RESUMEN
Congenital muscular torticollis (CMT) is caused by muscle damage during childbirth, tumors, or masses within the muscles and generally resolves with physical therapy during infancy. In this study, we performed reconstruction after resection of a parotid gland tumor using a sternocleidomastoid muscle (SCMM) flap in an older patient with neglected CMT. The patient was a 64-year-old woman who had had a left-sided oblique neck since infancy but had never received any treatment, including physical therapy. She underwent parotid tumor resection and SCMM flap transfer. The SCMM flap can be safely elevated using indocyanine green fluorescence angiography, with the middle pedicle serving as the feeding vessel to fill the parotid defect. Three months after surgery, the torticollis had improved and the cheek depression was not noticeable, indicating the effectiveness of surgical treatment for CMT in older patients and the possibility of using SCMM as a muscle flap.
RESUMEN
Large lower eyelid full-thickness defects require reconstruction before closure. Although several methods for replantation of the posterior lamella are reported, there are advantages and disadvantages. Herein, the authors report reconstruction of the posterior lamella of the lower eyelid by labia minora transplantation. A 70-year-old woman developed basal cell carcinoma of the right lower eyelid. Excision of the tumor resulted in a full-thickness defect of 25 mm in width on the central portion of the lower eyelid. The posterior lamella was reconstructed by labia minora transplantation, whereas the anterior lamella was reconstructed using the angular flap. There were no perioperative problems, and 2 years after the operation, the esthetic appearance and function was favorable. The labia minora mucosa has almost no donor trouble functionally and has both hardness and elasticity. Although there are some disadvantages, labia minora transplantation would be useful for posterior lamella reconstruction of the lower eyelid.
