Myoepithelioma is a relatively common benign tumor that exhibits various cellular morphologies. It primarily occurs in soft tissues, most commonly in the head and neck region, particularly in the salivary glands. Cases of intraosseous myoepithelioma have rarely been reported, with documented occurrences in sites such as the cranium, maxilla, iliac bone, vertebrae, tibia, and fibula. We present a rare case of intraosseous myoepithelioma involving zygomatic bone. 51-year-old male patient visited our clinic presenting zygomatic intraosseous tumor without any symptom. The patient underwent complete surgical excision involving subtotal portion of zygoma including frontal process, body and temporal process. The tumor had epithelial and spindle cell morphology and immunohistochemistry showed positive results for EMA, CK, SMA, S100, and negative results for CD34. After surgery, complete symmetry achieved, with no recurrence observed during a 1-year follow-up.

Myoepithelioma is a relatively common benign tumor that exhibits various cellular morphologies. It primarily occurs in soft tissues, most commonly in the head and neck region, particularly in the salivary glands. Cases of intraosseous myoepithelioma have rarely been reported, with documented occurrences in sites such as the cranium, maxilla, iliac bone, vertebrae, tibia, and fibula. We present a rare case of intraosseous myoepithelioma involving zygomatic bone. 51-year-old male patient visited our clinic presenting zygomatic intraosseous tumor without any symptom. The patient underwent complete surgical excision involving subtotal portion of zygoma including frontal process, body and temporal process. The tumor had epithelial and spindle cell morphology and immunohistochemistry showed positive results for EMA, CK, SMA, S100, and negative results for CD34. After surgery, complete symmetry achieved, with no recurrence observed during a 1-year follow-up.

Myoepithelioma is a relatively common benign tumor that exhibits various cellular morphologies. It primarily occurs in soft tissues, most commonly in the head and neck region, particularly in the salivary glands. Cases of intraosseous myoepithelioma have rarely been reported, with documented occurrences in sites such as the cranium, maxilla, iliac bone, vertebrae, tibia, and fibula. We present a rare case of intraosseous myoepithelioma involving zygomatic bone. 51-year-old male patient visited our clinic presenting zygomatic intraosseous tumor without any symptom. The patient underwent complete surgical excision involving subtotal portion of zygoma including frontal process, body and temporal process. The tumor had epithelial and spindle cell morphology and immunohistochemistry showed positive results for EMA, CK, SMA, S100, and negative results for CD34. After surgery, complete symmetry achieved, with no recurrence observed during a 1-year follow-up.

Myoepithelioma is a relatively common benign tumor that exhibits various cellular morphologies. It primarily occurs in soft tissues, most commonly in the head and neck region, particularly in the salivary glands. Cases of intraosseous myoepithelioma have rarely been reported, with documented occurrences in sites such as the cranium, maxilla, iliac bone, vertebrae, tibia, and fibula. We present a rare case of intraosseous myoepithelioma involving zygomatic bone. 51-year-old male patient visited our clinic presenting zygomatic intraosseous tumor without any symptom. The patient underwent complete surgical excision involving subtotal portion of zygoma including frontal process, body and temporal process. The tumor had epithelial and spindle cell morphology and immunohistochemistry showed positive results for EMA, CK, SMA, S100, and negative results for CD34. After surgery, complete symmetry achieved, with no recurrence observed during a 1-year follow-up.

Skin avulsions are severe traumatic injuries, in which sections of skin and subcutaneous tissue are torn off from the body, and the surgical management and salvage of these injuries are quite challenging due to their high morbidity and mortality. The entire or partial loss of an avulsed flap is prone to occur. If this happens, scars can be particularly conspicuous, and additional surgery, such as skin grafts or local flaps or even composite grafts, might be required. A 24-year-old male patient presented to the emergency room with a severe traumatic avulsion injury on his nose. We used a combination of three therapies to minimize the loss of the distal portion of the avulsed flap: polydeoxyribonucleotide injection, continuous non-rebreather mask oxygen therapy, and chemical leeching. We achieved complete flap salvage of the avulsed wound, and the patient showed full satisfaction in both aesthetic and functional aspects. Although this report is confined to a single case of severe avulsed injury, we suggest this triple-combination therapy as a good combined modality for maximizing the salvage of an avulsed flap on the basis of this case and a literature review.

