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Plastis Surgery

Yasuhiro Chikaishi, Hiroki Matsumiya, Masatoshi Kanayama, Akihiro Taira, Yusuke Nabe, Shinji Shinohara, Taiji Kuwata, Masaru Takenaka, Soichi Oka, Ayako Hirai, Koji Kuroda, Naoko Imanishi, Yoshinobu Ichiki, Yosuke Nishimura, Fumihiro Tanaka
Introduction: Patients with undiagnosed anterior mediastinal tumors commonly undergo surgery for diagnosis and treatment. However, determining the optimal therapeutic strategy is difficult for tumors with substantial invasion, such as lesions touching the aortic arch (AA). Case presentation: A 76-year-old man of Asian descent presented to our hospital because chest computed tomography (CT) revealed an anterior mediastinal tumor. This tumor surrounded the left subclavian vein and touched the AA...
November 2018: Annals of Medicine and Surgery
Roberto Brusati, Maria Costanza Meazzini, Angela Rezzonico, Federico Biglioli, Giovanna Garattini, Valeria Marinella Augusta Battista, Luca Autelitano
The aim of this paper was to assess growth, speech, and aesthetic results at the completion of growth in patients with unilateral cleft lip and palate treated with the 2 stages Milan surgical protocol.Craniofacial growth was evaluated with cephalometric analysis and a theoretical need for orthognathic surgery.Nasolabial appearance was qualitatively assessed using the Asher McDade Aesthetic Index.Speech was assessed using the Gos.Sp.Ass '98 modified for Italian language scoring system.Burden of care was recorded in terms of number of secondary surgical procedures...
October 1, 2018: Journal of Craniofacial Surgery
L Felli, A G Capello, S Lovisolo, F Chiarlone, M Alessio-Mazzola
Patellar instability is the pathologic condition where the patella is prone to recurrent lateral dislocation. The clinical results on large series of patients and long-term outcome of Goldthwait techniques have not been described in the literature. The aim of this systematic review is: (1) to analyze and summarize the available literature focused on Goldthwait procedure in the treatment of recurrent patellar dislocation and (2) to evaluate the clinical and functional outcomes of patients treated with this surgical procedure...
October 1, 2018: Musculoskeletal Surgery
S Cristofari, B Bertrand, S Leuzzi, K Rem, J Rausky, M Revol, M Atlan, A Stivala
In primary male to female (MTF) sex reassignment surgery (SRS), the most frequent postoperative functional complications using the penoscrotal skin technique remain neovaginal stenosis, urinary meatal stenosis and secondary revision surgery. We aimed to retrospectively analyze postoperative functional and anatomical complications, as well as secondary procedures required after MTF SRS by penile skin inversion. All patients operated on for MTF SRS, using the inverted technique, from June 2006 to July 2016, were retrospectively reviewed...
September 27, 2018: Annales de Chirurgie Plastique et Esthétique
Yuqing Yan, Yu Wang, Jin Yang, Hao Wu, Lifeng Zhang, Zhiyu Peng, Chuan Guo, Qingquan Kong
BACKGROUND: Highly up-migrated herniation was difficult to be removed for percutaneous endoscopic lumbar discectomy (PELD) through the conventional transforaminal approach. Although many surgeons constantly explore new techniques and approaches, we still lack a more effective, convenient and economical technique to deal with this difficulty. This study was to describe a novel approach, "the transforaminal isthmus plasty approach", for PELD to treat the highly up-migrated disc herniation...
September 27, 2018: World Neurosurgery
Takatoshi Yotsuyanagi, Ken Yamashita, Makoto Yamauchi, Asuka Sugai, Shinji Kato, Ayako Gonda, Arisa Kita, Ayaka Kitada
Various techniques for correcting whistling deformities that occurred after primary surgery for cleft lip have been reported. These techniques are mainly intended to correct the lack of volume of the red lip. However, irregularity of the dry-wet lip junction (mucocutaneous junction) in the red lip has rarely been mentioned. If the wet lip is located in an exposed area, not only is the aesthetic appearance poor but also uncomfortable complications such as a crusted or bleeding lip repeatedly occur under a dry condition...
