Background: Glomus apparatus maintains flow in capillaries in response to changes in temperature. Glomus tumors are rare perivascular hamartomas arising from glomus bodies at fingertips. They are associated with classic triad of symptoms including paroxysmal pain, cold hypersensitivity, and pinpoint tenderness. Due to its rarity and peculiar presentation, they are often misdiagnosed and inappropriately treated. Surgical excision is the treatment of choice either by transungual or lateral periosteal approach. Materials and Methods: We conducted a retrospective analysis of the cases of glomus tumors that were operated in the past 5 years in our institute. Patient demographic details, clinical features, imaging parameters, operative details, photographs and complications if any during follow up were analysed. QuickDASH was the primary statistical parameter, and change in QuickDASH score was analyzed with paired t-test. Results: The average age at diagnosis was 29.77 years. The male-to-female ratio was 1:5. The mean duration of symptoms is 10.08 months. The mean preoperative QuickDASH score was 25.27 (range: 11.25–34). The mean follow-up was 26.7 months (range: 6–48 months). At 6-month follow-up, the mean score was 1.52 (range: 0–13.64). The difference in mean scores was 23.7708 with significant P < 0.001. Conclusion: Glomus tumors are rare but debilitating lesions. They are often misdiagnosed and intervened inappropriately before arriving at an actual diagnosis. With complete excision by magnification-assisted surgery, quality of life generally improves, and recurrence is prevented.

Primary cutaneous apocrine carcinoma (PCAC) of the scrotum is an unwonted neoplasm that predominantly occurs in areas with high-density apocrine glands. However, the incidence of scrotal PCAC is uncommon. Further, the pagetoid phenomenon is a rare feature of PCAC involving malignant cells infiltrating the epidermis. We present a rare case of scrotal PCAC in an elderly patient who presented with a slow-growing scrotal lesion. A physical examination identified an ulcerated globular mass at the right scrotum with ipsilateral inguinal lymphadenopathy, and a biopsy confirmed the diagnosis of apocrine carcinoma. In addition, imaging studies revealed features of lymph nodes and bone metastasis. Subsequently, a wide local excision was performed. The clinical features of PCAC are not distinctive; thus, histopathology and immunohistochemistry are paramount to confirm the diagnosis. The ideal treatment to achieve clear margins is tumor excision, while other treatment modalities such as chemotherapy, targeted antibody therapy, and radiotherapy are not established.

Background: The aim of this study is to establish an in vivo large mammalian model that can form the basis for future immunosuppression research, nerve recovery research, surgical applicability, and training studies. Materials and Methods: An 18-month-old, 40 kg, curly breed sheep was used. A whole-eye autotransplantation was planned, including the upper and lower eyelids, lacrimal gland, and extraocular muscles. Intracranial intervention and inclusion of the bone segment were not considered. The frontozygomatic approach was used in the operation. Circulation was established by anastomoses of the internal ophthalmic vein and artery with elongated superficial temporal artery and vein with vein grafts. The optic nerve was repaired last. Blood circulation and the retina were checked by means of postoperative bleeding and indirect ophthalmoscope. Results: Using the internal carotid system, circulation of the entire eye and its appendages was achieved in the early period. The frontozygomatic approach facilitated nerve and vessel repairs and therefore shortened the ischemia time (16 min). Although circulation was established in the retina, local bleeding foci were detected. Pupillary, corneal, and palpebral reflexes could not be obtained from the animal. The animal died on the 10th day. Circulation of the autotransplanted tissue was present at this time, including the eyelids and appendages of the eye. Conclusion: The composite whole-eye autotransplantation model was successfully planned in vivo in a large mammal, the sheep, without the need for intracranial intervention, and by including all of the eye attachments based on the internal ophthalmic artery.

