Keywords: SURGICAL FLAPS, EAR, CARCINOMA, BASAL CELL

The malar region is the site of skin tumors and sometimes a primary closure is not possible after the excision of the lesion. The A-T flap is a good method for reconstructing an broad and deep defect in which the local surrounding tissue does not allow direct closure. The present study describes the implementation of an A-T flap as an option for the reconstruction of an operative wound secondary to the excision of a basal cell carcinoma.

Keywords: SURGICAL FLAPS; ZYGOMA; CARCINOMA, BASAL CELL

To make compressive dressings that are capable of preventing hematoma during the recovery period, after surgery on the scalp is a challenge. These dressings can be especially problematic to perform in the vertex region, due to the difficult adhesion of the hypoallergenic tape in that site. The authors introduce a good option for compressive dressings for use after surgeries on the scalp.

Keywords: COMPRESSION BANDAGES; AMBULATORY SURGICAL PROCEDURES; HEAD; SCALP

Oncologic ear resection can create partial skin and / or cartilage defects that make reconstruction of this site difficult and challenging. Several techniques have been described, however few cases of surgery for defects in the cauda helicis have been reported. The authors describe an interpolation flap in this anatomical location for the correction of a defect secondary to the excision of a basal cell carcinoma.

Keywords: surgical flaps; ear; carcinoma, basal cell

The nasal region is a frequent site of cutaneous tumors, and repairing defects in this region can be a great surgical challenge due to the need to restore their structural, functional and aesthetic properties. The present study describes the implementation of an A-T flap as an option for reconstructing surgical wounds secondary to the excision of basal cell carcinomas in the nasal tip.

Keywords: Carcinoma, Basal Cell; Nose; Surgical flaps

INTRODUCTION: Ingrown toenail is the leading cause of nail surgery. Techniques have been described for better exposure of the nail matrix in Grade III treatment, such as block excision of the hypertrophic skin margins and the subcutaneous nail blade involved, removing a semi-elliptic wedge and or L-incision, both advocating closure by suturing the skin and the nail blade. Authors describe the application of an incision technique at the intersection of the lateral and proximal nail fold to expose the matrix and the performing of a wedge in the cutaneous hypertrophy. At the site of the nail blade removal a fragment is left by second intention.
OBJECTIVE: To assess the comfort and effectiveness of the new surgical technique for onychocryptosis.
METHODS: Observational and retrospective study through the analysis of 29 patients with onychocryptosis who underwent the new technique.
RESULTS: Of the 34 nail folds (5 patients had 2 affected nail folds) submitted to surgery using the new technique, only one patient had recurrence in one of the folds and underwent a new intervention. No complaints of postoperative discomfort or complications were observed.
CONCLUSIONS: The applied technique was satisfactory, with a low recurrence rate, and also easy to perform, presenting no discomfort complaints from patients.

Keywords: onychocryptosis; ingrown toenail; operative treatment; surgical technique

INTRODUCTION: Squamous cell carcinoma (SCC) is the second most frequent malignant tumor of the epidermis. When located in the labial region, it can present a great challenge for the reconstruction, since it’s located in the center of the inferior third of the face, causing scars and distortions that negatively affect the quality of life.
OBJECTIVE AND METHODS: We report two cases of SCC in the lower lip reconstructed with Gilles fan flap associated with zetaplasty.
RESULTS AND CONCLUSIONS: In both cases, the result was satisfactory, with tumor resolution, absence of microstomia, preservation of the functionality, and good aesthetic acceptance.

Keywords: Carcinoma Squamous Cell; Case Reports; Lip; Surgical Flaps

INTRODUCTION: Nutricosmetics have been used as supplements for hair growth in the treatment of non-cicatricial alopecia. However, there are no studies on using of these products in individuals under 18 years of age.
OBJECTIVE: To assess the efficacy and tolerability of using a nutricosmetic product based on proteoglycans in individuals under 18 years of age with non-cicatricial alopecia.
METHODS: This is a clinical, uncontrolled, and prospective trial. Patients with non-cicatricial alopecia, of both sexes, aged between 6 years and 18 years, received nutricosmetics containing proteoglycan for six months. Three dermatologists independently evaluated standardized pre and post-treatment photos. A hair count was performed in a scalp area of 1 cm², and the patients answered a questionnaire about improvement or worsening.
RESULTS: Eleven patients (100% women) were included. Ten (91%) showed improvement after six months, observed through photographic evaluation, hair count, and self-assessment. No patient presented allergies. Two patients had transient epigastric pain.
CONCLUSIONS: The use of proteoglycans-based nutricosmetics was effective and well-tolerated in children and adolescents with non-cicatricial alopecia.

