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https://www.readbyqxmd.com/read/29644478/reconstruction-of-membranous-urethral-strictures
#1
REVIEW
Javier C Angulo, Reynaldo G Gómez, Dmitriy Nikolavsky
PURPOSE OF REVIEW: Due to the proximity of the rhabdosphincter and cavernous nerves to the membranous urethra, reconstruction of membranous urethral stricture implies a risk of urinary incontinence and erectile dysfunction. To avoid these complications, endoscopic management of membranous urethral strictures is traditionally favored, and bulboprostatic anastomosis is reserved as the main classical approach for open reconstruction of recalcitrant membranous urethral stricture. The preference for the anastomotic urethroplasty among reconstructive urologists is likely influenced by the familiarity and experience with trauma-related injuries...
April 11, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29642338/re-long-term-functional-outcomes-after-penoscrotal-hypospadias-repair-a-retrospective-comparative-study-of-proximal-tip-onlay-and-duckett
#2
Douglas A Canning
No abstract text is available yet for this article.
April 2018: Journal of Urology
https://www.readbyqxmd.com/read/29619361/how-to-prevent-costal-cartilage-graft-warping-in-secondary-correction-of-cleft-lip-nasal-deformity
#3
Hung-Chang Chen, Cheng-I Yen, Shih-Yi Yang, Yen-Chang Hsiao
Introduction: Autologous costal cartilage dorsal onlay graft is widely used for dorsum and radix augmentation in secondary cleft lip nasal rhinoplasty. The most common drawback of costal cartilage dorsal onlay graft is warping. The purpose of this article is to describe our chimeric autologous costal cartilage graft technique, which prevents warping significantly. "Chimeric" means the combination of 2 different tissues (bone and cartilage) to make a single dorsal onlay graft...
February 2018: Plastic Surgery
https://www.readbyqxmd.com/read/29618857/three-component-cartilage-framework-reconstruction-for-correction-of-post-traumatic-nasal-septal-collapse
#4
Uday Bhat, Tarush Gupta, Mahesh Nair, Mayur Mantri, Mangesh Pawar, Amresh Baliarsing
Background: Post-traumatic nasal septal collapse results in flat, broad, non-projecting nose due to mid-vault collapse. These patients may have airway obstruction due to poorly supported internal valve. Traditional techniques like 'cantilever graft technique' or conventional 'L-graft technique' produce a rigid lobule as the single unit framework extends to the tip. These grafts also lack in internal valve support. Materials and Methods: Twelve patients with post-traumatic nasal septal collapse were treated with three component cartilage framework technique in the past 3 years...
September 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29602412/longevity-of-gold-cast-inlays-and-onlays-is-probably-associated-with-patients-age-and-number-of-tooth-surfaces-covered
#5
Romina Brignardello-Petersen
No abstract text is available yet for this article.
March 24, 2018: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29601924/anterior-urethroplasty-using-a-new-tissue-engineered-oral-mucosa-graft-surgical-techniques-and-outcomes
#6
Guido Barbagli, Ilgar Akbarov, Axel Heidenreich, Vahudin Zugor, Roberto Olianas, Maurizio Aragona, Giuseppe Romano, Ulf Balsmeyer, Dirk Fahlenkamp, Udo Rebmann, Diana Standhaft, Massimo Lazzeri
PURPOSE: We investigated if the tissue-engineered material may be adopted using the standard techniques for anterior urethroplasty. MATERIALS AND METHOD: Retrospective, multicenter study including patients with recurrent strictures and excluding patients with failed hypospadias, lichen sclerosus, traumatic and posterior strictures. An oral mucosa biopsy of 0.5 cm2 was taken from patient's cheek and sent to the laboratory for manufacturing the graft. After 3 weeks, the tissue engineered oral mucosal graft (MukoCell®) was sent to the hospital for urethroplasty...
March 27, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29584553/ultrathin-cad-cam-ceramic-occlusal-veneers-and-anterior-bilaminar-veneers-for-the-treatment-of-moderate-dental-biocorrosion-a-1-5-year-follow-up
#7
T H Resende, K R Reis, L H Schlichting, P Magne
Dental biocorrosion can produce a devastating impact on oral health. The restorative phase of the treatment should not cause additional damage of the remaining sound tooth structure. Ultrathin occlusal veneers are a conservative alternative to traditional onlays and complete crowns for the treatment of severe biocorrosive lesions. This strategy is explained in the present case report through a full-mouth rehabilitation of a patient with moderate biocorrosion. Maxillary anterior teeth were restored using the bilaminar technique (lingual direct composite veneers with labial ceramic veneers) and posterior teeth using ultrathin CAD-CAM ceramic occlusal veneers...
