirmation malignancy not done. It has been suggested that in deeper tissues should be regarded as well-differentiated liposarcoma and treated wide excision. Our experience is 75-year-old woman who had mass fat density deep lobe right parotid gland, which extended through parapharyngeal buccal spaces. Lumpectomy performed, only preserving branches facial nerve also ruling out malignancy....

Fibrolipoma is a rare benign tumor that usually presents as an asymptomatic, slowly growing mass with firm or soft consistency clinically. Histopathologic findings show the proliferation of normal mature fat and fibrous tissue. We report first case fibrolipoma nasal tip in 24-year-old man. The lesion was totally excised showed no evidence recurrence after 6 months follow-up.

Nasal bone fracture is the most common traumatic disease among facial fractures. General treatment of this trauma closed reduction, followed by intranasal packing. Vaseline or Furacin roll gauze, and Merocel are commonly used packing materials, but pain produced while removing fearful for patients. To compensate shortcoming, there has been an increased use biodegradable synthetic polyurethane foam (SPF) recently. We performed a retrospective review to analyze effectiveness SPF after...

Skeletal cavernous hemangiomas are rare, benign tumors that may involve the supraorbital rim and orbital roof. However, such involvement is extremely rare. We report a case of skeletal hemangioma frontal bone involving roof rim. En bloc excision reconstruction, using calvarial graft for defect, was performed. It important not only to perform total hemangiomas, but properly reconstruct defects after since several complications can arise from an defect.