Reconstruction of the eyebrows, eyelids, and destroyed lacrimal drainage system is a challenging procedure for plastic and reconstructive surgeons. In the case presented, a superficial temporal fascial flap was designed for reconstruction of the eyebrow, upper and lower eyelids, and lacrimal drainage system in a one-stage procedure in facial burn patient. To the authors' knowledge, this is the first combined reconstruction of the eyebrow, upper and lower eyelids, and lacrimal drainage system in one surgical procedure with pedicled superficial temporal fascial flap including skin island and buccal mucosal graft. During the 1-year follow-up period, no complication was encountered and patient healed uneventfully.
Autologous fat injection was first described roughly a century ago and has been used in surgery ever since. In addition to its use in many surgical fields, it is also frequently used for both aesthetic and reconstructive purposes in breast surgery. Since the application of fat grafting in breast surgery has steadily increased, studies investigating its reliability have simultaneously become increasingly common. Previous studies have reported that the use of fat grafting in breast surgery is reliable, but some pending questions remain about its routine use. In order to use fat grafts successfully in breast surgery, it is necessary to be familiar with the structure and content of adipose tissue, the efficacy of adipose stem cell-enriched fat grafts, the oncological safety of fat grafts, and the problems that may occur in the radiological follow-up of patients who undergo fat grafting procedures. In this literature review, we aim to discuss the use of fat grafts in breast surgery by investigating these common problems.
Tissue healing is a challenging process that requires the successful and simultaneous management of conflicting priorities. While promoting wound closure, a battle must be won against different external factors that may adversely affect the healing process. Here this problem is approached by creating asymmetrically designed double-layer Janus-type bilayer films where distinct functions are implemented into the two sides of the film. Once deployed, those Janus-type films exhibit strong adhesion to a wide variety of wet tissues and canalize the release of integrated therapeutics toward the tissue side. At the same time, the outer surface of the films acts as a shield against tribological stress, pathogens, and cellular immune recognition. Moreover, when compared to untreated wounds, Janus-treated skin lesions show accelerated wound closure as well as fast formation of new, intact tissue. Having performed their tasks, Janus-type films degrade without leaving any traces on the tissues, which makes it possible to apply them to sensitive body surfaces. Thus, it is expected that the Janus-type bilayer films designed here can be used in a variety of medical applications where conflicting demands must be met at the same time.
The mandible is one of the most frequently fractured bones of the face. Condylar fractures are the most common mandibular fractures in adults. The potential complications of mandibular fractures are infection, paresthesia, malunion, nonunion, asymmetry, and long-term functional and growth disturbances. In this article, we report an uncommon case of life-threatening pseudoaneurysm of the internal maxillary artery secondary to subcondylar fracture. We believe that the subcondylar fracture on the vertical vector and oblique direction can damage vital tissues such as the internal maxillary artery, and this injury was, to our knowledge, the first reported acute pseudoaneurysm, which occurred just after the injury at the initial part of the maxillary artery.
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