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We present a case of
a 22-year-old man with isolated neck pain due to pharyngeal gonorrhea.
Leiomyomas are benign soft tissue neoplasms that arise from muscles. Skin is the second most common location for leiomyoma and often localized on the trunk or extremities. Less than 1% of leiomyomas happen in the head and neck. Here we report a case of pilar leiomyoma which located on the face and neck in the form of multiple, large papulonodules plaque. The treatment by excision and grafting would be difficult because of the large surface area involved the patient was treated with nifedipine. We recommend that leiomyomas must be included in the clinical differential diagnosis of painful papulonodules.
Objective: To review the characteristics of and the procedure for preventing postoperative bleeding after neck surgery. Materials and Methods: A retrospective review of 9 patients (9/893; 1.0%) with postoperative bleeding who required reoperation was performed to analyze clinical findings. Results: There was no significant difference in the incidence of bleeding between types of surgical procedures. Postoperative bleeding occurred within 24 hours in all cases except 2, in which it occurred 7 days or more after the operation. Seven cases showed bleeding from the cut surface of the muscle. Other bleeding points included vessels and the Berry ligament. There were no additional complications after reoperation. Conclusion: When separating the muscles in neck surgery, it is important to sufficiently ligate vessels and induce coagulation with an ultrasonically activated scalpel to prevent postoperative bleeding.