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https://www.readbyqxmd.com/read/29042522/-surgical-pathology-of-adulthood-epilepsy
#1
Hajime Miyata
Epilepsy may be the consequence of a wide range of disorders affecting the brain, including tumors and non-neoplastic lesions. A broad spectrum of structural brain lesions can be observed in epileptogenic brain tissue specimens surgically resected from patients with drug-resistant focal epilepsies. These include hippocampal sclerosis (HS), low-grade epilepsy-associated neuroepithelial tumors (LEAT), malformations of cortical development (MCD), vascular malformations, dual pathology, glial scar, and encephalitis, as well as no lesion...
October 2017: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://www.readbyqxmd.com/read/29031574/a-new-all-purpose-bilateral-cleft-lip-repair-bilateral-cheiloplasty-suitable-for-most-conditions
#2
Rong-Min Baek, Yujin Myung, Iehyon Park, Chang-Sik Pak, Baek-Kyu Kim, Vũ Ngọc Lâm, Jae Hoon Jeong
BACKGROUND: Only experienced surgeons can produce satisfactory results with most of the current surgical methods for bilateral cleft lip repair. The existing methods require not only preoperative orthodontic maneuvers but also accurate measurements for surgical design. We describe an easy-to-design and simple-to-execute general purpose surgical technique to repair most bilateral cleft lips. METHODS: A retrospective review was performed for the patients who underwent bilateral cleft lip repair using our novel method between 2003 and 2016...
September 25, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29024828/a-classical-ehlers-danlos-syndrome-family-with-incomplete-presentation-diagnosed-by-molecular-testing
#3
Marina Colombi, Chiara Dordoni, Valeria Cinquina, Marina Venturini, Marco Ritelli
The 2017 EDS revised nosology indicates that minimal criteria suggestive for classical Ehlers-Danlos syndrome (cEDS) are skin hyperextensibility plus atrophic scarring together with either generalized joint hypermobility (gJHM) and/or at least three minor criteria that include cutaneous features and gJHM complications. Confirmatory molecular testing is obligatory to reach a final diagnosis. Although the large majority of the patients presents with these clinical features, some do not and might remain undiagnosed or misdiagnosed...
October 9, 2017: European Journal of Medical Genetics
https://www.readbyqxmd.com/read/29019882/koebner-phenomenon-induced-by-failed-revisional-orthopedic-surgery-but-remitted-with-bone-union-a-case-report
#4
Yiing-Feng Hwang, Nai-Yuan Wu, Pei-Yuan Lee
RATIONALE: Trauma or surgical incision might cause Koebner phenomenon (KP) in patients with cutaneous diseases, but seldom studies reported KP induced by repeated orthopedic surgery. PATIENT CONCERNS: The 22-year-old man did not have any prior histories of cutaneous diseases. Two months after the revision surgery for nonunion of the left femoral shaft fracture, KP was noted by psoriasis presented at the surgical scar, left thigh, scalp, and trunk. Phototherapy and topical treatments were prescribed but the effect was limited...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28989236/alar-cartilage-an-alternative-for-spreader-graft-in-primary-rhinoplasty
#5
Carlos Oscar Uebel, Renato Matta
BACKGROUND: Alar cartilage can be very useful for tip and dorsum grafts. Depending on its size and thickness, it can be an important alternative for spreader grafts to improve endonasal functional deficiencies, correct deviated noses, and prevent inverted "V" deformities. Caucasian patients with bulbous tips are the most common candidates to achieve such benefits. It is easy to obtain and to frame into a desired graft. METHODS: The authors describe a surgical technique using the alar cartilages as spreader grafts...
2017: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/28984803/long-term-complications-and-surgical-failures-after-ossiculoplasty
#6
Matthew D Cox, Joshua Cody Page, Aaron Trinidade, John L Dornhoffer
OBJECTIVE: To study long-term complications after ossiculoplasty. STUDY DESIGN: Case series with chart review. SETTING: Tertiary care referral center otology practice. PATIENTS: One hundred ninety-five patients (18-88 yr of age) undergoing ossiculoplasty with tympanoplasty or tympanomastoidectomy using cartilage tympanic membrane grafts, retrograde mastoidectomy with canal wall reconstruction, or mastoid obliteration techniques between July 1998 and July 2012...
October 4, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28953160/autologous-tissue-graft-in-revision-medial-epicanthoplasty-using-subciliary-fat-and-orbicularis-oculi-muscle
#7
Jeenam Kim, Junyeong Kim, Jungil Kim, Donghyeok Shin, Myungchul Lee, Hyungon Choi
The medial epicanthal fold is one of the racial anatomic characteristics of Asians. As medial epicanthoplasty has become one of the most common cosmetic surgeries among Asians, the need for revision of overcorrected medial epicanthus also increased. In revision medial epicanthoplasty, an autologous tissue graft to the subcutaneous plane is used to reduce postoperative scar. Medial epicanthoplasty, using V-Y advancement and rotation flap, was performed in 93 patients (revision medial epicanthoplasty with autologous tissue graft, 60 patients; revision medial epicanthoplasty only, 33 patients)...
