A Perifascial Areolar Tissue Graft With Topical Administration of Basic Fibroblast Growth Factor for Treatment of Complex Wounds With Exposed Tendons and/or Bones.

The management of wounds with tendon and/or bone exposure is challenging because of the insufficient blood supply to the wound bed. We describe our experience with 19 patients using a perifascial areolar tissue (PAT) graft with topical administration of basic fibroblast growth factor (bFGF) in the treatment of complex wounds with exposed tendons and/or bones in the extremities. Using a PAT graft is minimally invasive and technically easy, and the donor site is relatively preserved.

Perifascial areolar tissue grafting for treating syndactyly with bone fusion in patients with Apert syndrome.

Complete syndactyly with bone fusion in patients with Apert syndrome was treated using perifascial areolar tissue (PAT) grafts via a two-stage surgery (i.e. bone separation using inter-bone PAT graft insertion followed by web separation and reconstruction with full-thickness skin grafts).

Correction of Late Posttraumatic Enophthalmos Using an Antral Balloon.

Enophthalmos is the posterior displacement of the ocular globe within the bony orbit. Correction of late posttraumatic enophthalmos is one of the most challenging surgical procedures. We have performed a corrective procedure for late enophthalmos using an antral balloon, with or without minimal bone grafting.

Repair of orbital fracture: the antral balloon with implantable reservoir technique.

The antral balloon technique is a useful procedure for the treatment of orbital fracture. Its advantages include being able to apply it without any donor-site morbidity. However, the saline injection catheter, which is inserted nasally from the natural ostium, sometimes causes discomfort.

Three-dimensional computed tomography venography as a guide for cranioplasty in parietal cephalocele.

We present cranioplasty for a patient who underwent encephalocele surgery during infancy. Preoperative 3-dimensional computed tomography venography showed the skull defect and abnormal running of the superior sagittal sinus in simultaneous images. Using computed tomography venography images as a guide, we could safely harvest full-thickness calvarial bone from the contralateral side of the superior sagittal sinus.

Intraoperative acquired pressure ulcer on lower lip: a complication of rhinoplasty.

Device-related pressure ulcers are not rare. However, few studies have reported pressure ulcers of the lower lip. We encountered 2 patients with an intraoperative pressure ulcer on the lower lip caused by an endotracheal tube during rhinoplasty.