Skin cancers require excision and reconstruction for achieving optimal functional and cosmetic results. There are numerous reconstructive options, which include primary repair, secondary intention healing, a local flap and a skin graft. Generally, a full-thickness skin graft is not considered applicable for reconstructing a nasal defect because a local flap is thought to be a superior alternative to a skin graft due to the unique nature of the lower third of the skin, which is often thick and fixed to the adjacent structures. But a defect on a lower third of the nose that includes the nasal ala can be well reconstructed by a skin graft in some cases. The donor site options include the preauricular, postauricular and supraclavicular areas etc. But in some cases, the forehead skin is a good match with the nasal ala area. We herein report the case of a 69-year-old female with a nasal ala defect that was induced by excision of basal cell carcinoma. The patient was reconstructed with a full-thickness skin graft using the redundant skin of the forehead.
Aged ; Carcinoma, Basal Cell ; Cosmetics ; Female ; Forehead ; Humans ; Intention ; Nose ; Skin ; Skin Neoplasms ; Tissue Donors ; Transplants

Cutaneous larva migrans is a characteristic serpiginous creeping eruption that is caused by the migration of the larval form of neomatodes in the skin. It is caused by hookworm larvae, which are present in the feces of infected dogs and cats. The skin lesions progressively evolve at a rate of 2~3 cm daily. Most cases have a travel history to tropical and subtropical countries, but our patient had no travel history to an endemic area and no contact history with the feces of dogs and cats. We report herein on a case of cutaneous larva migrans on the neck and the patient did not have a travel history to an endemic area and the lesions showed relatively rapid progression.
Ancylostomatoidea ; Animals ; Cats ; Dogs ; Feces ; Humans ; Larva ; Larva Migrans ; Neck ; Skin

OBJECTIVES: Although vaccination rates have increased, problems still remain in the storage and handling of vaccines. This study focused on inspecting actual vaccine storage status and awareness, and comparing them before and after education was provided. METHODS: In the primary inspection, a status survey checklist was completed by visual inspection. A questionnaire on the awareness of proper vaccine storage and handling was also administered to vaccine administrators in private medical institutions in 4 regions in Gyeongsangbuk-province. One-on-one education was then carried out, and our self-produced manual on safe vaccine storage and management methods was provided. In the secondary inspection, the investigators visited the same medical institutions and used the same questionnaire and checklist used during the primary inspection. The results before and after education were compared, by treating each appropriate answer as 1 point. RESULTS: The average checklists score was 9.74 (out of 15 points), which increased significantly after education was provided (by 0.84, p<0.001). The participants demonstrated improved practices in recording storage temperatures (p=0.016), storing vaccines in the center of the refrigerator (p=0.004), storing vaccines with other medication and non-medical items (p=0.031) after education. The average score calculated from the questionnaires was 10.48 (out of 14 points), which increased after education (by 1.03, p<0.001). CONCLUSIONS: This study suggests that vaccine storage practices and awareness are inadequate, but can be partially improved by providing relevant education. Repetitive education and policy-making are required to store vaccines safely because one-off education and unenforced guidelines offer limited efficacy.
Adult ; Drug Storage/*standards/statistics & numerical data ; Female ; Guideline Adherence/statistics & numerical data ; Health Facilities, Proprietary/*standards/statistics & numerical data ; *Health Knowledge, Attitudes, Practice ; Health Personnel/*education ; Humans ; Inservice Training ; Male ; Middle Aged ; Questionnaires ; Republic of Korea ; Vaccines/*standards ; Young Adult