Surgical repair of large defects in nasal ala is often needed. There are several reconstruction techniques, which in general are complex, require greater technical knowledge, and not always reach the desired esthetic result. The authors discuss the indications and practicality, in addition to good cosmetic results of healing by secondary intention of large defects in nasal ala.

Keywords: WOUND HEALING, NOSE, CARCINOMA, BASAL CELL

Introdução: The increase in the demand for cosmetic procedures has in turn stimulated the search for effective and safe analgesia.Topical anesthetics are an alternative to infiltrative anesthesia, and promote an appropriate analgesia without inducing adverse effects. Objective: To compare the pain ratings of two topical lidocaine formulations in patients undergoing fractional CO2 laser therapy. Methods: Eight patients underwent a single fractional CO2 laser session after applying a commercial formulation of 4% lidocaine on the right side of the face and a dispensed 30% lidocaine formulation combined with 7% tetracaine on the left side of the face.The intensity of the pain was assessed using the visual analogue pain intensity scale at the end of the procedure. Results: No significant statistical differences were detected between the formulations. Conclusions: Formulations with high concentrations of anesthetics are not more effective than commercial products in producing analgesia.

Keywords: ANESTHETICS, ANESTHESIA AND ANALGESIA, LASERS

Reconstructions of the auricular pavilion are complex, especially when there is a loss of cartilaginous support. A case of chondrocutaneous defect reconstruction, after the exeresis of a basal cell carcinoma in the upper third of the auricular pavilion, is reported. Silicone fiber was used to model and provide support for the ear. The technique of using cartilage or compound grafts in the auricular pavilion is described.

Keywords: EAR CARTILAGES, SURGERY, PLASTIC, EAR DEFORMITIES, ACQUIRED, EAR, PROSTHESES AND IMPLANTS

INTRODUCTION: In the last decades, anticoagulants have become more frequent in the population and younger age groups.
OBJECTIVE: This article aims to address the risk of the most used anticoagulant medications in dermatological surgeries.
METHODS: We reviewed the most common anticoagulant medications.
RESULTS: The pre-surgical consultation performed correctly, emphasizing the patient's clinical history (including renal function in cases of use of new oral anticoagulants), the anatomical site addressed, and the surgical treatment schedule is essential for a satisfactory outcome.
CONCLUSIONS: The use of anticoagulant medications is increasingly common in medical practice. In patients receiving anticoagulant medications, strict adherence to good surgical practices is essential. Special attention to adequate hemostasis of the surgical field, adequate and compressive dressings and postoperative care must be given. The patient should be adequately informed about the most significant risks to which he is subject.

Keywords: Dermatology; Anticoagulants; Surgery

Pemphigus vegetans is considered a rare clinical variant of Pemphigus vulgaris and is associated with recurrent lesions that can evolve into extensive vegetative plaques that are difficult to resolve. Surgery may be an alternative in the complementary treatment of lesions resistant to classical therapy. There is a shortage of literature that shows the surgical technique and the postoperative results of the approach to pemphigus vegetans, making the communication of this case relevant. We present the case of a patient with the Hallopeau type of pemphigus vegetans successfully treated with tangential exeresis followed by secondary intention healing of large retroauricular projections.

Keywords: Pemphigus; Dermatologic surgical procedures; Treatment outcome