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NOSTRA ESPERIENZA SULLA RICOSTRUZIONE DELLA REGIONE ORBITARIA DOPO EXERESI DI CARCINOMI CUTANEI
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Conservative surgical treatment of a thin acral lentiginous melanoma of the thumb with no recurrences: a case report.
No full textSurgical treatment for acral lentiginous melanoma (ALM) is usually radical and severely invalidating, given its distinctly aggressive nature and poor prognosis. We report on a 76-year-old male patient with ALM of the left thumb who refused total amputation that would limit his gripping function. A surgical degloving was consequently performed, followed by plastic reconstruction with a radial antebrachial (the so-called Chinese) flap. A year after surgery, the patient was able to perform most finalized thumb movements without difficulty, and no metastases were recorded over a 5-year follow-up. The authors discuss the indications for such a treatment for thinner ALM in relation to the biological behavior of ALM
Full-thickness lower eyelid reconstruction with a conchal chondro-perichondral graft and local coverage with mio-cutaneous flaps –our divisional experience.
No full textBackground: Eyelid reconstruction represents a challenge because of the complexity of this structure.
Full-thickness eyelid defects demand the reconstruction of 2 fundamental elements: anterior and posterior
lamellae. The available reconstructive techniques are all associated with the attention to restore the
support and responsibility of eyelid stability, represented physiologically by the tarsus. In 1987, Matsuo
proposed a reconstructive technique that involved the use of a chondro-perichondral graft harvested
from the auricular concha to reconstruct the posterior lamella, and an adjacent skin flap to restore the
anterior lamella.
Materials and Methods: We report our divisional experience of a series of 28 patients operated on
from 2000 to 2004, whose eyelid restoration was achieved with the use of Matsuo’s technique modified
with the purpose to avoid complications such as ectropion or lagophtalmus.
Results: All the grafts survived, and no major complication such as ectropion or lagophthalmos has
been detected. Our specialistic judgment has ranged from good to excellent regarding symmetry, eyelid
closure, and donor site morbidity. Patients were entirely satisfied with the functional result obtained, and
generally with the esthetic outcome also, judged as ranging from good to extremely satisfactory.
Conclusions: The success of eyelid reconstruction using modified Matsuo’s technique depends, in our
minds, on an adequate knowledge of traditional eyelid reconstruction methods, and on a few technical
fine points that help to reduce postoperative complications and to optimize the quality of the end result;
hence, this technique has become the gold standard in lower eyelid reconstruction in our division
Skin-sparing mastectomy con “T” invertita e ricostruzione immediata con protesi: un differente approccio chirurgico per ridurre il rischio di esposizione protesica
No full textRicostruzione della palpebra inferiore con un innesto di cartilagine della conca auricolare
No full textIl lembo mio-fascio-cutaneo del muscolo latissimo del dosro: moderne possibilità applicative di una vecchia tecnica
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Trasposizione microchirurgica controlaterale di lembo muscolare di gran dorsale in un caso di aplasia mammaria, esito di radioterapia
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