Outcomes after Functional Nasal Surgery in Patients with Versus without Rhinitis Medicamentosa.

Objective: Topical nasal decongestants (TNDs) are used to reduce nasal soft tissue edema and obstruction. However, after frequent TND use, patients can develop rhinitis medicamentosa (RM) with rebound nasal edema and obstruction. Management of RM has centered largely on TND cessation ± intranasal corticosteroids.

Acral melanoma of the heel mimicking a pressure sore.

Background: The clinical appearance of acral melanoma is diverse and can cause diagnostic difficulties in individual cases.

Case Description: We present a clinical case of an 83-year-old patient with a melanoma in the heel area that was initially interpreted as a pressure ulcer, resulting in delayed and more complicated treatment.

Conclusions: Melanomas should be included in the differential diagnosis even in "typical" pressure ulcer areas.

Cadaveric and Computed Tomography Analysis of the Anterior Ethmoidal Artery Flap.

Background: The anterior ethmoidal artery (AEA) flap has been successful in repairing anterior nasal septal perforations and has been presumed to be axially based on AEA branches coursing through or around the cribriform plate (CP). However, limited evidence supports the flap's axial supply. The purposes of this cadaveric and computed tomography (CT) study were to assess the arterial anatomy from the CP to the septum, and to determine AEA flap length to predict ideal flap base width.

Ethnically Sensitive Rhinoplasty.

Ethnically sensitive rhinoplasty presents a unique challenge. There are a large number of variations in skin tone, skin thickness, and structural deformities, which require a high degree of thoughtfulness and planning. A thorough history and physical examination are the cornerstone to achieving a good result.