RESUMO
Motor vehicle accidents are a major public health problem in Jamaica, representing the leading cause of death in adolescents and young adults and consuming a large part of the health care budget, as surviving victims usually require surgical intervention and prolonged hospital stays. Patients with mid-third compound tibial fractures present a particularly difficult surgical challenge due to the difficulty in achieving soft-tissue coverage of the bone in this area, hence the need for extended hospitalization in order to prevent infection. We have used a Hemi-Soleus Muscle Flap to achieve coverage of these difficult wounds, thereby eliminating the risk of osteomyelitis, reducing hospital stays and returning patients to productive lives in a much shorter period.
RESUMO
Naevus sebaceus (NS), also referred to as NS of Jadassohn, is a rare non-melanocytic congenital cutaneous hamartoma with mainly sebaceous differentiation. NS has pluripotent potential with the possible evolution of benign and/or malignant neoplastic transformation. Literature of clinical audit and retrospective analyses conclude that there is no need for prophylactic excision except for cases in which malignant transformation is suspected. Although malignant transformation is rare, there are psychosocial issues with which to contend. We present a case of a 5 year-old girl with a cerebriform mass to her right parietal scalp, which was present at birth.