Introduction: Necrotizing fasciitis is a serious infection of the subcutaneous tissue and fascia. Despite being rare, it may have a high mortality rate because it usually leads to rapidly progressing fascial necrosis. The purpose of this study was to report a case of early stage necrotizing fasciitis that developed after cryotherapy for a penile condyloma, 19 days before the index emergency department admission. Case Report: A 32-year-old man without any history of systemic disorder was admitted to our emergency department for groin swelling and burning sensation that developed 12 hours before his hospital admission. Edema and hyperemia starting from the left inguinal region and extending to the penis and scrotum were noted on physical examination. While initially being considered a case of early stage necrotizing fasciitis and tested for it, the patient rapidly developed a bulla and entered intermediate stage. We hospitalized the patient with an initial diagnosis of necrotizing fasciitis and initiated dual antibiotic therapy. Furthermore, we debrided the wound and excised the necrotic tissue debris. We discharged the patient on the 12 th day.Conclusion: Clinical suspicion should be high for necrotizing fasciitis in emergency. Initiating the most appropriate medical and surgical therapy as soon as the diagnosis is made is the key for preventing mortality and morbidity.

Escharotomy is the relaxation of an eschar through longitudinal or horizontal incisions in order to protect regional perfusion. In peripheral areas—such as limbs, trunk, and neck—eschar pressure poses significant issues; it causes circulatory disorder in limbs and potential limb loss, inadequate thoracic expansion in the thorax, and perfusion and oxygenation problems in the neck. To prevent complications, a basic rule of burn surgery is to perform escharotomy incisions quickly and without hesitation. However, the face is not an area in which eschar formation is commonly seen due to its robust vascular supply and patients’ protection reflex. While descriptive drawings and guides for facial escharotomy have yet to be published, relaxation of axial arteries in terms of compression from eschar formation may be needed. Here, we present a case of escharotomy based on facial subunit principles.

There have been plenty of surgical techniques for the correction of prominent ears. "Telephone deformity" or "reverse telephone ear" has been described as the undesired result of the inappropriate correction of the prominent ear, mainly the deficient correction of the lobule. We have performed an asymmetric Z-plasty to the lobule to overcome this deformity not only by excision of the excess skin but also by transposition of the soft tissue. Between 2005 and 2011, the technique currently described was performed in 19 patients. Preoperative, intraoperative, and postoperative standardized photographs were taken, and measurements were done on postoperative first week, first month, and first year. The measurements include ear height at 3 different horizontal planes as follows: (1) the most cranial point of the ear, (2) the middle point of the ear, and (3) the most caudal point of the ear. The angle between the vertical plane of the head and the ear was measured at these previously defined 3 points. These measurements were used for indication and preoperative planning. There were statistically significant differences between preoperative and postoperative values (P < 0.05). The postoperative first year results indicated the effectiveness of this alternative technique for the long-term maintenance of the position of the lobule.

No abstract

The airbag is a lifesaver innovation in automobile industry, but the impact of airbag deployment may cause maxillofacial fractures. Airbag deployment in traffic accidents is a rare etiology of orbital fractures. Although there are reports about airbag-induced orbital fractures in the literature, isolated bilateral blowout fractures have not been published yet. We present a case of isolated bilateral blowout fracture due to airbag deployment in a traffic accident and its management in this study.