Reconstruction Techniques of Choice for the Facial Cosmetic Units.

Background And Objectives: A broad range of skin flaps can be used to repair facial surgical defects after the excision of a tumor. The aim of our study was to develop a practical guideline covering the most useful skin grafts for each of the distinct facial cosmetic units.

Material And Methods: This was a multicenter study in which 10 dermatologists with extensive experience in reconstructive surgery chose their preferred technique for each cosmetic unit.

Burow's grafts in the facial region.

Background: Full-thickness skin grafts are an important tissue source for reconstructive surgery. Burow's grafts are full-thickness skin grafts that use adjacent lax skin as the donor site. This technique has also been referred to as island grafts, dog-ear grafts or adjacent-tissue skin grafts.

[Contact dermatitis from Agave americana].

Numerous plant species and their derivatives can cause skin reactions through a variety of mechanisms: irritative contact dermatitis, allergic contact dermatitis, contact urticaria and photodermatitis. We present a case of irritative contact dermatitis after exposure to the sap of Agave americana. The skin symptoms in this case have only been described on rare occasions; although this condition usually presents with a papulovesicular rash, in this patient it appeared as purpuric lesions in the contact area.

Fractured heterotopic bone in a midline abdominal wound.

Purpose: Heterotopic bone formation, although most often reported after trauma and elective joint surgery, can occur in abdominal surgical scars. The lesion may not be discovered for a long period of time after it occurs, and the patient, except in rare circumstances, is asymptomatic.

Methods: A patient is reported who developed heterotopic bone formation in an upper midline incision after a Nissen fundoplication with complications.