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https://www.readbyqxmd.com/read/29676403/combined-endoscopic-transorbital-and-endonasal-repair-of-high-flow-orbital-apex-middle-fossa-cerebrospinal-fluid-leak-with-a-nasoseptal-flap
#1
Brandon Lucke-Wold, Gustavo Mendez, David Cua, Paul Akins, Haley Gillham, Jeremy Ciporen
Background and importance: High flow orbital apex or middle fossa cerebrospinal fluid (CSF) leaks can be life threatening and complex to repair. These leaks associated with large dural defects are most commonly repaired with an open temporalis muscle patch or free flaps, but these flaps do not always stop the leak. Clinical Presentation: A 65-year-old patient presented two years after orbital exenteration and radiation for squamous cell carcinoma. He developed multi-organism meningitis and pneumocephalus secondary to a large high-flow orbital apex/middle fossa CSF leak...
2018: J Neuroinflamm Neurodegener Dis
https://www.readbyqxmd.com/read/29676326/macular-hole-associated-retinal-detachment-in-best-vitelliform-dystrophy-series-of-two-cases-and-literature-review
#2
Ruchir Tewari, Vinod Kumar, Raghav Ravani, Devashish Dubey, Parijat Chandra, Atul Kumar
Two eyes of 2 patients with macular hole-associated retinal detachment in clinically diagnosed vitelliruptive stage of Best vitelliform dystrophy were surgically managed by 25-gauge sutureless pars plana vitrectomy, internal limiting membrane (ILM) peeling with inverted ILM flap, and short-acting (SF6 ) gas tamponade. The patients were assessed with respect to best-corrected visual acuity, color fundus photographs, shortwave fundus autofluorescence, and swept source optical coherence tomography. Surgical intervention led to Type 1 closure of macular hole, resolution of retinal detachment, and improvement in vision in both patients...
May 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29676309/safety-and-efficacy-of-fibrin-glue-versus-infinity-suture-in-sics-with-extended-scleral-flap
#3
Anita Ambastha, Rakhi Kusumesh, Gyan Bhasker, Bibhuti Prassan Sinha
Purpose: To study the safety and efficacy of biologic fibrin glue (FG) in comparison with infinity suture in SICS with compromised scleral flap. Methods: A retrospective comparative study of patients who were treated with FG (Group A) with 10-0 nylon (Group B) as sealing agent for intraoperative compromised tunnels in SICS. Parameters noted were postoperative inflammation, wound integrity, anterior chamber (AC) depth, intraocular pressure (IOP), and surgically induced astigmatism (SIA) at postoperative day 1, 4 weeks, 6 weeks, and 6 months, respectively...
May 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29676255/-perfecting-smile-esthetics-keep-it-pink
#4
Virginie Monnet-Corti, Angeline Antezack, Marion Pignoly
INTRODUCTION: Smile aesthetics is based on numerical, physical, physiological and psychological data regarding beauty, while taking into account the desires of the patient. It is determined by the shape, colour and position of the lips, teeth and gingival tissues. Periodontal examination in both the facial and labial settings supports analysis of the gingival display during natural and forced smiling, the health of the periodontium, the gingival contours, the aesthetic gingival line, and the presence of the papillae...
March 2018: L' Orthodontie Française
https://www.readbyqxmd.com/read/29676206/fabrication-of-vascularized-bone-flaps-with-sustained-release-of-rhbmp-2-and-arteriovenous-bundle
#5
Bo Li, Changshun Ruan, Yufei Ma, Zhifeng Huang, Zhenfei Huang, Gang Zhou, Jing Zhang, Hai Wang, Zhihong Wu, Guixing Qiu
INTRODUCTION: It is a common treatment strategy in the clinic to transplant a vascularized bone flap for a large bone defect. But it is difficult for peripheral blood vessels to grow into the central region of a large bone construct. In this study, we fabricated a vascularized bone flap from a 3D-printed biodegradable PLGA/β-TCP scaffold using the combination of an arteriovenous (AV) bundle and recombinant human bone morphogenetic protein-2 (rhBMP-2). MATERIALS AND METHODS: A degradable porous poly (lactide-co-glycolide) /-tri-calcium phosphate (PLGA/β-TCP) scaffold was prepared by adopting 3D plotting and a low-temperature deposition technique...
April 20, 2018: Tissue Engineering. Part A
https://www.readbyqxmd.com/read/29675473/comprehensive-algorithm-for-nasal-ala-reconstruction-utility-of-the-auricular-composite-graft
#6
REVIEW
Collin Chen, Ruchin Patel, John Chi
Defects of the nasal ala are challenging to reconstruct, given its complex three-dimensional structure. Successful repair of these defects needs to provide aesthetic symmetry and preserve nasal function. A wide variety of reconstructive options have been described for nasal ala defects, ranging from skin grafts to locoregional flaps, and also includes the auricular composite graft. However, there are currently no comprehensive guidelines for nasal ala repair, and the versatile role of the auricular composite graft has not been well defined...
