Platysma flap with z-plasty for correction of post-thyroidectomy swallowing deformity.

BACKGROUND: Recently, the number of thyroid surgery cases has been increasing; consequently, the number of patients who visit plastic surgery departments with a chief complaint of swallowing deformity has also increased. We performed a scar correction technique on post-thyroidectomy swallowing deformity via platysma flap with Z-plasty and obtained satisfactory aesthetic and functional outcomes. METHODS: The authors performed operations upon 18 patients who presented a definitive retraction on the swallowing mechanism as an objective sign of swallowing deformity, or throat or neck discomfort on swallowing mechanism such as sensation of throat traction as a subjective sign after thyoridectomy from January 2009 till June 2012. The scar tissue that adhered to the subcutaneous tissue layer was completely excised. A platysma flap as mobile interference was applied to remove the continuity of the scar adhesion, and additionally, Z-plasty for prevention of midline platysma banding was performed. RESULTS: The follow-up results of the 18 patients indicated that the definitive retraction on the swallowing mechanism was completely removed. Throat or neck discomfort on the swallowing mechanism such as sensation of throat traction also was alleviated in all 18 patients. When preoperative and postoperative Vancouver scar scales were compared to each other, the scale had decreased significantly after surgery (P<0.05). CONCLUSIONS: Our simple surgical method involved the formation of a platysma flap with Z-plasty as mobile interference for the correction of post-thyroidectomy swallowing deformity. This method resulted in aesthetically and functionally satisfying outcomes.

Surgical management of recurrent squamoid eccrine ductal carcinoma of the scalp.

Squamoid eccrine ductal carcinoma (SEDC) is an exceedingly rare tumor that shows both squamous differentiation and adnexal ductal differentiation. As our review of the literature revealed, only a total of 7 cases were reported to date. We report an additional case of SEDC occurring on the scalp of a 53-year-old man. Despite complete excision by conventional technique with clear margin, the lesion recurred within a 3-month period, with regional lymph node metastasis. The tumor was completely removed, and the large scalp defect was reconstructed by using scalp rotation flap. We present a case of recurrent SEDC on the scalp, and we surgically resected this tumor. In addition, the large scalp defect was reconstructed successfully with scalp flap, and no recurrence has been observed in the patient's postoperative follow-ups.

Ethyl N-[(benz-yloxy)thio-carbon-yl]carbamate.

In the title compound, C(11)H(13)NO(3)S, the dihedral angle between the benzyl and carbamate groups is 12.67 (10)°. The S atom and the carbonyl O atom are positioned anti to each other. In the crystal, pairs of N-H⋯S hydrogen bonds link mol-ecules into inversion dimers.

1-Benzoyl-2-thio-biuret.

IN THE TITLE COMPOUND [SYSTEMATIC NAME: N-(carbamoyl-carb-a-mo-thio-yl)benzamide], C(9)H(9)N(3)O(2)S, the benzoyl and terminal urea fragments adopt cisoid and transoid conformations, respectively, with respect to the S atom. The benzoyl and thio-biuret groups are almost coplanar, making a dihedral angle of 8.48 (5)°. The mol-ecular structure is stabilized by an intra-molecular N-H⋯O hydrogen bond. In the crystal, N-H⋯O and N-H⋯S hydrogen bonds link the mol-ecules into a sheet parallel to the bc plane.

N-(5-Eth-oxy-1,3,4-thia-diazol-2-yl)benzamide.

In the title compound, C(11)H(11)N(3)O(2)S, the dihedral angle between the thia-diazole and phenyl rings is 28.08 (7)°. In the crystal, mol-ecules are linked into an inversion dimer by a pair of inter-molecular N-H⋯N hydrogen bonds with an R(2) (2)(8) graph-set motif.