RESUMO
Nasal ala, due to its characteristics, is a unique anatomical part of the body. Unfortunately, nasal ala often suffers traumas or is affected by cancers, the treatment of which can imply all-thickness amputation. In such cases, complex reconstruction is necessary to recreate both a satisfying cosmetic structure and to ensure free airflow. We present a clinical case of nasal ala major substance loss due to cancer, which was treated by use of the new Mutaf triangular flap.
Assuntos
Neoplasias Nasais/cirurgia , Rinoplastia/métodos , Retalhos Cirúrgicos , Feminino , Humanos , Pessoa de Meia-Idade , Técnicas de SuturaAssuntos
Adenocarcinoma/secundário , Adenoma de Glândula Sudorípara/patologia , Glândulas Écrinas/patologia , Neoplasias das Glândulas Sudoríparas/patologia , Adenocarcinoma/cirurgia , Adenoma de Glândula Sudorípara/cirurgia , Diagnóstico Diferencial , Glândulas Écrinas/cirurgia , Evolução Fatal , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias das Glândulas Sudoríparas/cirurgiaRESUMO
A 43-year-old woman presented with a widespread morphea, which had its onset three months before. The patient had several plaques of active, pigmented, lilac halo disease on the trunk, arms and thighs. A biopsy confirmed that the patient was suffering from morphea. Therapy with clobetasol propionate ointment 0.05% was introduced, applied twice a day, 5 days a week. After a month, the ointment failed to significantly improve the lesions. Then the patient was treated with clobetasol ointment in the morning and tacalcitol ointment 4 mcg/g in the evening. This combination resulted in marked improvement of the disease after 20 days of therapy, and we decided to stop topical steroid. After three months of treatment with topical tacalcitol once a day, the plaques regressed considerably and only a very slight pigmentation remained. Therapy was further reduced to one evening, every other day for six months more, and then was suspended completely. No side effects were observed and there was no recurrence at 24-month follow up.
Assuntos
Fármacos Dermatológicos/administração & dosagem , Di-Hidroxicolecalciferóis/administração & dosagem , Esclerodermia Localizada/tratamento farmacológico , Adulto , Anti-Inflamatórios/uso terapêutico , Clobetasol/uso terapêutico , HumanosRESUMO
BACKGROUND: The treatment of large, deep, postsurgical nasal tip defects presents a serious problem for skin surgeons and is generally dealt with by using complex flaps or skin grafts. OBJECTIVE: The objective was to present the retroangular flap, a procedure that has only recently been described in literature. METHODS: The retroangular flap technique is based on inverting the blood flow in the angular artery, a vessel that runs along the nasal groove just below the surface of the skin. RESULTS: The retroangular flap is a single-step, easily performed, procedure that is usually carried out under local anesthesia. CONCLUSION: This technique can be used for the treatment of nasal tip defects and is a useful resource for skin surgeons.