September 11, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28941593/laparoendoscopic-single-site-nephrectomy-in-children-is-it-a-good-alternative-to-conventional-laparoscopic-approach
#8
Belén Aneiros Castro, Daniel Cabezalí Barbancho, Cristina Tordable Ojeda, Isabel Carrillo Arroyo, Jesús Redondo Sedano, Andrés Gómez Fraile
BACKGROUND: Minimally invasive surgery is considered to be the gold standard treatment for nephrectomy in children. In recent decades it has been proposed that laparoendoscopic single-site (LESS) surgery is a feasible alternative to perform laparoscopic nephrectomies. OBJECTIVE: The aim of our study was to compare the safety and efficacy of LESS against conventional laparoscopic (CL) nephrectomy. STUDY DESIGN: From March 2010 to November 2012 charts of pediatric patients who underwent laparoscopic nephrectomy at our tertiary center were revised...
August 24, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28941513/posttraumatic-laser-treatment-of-soft-tissue-injury
#9
REVIEW
Prem B Tripathi, J Stuart Nelson, Brian J Wong
Laser treatment for posttraumatic injury offers the clinician the unique opportunity for early intervention in mediating early scar formation, or for reducing the appearance of scars after maturation. In this review, the authors focus on the mechanisms by which lasers exert their therapeutic effects, highlighting several popular lasers and dosimetry used, and underscoring the power of combined surgical scar revision in managing posttraumatic facial scars.
November 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28939961/acl-suturing-using-dynamic-intraligamentary-stabilisation-showing-good-clinical-outcome-but-a-high-reoperation-rate-a-retrospective-independent-study
#10
Martin Meister, Jonathan Koch, Felix Amsler, Markus P Arnold, Michael T Hirschmann
PURPOSE: Most of the clinical outcome studies dealing with ACL repair are from the developer's perspective. It is a fact that these developer-initiated studies tend to interpret the results rather in favour than against their developed technique or product. Hence, it was the purpose of the present independent investigator-initiated study to investigate the clinical and radiological outcomes as well as failure rate of patients who underwent an ACL suture using dynamic intraligamentary stabilisation device in a specialised independent knee clinic...
September 22, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28913282/the-versatility-of-cheek-rotation-flaps
#11
Kyung Pil Kim, Ho Seup Sim, Jun Ho Choi, Sam Yong Lee, Do Hun Lee, Seong Hwan Kim, Hong Min Kim, Jae Ha Hwang, Kwang Seog Kim
BACKGROUND: The cheek rotation flap has sufficient blood flow and large flap size and it is also flexible and easy to manipulate. It has been used for reconstruction of defects on cheek, lower eyelid, or medial and lateral canthus. For the large defects on central nose, paramedian forehead flap has been used, but patients were reluctant despite the remaining same skin tone on damaged area because of remaining scars on forehead. However, the cheek flap is cosmetically superior as it uses the adjacent large flap...
December 2016: Arch Craniofac Surg
https://www.readbyqxmd.com/read/28895756/early-treatment-using-fractional-co2-laser-before-skin-suture-during-scar-revision-surgery-in-asians
#12
Feiya Du, Yusheng Yu, Zhiqin Zhou, Liujia Wang, Shusen Zheng
Fractional CO2 laser is one of the most effective treatment options used to resurface scars; However, most previous studies have been performed on mature scars at least 2 months after surgery. Recent studies have emphasized the importance of early treatment to reduce scar formation. In the present study, we described our experience with fractional CO2 laser intervention before skin suture during scar revision surgery in Asians, and found the treatment was safe and effective.
September 12, 2017: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
https://www.readbyqxmd.com/read/28885383/application-of-a-modified-pedicled-adipofascial-lateral-arm-flap-in-the-prevention-and-treatment-of-radial-nerve-injuries
#13
Steven M Koehler, Andrew P Matson, Suhail K Mithani
The fasciocutaneous lateral arm flap is a workhorse flap in upper extremity reconstruction. However, its adipofascial variant is not widely used. The technique can be used in various clinical scenarios. The adipofascial flap can be transposed to circumferentially wrap the radial nerve with a pliable, vascularized fat and fascial envelope, mimicking the natural fatty environment of peripheral nerves. This technique has the advantage of providing a scar tissue barrier, a barrier to hardware irritation and a milieu for vascular regeneration of the nerve...
September 6, 2017: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/28859737/techniques-for-optimizing-surgical-scars-part-1-wound-healing-and-depressed-atrophic-scars
#14
Sailesh Konda, Kathryn Potter, Vicky Zhen Ren, Apphia Lihan Wang, Aditya Srinivasan, Suneel Chilukuri
Surgical management of benign or malignant cutaneous tumors may result in noticeable scars that are of great concern to patients, regardless of sex, age, or ethnicity. Techniques to optimize surgical scars are discussed in this three-part review. In part 1, an overview of the importance of preoperative planning, intraoperative technique, and pathophysiology of wound healing is followed by a discussion of scar revision options for depressed/atrophic scars. Scar revision options for these scars include dermabrasion, needling and subcision, punch excision and grafts, fillers, nonablative fractional lasers, ablative and fractional ablative lasers, and platelet-rich plasma (PRP)...
