Background Hump recurrence is one of the commonly encountered problems following dorsal preservation rhinoplasty (DP) during the learning period. Objective The aim of this paper is to discuss different methods for the prevention and treatment of dorsal problems following dorsal preservation surgery. Methods One hundred fifty primary rhinoplasty patients were included in our study. The noses were classified as to both hump shape (V- or S-shaped) and height. All patients had a dorsal preservation rhinoplasty with either a push-down (PD) or a let-down (LD) technique. The PD method was used for humps <4 mm and the LD for humps >4mm. Follow up evaluations were made with physical examination and photographs at 1 week, 3 months, and 12 months. Results Mean follow-up was 12.68 ± 1.78 months. 78 humps were V-shaped and 72 were S-shaped. PD was used for 77 cases, LD for 83 cases. 8 patients (5.3%, 8/150) had a visible dorsal hump problem after DP surgery. Based on their preoperative hump shape, 3 cases were V-shaped and 5 were S-shaped. All recurrent cases had a preoperative hump deformity greater than 4 mm. The revision procedures were as follows: 4 patients had PD procedure, 3 had a LD procedure, and one patient was treated by classic open resection rhinoplasty. Conclusion We can say that there is a relatively correlation between preoperative hump height and eventual hump recurrence. The complication rate can be decreased with additional technical maneuvers and proper patient selection.

Proliferating trichilemmal tumors (PTTs) are neoplasms derived from the outer root sheath of the hair follicle. These tumors, which commonly affect the scalp of elderly women, rarely demonstrate malignant transformation. Although invasion of the tumors into neighboring tissues and being accompanied with anaplasia and necrosis are accepted as findings of malignancy, histological features may not always be sufficient to identify these tumors. The clinical behavior of the tumor may be incompatible with its histological characteristics. Squamous-cell carcinoma should certainly be considered in differential diagnosis because of its similarity in morphological appearance with PTT. Immunostaining for CD34, P53, and Ki-67 is a useful adjuvant diagnostic method that can be used in differential diagnosis aside from morphological findings. In this study, we aimed to present the case of a 52-year-old female patient with clinicopathological features. We reported a low-grade malignant proliferating trichilemmal tumor in this patient and detected no relapse or metastasis in a 24-month period of follow-up.

Background A new technique for dorsal preservation rhinoplasty is introduced which minimizes recurrent hump deformity. Objectives A novel Dorsal Roof Flap (DRF) technique is presented for modifying the nasal hump and dorsum while reducing morbidity. Methods Twenty-two primary and 3 secondary rhinoplasty patients had one of two types of nasal dorsal roof flaps (DRF) depending on hump composition. A triangular roof flap was created using two incisions from W-point to lateral Keystone junction in cartilaginous humps (DRF-c), and to the nasion in osseocartilaginous humps (DRF-oc). Then, septal strip excisions were done to lower the profile followed by nasal base narrowing. The DRF was then lowered to the desired profile line, any excess lateral wall height is trimmed, and then the DRF is sutured to the upper lateral cartilages. Preoperative and postoperative nasolabial (NLA) and nasoglabellar angles (NGA) were measured on the photos. Results Mean follow-up was 10.3 [4.41] months (range, 6-20 months). 22 humps were V-shape and 3 were S-shape. The composition of the hump was cartilaginous in 5 cases, bone in 7 cases, and combined in 13 cases. A DRF-c was used for the 5 cases with a cartilaginous hump and a DRF-oc was used in the other 20 cases. There were no complications observed in the follow-up period and thus no revisions. Conclusions The Dorsal Roof Flap Technique allows preservation of the nasal dorsum and elimination of the dorsal hump while minimizing hump recurrence.

Cheek defects are common facial defects, especially after tumor ablation. Although primary repair yields the best aesthetic outcome, wide defects require flap resurfacing. Among the flap techniques, the cervicofacial rotation/advancement flap is one of the most common. In cases with eyelid involvement, it is very unlikely that a local flap would single-handedly resurface the defect and additional flaps must be used.This article presents our clinical experience with 14 patients with cheek defects for whom cervicofacial rotation/advancement flaps were used. In 3 of the 14 patients, local flaps that include the laterally based Tripier flap, the Fricke flap, the nasojugal flap, and the median forehead flap were combined with the cervicofacial flap to reconstruct the lower eyelid defects in accordance with the principle of individually reconstructing different anatomic subunits. All infraorbital defects were resurfaced with residual cheek and cervical skin with a good color and texture match. In patients whose eyelids were intact, no malposition was observed.Posteriorly based cervicofacial rotation/advancement flaps offer a very reliable and convenient method for resurfacing infraorbital and medial cheek defects. When a lower eyelid defect is also present, its individual reconstruction as a separate facial subunit needs to be considered using a combination of smaller local flaps.

BACKGROUND: Electrical burns are the third most common cause of burn injuries, after scald and flame burns. In spite of decreasing mortality rates as advancements are made in treatment modalities and medical equipment, significant complications and socioeconomic consequences still accompany electrical burns. Analyzed in the present study were data from patients hospitalized for electrical burns between 2008 and 2012 in the Samsun Training and Research Hospital, the only burn care center in the Black Sea region of Turkey.

This a preprint and has not been peer reviewed. Data may be preliminary.

Summary:Unilateral and isolated temporalis muscle hypertrophy is an extremely rare condition causing cosmetic problems and pain in the temporal region. Up to date, 8 isolated and unilateral cases were reported in the English literature. In this article, the authors report 2 new cases of unilateral isolated temporal muscle hypertrophy.

No abstract