June 12, 2022

A 54-years old patient with chronic ischemic heart disease and type 2 diabetes mellitus presented with multivessel coronary ar tery disease. Complex left main coronary stenosis was treated suc cessfully with 2 stents using Culotte technique followed by stent optimization with intravascular imaging. However, one hour later Cath lab technician during copying images on CD observed that the stent contours from Cx artery were missing. The patient was brought back to Cath lab and distracted stent in the left main was successfully managed.

Aesthetic facial reconstruction requires understanding regional anatomy and tissue movement and the ability to use innovative ly the tissue adjacent to the defect to create a reconstruction that preserves the function of the area and the cosmetic facial units [1]. Here we present a case of right cheek post-operative puckered scar with orocutaneous fistula operated and covered with hinge flap for inner lining and limberg flap for cover. The defect is filled with tissue of the same thickness and colour, and with good vascularity [2]. Here we used local tissues for facial resurfacing to restore fa cial contour and closure of fistula.

1.1. Aim: An initial attempt to treat hemophiliac hematoma by ul trasound-guided intratumoral drainage combined with urokinase lavage after adequate supplementation of coagulation factors.