April 2018: Surgery Journal
https://www.readbyqxmd.com/read/29675443/left-ventricular-intussusception-of-an-intimal-flap-in-an-aortic-dissection-stanford-type-a
#7
Tim Kaufeld, Malakh Shrestha, Axel Haverich, Andreas Martens
A 75-year-old woman was admitted to the emergency department with severe and sudden chest pain. Transthoracic echocardiogram showed an unusual case of aortic dissection Stanford Type A with complete circumferential detachment of the ascending aorta intima. An intussusception of the intima flap into the left ventricular outflow tract was also observed. This case presents a very rare surgical treatment involving root repair using tissue adhesives for a left ventricular intimal flap.
June 2017: Aorta (Stamford, Conn.)
https://www.readbyqxmd.com/read/29675377/efficacy-of-autologous-conjunctival-flap-on-repairing-the-late-onset-filtering-bleb-leakage
#8
Jian-Gang Xu, Jing Zhong, Yang-Fan Yang, Ming-Kai Lin, Xing Liu, Min-Bin Yu
AIM: To evaluate the effectiveness of autologous conjunctival flap surgery for repairing the late-onset filtering bleb leakage after trabeculectomy. METHODS: This study retrospectively reviewed 106 eyes from 106 patients with late-onset filtering bleb leakage after trabeculectomy who received autologous conjunctival flap surgery at the Zhongshan Ophthalmic Centre from 2005 to 2015. The basic information was recorded, and the interval time between trabeculectomy and autologous conjunctival flap surgery as well as related risk factors, intraocular pressure (IOP), anterior chamber depth (ACD) and best corrected visual acuity (BCVA) were analysed...
2018: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/29675214/controllable-extension-of-hairpin-structured-flaps-to-allow-low-background-cascade-invasive-reaction-for-a-sensitive-dna-logic-sensor-for-mutation-detection
#9
Yun-Long Liu, Hai-Ping Wu, Qiang Zhou, Qin-Xin Song, Jian-Zhong Rui, Xiao-Xiang Guan, Guo-Hua Zhou, Bing-Jie Zou
A DNA logic sensor was constructed for gene mutation analysis based on a novel signal amplification cascade by controllably extending a hairpin-structured flap to bridge two invasive reactions. The detection limit was as low as 0.07 fM, and the analytical specificity is high enough to unambiguously pick up 0.02% mutants from a large amount of wild-type DNA. Gene mutations related to the personalized medicine of gefitinib, a typical tyrosine kinase inhibitor, were analyzed by the DNA logic sensor with only a 15 minute response time...
February 14, 2018: Chemical Science
https://www.readbyqxmd.com/read/29674733/the-use-of-dental-implants-cast-bars-and-sleeve-overdentures-in-oral-cancer-patients
#10
R Ali, A Al-Khayatt, C Barclay
Surgical resection of an oral tumour (and the associated free flap reconstruction) can significantly alter the oral anatomy. The lack of sulcus depth, alveolar ridge, presence of a mobile flap and limited tongue movement can make it impossible for patients to control a removable prosthesis. To help this cohort of patients, dental implants can be invaluable. The Oral Rehabilitation Team at Central Manchester University Dental Hospital have used dental implants to rehabilitate oral cancer patients for over thirty years...
April 20, 2018: British Dental Journal
https://www.readbyqxmd.com/read/29674370/effect-of-a-single-prophylactic-preoperative-oral-antibiotic-dose-on-surgical-site-infection-following-complex-dermatological-procedures-on-the-nose-and-ear-a-prospective-randomised-controlled-double-blinded-trial
#11
Helena Rosengren, Clare F Heal, Petra G Buttner
OBJECTIVES: There is limited published research studying the effect of antibiotic prophylaxis on surgical site infection (SSI) in dermatological surgery, and there is no consensus for its use in higher-risk cases. The objective of this study was to determine the effectiveness of a single oral preoperative 2 g dose of cephalexin in preventing SSI following flap and graft dermatological closures on the nose and ear. DESIGN: Prospective double-blinded, randomised, placebo-controlled trial testing for difference in infection rates...
April 19, 2018: BMJ Open
https://www.readbyqxmd.com/read/29673376/the-fortune-cookie-flap-for-aesthetic-reconstruction-after-chest-keloid-resection-a-small-case-series
#12
Tae Hwan Park, Jang Won Lee, Chan Woo Kim
BACKGROUND: Generally, the recurrence rate of keloids is unacceptably high after surgical excision alone. Nevertheless, surgical reduction of keloids is inevitable in many cases. The reconstruction of extensive soft tissue defects following complete keloid resection is challenging to surgeons. In this study, we present our clinical experience using a novel fortune cookie flap for treating chest keloids. This flap provides an excellent surgical option that maintains natural appearance with minimal donor-site morbidity...
April 19, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29672785/-tissue-engineering-of-adipose-tissue-with-biodegradable-biomaterials-for-soft-tissue-reconstruction
#13
Silvan Klein, Thiha Aung, Robert Michael Haas, Fabian Medved, Stefan M Schiller, Oliver Felthaus, Jürgen H Dolderer
Soft tissue defects resulting from injuries, tumor resection, congenital anomalies or chronic wounds pose a great challenge to reconstructive surgery. The current gold standard in therapy of such defects is the tissue transplantation in terms of free or local flaps. Unfortunately, donor site morbidity remains a considerable risk of flap surgery. Therefore, tissue engineering of autologous vascularized long term stable adipose tissue constructs could enrich the therapeutic possibilities of soft tissue defects...
