Cenk Melikoglu

TRICHILEMMAL CYST OF THE THIRD FINGERTIP: A CASE REPORT

INTRODUCTION Trichilemmal cysts (TCs) are common skin lesions that occur in hairy areas. A TC involving a fingertip has not been previously described in the literature. We herein report a case of a TC occupying a fingertip region. CASE PRESENTATION A 43-year-old woman presented with a 1.5 × 1.5 cm nodular lesion on the third fingertip. The lesion was completely excised, and histopathological examination revealed a TC. CONCLUSION TCs may involve atypical locations, such as fingertips, where there are no hair follicles. After surgical excision, a careful histopathological examination should be performed to differentiate TCs from proliferating pilar tumors.

Repair of Pretibial Atonic Wound With Long Cross-Leg Flap

Soft-tissue defects of the pretibial region constitute a major reconstructive challenge because of the insufficiency of the local tissues. In such cases, a long cross-leg flap may be an alternative option. This study presents a case with an atonic wound in the pretibial region caused by a previous traffic accident, which had received cross-leg flap repair following the excision.

Management of Median Lower Lip Fissures

Median lip fissures are rare benign lesions of the lower lip with a prevalence in the general population of six in 1,000. This condition affects the upper and lower lips but the lower lip more so. These fissures are four times as common in men and cause soreness and episodes of spontaneous bleeding. There is no direct correlation between smoking and lip fissure development. In our present report, we present four cases of inferior lip fissure treated using excision and Z-plasty.

Congenital bilateral isolated fifth metacarpal agenesis

2. Koshima I, Moriguchi T, Soeda S, et al. The gluteal perforator based flap for repair of sacral pressure sores. Plast Reconstr Surg 1993;91:678e83. 3. Verpaele AM, Blondeel PN, Van Landuyt K, et al. The superior gluteal artery perforator flap: an additional tool in the treatment of sacral pressure sores. Br J Plast Surg 1999;52:385e91. 4. Leow M, Lim J, Lim TC. The superior gluteal artery perforator flap for the closure of sacral sores. Singapore Med J 2004;Vol 45(1):37e9. 5. Verhaegen P, Stekelenburg C, van Trier A, et al. Perforatorbased interposition flaps for sustainable scar contracture release: a versatile, practical, and safe technique. Plast Reconstr Surg April 2011;127(4):1524e32.

A reliable method for the treatment of lower third soft tissue defects of the leg: Use of a posterior tibial artery perforator flap -

Management of lower third limb defects is a common challenge for the reconstructive surgeon due to a lack of soft tissue in that anatomic area. Traditionally, lower third of the limb defects were usually reconstructed with free flaps. The evolution of reconstructive surgery enabled thinner and pliable flaps to be harvested for the purpose of minimizing morbidity from muscle inclusion into the flap. With the introduction of perforator flaps, repairing of small and medium size defects of the distal lower third of leg and ankle region is possible with minimal donor site morbidity. Perforator flaps are based on cutaneous, small diameter vessels that arise from a main pedicle that adjacently perforates the fascia to reach the skin. In this article, we present our experience with two cases involving the repair of these defects by using posterior tibial artery perforator flaps.

The Protective Effects of Epigallocatechin Gallate Against Distant Organ Damage After Severe Skin Burns--Experimental Study Using a Rat Model of Thermal Trauma.

BACKGROUND Epigallocatechin gallate (EGCG), a green tea polyphenol, has potent antioxidant properties. OBJECTIVES The purpose of the present study was to examine the possible preventative effects of EGCG against internal organ injury due to large-surface skin burns in a rat model. MATERIAL AND METHODS The study design involved three groups of rats: a sham group and two groups with 25-30% full-thickness burns: (a) the sham group without burns or treatment (n=18); (b) the control burn group (burns+sterile saline, n=18); and (c) the burn treatment group (burns+treatment with EGCG, n=18). EGCG was administered intraperitoneally immediately after the thermal injury, and daily in 100 μmol/kg doses. Kidney and lung tissue samples were taken to determine the levels of malondialdehyde (MDA), superoxide dismutase (SOD), tumor necrosis factor-α (TNF-α), and glutathione peroxidase (GPX) after the first, third and seventh post-burn days. RESULTS In the EGCG-treated burn group, SOD and GPX activity were significantly higher than in the burn control group. Additionally, MDA and TNF-α levels were significantly lower in the EGCG-treated burn group. CONCLUSIONS Based on this study, it might be anticipated that EGCG treatment may be beneficial in burn injury cases.

DİZ ÇEVRESİ ONARIMI İÇİN AKILDA BULUNDURULMASI GEREKEN BİR ALTERNATİF: PROKSİMAL TABANLI SAFEN FLEP

Local soft tissue reconstruction options of middle third of the lower extremity are relatively limited. The saphenous flap that is an option for this region of lower extremity is more popular in recent years as a reverse flow and has used for the distal part of the lower extremity. For the reconstruction of soft tissue defects around the knee proximally- based saphenousflap can easily be applied without causing any loss of function and seems to be a suitable alternative.