BACKGROUND: Infection caused by rapidly growing mycobacteria (RGM) is not uncommon, and the prevalence of RGM infection has been increasing. Clinical diagnosis is difficult because there are no characteristic clinical features. There is also no standard antibiotic regimen for treating RGM infection. A small series of patients with RGM infections was studied to examine their treatments and outcomes. METHODS: A total of 5 patients who had developed postoperative infections from January 2009 to December 2010 were retrospectively reviewed. Patients were initially screened using a mycobacteria rapid screening test (polymerase chain reaction [PCR]-reverse blot hybridization assay). To confirm mycobacterial infection, specimens were cultured for nontuberculous mycobacteria and analyzed by 16 S ribosomal RNA and rpoB gene PCR. RESULTS: The patients were treated with intravenous antibiotics during hospitalization, and oral antibiotics were administered after discharge. The mean duration of follow-up was 9 months, and all patients were completely cured of infection with a regimen of a combination of antibiotics plus surgical treatment. Although none of the patients developed recurrence, there were complications at the site of infection, including hypertrophic scarring, pigmentation, and disfigurement. CONCLUSIONS: Combination antibiotic therapy plus drainage of surgical abscesses appeared to be effective for the RGM infections seen in our patients. Although neither the exact dosage nor a standardized regimen has been firmly established, we propose that our treatment can provide an option for the management of rapidly growing mycobacterial infection.
Abscess ; Anti-Bacterial Agents ; Chimera ; Cicatrix, Hypertrophic ; Drainage ; Follow-Up Studies ; Hospitalization ; Humans ; Mass Screening ; Mycobacterium Infections, Nontuberculous ; Nontuberculous Mycobacteria ; Pigmentation ; Prevalence ; Recurrence ; Retrospective Studies ; RNA, Ribosomal ; Skin

Management of posttraumatic enophthalmos can present as a challenge to the reconstructive surgeon, particularly in cases of late presentation. This article reviews the pertinent anatomy of the orbit, diagnostic modalities, indications for surgery, and surgical approaches as they relate to the treatment of posttraumatic enophthalmos. Internal orbital reconstruction has evolved to an elegant procedure incorporating various biologic or alloplastic implants, including anatomical pre-bent implants. Successful repair of late enophthalmos has been demonstrated in multiple recent studies and is likely related to the precision with which orbital anatomy can be restored.
Enophthalmos ; Orbit ; Orbital Fractures ; Orbital Implants ; Polymethacrylic Acids

The free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) and deep inferior epigastric perforator (DIEP) flaps involve transferring skin and subcutaneous tissue from the lower abdominal area and have many features that make them well suited for breast reconstruction. The robust blood supply of the free flap reduces the risk of fat necrosis and also enables aggressive shaping of the flap for breast reconstruction to optimize the aesthetic outcome. In addition, the free MS-TRAM flap and DIEP flap require minimal donor-site sacrifice in most cases. With proper patient selection and safe surgical technique, the free MS-TRAM flap and DIEP flap can transfer the lower abdominal skin and subcutaneous tissue to provide an aesthetically pleasing breast reconstruction with minimal donor-site morbidity.
Breast ; Diclofenac ; Fat Necrosis ; Female ; Free Tissue Flaps ; Mammaplasty ; Mastectomy ; Patient Selection ; Rectus Abdominis ; Skin ; Subcutaneous Tissue

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Ganglion Cysts ; Organic Chemicals

This erratum is being published to correct the printing errors on page 267.

No abstract available.
Breast Neoplasms* ; Female ; Mammaplasty*

No abstract available.
Hematoma*

No abstract available.
Absorbable Implants* ; Granuloma, Foreign-Body*