April 2018: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/29672783/-smartphone-based-thermography-for-perforator-localisation-in-microvascular-breast-reconstruction
#14
Leonard Walle, Hisham Fansa, Onno Frerichs
BACKGROUND: Thermography permits non-invasive examination and presentation of cutaneous temperature differences. When planning microvascular flaps, thermography may illustrate these differences and may portray patterns of blood circulation near to perforators. As an additional tool, thermography may enhance quality and diversity in free flaps. PATIENTS AND METHODS: In this prospective study, we examined 10 patients with 13 free DIEP-flaps for breast reconstruction...
April 2018: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/29672777/diep-flap-breast-reconstruction-complication-rate-in-previously-irradiated-internal-mammary-nodes
#15
Shirley Shechter, Ehud Arad, Amir Inbal, Or Friedman, Eyal Gur, Yoav Barnea
BACKGROUND:  Postmastectomy radiation therapy (PMRT) is a widely accepted treatment for locally advanced breast cancer. Some patients require additional boost radiation to the internal mammary nodes as the part of regional nodal irradiation (RNI). Delayed breast reconstruction with an autologous free flap using the internal mammary vessels for microvascular flap anastomosis is a common practice for these patients. The aim of our study was to evaluate the effect of RNI on autologous microvascular breast reconstruction...
April 19, 2018: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29672776/postoperative-monitoring-of-free-diep-flap-in-breast-reconstruction-with-near-infrared-spectroscopy-variables-affecting-the-regional-oxygen-saturation
#16
Marzia Salgarello, Domenico Pagliara, Marco Rossi, Giuseppe Visconti, Liliana Barone-Adesi
BACKGROUND:  The timing of surgical reexploration in microanastomotic thrombosis is directly related to the salvage rate of free flap. Near-infrared spectroscopy (NIRS) is a noninvasive technique, which allows a continuous bedside monitoring of flap oxygenation. The current literature is lacking in the assessment of variables able to modify the NIRS monitoring. The aim of this study is to identify patient and flap-related variables that can affect regional oxygen saturation (rSO2 )...
April 19, 2018: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29672775/free-or-perforator-pedicled-propeller-flaps-in-lower-extremity-reconstruction-defining-the-coverage-failure
#17
Farid Bekara, Christian Herlin, Antoine De Runz, David Boccara, Benoit Chaput
No abstract text is available yet for this article.
April 19, 2018: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29672432/incidence-indications-and-outcomes-of-eyes-needing-early-flap-lifting-after-lasik
#18
Michael Mimouni, Igor Vainer, Negme Assad, Achia Nemet, Tzahi Sela, Gur Munzer, Igor Kaiserman
PURPOSE: To analyze the incidence, indications, and outcomes associated with early flap relifting after uncomplicated laser in situ keratomileusis (LASIK). METHODS: All LASIK cases from a single surgical center between 2007 and 2015 were reviewed. Early postoperative flap lift cases (<15 d after surgery) were identified. RESULTS: Overall, 25,712 eyes were included, of which 366 (1.42%) underwent early postoperative flap lifting. There was a significant reduction in early postoperative flap lifting rates from 2006 (2...
April 18, 2018: Cornea
https://www.readbyqxmd.com/read/29672348/hatchet-flap-with-transposed-nasal-inset-for-midfacial-reconstruction
#19
Philip L Custer, Robi N Maamari
PURPOSE: The purpose of this study is to report the surgical technique and functional outcomes of the hatchet flap with transposed nasal inset for midfacial defect repairs. METHODS: An Institutional Review Board-approved, retrospective review was performed to identify patients treated using the hatchet flap with transposed nasal inset. Patient demographics, disease etiology, defect characteristics, and postoperative complications were collected from preoperative and follow-up visits...
April 17, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29671948/best-surgical-technique-and-outcomes-for-large-macular-holes-retrospective-multicentre-study-in-japan
#20
REVIEW
Toshifumi Yamashita, Taiji Sakamoto, Hiroto Terasaki, Masanori Iwasaki, Yoko Ogushi, Fumiki Okamoto, Masaru Takeuchi, Tsutomu Yasukawa, Yoshihiro Takamura, Nahoko Ogata, Yumiko Nakamura
The purpose of this study was to compare the surgical outcomes of vitrectomy with conventional internal limiting membrane (C-ILM) peeling to that with the inverted ILM (I-ILM) flap technique for large macular holes (MHs). This was a retrospective chart review of consecutive cases with a large MH at nine hospitals in Japan. Among the 1342 eyes, 165 eyes of 165 cases met the inclusion criteria. The results for medium-large MHs with a diameter 400-550 μm were compared to that of eyes with an extra-large MH with a diameter >550 μm...
April 19, 2018: Acta Ophthalmologica
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