[Aspects of plastic surgery problems in burn patients].
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We present a female infant with a complex pattern of congenital malformations including a lateral facial cleft, cleft lip and palate, anophthalmia, microtia, clavicular agenesis and asternia. A differential diagnosis is proposed and discussed.
Since 1989 twenty-one thin flaps with preserved subdermal vascular network of the neck, shoulder or pectoral region have been used in 18 cases with severe scar contracture of the neck. The size of the flaps ranged from 10 cm x 2 cm to 20 cm x 8 cm and the pedicles were 3.5 to 4 cm in width. Our results proved the reliability of this method. The blood supply of the flap, the design and indications of the operation are discussed.
Three sibs with severe manifestation of Schwartz-Jampel syndrome are described. All died due to respiratory complications. Early diagnosis might help to prevent this complication. In addition to electromyography, skeletal radiographs can be helpful in establishing the diagnosis. The radiological manifestations of this syndrome are reviewed.
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