Traumatic lip injury is one of the most common clinical conditions in facial injuries. Nonetheless, the degree of the convex and concave slopes on the vermilion border appears to be unique and dynamic; therefore, the reconstruction of the lip defect is always challenging for plastic surgeons [1]. We present a patient who fell off a motorcycle at speed and had a severe friction burn injury with a significant loss of the skin and soft tissue on the left lower lip.

Postburn scar and contracture (PBSC) occur after severe burn injuries, and the deformity causes functional problems in the patients. The patients have difficulty even with simple everyday tasks, so their socioeconomic status seems to be limited or rather to be in a poor stage. This makes the quality of their daily life very low. Certainly, sooner or later, the postburn contracture release operation is performed to restore the functions such as flexion, extension, rotation, and other movements of the injured region. We present the case of a patient who has suffered PBSC for an extended period, and, at last, she has had a PBSC releasing operation with the composite skin graft, split-thickness skin graft with a dermal substitute.

Crushing burn injury on the hand is relatively rare these days. Still, the effect of the combined thermal and press damage is very severe, and, therefore, the deformity or disability of the hand is often the consequence of the accident. Early aggressive debridement or fasciotomy is preferred for the treatment after admission. We present an extremely severe burn case: the patient has had a full-thickness third-degree hot crushing injury on the hand with all dermal elements, muscles, and tendons destroyed.

Intramuscular hemangiomas of the masseter muscle are uncommon tumors and therefore can be difficult to accurately diagnose preoperatively, due to the unfamiliar presentation and deep location in the lateral face. A case of intramuscular hemangioma of the masseter muscle in a 66-yearold woman is presented. Doppler ultrasonography showed a 34× 15 mm hypoechoic and hypervascular soft tissue mass in the left masseter muscle, suggesting hemangioma. The mass was excised via a lateral cervical incision near the posterior border of the mandibular ramus. The surgical wound healed well without complications.

Basal cell carcinoma is a malignant epithelial neoplasm of the skin and the most common human skin cancer. It is generally associated with a good prognosis. In this case report, a giant basal cell carcinoma of the nodulo-ulcerative type showing wide ulceration with marginal multiple small nodules, is presented. It was trapezoidal in shape, having dimensions of 7 cm at the greatest basal width, 6 cm vertically with different anterior and posterior margin dimensions, and 5 cm horizontally at the top margin. After wide excision of the lesion including 5–10 mm safety margins, the wound was reconstructed with a local skin flap and split-thickness skin graft. The reconstructed wound healed well without recurrence for 1 year.

Intramuscular hemangiomas of the masseter muscle are uncommon tumors and therefore can be difficult to accurately diagnose preoperatively, due to the unfamiliar presentation and deep location in the lateral face. A case of intramuscular hemangioma of the masseter muscle in a 66-yearold woman is presented. Doppler ultrasonography showed a 34× 15 mm hypoechoic and hypervascular soft tissue mass in the left masseter muscle, suggesting hemangioma. The mass was excised via a lateral cervical incision near the posterior border of the mandibular ramus. The surgical wound healed well without complications.

Basal cell carcinoma is a malignant epithelial neoplasm of the skin and the most common human skin cancer. It is generally associated with a good prognosis. In this case report, a giant basal cell carcinoma of the nodulo-ulcerative type showing wide ulceration with marginal multiple small nodules, is presented. It was trapezoidal in shape, having dimensions of 7 cm at the greatest basal width, 6 cm vertically with different anterior and posterior margin dimensions, and 5 cm horizontally at the top margin. After wide excision of the lesion including 5–10 mm safety margins, the wound was reconstructed with a local skin flap and split-thickness skin graft. The reconstructed wound healed well without recurrence for 1 year.

In the face, the nose plays an important role in both function and appearance. Among the subunits on the nose, the alar is a critical nasal structure of high aesthetic value. Previously, many surgeons have insisted that structural support should be added to the reconstruction of alar and particularly so in the case of a full-thickness defect. In a 58-year-old male patient who had a third-degree burn injury and full-thickness defect in most of the left nasal alar, forehead flap surgery alone was successfully performed without structural support.

Membranous glomerulonephritis is one of the most common causes of nephrotic syndrome in adults. Pulmonary alveolar proteinosis (PAP) is a rare lung disease in which abnormal accumulation of surfactant occurs within the alveoli. We describe a 61-year-old man with concurrent membranous glomerulonephritis and PAP, which is very rare; both are pathophysiologically related to an abnormal immune response. A patient came to hospital with leg edema but no respiratory symptoms. Chest X-ray and CT showed classical PAP findings, which are ground-glass opacities with interlobular septal thickening, in both lung fields. A bubbly whitish secretion retrieved via broncho-alveolar lavage showed neutrophils and lymphocytes as well as Periodic acid-Schiff-positive proteinaceous materials. A kidney biopsy revealed findings of membranous glomerulonephritis with irregular subepithelial deposits by electron microscopy. At 1 year after diagnosis, the membranous glomerulonephritis was well under control with steroids and mycophenolate mofetil but PAP became aggravated gradually and whole-lung lavage was needed.
Adult ; Biopsy ; Diagnosis ; Edema ; Glomerulonephritis, Membranous* ; Humans ; Kidney ; Leg ; Lung ; Lung Diseases ; Lymphocytes ; Microscopy, Electron ; Middle Aged ; Nephrotic Syndrome ; Neutrophils ; Pulmonary Alveolar Proteinosis* ; Steroids ; Therapeutic Irrigation ; Thorax