March 27, 2018: Operative Dentistry
https://www.readbyqxmd.com/read/29573191/is-fascial-defect-closure-with-intraperitoneal-onlay-mesh-superior-to-standard-intraperitoneal-onlay-mesh-for-laparoscopic-repair-of-large-incisional-hernia
#8
Katsuhito Suwa, Tomoyoshi Okamoto, Katsuhiko Yanaga
INTRODUCTION: The ideal surgical technique for large incisional hernia repair has not yet been identified. The aim of this study was to evaluate surgical outcomes of standard intraperitoneal onlay mesh (sIPOM) versus fascial defect closure with intraperitoneal onlay mesh (IPOM-Plus) for large incisional hernia repair. METHODS: Of 49 patients who underwent laparoscopic incisional hernia repair between November 2005 and December 2016, 26 cases with large incisional hernia (transverse diameter ≥10 cm) were examined to compare surgical outcomes between sIPOM (n = 12) and IPOM-Plus (n = 14)...
March 23, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29559047/laparoscopic-experience-for-recurrent-inguinal-hernia-repair-in-a-single-center-for-14-years
#9
Jing Sun, Wenrui Wang, Jianwen Li, Fei Yue, Bo Feng, Ji Wang, Minggang Wang
Laparoscopic techniques are now well pervading in the treatment of inguinal hernia. This study aims to investigate the laparoscopic strategy for recurrent inguinal hernia repair. Laparoscopic technique was retrospectively applied to 330 patients with 352 recurrent inguinal hernias in the past 14 years. The surgical strategies were further evaluated. There were 22 cases with bilateral recurrent hernias, whereas the rest 308 cases with unilateral disorders. Patients were further categorized by previous repair approaches as high ligation, sclerotherapy, conventional suture repair, Lichtenstein repair, plug and patch repair, and preperitoneal repair...
March 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29556855/technical-description-of-laparoscopic-morgagni-hernia-repair-with-primary-closure-and-onlay-composite-mesh-placement
#10
J M Ryan, A C Rogers, E J Hannan, A Mastrosimone, M Arumugasamy
INTRODUCTION: Morgagni hernias rarely present in adult life and, thus, little data exist on the optimal method of surgical repair. The laparoscopic approach has grown in popularity since the first reported case in 1992. This article showcases a method for laparoscopic repair of Morgagni hernias using both primary closure and mesh reinforcement. OPERATIVE APPROACH: There were three obese women who presented in adulthood with cardiopulmonary symptoms; in all cases, the symptoms were attributable to local compressive effects of large Morgagni hernias...
March 19, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29551883/biologic-keyhole-mesh-in-hiatal-hernia-repair
#11
Jeffrey R Watkins, Michael S Truitt, Houssam Osman, Rohan D Jeyarajah
Background and Objectives: Laparoscopic paraesophageal hernia repair (LPEHR) is the new standard, but the use of mesh is still debated. Biologic mesh has shown great promise, but only the U-shaped onlay has been extensively studied. Postoperative dysphagia has historically been a concern with the use of synthetic keyhole mesh and subsequently slowed its adoption. The purpose of our study was to identify the incidence of postoperative dysphagia in a series of patients who underwent laparoscopic paraesophageal hernia repair with novel placement of keyhole biologic mesh...
January 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/29551386/marginal-adaptation-of-cad-cam-onlays-influence-of-preparation-design-and-impression-technique
#12
Fernanda Ferruzzi Lima, Constantino Fernandes Neto, José H Rubo, Gildo Coelho Santos, Maria Jacinta Moraes Coelho Santos
STATEMENT OF PROBLEM: Factors that may affect the marginal adaptation of computer-aided design and computer-aided manufacturing (CAD-CAM) restorations include preparation design, impression technique, and CAD-CAM system. The influence of impression technique and preparation design on CAD-CAM partial coverage restorations has not been fully addressed. PURPOSE: The purpose of this in vitro study was to investigate the influence of direct and indirect digital impression techniques and 2 preparation designs on the marginal adaptation of CAD-CAM onlays...
March 15, 2018: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/29533499/fracture-resistance-of-cad-cam-fabricated-lithium-disilicate-mod-inlays-and-onlays-with-various-cavity-preparation-designs
#13
Hyung-In Yoon, Paul J Sohn, Sharon Jin, Elani Hawazin, Sang J Lee
PURPOSE: To examine the fracture resistance of premolars restored with CAD/CAM lithium disilicate mesio-occlusal-distal (MOD) inlays and onlays of different cavity designs. MATERIALS AND METHODS: Two widths of occlusal isthmus (75%, 100% of intercuspal distance) and three designs of cuspal coverage (none, palatal, complete) were used for the preparation of MOD inlays and onlays in the extracted maxillary premolars. Sixty lithium disilicate restorations were milled and bonded into the cavities...
March 13, 2018: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
https://www.readbyqxmd.com/read/29529906/localized-ridge-augmentation-in-the-anterior-maxilla-using-titanium-mesh-an-alloplast-and-a-nano-bone-graft-a-case-report
#14
Adel S Alagl, Marwa Madi
Alveolar ridge deficiency is considered a major limitation for successful implant placement, as well as for the long-term success rate, especially in the anterior maxillary region. Various approaches have been developed to increase bone volume. Among those approaches, inlay and onlay grafts, alveolar ridge distraction, and guided bone regeneration have been suggested. The use of titanium mesh is a reliable method for ridge augmentation. We describe a patient who presented with a localized, combined, horizontal and vertical ridge defect in the anterior maxilla...
