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Development of severe scar contractures following burns of the anterior wall of the female chest can lead to various breast deformities. This paper presents a report of 14 female patients operated on for postburn breast deformities over the past 5 years. Our aim in reviewing these patients is to establish the epidemiology and etiology of the breast burns and to present the techniques used for breast reconstruction. Most of these burns were domestic, 70% resulting from scalds. The majority were children, the mean age at the time of the burn being 4 years, and mean age at the time of admission to the hospital for postburn breast reconstruction was 16.5 years. In these cases, split-thickness skin graft, Z-plasty, local skin flap, and areola transposition were the most frequently used reconstruction techniques. In all cases, acceptable aesthetic results were obtained.

Gangrene presenting at birth is a rare clinical problem; it results from diminished perfusion of a part of the body, usually the extremities. A variety of aetiological factors may account for this situation. Arterial thrombosis, emboli, trauma, congenital heart disease, sepsis, coagulopathy, polycythaemia, congenital bands, and birth trauma are some of the causes which should be considered. In the majority of cases, an aetiological factor is not identified. The management of neonatal gangrene is usually conservative, preventing infection of the affected part and allowing the gangrenous portion to declare itself in order to optimise future reconstruction and rehabilitation. In this paper, two cases of newborn with gangrene of an upper extremity are reported.

Many surgical procedures have been described for the correction of the depressed, fixed post-tracheostomy scar, which produces a “tracheal tug” during swallowing. The purpose of this article is to review the common techniques and to present a new and simple surgical procedure for the correction of this deformity. During this procedure, the retracted scar is released from the trachea, left superior and right inferior based platysma muscle flaps are sutured in an overlapping fashion to provide thick and adequate soft tissue coverage over the tracheostomy site. This paper includes the presentation of two patients with a follow up of 6 and 12 months respectively, in which the tracheal tug and depressed scar were eliminated in a satisfactory manner.