Keywords: Alopecia; Hair follicle; Proteoglycans; Treatment outcome

Correcting facial deformities is still a significant challenge for the dermatological surgeon. The therapeutic options may vary depending on the etiology, location, costs, and attending physician’s experiences of the. Although some studies have shown controversies regarding the results of using autologous fat transplantation (AFT) to treat facial depression, we report a case with good aesthetic results after two sessions of AFT in a male patient with a depressed facial fracture after head trauma.

Keywords: Transplantation; Transplantation, Autologous; Subcutaneous fat; Skull fracture, depressed

Basal cell carcinoma (BCC) is the most common skin cancer. When located in the nasal region, reconstructing the defect resulting from its exeresis can become very challenging for the dermatological surgeon. The snail flap (SF) technique can be used to correct defects, mainly on the nose’s lateral wall, but we use it in a modified way to close the nasal wing injury. In both cases, the results were satisfactory, cosmetically and functionally.

Keywords: Carcinoma basal cell; Surgical flaps; Nose

Reconstruction with grafting for defects resulting from the removal of squamous cell carcinoma in the lower limbs is a great challenge for the dermatological surgeon. A very thin skin for the receiving area, the inhomogeneity of the local vascularization and the transient venous insufficiency make it difficult to integration of the grafted skin in these regions. For the success of this type of procedure, some techniques can be used to repair these difficulties, such as an elastic compressive dressing that we use in the first postoperative days of a total skin graft on the foot and leg, with good results

Keywords: Carcinoma squamous cell; Foot; Leg; Graft survival

Squamous cell carcinoma (SCC) is the second most common skin cancer. When it is located in the lower eyelid region, the reconstruction of the resulting defect can be challenging for the dermatological surgeon, due to the local cosmetic and functional peculiarity. We report the use of an upper eyelid transposition flap for lower eyelid reconstruction with satisfactory results, both in terms of aesthetics and the resulting functionality

Keywords: Carcinoma; squamous cell; Surgical flaps; Eyelids; Eyelid neoplasms

Merkel cell carcinoma is a rare and aggressive cutaneous neuroendocrine cancer that occurs in the photodamaged skin of white and elderly patients, usually presenting as a solitary plaque or nodule in the head and neck region. When located in the lower palpebral area, reconstructing the defect resulting from its excision can become challenging for the dermatological surgeon due to the local cosmetic and functional peculiarity. We report the use of a bilobed flap for lower eyelid reconstruction with a satisfactory result, both in terms of aesthetics and the resulting functionality.

Keywords: Surgical flaps; Eyelids; Carcinoma, Merkel Cell; Case reports

Basal cell carcinoma (BCC) is the most common skin cancer. Depending on its size and location, the reconstruction of the defect resulting can become very challenging for the dermatological surgeon. Shark Island Pedicle Flap (SIPF) technique is used for defects mainly in the alar or perialar nasal region, but we also use it in a modified way to close a large lesion defect in the cutaneous portion of the lip. We report two cases, one being the application of classic SIPF and the other a modified one, in which both results were satisfactory, both in terms of cosmetics and functionality.

Keywords: Carcinoma; Basal cell; Surgical flaps; Nose; Case reports

Rhinophyma is characterized by chronic inflammation of the tissues of the nose, resulting in irregular exophytic growth and telangiectasias. The disease progresses with hyperplasia and hypertrophy of the nasal sebaceous glands, associated with fibrosis and dilation of local blood vessels and connective tissue. These changes can lead to complete nose deformity and compromise the patients' quality of life. There are different treatment methods, such as laser, microdermabrasion, chemical exfoliation, cryosurgery, surgery with skin graft, and electrosurgery, with varying results and costs. We report two cases of rhinophyma treated with electrosurgery with very satisfactory results.

Keywords: Rhinophyma; Electrosurgery; Case Reports; Acquired Nasal Deformities.

The posterior surface of the ear is an uncommon site for skin cancer. It has anatomical and cutaneous characteristics that make local reconstruction difficult using standard surgical techniques. We present a case of reconstruction of a defect on the posterior surface of the ear secondary to excision of a basosquamous carcinoma, using an interpolation flap.

Keywords: Carcinoma, Basosquamous; Ear; Surgical Flaps

Z-plasty, a versatile surgical technique, skillfully addresses diverse needs in dermatological surgeries, especially the lengthening, dispersion, and realignment of scars through relaxed skin tension. We report a case of two synchronous defects after excising nasal squamous cell carcinomas using the Z-plasty technique, highlighting its simplicity, adaptability and esthetics.

Keywords: Carcinoma Squamous Cell; Surgical Flaps; Nose; Case Reports.