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Histopathology revealed an lateraly and deep incomplete removed tumor R1 infiltrating the muscle bundles with perineural invasion. A second stage surgery was necessary with lateral and deep enlarging of the defect including the removal of the frontal periostium.
Clear histological margins were achieved and the final surgical defect was 6 x 7 cm. The eyebrow defect was finally reconstructed by a modified AT flap combined with full thickness skin transplantation 56 Poster of the flap dog ears.
The cosmetic outcome was satisfactory, no occurrence was observed after 9 moth follow-up. Conclusion: We confirm the histological difficulties diagnosing this tumour entity and the deep infiltration of MAC.
Removal deep including the periostium might be necessary to completely remove the tumour. They are characterized by aggressive local infiltration but rarely metastasize.
Local recurrence invariably follows inadequate removal. Surgery remains the first-line treatment for both sarcomas and wide surgical excision with a margin between 2 and 4 cm has been recommended.
Mohs Micrographic Surgery has been reported as effective in reducing the rate of local recurrence. Immediate reconstruction with autologous split-thickness skin graft STSG secured by negative wound pressure therapy VAC was performed in all cases.
One case received a porcine xenograft EZ Derm on top of the free Achilles tendon prior autologous split-thickness skin grafting. Application of STSGs instead of flap surgery was performed because it allows immediate closure and fast recognition of local recurrence.
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Documents Uncategorized. November Umschlagseite 3 1 www. Go for the 4-Berry, a mix of raspberry, strawberry, blackberry, and blueberry. La Plata What people say: It's hard to beat unassuming Marie's for big portions of reliably good diner staples.
Sometimes there's a wait during breakfast, but reviewers say it's worth sticking around. Order online to beat the line. What to order: The pancakes, country-fried steak, and scrapple all get frequent mentions.
Pick up some of the massive eclairs on your way out the door. This classic chrome-clad corner diner has been feeding Boston since You can also order for delivery or takeout.
What to order: The Monte Cristo is the way to go for breakfast, according to Thrillist. The site also recommends the banana bread and grilled cinnamon rolls.
Go with a big appetite, and a healthy sense of humor. What to order: Reviewers sing the praises of the corned beef hash, home fries, and the heaping three-egg omelets.
Order for pickup or delivery if the tight quarters don't appeal. Related: Where to Find a Good Cheap Burger In Every State. It's been a local favorite since for homemade Southern favorites from black-eyed peas to catfish.
What to order: Diners say the fried green tomatoes are reliably delicious. Other specialties include the fried chicken and fresh doughnuts.
Related: Best Hole-in-the-Wall Spots for Fried Chicken in Every State. Louis What people say: There's often a wait for a stool at this tiny time warp of a diner , which is open from 6 a.
After the longtime owner closed it in October , a local couple bought the place and reopened in April of What to order: Try a slinger, a breakfast concoction of meat usually sausage , eggs, potatoes, chili, cheese, and onions.
Don't be surprised to find this unpretentious little spot filled with socially-distanced locals who have been coming for years.
FYI, don't ask for refills during the pandemic, and you'll have to box leftovers yourself. What to order: Chow down on the chicken-fried steak, biscuits and gravy, or oversized cinnamon rolls.
Lincoln What people say: Day or night though only until p. Place an order online for curbside pickup. What to order: The Hot Stripper sandwich yes, it's a sandwich , three chicken strips smothered with sausage gravy served open-faced on grilled Texas toast.
Beatty What people say: Mel's is the place you'll want to stop for a solid breakfast or lunch when you're heading to or from Death Valley.
Bring your appetite for the large portions, and cash to pay the bill — no credit cards accepted. What to order: Breakfast staples like the pancakes and omelets are reliable bets.
Keene What people say: Local favorite Lindy's is always busy, especially during New Hampshire's presidential primaries. This diner has hosted candidates George W.
Bush, Bill Clinton, and Barack Obama. Fortunately, most reviewers say the food lives up to the political hype.
What to order: Lindy's says its famous patrons gravitate toward clam chowder, mac and cheese, and Salisbury steaks.
East Newark What people say: This diner gets the nod as one of America's best from Food and Wine magazine, which praises its "novel of a menu" and long list of cheesecakes.
Portions are huge, devotees say. What to order: Before diving into the cheesecake, try a burger or the chicken and waffles.
Albuquerque What people say: Since , unassuming Kap's has been a Route 66 staple for fresh, authentic diner fare at affordable prices. Regulars say the service is great, too.
What to order: The menu includes plenty of New Mexican takes on breakfast staples like huevos rancheros, carne adovada, and breakfast burritos.
And don't miss the cinnamon rolls, reviewers say. Related: Where to Order Good Cheap Burritos in Every State. Work or live nearby?
Your food can be delivered to your door. What to order: Try Greek favorites in addition to breakfast standards like pancakes and eggs Benedict.
Fans praise the large portions and perfectly grilled burgers. The retro '50s look of the place is also a nice bonus, but be prepared to wait for a table — since there isn't much of a waiting area, that might mean standing outside.
What to order: The biscuits and gravy get raves, as does the country fried steak and eggs, which comes with toast, hash browns, and grits. The Route 66 plate, a skillet of corned beef hash with two eggs and country potatoes smothered in chipped beef gravy and cheese is enough to feed two.
West Fargo What people say: Formerly known as TNT's Diner, Deaner's got a new name when it changed hands. Regulars say the service is top-notch.
What to order: Biscuits and gravy are great for breakfast, but the hot beef sandwiches are the star at other times of the day. Save room for homemade pie or apple crisp.
Sidney What people say: The Spot has occupied the same spot in downtown Sidney since and the current structure has been standing since The decor is as much a feature as the food; the last renovation was in But ordering is definitely 21st century — download the diner's app to your phone and a good meal is never far away.
What to order: The homemade onion rings and pork tenderloin sandwiches are popular at lunch and dinner, but it's the pie that really keeps regulars coming back.
The old-fashioned cream pie is a house specialty. Vinita What people say: Need a break from cruising historic Route 66? This is the place to stop.
De Wikipedia. Usually a meal is served with a round of bread so diners can assemble their own chip butty with leftover chips. Ver todos os exemplos de diner.
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