Known to be chemically inert, Aquafilling filler has been widely used in local aesthetic clinics in South Korea for breast augmentation. However, Aquafilling is only approved as a dermal filler and is not approved as an injectable filler for breast augmentation by the U.S. Food and Drug Administration or the Ministry of Food and Drug Safety. Several reports of complications following large-volume Aquafilling injections in the breast have been published. In this study, an HIV (human immunodeficiency virus)-infected transgender patient presented to the emergency room with a purulent infection of the breast and systemic fever. The patient had a history of large-volume Aquafilling injection in both breasts 3 years earlier to obtain a feminized appearance of the breasts. After using intravenous antibiotics and performing several surgical debridements over 4 weeks, the overall inflammatory response subsided. The skin defect site was covered successfully using an Integra Wound Matrix Dressing and there were no recurrent complications over 2 years of follow-up visits. Before injecting Aquafilling to augment patients’ breasts, a thorough consultation is mandatory, and doctors must notify patients that the risk of complications may be relatively high. Furthermore, any fillers including Aquafilling must not be used for unapproved purposes.

Background: In patients with congenital melanocytic nevus (CMN), single-stage removal of large lesions can be difficult because the high tension created by excising and repairing a large lesion may result in scar widening. Herein, we introduce a method to effectively excise lesions while minimizing scarring and compare its outcomes to those of existing surgical methods. Methods: We compared patients who underwent surgery using the anchoring technique (n=42) or the conventional elliptical technique (n=36). One side of the lesion was removed via en bloc resection up to the superficial fascia. The other side of the lesion was removed via de-epithelialization. The de-epithelialized dermal flap was then fixed by suturing it to the superficial fascia on the opposite side. The length of the lesion’s long axis and amount of scar widening were measured immediately after surgery and at 2, 6, and 12 months postoperatively. At 12 months, patients were assessed using the Patient and Observer Scar Assessment Scale. Results: The lesion locations included the face, arms, legs, back, and abdomen. The anchoring method resulted in shorter and smaller scars than the conventional method. There were no cases of postoperative hematoma or wound dehiscence. Significant differences in postoperative scar widening were found in the arm and leg areas (P<0.05). Conclusions The anchoring method introduced in this study can provide much better outcomes than the conventional method. The anchoring method is particularly useful for the removal of CMN around the joints or extremities, where the surgical site is subjected to high tension.

Although lipoma is a common benign tumor, it occurs relatively infrequently in the oral and maxillofacial areas, and only 31 cases of lipoma in the buccal fat pad have been reported. Herein, we present an extremely rare case of symmetric lipomas in both buccal fat pads. These masses were incidentally discovered during a facelift procedure in a 50-year-old woman with a 4-year history of tamoxifen use. during which she had gained 10 kg. The patient stated that cheek protrusion had developed concomitantly with weight gain and was exacerbated by an injection lipolysis procedure she had received 1 year previously. This case underscores the importance of paying careful attention to the patient’s medication use and surgical history when evaluating suspected cases of lipoma, and sheds light on tamoxifen use and subcutaneous injections of phosphatidylcholine and deoxycholate as potential risk factors for lipoma development.

Background: The study aimed to evaluate nasal reconstruction techniques customized for Asians. The currently available nasal reconstruction guidelines are based on Caucasian patients, and their applicability is limited in Asian patients due to differences in anatomical and structural features. Methods: A retrospective analysis was performed of the medical records of 76 patients who underwent nasal reconstruction at a single center between January 2010 and June 2020. A comprehensive evaluation was conducted of patients’ baseline demographics and clinical characteristics, including age, sex, medical history, defect size and location, reconstructive procedure, pathological diagnosis, postoperative complications, and recurrence. Results: In 59 cases (77%), nasal defects resulted from tumor ablation, and the remaining 17 cases involved post-traumatic (20%) and infection-induced (3%) tissue damage. The most common defect location was the alae, followed by the sidewalls, tip, and dorsum. Forehead flaps were the most commonly used reconstructive technique, followed by nasolabial advancement flaps, rotation flaps, and skin grafts. Each procedure was applied considering aspects of structural anatomy and healing physiology specific to Asians. Complications included nasal deformity, hypertrophic scarring, secondary infection, and partial flap necrosis, but no cases required additional surgical procedures. Tumors recurred in two cases, but tumor recurrence did not significantly affect flap integrity. Conclusion Nasal reconstruction techniques applied considering Asians’ facial features resulted in fewer postoperative complications and higher patient satisfaction than the approaches that are currently in widespread use. Therefore, this study is expected to serve as an essential reference for establishing treatment guidelines for nasal reconstruction in Asians.