Bone-anchored implant in cosmetic finger reconstruction

The majority of the patients, who underwent amputation of one or more fingers or present congenital absence of some phalanges, can be treated by microsurgical reconstruction. Several reconstructive techniques are available, but in some cases the use of osseous-integrated implants to anchor silicon digital prosthesis is a valid alternative. We present one case, a 27 years old male, affected by congenital hypoplasia of the second finger of the right hand who underwent reconstruction by prosthesis and extraoral bone-anchored implant.

A randomized trial comparing ReCell system of epidermal cells delivery versus classic skin grafts for the treatment of deep partial thickness burns

BACKGROUND

Our purpose was to directly compare results obtained with the ReCell system and the classic skin grafting for epidermal replacement in deep partial thickness burns.

MATERIALS AND METHODS

We recruited all patients with deep partial thickness burns admitted at the Burn Centre of S. Eugenio Hospital in Rome over 2 years. Enrollment was conducted with a controlled strategy--sampling chart--that allowed homogeneous groups (ReCell and skin grafting) for age, gender, type of burns and total burn surface area (TBSA). We evaluated as primary endpoints of the study the (i) time for complete epithelization (both treated area and biopsy site) and (ii) aesthetic and functional quality of the epithelization (color, joint contractures). Secondary endpoints were the assessment of infections, inflammations or any adverse effects of the ReCell procedure, particular medications assumed, postoperative pain.

RESULTS

Eighty-two patients were analyzed in two homogeneous groups. All of them received adequate epidermal replacement, but skin grafting was faster than ReCell (p<0.05). On the contrary, ReCell biopsy areas and postoperative pain were smaller than classic grafting (p<0.05). The aesthetic and functional outcomes were similar between procedures.

CONCLUSIONS

ReCell is a feasible, simple and safe technique. It gives similar results to skin grafting but, harvesting minor areas, can open possible future applications in the management of large-burns patients.

The Maltese cross technique: umbilical reconstruction after dermolipectomy

A simple and easy technique for reconstruction of the umbilicus was devised, with emphasis on forming walls of the umbilicus and a depression in a caudal direction. A quite satisfactory result was obtained. A permanent and sufficient depression for the umbilicus can be expected as a result of three-dimensional formation of walls. We also obtained a natural-looking neo-umbilicus.

Reconstruction of the nasal dorsum with autologous rib cartilage

The authors present their experience with the correction of deformities of the nasal saddleback using rib cartilage grafts. They present a review of international literature on this topic, analyzing 33 patients selected from 452 cases of rhinoplasties performed between January 1990 and December 2004 at the Department of Plastic and Reconstructive Surgery of the University of Rome "Tor Vergata." Nasal saddleback is one of the most complicated defects to correct surgically. It can be a consequence of nasoethmoid-orbital fractures and is in this case associated with other evident signs like telecanthus, teleorbitism, or orbital dystopia. It can be also a consequence of surgical procedures in the nasal area where a loss of bone or septal cartilaginous support has occurred. They compare the techniques employed in the reconstruction and describe the advantage of the use of cartilage from the 11th rib and evaluate the results of an engineering analysis of tension forces on the rib cartilage. Of the total number of patients treated, good cosmetic results were obtained in 84% of the cases and excellent functional results in almost all of the cases (94%).

Comparison of methods for the biodegradability evaluation of soluble and insoluble organochemicals

Pyridine and nitrilotriacetic acid sodium salt as models of soluble compounds and linear dodecylbenzene, branched dodecylbenzene, and stearic acid as models of insoluble compounds were compared for their biodegradability in three tests: the ODCE modified test and the Sturm and enrichment culture tests. The degradation of soluble compounds was measured as dissolved organic carbon removal and CO2 evolution, while for the insoluble compounds, which were tested only in the Sturm test, CO2 evolution was determined. The individual tests were characterized by comparing their results with those obtained in the others. Comparable biodegradation values higher than 90% were obtained for the soluble compounds. The Sturm test proved to be very suitable for the evaluation of biodegradability of either soluble or insoluble compounds.