Reconstruction of the tragus after tumour excision.

Reconstruction of the tragus is very difficult to perform and most techniques are described for the treatment of microtia where remnants of ear are used. The goal always consists in achieving a prominence that covers the canal. We present a novel and safe method, based on the vascularity of the lobule, that also provides a good appearance.

A combined flap technique for earlobe reconstruction in one stage.

Many of the techniques available for earlobe reconstruction require that the rest of the ear is in continuity with retroauricular skin and they usually need two stages; in some cases a graft is also required. We present a method to create an earlobe in one stage and without grafts, illustrated by one case report. The technique is a combination of the flap techniques of Davis and Zenteno Alanis, using an extended retroauricular flap together with an anterior ear flap.

Malignant clear-cell hidradenoma.

In this paper the authors present a case of malignant clear-cell hidradenoma developed on the dorsum of the hand. This is only the eleventh complete report in the literature, including follow-up, and only the third to include necropsy. It is the first to find both lung and myocardial metastases.

Percutaneous oestrogen- induced gynaecomastia: a case report.

There are many well recognised causes of breast enlargement in man. We wish to present an unusual example of this condition precipitated by prolonged contact with an oestrogen-containing anti-baldness lotion.