August 8, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Yuhui Shi, Zhigang Tian, Lifan Zhu, Jincai Zeng, Rong Liu, Jianxin Zhou
Clinical efficacy of meniscal plasty and total meniscectomy under arthroscopy in treating middle-aged and elderly patients with meniscus injury were explored. One hundred and fifteen elderly patients with meniscal injuries treated in the First Peoples Hospital of Wujiang District Suzhou from May 2012 to October 2014 were retrospectively analyzed. They were randomly divided into meniscal plasty group (experimental group) and total meniscectomy group (control group). Length of stay, operation time and VAS between the two groups were compared...
October 2018: Experimental and Therapeutic Medicine
Theodor Tirilomis, Dieter Zenker, Tomislav Stojanovic, Stella Malliarou, Friedrich A Schoendube
Objective: Carotid artery stenosis in patients undergoing open-heart surgery may increase risk and deteriorate outcome. The aim of the study was the analysis of risks and outcome after simultaneous carotid and cardiac surgery. Methods: We retrospectively reviewed the medical records of 100 consecutive patients who underwent simultaneous carotid surgery and open-heart surgery during a 5-year period (from 2006 to 2010). Seventy patients were male and 30 female; the mean age was 70...
2018: International Journal of Vascular Medicine
Naoya Yoshida, Takahiko Akiyama, Koichi Kinoshita, Yohei Nagai, Yoshifumi Baba, Takatsugu Ishimoto, Kazuto Harada, Ryuma Tokunaga, Keisuke Kosumi, Hideo Baba
Anastomotic stricture is often observed after esophagectomy. Surgical treatment is considered for refractory stricture to conservative treatments. However, it is not established what type of surgery is safe and effective. In this report, we present a novel approach, percutaneous transluminal plasty, for refractory anastomotic stricture reconstructed via the subcutaneous route in esophagectomy. We believe that the effectiveness and safety of this technique is considerably good and can become a good alternative for refractory stricture after esophagectomy...
October 2018: Esophagus: Official Journal of the Japan Esophageal Society
Won Jae Lee, Taek Min Nam, Kyung-Il Jo, Je Young Yeon, Seung-Chyul Hong, Jong-Soo Kim
Objective: Chronic subdural hematoma (CSDH) is a rare complication of unruptured intracranial aneurysm (UIA) clipping surgery. To prevent postoperative CSDH by reducing subdural fluid collection, we applied the modified arachnoid plasty (MAP) during the UIA clipping surgery to seal the dissected arachnoid plane. Methods: This retrospective study included 286 patients enrolled from July 2012 to May 2015. We performed arachnoid plasty in all patients, with MAP used after June 17, 2014...
August 1, 2018: Journal of Korean Neurosurgical Society
Graham C Schenck, Jamie L Perry, Lakshmi Kollara, David P Kuehn
Changes to the velum and velopharyngeal muscles following Furlow double-opposing Z-plasty in a 7-year-old female with submucous cleft palate and velopharyngeal dysfunction (VPD) were evaluated. Perceptual, instrumental (ie, nasometry and aerodynamic pressure flow), and research magnetic resonance imaging analyses were used during pre- and postsurgical time points at a university research clinic. Continuous positive airway pressure (CPAP) therapy was trialed following a failed surgery for residual VPD in the patient...
July 26, 2018: Cleft Palate-craniofacial Journal
Haihua Chen, Wei Pan, Jufang Zhang, Hanxiao Cheng, Qian Tan
This study was aimed to explore the effect of W-plasty combined Botox-A injection in improving appearance of scar.According to the inclusive and exclusive criteria, patients received W-plasty combined Botox-A injection (study group) or traditional (control group) scar repairment were enrolled in this study. After surgery, a follow-up ranged from 1 to 2 years was conducted. The effectiveness of surgery was assessed by visual analogue scale (VAS).A total of 38 patients were enrolled in this study, including 21 cases in the study group and 17 cases in the control group...
July 2018: Medicine (Baltimore)
Mamoru Munakata, Yuichi Ono
A 67-year-old woman was referred to our hospital with a diagnosis of aortic stenosis. As she had concurrent breast cancer, resection of the left breast was 1st performed. She then suffered from infection of the breast wound followed by infective endocarditis. She underwent aortic valve replacement(AVR) with a patch plasty of the perivalvular abscess in the mitral-aortic intervalvular fibrosa (MAIVF). Four months after the AVR, severe aortic regurgitation occurred due to a pseudoaneurysm in the MAIVF and re-AVR was performed...