Obesity is a serious public health problem, and bariatric surgery that is applied for obesity-related morbidities has led to a decrease in obesity-related morbidities and can also improve the quality of life of patients. Plastic, reconstructive, and esthetic surgery plays a major role in the management of skin laxity after bariatric surgery and is therefore generally considered a necessity. However, body contouring surgery can also be associated with some devastating complications. We present a case who developed sciatic nerve neuropathy after medial thigh lift surgery. Complete functional loss of the sciatic nerve was found by clinical and electroneurographic examination on the right side, and full nerve conductance recovery was obtained after 7 months in the patient. It is important to raise awareness about the fact that this significant complication, although rare, can occur even with such a benign and easy procedure and that it is readily reversible with prompt diagnosis and early treatment.

Background: In this study, we aimed to evaluate the characteristics of patients who were admitted to the emergency department for a hand injury and to make preventive inferences for hand injuries in terms of public health. Materials and Methods: We conducted a retrospective analysis of 10,352 patients admitted to the emergency department between August 2016 and July 2020. Results: The average age was 28.4. Injuries mostly occurred in the 25–34 age interval (18.7%). Men predominated in the patient group (70.27%), and injuries were almost equally distributed between right and left sides, with fingers being the most frequently affected region. Common etiologies included falling, occupational injury, and home accidents, leading most frequently to fracture/dislocations, skin-nail injuries, and tendon injuries. Amputations comprised 6.3% of the injuries. Complicated injuries mostly occurred in young males and were mostly due to work accidents. Conclusions: Hand injuries can be devastating, and increased individual and social awareness and improved occupational standards are required for prevention (level of evidence: III).

Introduction: Windblown hand or congenital ulnar drift of hand is a rare deformity which affects all the digits including the thumb and can lead to functional impairment. Associated syndromes affecting the head, face, and feet should be ruled out. Windblown hand has three main features: (1) Contracture of the fingers with flexion deformity, (2) adduction contracture of the thumb causing narrowing of the first webspace, and (3) ulnar deviation of the fingers at the metacarpophalangeal joint. Early treatment is effective. Methods: We performed surgical correction in three cases of bilateral windblown hands. The extensor digitorum tendons were repositioned over the metacarpophalangeal heads by longitudinal plication of radial sagittal bands. In one case, skin contracture release for the first webspace was also done. Splinting with radial deviation and extension at metacarpophalangeal joint was done for 3 weeks. The average follow-up time was 6 months. Results: No skin necrosis or infection was seen in postoperative period. The patient satisfaction ranged from very good to excellent. For all the patients, first, the nondominant hand was operated, then all opted for surgical correction of the opposite hand as well. Conclusions: Windblown hand can lead to functional impairment and needs early correction. Parents and patients should be counseled about the chances of recurrence and incomplete correction. However, surgical treatment and subsequent physiotherapy can improve the functional range and aesthetics of the hand.

Background: The beauty of nasal tip is very important in septorhinoplasty surgeries. Unstable tip rotation may lead some problems in the outcome of this surgery or performing a repair surgery. Hence, using an appropriate method to save the tip rotation for the long term is considered. Materials and Methods: We studied 30 patients who underwent rhinoplasty in Imam Khomeini Hospital Complex of Tehran and Razi Hospital of Tehran and divided them equally into two groups of rein (case) and septocolumellar (control), randomly. Then, we evaluated the rotation and projection of the nasal tip (nasolabial, columellar-labial, and nasofacial angles) after 2 weeks and 6 months of the surgery. Results: In both groups, 80% and 20% of the patients were female and male, respectively. The reduction of the nasal projection (columellar-labial and nasofacial angles) and nasal rotation (nasolabial angle) was significant in both groups during 6 months after the surgery (P &gt; 0.001) that showed reduction in the nasal projection and rotation after 6 months in both group. This reduction was not significant in the nasofacial and columellar-labial angles (nasal projection) among two groups. However, in the case of nasolabial, we found less reduction in the case group that explains significant relation (P = 0.03). Discussion: Using rein flap can be used as a proper way to save the tip rotation in the long term and could be used in the patients with droopy tip noses. Conclusion: Using rein flap in nasal tissue seems to be effective in providing a stable rotation and projection. This method can be considered as a good option for providing proper projection and rotation.