Primary aortoenteric fistula associated with giant aortic pseudoaneurysm.

Aortoenteric fistula is a very rare pathology that may cause catastrophic complications and even death. We present here a case of primary aortoenteric fistula associated with giant aortic pseudoaneurysm that has been treated successfully with surgical intervention.

Reconstruction of lower half defects of the nose with the lateral nasal artery pedicle nasolabial island flap.

Background: The superiorly based nasolabial flap is a well-known procedure. However, random pattern or subcutaneous pedicle flaps are insufficient for reconstruction of large defects. Artery pedicle flaps have a satisfactory blood supply, and for that reason, the required tissue can be raised for reconstruction of large defects of the nose.

A new flap for reconstruction of pilonidal sinus: lumbar adipofascial turnover flap.

Background: "Adipofascial turnover flap" is a well-known procedure, but it is generally not used for the surgical treatment of pilonidal sinus disease. The "lumbar adipofascial turnover flap" has been used in this study for the reconstruction of uncomplicated pilonidal sinus disease.

Methods: Ten cases (8 male and 2 female patients) were operated on by this technique.

Monosymptomatic hypochondriacal psychosis presenting with recurrent oral mucosal ulcers and multiple skin lesions responding to olanzapine treatment.

Monosymptomatic hypochondriacal psychosis (MHP) is a form of psychosis characterized by the delusional idea that there is a serious problem in the skin or other body parts. Because MHP patients believe that their complaint is dermatological, not psychiatric, they often admit to several other medical disciplines before coming to a psychiatry clinic. This leads to a series of time-consuming examinations and treatment interventions.

Bilateral massive conchae bullosa mimicking intranasal tumors.

We describe a case of bilateral massive conchae bullosa in a 76-year-old woman. She presented with a 2-year history of nasal obstruction and frontal headache. In light of these and other findings on anterior rhinoscopic and endoscopic examinations, we initially suspected nasal tumors.

Increased progesterone production during the luteal phase of menstruation may decrease anesthetic requirement.

Unlabelled: Besides having important hormonal effects, progesterone has depressant and hypnotic effects on the brain. In this study, we compared women in the follicular phase with low progesterone levels and in the luteal phase with high progesterone levels regarding their anesthetic requirements. Twenty patients with menstrual cycle days from 1 to 10 (follicular group) and 20 patients with menstrual cycle days from 18 to 24 (luteal group) were included in the study.

Asymptomatic severe aortic coarctation in an 80-year-old man.

Survival to advanced age is exceptional in patients with unrepaired aortic coarctation. We report the case of a hypertensive 80-year-old man with coarctation of the aorta who was otherwise asymptomatic. Coarctation was suspected when a femoral-radial pulse delay was noted during his routine physical examination.

A case of bilateral carpal tunnel syndrome with palmaris longus and FDS anomalies.

We report a case of bilateral carpal tunnel syndrome due to two distinct muscular anomalies coexisting with trigger finger deformity. Many muscular anomalies in association with carpal tunnel syndrome have been described so far. But such a unique case of bilateral carpal tunnel syndrome with two different muscular anomalies, flexor digitorum superficialis anomaly on one side and palmaris longus anomaly on the other side has not been described.

Two-plane injection of botulinum exotoxin A in glabellar frown lines.

Botulinum exotoxin A has been used for the treatment of glabellar frown lines. Despite this fact, the effect of the toxin is sometimes either partial or lost in a short time. The muscles responsible for frowning, the corrugator supercilii and depressor supercilii muscles, are attached to the periosteum in the glabellar region under the frontalis muscle deep in the medial aspect.

Facet angles in lumbar disc herniation: their relation to anthropometric features.

Study Design: Cross-sectional study.

Objective: To investigate the alteration of facet joint angle and its relation to anthropometric features in lumbar disc herniation.

Summary Of Background Data: In the previous studies, the facet tropism and its relation to the level, type, side, and development of lumbar disc herniation were reported.

Giant verruca vulgaris.

Background: Common warts (verrucae vulgares) are hyperkeratotic papulonodules that are most often seen on the hands, arms, and legs, but they can be seen anywhere on the glabrous skin. Common warts represent the most frequent clinical lesions produced by the human papillomavirus (HPV).

Objective: Although they are diagnosed easily, giant, chronic, isolated, solitary, recalcitrant verruca vulgaris involving nail and nail bed on the digits can be misdiagnosed, and the differential diagnosis should be made carefully and verified by biopsies.

Bilateral suprascapular nerve entrapment.

Bilateral suprascapular nerve entrapment syndrome is very rare. It presents with shoulder pain, weakness and atrophy of the supraspinatus and infraspinatus muscles. We present a twenty-year old man having a history of bilateral shoulder pain associated with weakness.

Bone loss in the contralateral asymptomatic hand in patients with complex regional pain syndrome type 1.

Regional osteoporosis was seen radiographically in clinically affected areas in patients with complex regional pain syndrome type 1 (CRPS1). The aim of the this study was to investigate whether bone loss developed in the contralateral hand in patients with unilateral CRPS1 of the hand. Thirty-two patients with CRPS1 of the hand were included in this study.

Effects of granulocyte macrophage colony stimulating factor on random flap healing and immune profile in rats with impaired wound healing by glucocorticoids.

Wound healing involves inflammation, cell proliferation, matrix deposition, and tissue remodeling. Priming the tissue to be incised with proinflammatory cytokines offers a new approach to wound healing. This has been studied mostly in incisional wounds till now.

Eyebrow transplantation.

The eyebrow has a powerful influence on the appearance of the orbital region. Because the person without eyebrows has an unnatural look, drawing everyone's attention, eyebrow restoration/reconstruction should be viewed as an esthetic surgery performed to improve the patient's appearance and self-esteem. Although hair-bearing pedicled flaps and free composite strip grafts have been the most widely used approaches in clinical practice formerly, follicular unit transplantation (FUT) has gained more and more importance nowadays in eyebrow restoration because of its more rewarding results.

Resurfacing the dorsum of the hand in a patient with Xeroderma pigmentosum.

Background: One of the most effective treatment methods of Xeroderma pigmentosum (XP) is full resurfacing of the exposed areas with skin grafts.

Objective: Introduction of a different surgical technique in order to minimize the undamaged skin removal in XP patients in whom multiple surgical procedures will often be necessary.

Method: A special undulant incision of the graft margins around the metacarpal heads was performed.

Reconstruction of the labiomental region with local flaps.

Background: Reconstruction of the labiomental area presents certain difficulties, especially in the assessment and selection of the incision lines to obtain the best cosmetic result. Among the factors influencing the selection of a reconstruction technique are the presence of natural folds and creases, skin laxity, and the size, shape, and orientation of the wound. Many operative techniques have been described for the reconstruction of this region.