Lymphangioma is a tumor-like lesion of lymphatics that most often located in the head and neck area, usually causing marked cosmetic and functional problems. Challenge continues to find a safe and effective modality of treatment for anatomical and functional purposes. Until now, no satisfactory methods in lymphangioma elimination. A 12 years old boy with lymphangioma of the left buccal was referred to the division of Plastic and Reconstructive Surgery in Cipto Mangunkusumo hospital. Suction and intralesional steroid injection was decided as a treatment in this patient. Pressure garment customized the size was made and applied to maintain and prevent healing in sagging position.Long term result should be evaluated, in this patient since the repair just only for 5 months. At follow up, 5 months post operatively after Suction and intralesional steroid injection, the buccal had improved significantly with normal anatomical and functional result. In our experience, the correction of the buccal lymph-hemangioma with suction and intralesional steroid injection was achieved a satisfactory result.

Background: We will report some experiences in managing challenging malignant cases on the abdominal wall, including a case of large, irradiated defect. All of those cases were consulted intraoperative immediately following tumor removal. The keystone random perforator flap was chosen among the option of solutions in large abdominal defect closure. This region has natural elasticity, which combines well with the multi-axial tissue recruitment of the flap Methods: Three cases of complicated abdominal defect were reconstructed using the keystone flaps supplied by non-identified (random) perforators. Results: All flaps survived without problem of vascularization, despite of its large defect, sequence of radiotherapy following reconstruction, infection, and with its margin unable to be freed from tumor. One out of three cases suffered from contaminated wound from stomal leakage, leading to dehiscence. Conclusion: The keystone flap is a useful and reliable random perforator-based flap, even in complex and challenging malignant cases of abdominal wall.

Background: To evaluate two pediatric patients with syndromic craniofacial anomaly that underwent craniofacial reconstructive surgery using resorbable plate-screw systems which have been claimed as biodegradable fixation materials and used in craniofacial reconstructive procedures owing to their advantages such as adequate biomechanical resistance, longer dwelling time, elimination through physiological routes without causing any foreign body reaction and/or significant sequale. Patient and Method: Resorbable plate-screw systems used in 2 patiens for craniofacial reconstructive procedures such as bilateral fronto-orbital advancement and segmental right orbita (four wall box) osteotomy were evaluated as for their efficacy. Result: Adequate fixation was obtained in both patient, but Infection complication was seen in segmental right orbita osteotomy patient that appear localized abcess formation on subciliary incision and fronto medial insicion. After drainage insicion and antibiotic administration for 1 week, the infection was relieved. Summary: Owing to resorbable copolymer which contain a polyester derivate of L- lactidc and glycolic acid are ideal fixation materials used favourably in pediatric craniofacial reconstructive surgery and have further advantages such as adequate biomechanical resistance against distraction and compression forces in the early postoperative period, longer dwelling time and elimination from the body through physiological routes without causing any foreign body reaction.