Reconstruction of perioral defects post-Mohs micrographic surgery: a dermatological surgeon's approach.

Background: The perioral location has great functional, aesthetic and social importance. Over 100 procedures have been described for lip reconstruction, emphasizing the challenges that reconstructive surgeons face when dealing with such defects.

Objectives: To outline the surgical reconstruction techniques of perioral defects post-Mohs micrographic surgery (MMS).

A rare cutaneous presentation of metastatic parotid adenocarcinoma.

Primary adenocarcinomas of the parotid gland are rare, accounting for < 5% of all head and neck malignant neoplasms. The biological behaviour of these tumours varies considerably. Low-grade tumours are minimally invasive, whereas high-grade tumours show a high incidence of local recurrence and distant metastases.

Warfarin-induced calciphylaxis successfully treated with sodium thiosulphate.

Calciphylaxis is a rare life-threatening form of skin necrosis. Although traditionally observed in patients with end-stage renal disease and/or hyperparathyroidism, calciphylaxis has also been reported to occur in 'non-traditional' patients with normal renal and parathyroid function. We report a case of warfarin-induced calciphylaxis treated successfully with sodium thiosulphate and discuss the role of Vitamin K2 as a potential therapeutic option in the management of warfarin-induced calciphylaxis.

The AIRNS flap: an alternative to the bilobed flap for the repair of defects of the distal nose.

Background: Defects of the distal nose and nasal tip are inherently challenging to reconstruct. Although the bilobed flap has a pivotal role for the closure of such defects to achieve a satisfactory outcome, it demands meticulous planning and execution.

Objective: We sought to present our experience of the advancement and inferior rotation of the nasal sidewall (AIRNS) flap as a possible alternative to the bilobed flap for reconstruction of the distal nose.

The spectrum of spitzoid tumours: A clinical study.

This study explores the relationship between different types of spitzoid tumours, spindle cell naevus of Reed and spitzoid melanomas. Clinical and histopathological data were retrospectively reviewed from our hospital database in Cambridge from January 2006 to July 2009. Clinical images, where available, were recorded.

Patient satisfaction with post-operative telephone calls after Mohs micrographic surgery: a New Zealand and U.K. experience.

Background:   Mohs micrographic surgery (MMS) is regarded as the gold standard for treating nonmelanoma skin cancers of the head and neck. Surgical interventions can generate anxiety for patients and efforts to minimize this may enhance their experience.

Objectives: To assess the perceived patient benefits of post-operative telephone follow-up (TFU) calls after MMS.

Frontalis-based island pedicle flaps for the single-stage repair of large defects of the forehead and frontal scalp.

Background: Medium- to large-sized surgical defects of the forehead and frontal scalp provide a challenge for the reconstructive surgeon.

Objectives: To highlight the utility of a frontalis-based island pedicle flap (FIPF) for the single-stage, aesthetic reconstruction of such defects.

Methods: The design and detailed surgical technique required for a FIPF are described.

The incidence of basal cell carcinoma in the under-30s in the UK.

Background:   Basal cell carcinoma (BCC) is the commonest cancer in many countries, but the current incidence in young people from the UK is unknown.

Aim: To ascertain a recent incidence of BCC in the under-30 population in the UK. Methods.

Two cases of pustular toxic epidermal necrolysis.

Toxic epidermal necrolysis (TEN) is a life-threatening, immune-mediated reaction, characterized by severe cutaneous and mucosal blisters and erosions. It often presents with flu-like symptoms, followed by a maculopapular, urticarial, purpuric or erythema multiforme-like eruption, which then evolves into blisters and sheet-like erosions. Presentation with pustules, however, is not well described in the English literature, and may lead to delayed diagnosis.