June 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Shao-Cheng Liu, Shyi-Gen Chen, Chih-Hung Wang, Bor-Rong Huang
In a retrospective chart review, we evaluated the surgical and hearing results of a single-stage procedure consisting of a canal-wall-up attico-mastoidectomy, mastoid cavity obliteration, scutum plasty, and ossiculoplasty. A total of 77 patients treated between March 2003 and January 2011 with postoperative follow-up of at least 60 months were enrolled. Preoperative and postoperative pure-tone average (PTA) and air-bone gap (ABG) were assessed and compared 1 and 5 years after surgery. At the final follow-up, the tympanic membrane was intact in 71 (92...
June 2018: Ear, Nose, & Throat Journal
David Burnett, Stephen R Smith, Christopher J Young
Background Pilonidal disease is a common condition with no consensus for the best management of chronic disease or current practice in Australia and New Zealand. Methods A survey was distributed among 190 colorectal and 592 general surgeons in Australia and New Zealand. Data was obtained regarding pilonidal surgery volume, procedures performed, non-operative management and recurrence rates. Three clinical scenarios were also presented. Results The response rate was 58% among colorectal surgeons, 18% among general surgeons...
May 14, 2018: Curēus
Hyo In Kim, Won Jai Lee, Tai Suk Roh, Man-Koon Suh
BACKGROUND: The columellar strut graft is one of the most commonly used invisible grafts in tip plasty techniques for nasal tip projection. However, the columellar strut graft induces cephalic rotation of the dome with nasal tip projection. This is an effective change in Western people with a long nose; however, this change should be avoided in Asians who have a relatively short nose and visible nostrils. We designed a more convenient and effective technique using a rein-shaped columellar strut graft that can prevent cephalic rotation of the dome...
June 29, 2018: Aesthetic Plastic Surgery
Yan-Ping Xu, Li-Ping Shi, Jiajun Zhu
BACKGROUND: CHARGE syndrome is an autosomal dominant malformation disorder caused by heterozygous loss of function mutations in the chromatin remodeler CHD7, which has been estimated to occur in 1:10,000 births worldwide. It is a genetic disorder closely resembles other pattern of anomalies. Genetic testing should be pointed out as a useful method for clinical diagnosis. CASE PRESENTATION: A female infant was the second child born to a 33-year-old, gravida 3, para 2 mother...
June 26, 2018: BMC Pediatrics
Z Y Song, X M Yu, C F Wang, N Wang, Y Fu, Y Q Song
Objective: To explore the operation treatments and their outcomes of external auditory canal cholesteatomas involving the tympanic cavity and mastoid process. Method: Forty-two patients (45 ears) with external auditory canal cholesteatomas were included in this study who were operated. All lesions invaded the tympanic cavity and mastoid process. Excision of cholesteatoma, external auditory canal angioplasty and concha formation were performed. Ossicular chain reconstruction was performed in 3 ears. Mastoidectomy with close technique were performed in 4 ears...
June 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Michael Benson, Moneer K Hanna
INTRODUCTION AND OBJECTIVES: The desire to preserve the prepuce is often based on cultural norms. Recently, the concept of "genital autonomy" has been invoked to delay circumcision (or any genital altering procedure) until the individual reaches maturity and can make his or her own decision. However, some uncircumcised boys develop one or more episodes of balanitis resulting in scarring of the prepuce and pathologic phimosis which is difficult to treat. Herein we report on the management of severe phimosis and preputial scarring using preputial Z-plasties...
June 8, 2018: Journal of Pediatric Urology
Ferdinand Köckerling, Maarten P Simons
With more than 20 million patients annually, inguinal hernia repair is one of the most often performed surgical procedures worldwide. The lifetime risk to develop an inguinal hernia is 27-43% for men and 3-6% for women. In spite of all advances, 11% of all patients suffer from a recurrence and 10-12% from chronic pain following primary inguinal hernia repair. By developing evidence-based guidelines and recommendations, the international hernia societies aim to improve the outcome of inguinal hernia repair due to standardization of care...
April 2018: Visceral Medicine
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