January 1, 2018: Journal of International Medical Research
https://www.readbyqxmd.com/read/29512475/prevention-of-pharyngocutaneous-fistula-in-salvage-total-laryngectomy-role-of-the-pectoralis-major-flap-and-peri-operative-management
#15
P Sittitrai, C Srivanitchapoom, D Reunmakkaew
OBJECTIVE: This study aimed to evaluate the impact of an onlay pectoralis major flap in reducing the incidence of pharyngocutaneous fistula after salvage total laryngectomy and determine the complications of pectoralis major flap reconstruction. METHODS: A retrospective study was conducted of consecutive patients who underwent salvage total laryngectomy between 1995 and 2016. The pharyngeal defects were primarily closed with or without the pectoralis major flap...
March 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29497624/scleral-surgery-for-the-treatment-of-presbyopia-where-are-we-today
#16
REVIEW
AnnMarie Hipsley, Brad Hall, Karolinne M Rocha
Presbyopia corrections traditionally have been approached with attempts to exchange power, either at the cornea or the lens planes, inducing multifocality, or altering asphericity to impact the optical system. Treatments that affect the visual axis, such as spectacle and contact lens correction, refractive surgeries, corneal onlays and inlays, and intraocular lenses are typically unable to restore true accommodation to the presbyopic eye. Their aim is instead to enhance 'pseudoaccommodation' by facilitating an extended depth-of-focus for which vision is sufficient...
2018: Eye and Vision (London, England)
https://www.readbyqxmd.com/read/29493049/soft-tissue-augmentation-procedures-in-edentulous-esthetic-areas
#17
REVIEW
Matteo Marzadori, Martina Stefanini, Claudio Mazzotti, Sabrina Ganz, Praveen Sharma, Giovanni Zucchelli
Loss of dentition leads to functional and esthetic challenges that are determined by the anatomic features of the edentulous area. These features can complicate the prosthetic rehabilitation of such patients, especially in situations where optimal esthetic outcomes are desired. For these reasons, reconstructive plastic surgery procedures, aimed at restoring the alveolar ridge to its former dimensions, have become of great clinical interest. These reconstructive plastic surgery procedures frequently involve soft-tissue augmentation, performed to improve the quality and quantity of mucogingival tissue with the aim to achieve an ideal esthetic result...
March 1, 2018: Periodontology 2000
https://www.readbyqxmd.com/read/29492708/does-coagulopathy-anticoagulant-or-antithrombotic-therapy-matter-in-incisional-hernia-repair-data-from-the-herniamed-registry
#18
Ralph F Staerkle, Henry Hoffmann, Ferdinand Köckerling, Daniela Adolf, Reinhard Bittner, Philipp Kirchhoff
BACKGROUND: A considerable number of patients undergoing incisional hernia repair are on anticoagulant or antiplatelet therapy or have existing coagulopathy which may put them at higher risk for postoperative bleeding complications. Data about the optimal treatment of these patients are sparse. This analysis attempts to determine the rate of postoperative bleeding complications following incisional hernia repair and the consecutive rate of reoperation among patients with coagulopathy or receiving antiplatelet and anticoagulant therapy (higher risk group) compared to patients who do not have a higher risk (normal risk group)...
February 28, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29492611/what-is-the-best-glenoid-configuration-in-onlay-reverse-shoulder-arthroplasty
#19
Alexandre Lädermann, Patrick J Denard, Pascal Boileau, Alain Farron, Pierric Deransart, Gilles Walch
PURPOSE: The purpose of this study was to analyze the effect of different glenoid configurations on arm position and range of motion (ROM) following reverse shoulder arthroplasty (RSA). The hypothesis was that different glenoid configurations would lead to changes in humeral offset, acromio-humeral distance (AHD), ROM, and rotator cuff muscle length. METHODS: Using a three-dimensional (3D) computer model, implantation of an RSA was simulated with a 145° onlay humeral stem combined with five different glenoid configurations which varied in diameter and centre of rotation...
February 28, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29489570/adult-cranioplasty-reconstruction-with-customized-cranial-implants-preferred-technique-timing-and-biomaterials
#20
Amir Wolff, Gabriel F Santiago, Micah Belzberg, Charity Huggins, Michael Lim, Jon Weingart, William Anderson, Alex Coon, Judy Huang, Henry Brem, Chad Gordon
INTRODUCTION: Complex cranial defects requiring delayed reconstruction present numerous challenges. Delayed cranioplasties accompany frequent complications approaching an incidence of 35 to 40%. Therefore, the authors sought to collate their experience in hopes of sharing their perspective on several topics including technique, timing, and preferred biomaterials. METHODS: The authors' 5-year consecutive experience over 430 customized cranial implants is described herein...
February 27, 2018: Journal of Craniofacial Surgery
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