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Lupus erythematosus profundus (LEP), is a rare form of, chronic cutaneous LE, also called lupus erythematosus panniculitis. LEP is characterized by subcutaneous fatty tissue involvement spesifically in patients with LE. Before systemic LE was diagnosed, very few reports reported the presence of lesions of lupus erythematosus profundus. The rare manifestations of the disease are remarkable with the unusual features of the cases. A 43-year-old female patient diagnosed with bilateral periorbital LEP was presented and the literature was reviewed. Significant clinical improvement was achieved in the patient who was given systemic hydroxychloroquine and topical pimecrolimus therapy. This report suggests that asymptomatic periorbital erythema and edema may develop as a manifestation of LEP.

Ameloblastic carcinoma (AC) is an aggressive malignant epithelial odontogenic tumor. It may appear de novo or originate from a pre-existing ameloblastoma or odontogenic cyst. To our knowledge, an AC that originates from the anterior skull base has not been reported before in the English literature. We report a case of an AC that originated from the anterior skull base and invaded the dura of the anterior fossa and discuss its clinical course and treatment.

The most frequently used method in two-stage reconstruction of a tendon is the placement of a silicone rod, forming a canal where the tendon can glide easily, that is subsequently replaced with a tendon graft. However, there is a disadvantage in that the formation of a qualified gliding canal requires at least three months after the placement of the silicone rod. In the present report, the authors evaluated the effects of tetracycline on the time period required for the formation of a qualified gliding canal in rats after the placement of a silicone rod. Tetracycline was administered through an 18 gauge needle inserted into the silicone rod in the test side (right) and saline solution was administered in the same fashion to the control side (left) in each rat. Histopathological and macroscopic examinations at weeks 1, 2, 3, 4 and 8 after the operation showed that a significantly thicker and more mature sheath was formed after two weeks in the sides that had been treated with tetracycline.La méthode la plus utilisée pour reconstruire un tendon en deux étapes consiste à installer une tige de silicone, formant un espace sur lequel le tendon peut glisser facilement, remplacé plus tard par une greffe de tendon. Cependant, il existe un inconvénient, car il faut au moins trois mois après l’installation de la tige de silicone pour qu’un espace de glissement acceptable se forme. Dans le présent rapport, les auteurs ont évalué les effets de la tétracycline sur la période nécessaire pour former un espace de glissement acceptable chez des rats après l’installation d’une tige de silicone. La tétracycline a été administrée au moyen d’une aiguille de calibre 18 insérée dans la tige de silicone du côté à l’essai (à droite), et une solution saline a été injectée de la même façon dans la tige témoin (à gauche) de chaque rat. Les examens histopathologique et macroscopique aux semaines 1, 2, 3, 4 et 8 après l’intervention ont révélé qu’au bout de deux semaines, une gaine beaucoup plus épaisse et plus mature s’était formée du côté traité à la tétracycline.

background. Success of skin grafts depends on sufficient immobilization and early intervention for hematoma, seroma, or infection. objective. To stabilize and cover skin grafts with a tie-over technique using translucent silicone gel sheet. methods. Twenty-seven skin defects were resurfaced with skin grafts. A sterile silicone gel sheet was placed over the skin graft. Gel was fixed to the wound edges with skin staplers. results. All grafts healed without any complication. conclusion. Using silicone gel sheeting on 27 skin grafts, we found that it is an effective method for stabilization and allows direct visualization of the graft in order to inspect hematoma-like complications.

Extremity contractures are one of the most common deformities faced by the reconstructive surgeon. Major deformities with ankylosis of the related joint have to be managed by both soft tissue and bone operations. Contractures existing for a long period of time cannot be brought into anatomic position easily because of shortened tendons, nerves, and vessels or ankylosed joints. Although tendons can be lengthened in one operation, this is not the case for neural and vascular structures. The authors use external fixators associated with soft tissue procedures to gradually correct major foot dorsiflexion contractures.

After palatoplasty operations, we are faced with a palatal fistula rate of 30% repair which is one of the most difficult tasks in Plastic Surgery. Placement of a biological material between the two anatomic layers of the palate was performed to reduce the rate of fistula formation. Commercially available “fascia lata” homograft was used in order to decrease the time of operation and avoid donor site morbidity. This method has reduced the rate of palatal fistulae to 8.3%.