Because of the severe synovial and epineurial histopathological abnormalities and inadequate neural regeneration capacity, surgical open carpal tunnel decompression should be planned earlier in diabetic CTS patients. Further studies should be considered to evaluate the histopathological features of diabetic CTS patients early in the course of the disease.
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Hatchet rotation-advancement flap is a well-known flap design, which is a worthwhile option in the reconstruction of lateral nasal region skin defects. In this study, the author's experience with 3 different designs of hatchet flaps, for the reconstruction of the defects in 3 different parts of the lateral nasal region, has been presented. All flaps in 31 clinical cases were planned from the cheek and nasolabial region. For the defects in the upper 1/3 part, flaps were planned in advancement type, for the middle 1/3 part, flaps were planned in rotation-advancement type, and for the lower 1/3 part, flaps were planned in rotation type. Satisfactory results were achieved in all patients except in patients having defects in the lower 1/3 part. In reconstruction of lateral nasal region defects, hatchet flap has different advantages such as versatility, better tissue match, and short final scar in the nasolabial fold. When planned in rotation type, for the lower 1/3 part, the ratio of complications increases significantly, which necessitates considering other flap options as the first-line choice of reconstruction for this region.
ÖzSmall alkaline or lithium-ion batteries, which are commonly referred to as watch batteries or button cells, may cause potentially dangerous organ injuries and tissue damage if swallowed. This condition, which is commonly seen in children, may cause damage, particularly in the respiratory and gastrointestinal tracts, as well as in the nose, external ear canal, and middle and inner ears. Ulceration due toxin contact is a very rare condition. In this study, we present the case of an 18-month-old male who swallowed a cell which caused damage in the medial femoral area after harmlessly passing through the entire gastrointestinal tract. The battery caused skin necrosis with the contribution of the electrolytic effect of stool in a diaper is an infrequent case and avoidable with only the parents' attention. Usually, swallowing watch batteries does not cause any symptoms or findings, and it easily excreted in stool. However, serious injuries and even deaths in cases involving the nasal cavities, outer and inner ear, esophagus, stomach, intestines, and neighboring organs have been reported in the literature. It is important to acknowledge the negative consequences and signs and symptoms of such conditions, and note that the battery may stick to body parts such as genital, medial femoral, anal, and intergluteal regions that remain in the diaper-covered area and may cause skin ulcerations due to the electrolytic characteristics of the stool.
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