2017: Skinmed
https://www.readbyqxmd.com/read/28858960/ahmed-valve-upstream-obstruction-caused-by-fibrous-ingrowth-surgical-approach
#15
Joana Medeiros Pinto, Nuno Pinto Ferreira, Luis Abegão Pinto
Glaucoma secondary to penetrating keratoplasty can be challenging and multiple surgeries may be needed to control the intraocular pressure (IOP), including the use of glaucoma drainage implants. However, late failure of these drainage implant surgery is common, mostly because of excessive scarring or bleb encapsulation which may require further surgical intervention. We present a case of a young patient referred for advanced glaucoma secondary to penetrating keratoplasty and chronic uveitis. He presented with elevated IOP under maximal therapy, already with 2 failed trabeculectomies and a nonfunctional Ahmed Valve...
August 30, 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28858930/orifice-preserving-double-opposing-z-plasty-for-partial-split-ear-lobe-repair-a-review-of-25-cases
#16
Harish K Sharma, Deepti Gupta, Shalu Punj
BACKGROUND: Surgeons often come across split earlobe (SEL) deformities in their clinical practice which usually result from wearing heavy earrings for a long duration. It is of utmost importance to achieve a satisfactory repair with increased strength in one go. OBJECTIVE: To describe a strong repair for partial SEL with preservation of the orifice. MATERIALS AND METHODS: This study is a retrospective review of 25 patients (36 earlobes), who underwent repair of partial SEL deformity with an orifice preserving double opposing Z-plasty in the hospital, from January 2014 to June 2015...
August 29, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28856325/ilioprofunda-endobypass-can-successfully-treat-a-post-operative-femoral-pseudo-aneurysm
#17
T Mehta, R Dey, A Chaudhuri
INTRODUCTION: A 75-year-old male patient with significant cardiopulmonary comorbidity presented with a 70-mm left femoral pseudoaneurysm 6 years after aortobifemoral bypass (and prior femoral endarterectomy). REPORT: As the left superficial femoral artery was occluded, an ilioprofunda endobypass was undertaken following extraperitoneal exposure of the left limb of the bypass graft with subsequent deployment of four Viabahn endoprostheses via the left limb into the proximal left deep femoral artery with successful exclusion of the pseudoaneurysm...
2017: EJVES Short Rep
https://www.readbyqxmd.com/read/28853175/safety-of-non-ablative-fractional-laser-for-acne-scars-within-1-month-after-treatment-with-oral-isotretinoin-a-randomized-split-face-controlled-trial
#18
Sandeep S Saluja, Matthew L Walker, Erika M Summers, Payam Tristani-Firouzi, David R Smart
BACKGROUND AND OBJECTIVE: Based on reports of poor wound healing and scarring, it is currently recommended that patients wait 6 months after completion of oral isotretinoin therapy before the safe initiation of laser treatment. Our aim was to evaluate the safety of non-ablative fractional laser (NAFL) treatment for acne scars within 1 month after isotretinoin therapy. STUDY DESIGN/METHODS: This was a randomized split-face controlled trial involving 10 patients with acne scars who had completed isotretinoin treatment...
August 29, 2017: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/28843774/putting-the-new-ilae-classification-of-focal-cortical-dysplasia-into-practice-in-western-china
#19
Cheng Huang, Heng Zhang, Xiao-Sa Chi, Ni Chen, Jing Gong, Qiao Zhou, Ingmar Blümcke, Dong Zhou, Jin-Mei Li
PURPOSE: To re-examine drug-resistant epilepsy cases using the revised 2011 ILAE classification of focal cortical dysplasia (FCD). METHODS: Patients with drug-resistant epilepsy who have undergone epilepsy surgery in West China Hospital between July 2012 and Jun 2014 were included. Clinical histories, pathological diagnoses, and surgical outcomes were reviewed. A questionnaire was developed to investigate the clinical practice of the new classification. A short-term training program on FCD was carried out to improve pathological diagnosis accuracy...
October 2017: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/28816718/double-composite-tissue-z-plasty-technique-for-anatomical-restoration-of-severe-nasal-deformity-in-secondary-unilateral-cleft-lip
#20
Jiao Wei, Tanja Herrler, Hua Xu, Qingfeng Li, Chuanchang Dai
BACKGROUND: Patients with secondary unilateral cleft lip are regularly affected by serious nasal deformities especially of the alar and nasal floor. A large number of techniques for correction have been published, but symmetrical restoration of severe nasal deformation is difficult to achieve. We propose an innovative approach for anatomical restoration for this entity of nasal deformities to achieve long-term symmetrical appearance and muscular function. METHODS: A total of 68 patients with severe nasal deformity due to secondary unilateral cleft lip underwent reconstructive surgery using a double composite tissue Z-plasty technique for anatomical restoration of cartilage, muscle, and soft tissue layers...
October 2017: Annals of Plastic Surgery
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