1.Paraffinoma of the Knee 60 Years after Primary Injection.
Luca GRASSETTI ; Davide LAZZERI ; Matteo TORRESETTI ; Manuela BOTTONI ; Alessandro SCALISE ; Giovanni DI BENEDETTO
Archives of Plastic Surgery 2013;40(6):789-790
No abstract available.
Knee*
3.Acellular Dermal Matrices and Paraffinoma: A Modern Tool for a Nearly Obsolete Disease.
Luca GRASSETTI ; Matteo TORRESETTI ; Alessandro SCALISE ; Davide LAZZERI ; Giovanni DI BENEDETTO
Archives of Plastic Surgery 2017;44(3):234-237
Paraffinoma is a destructive complication of paraffin oil injection, usually associated with massive tissue destruction, thus requiring radical surgery and subsequent complex reconstruction. Although breast and penile paraffinomas have been widely described and their management is quite standardized, paraffinomas of the knee are still rare and only few case reports or small case series are available in the current literature. We describe the case of a 77-year-old man with a large paraffinoma of the right knee that occurred after self-injection of paraffin oil, 58 years before. He underwent wide surgical resection of the soft tissues overlying the knee and subsequent two-stage reconstruction by using acellular dermal matrix and, after 20 days, split-thickness skin grafts. Follow-up after 16 months showed no signs of skin ulcerations or inflammation, with an overall improvement in function. Even though conventional flap reconstructions may be still useful, the authors believe that acellular dermal matrices represent a safe, reliable, and less invasive alternative for challenging soft tissue reconstructions even in elderly patients with multiple medical problems.
Acellular Dermis*
;
Aged
;
Breast
;
Follow-Up Studies
;
Humans
;
Inflammation
;
Knee
;
Paraffin
;
Skin
;
Skin Ulcer
;
Transplants
4.Indications, Outcomes, and Complications of Pedicled Propeller Perforator Flaps for Upper Body Defects: A Systematic Review.
Davide LAZZERI ; Georg M HUEMER ; Fabio NICOLI ; Lorenz LARCHER ; Talal DASHTI ; Luca GRASSETTI ; Qingfeng LI ; Yixin ZHANG ; Giuseppe SPINELLI ; Tommaso AGOSTINI
Archives of Plastic Surgery 2013;40(1):44-50
BACKGROUND: The aim of this investigation was to systematically review the current literature to provide the best data for indications, outcomes, survival, and complication rates of pedicled propeller perforator flaps for upper body defects. METHODS: A comprehensive literature review for articles published from January 1991 to December 2011 was performed using the PubMed, Medline, and Cochrane Databases. Articles without available full-text, single case reports or papers with excessive missing data were excluded. Papers reporting pedicle-perforator (propeller) flaps used for lower extremity reconstruction were excluded from meta-analysis. RESULTS: From the initial 1,736 studies our search yielded, 343 studies qualified for the second stage of selection. Of 117 full-text reports screened, 41 studies, met the definitive inclusion and exclusion criteria. Of the selected 41 articles, 26 were case series, original papers or retrospective reviews and were included, whereas 15 were case report papers and therefore were excluded. Two hundred ninety-five propeller flaps were reported to have been used in a total of 283 patients. Indications include repair of trauma-induced injuries, post-trauma revision surgery, cancer resection, chronic infection, pressure sores, and chronic ulcers with a major complication rate (3.3%) comparable to that of free flaps. No specific exclusion criteria for the procedure were presented in the studies reviewed. CONCLUSIONS: Pedicled propeller flaps are a versatile and safe reconstructive option that are easy and quick to raise and that provide unlimited clinical solutions because of the theoretical possibility of harvesting them based on any perforator chosen among those classified in the body.
Free Tissue Flaps
;
Humans
;
Lower Extremity
;
Perforator Flap
;
Pressure Ulcer
;
Retrospective Studies
;
Surgical Flaps
;
Ulcer
6.Merkel Cell Carcinoma of the Upper Eyelid: When Reconstruction Becomes a Challenge.
Luca GRASSETTI ; Manuela BOTTONI ; Matteo TORRESETTI ; Giovanni DI BENEDETTO
Archives of Plastic Surgery 2015;42(2):257-259
No abstract available.
Carcinoma, Merkel Cell*
;
Eyelids*