BACKGROUND Although many different diseases have been reported with vitamin D deficiency, the authors failed to find any studies on the association of hypertrophic scarring (HS) in the literature. OBJECTIVE The authors aimed to determine the relationship between vitamin D deficiency and HS and investigate the effect of replacement therapy on HS development in patients with vitamin D deficiency. PATIENTS AND METHODS Patients who presented to the authors' outpatient clinic with HS between 2013 and 2016 were included in the study. In the first stage, all the patients with HS complaints were assessed for vitamin D levels. In the second stage, 50 patients with a vitamin D level less than 25 ng/mL and a linear scar after at least 1 year of trauma were randomly divided into 3 groups. Group 1: patients who did not accept any medical or surgical treatment; Group 2: patients who were subjected to vitamin D replacement only; Group 3: patients who underwent surgical excision and suturation after vitamin D replacement. RESULTS A statistically significant correlation was found between HS and vitamin D levels (p < .05). A statistically significant decrease in scar width was observed in Group 3 (p < .05). CONCLUSION Increasing vitamin D levels to above 25 ng/mL before scar revision and vitamin D deficiency in patients with HS may help reduce scar width.

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Introduction. Wide excision of affected skin tissue and the apocrine glandular region is the standard treatment for advanced HS. Various flap types have been used for coverage. Objective. This study was conducted to assess the use and outcomes of propeller parascapular flaps for unilateral or bilateral axillary defects after excision in patients with advanced axillary HS. Materials and Methods. This retrospective case series reports on 11 patients with unilateral (7 patients) or bilateral (4 patients) advanced HS treated with propeller parascapular flap surgery between July 1, 2016, and December 31, 2018. Flap dimensions were measured. Patients were evaluated in terms of 2 main postoperative complications: postoperative recurrence and flap viability. In addition, other complications such as bleeding, infection, dehiscence, contracture, and hypertrophic scarring were noted. Results. The average flap area was 160 cm2. One flap dehisced; no infection, partial necrosis, or total flap loss occurred, and no recurrence was observed. The mean follow-up period was 18 months. At final follow-up, no patient had contractures that caused restricted movement of the shoulder joint. Conclusion. Parascapular flaps should be the first choice in patients with advanced HS owing to low donor area morbidity, low recurrence rate, wide rotation arc, and sufficient flap size.

Amaç: Bu çalışmanın amacı, parmaklardaki yumuşak doku defektlerinde FDMA flep kullanımının çok yönlülüğünü değerlendirmektir. Hastalar ve Yöntemler: Mayıs 2018-Mayıs 2021 tarihleri arasında üst ekstremitede yumuşak doku defekti sebebiyle rekonstrüksiyon yapılan hastalar dosya üzerinden tarandı. Bu hastalardan parmakta defekti olan ve birinci dorsal metakarpal arter flebi ile rekonstrükte edilen hastalar çalışmaya dahil edildi. Bulgular: 12 hasta çalışmaya dahil edildi. Defektin etiyolojisi tüm hastalarda travma idi. Flep adaptasyonu için 5 hastada tünel açma tekniği kullanıldı. Hiçbir hastada total flep veya greft kaybı yaşanmadı. Komplikasyonlar açısından yaş, cinsiyet, komorbidite, defekt lokalizasyonu, defekt boyutu ve operasyon süresi incelendi. İstatistiksel olarak anlamlı bir fark saptanmadı. Sigara içenler ve içmeyenler incelendi, istatistiksel olarak anlamlı fark bulunmadı. Flep adaptasyonu için tünel kullanımı komplikasyon açısından istatistiksel olarak anlamlı bir fark yaratmadı. Sonuç: Birinci dorsal metakarpal arter flebi 1. ve 3. parmaklardaki defektlerde oldukça güvenilir bir seçenektir. Tünel tekniği kullanılıyorsa tünel genişliğinin yeterli olduğundan emin olunmalıdır.

The honeycomb modification for planning triple rhomboid flaps is an easy, practical, and memorable approach for surgeons reconstructing large meningomyelocele defects.

Rubber band syndrome is a condition that usually affects children because of wearing a rubber band on the wrist or the ankle. Depending on the degree of pressure caused by the band, patients may present acutely with ischemia and necrosis of the tissues distal to the bands or chronically with change in shape, oedema, loss of function, sensation and rarely amputation. This condition is very rare in adults and most reports in literature are in patients with cognitive impairment or psychiatric illness. We report 62-year-old lady with a background of a psychiatric illness who presented with an acquired constriction band syndrome affecting multiple digits of both hands. Level of Evidence: Level V (Therapeutic)

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