Despite its rarity, external jugular vein aneurysm should be remembered in the differential diagnosis of a cervical mass. Surgical excision is indicated in symptomatic aneurysms and for aesthetic reasons. Excision eliminates the risk of complications and allows for histopathologic diagnosis.

Complication rates after free flap microvascular reconstruction in BRONJ seem acceptable. Nonunion is relatively rare and should not be the sole reason to recommend against free flap reconstruction. A randomized clinical trial would help clarify the role of this procedure in refractory BRONJ; however, we believe that segmental resection and microvascular reconstruction is a viable option in select cases of BRONJ. © 2016 Wiley Periodicals, Inc. Head Neck 38:1278-1285, 2016.

):122-126 RESUMOA rinoplastia é um procedimento cirúrgico exigente, especialmente quando requer aumento do contorno. Os enxertos de cartilagem, que visam melhorar o contorno e o alinhamento do dorso nasal são metas difíceis de alcançar. Apresenta-se um caso de uma rinoplastia secundária para aumento do dorso utilizando a técnica de Turkish delight e uma breve revisão de literatura. Uma mulher de 33 anos, com antecedentes de fenda palatina unilateral completa nasal à direita, e deformidade nasal grave, previamente submetida a outros procedimentos, foi encaminhado para o nosso Centro. Apresentava um enxerto de cartilagem visível, pelo que se optou pela técnica de Turkish delight. O enxerto mostrou-se eficaz no aumento do dorso aos quatro anos. Não ocorreu extrusão da cartilagem e a paciente está satisfeita com o resultado estético da cirurgia. A técnica é eficaz na reconstrução de dimorfismos do complexo do dorso nasal, particularmente em rinoplastias secundárias. Palavras-chave: Cartilagem/transplantação ; Deformidades Adquiridas Nasais; Rinoplastia.ABSTRACT Rhinoplasty is a demanding task, especially when augmentation of the nasal contour is required. Autologous cartilage grafts are challenging. Contour and alignment of the graft are difficult goals. It is presented a case of a successfully nasal dorsum augmentation in a secondary rhinoplasty with the Turkish Delight technique and a brief review of literature. A 33-years-old female, with history of complete unilateral cleft nasal deformity on the right, and severe nasal deformity, previously submitted to other procedures, was referred to our Center. As she presented a visible cartilage graft, it was decided to perform the Turkish Delight technique. The autograft was effective for increasing of the nasal dorsum, at four years post-operative. There was no evidence of extrusion. The patient is satisfied with the result. The technique is effective in the reconstruction of complex dimorphism of the nasal dorsum, particularly in secondary rhinoplasty.

Although metastatic amelanotic melanoma to the parotid gland is a rare diagnosis, the clinician should be familiar with this presentation to increase the likelihood of making the correct diagnosis and delivering prompt treatment.