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1.  Congenital Median Upper Lip Fistula 
Congenital median upper lip fistula (MULF) is an extremely rare condition resulting from abnormal fusion of embryologic structures. We present a new case of congenital medial upper lip fistula located in the midline of the philtrum of a 6 year old girl.
PMCID: PMC3418042  PMID: 22953305
Fistula;  Congenital;  Median;  Lip
2.  Post clubfoot release skin necrosis: a preventable disaster 
The Libyan Journal of Medicine  2011;6:10.3402/ljm.v6i0.6415.
Complications of pedal wounds closed primarily after release of neglected cases of club foot are well known in literature. We treated a 12-year-old boy presenting with widespread necrosis involving medial aspect of foot after release of neglected talipes equinovarus. Such widespread necrosis is even known to end up in amputations and permanent disabilities. In our case, the foot was successfully salvaged by resorting to dedicated wound care, multiple debridements, use of topical negative pressure (vacuum-assisted closure – VAC), and skin grafting. Various means to prevent such adverse events are also presented. The aim of publishing this case is to stress the need to:Take proper measures preoperatively in neglected club feet to decrease the impact of deformity.To be aware of various different flaps and methods of closure as mentioned in literature and to reaffirm the fact that primary closures done under tension are bound to fail and end up in disasters.To be patient and use the modern concepts of wound management like topical negative pressure if such unfortunate complications do occur and thereby attempt to salvage the feet.
doi:10.3402/ljm.v6i0.6415
PMCID: PMC3081856  PMID: 21526037
club foot complications; necrosis; topical negative pressure; vacuum-assisted closure (VAC); flaps

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