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https://www.readbyqxmd.com/read/29218287/use-of-forehead-flap-for-nasal-tip-reconstruction-after-traumatic-nasal-amputation
#1
Mohamad Ahmadi Moghadam, Shokofeh Ahmadi Moghadam
Nose is one of the most important aesthetic unit of the face.Management of nasal trauma plays a significant role in the practices of the majority of facial and reconstructive surgeons. Replantation, although technically very challenging, is undoubtedly the procedure of choice following traumatic nasal amputation. Here we present an illustrative case report of the traumatic amputation of a nasal tip that was treated successfully with a paramedian forehead flap and further nasal reconstructive surgery. Use of the forehead flap was performed five hours after the occurrence of trauma and was followed by surgical repair about three weeks later...
September 2017: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/29212087/knowledge-and-socio-demographic-determinants-of-emergency-management-of-dental-avulsion-among-parents-in-kuwait-a-cross-sectional-study
#2
Lolwa Alyahya, Sarah Alkandari, Saitah Alajmi, Asma Alyahya
<br>Objectives: To evaluate the parent's knowledge of first aid measures of a permanent tooth avulsion among parents in Kuwait and to assess the effect of different sociodemographic characteristics. <br> Materials (Subjects) and Methods<br>Materials and Methods: A cross-sectional study was conducted among 554 parents who visited five dental specialty centers in Kuwait. Participants' sociodemographic data and responses to avulsion management questions were collected through a self-administered questionnaire...
December 6, 2017: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/29211133/a-12-year-retrospective-study-of-avulsion-cases-in-a-public-brazilian-dental-trauma-service
#3
Gabriela Campos Mesquita, Priscilla Barbosa Ferreira Soares, Camilla Christian Gomes Moura, Marina Guimarães Roscoe, Saul Martins Paiva, Carlos José Soares
This study assessed the epidemiological characteristics and management of the permanent teeth avulsion cases attended in a Brazilian dental trauma service from December 2005 to August 2016. A retrospective study was conducted of case records of 93 patients involving 139 avulsed teeth. Data included sex, age, trauma etiology, location of the accident, number and position of avulsed teeth, and presence and type of associated traumatic lesions. Management of the avulsed teeth was addressed as: time elapsed until teeth were retrieved from the accident's location; teeth's cleaning method and storage media; time elapsed until seeking treatment and replantation...
November 2017: Brazilian Dental Journal
https://www.readbyqxmd.com/read/29209634/the-vilkki-procedure-as-an-emergency-treatment-in-an-apocalyptical-hand-injury-a-case-report-and-first-description
#4
Dominique Merky, Katarina Wishart, Urs Hug, Elmar Fritsche
We describe a young man who suffered a severe mutilating injury of the hand and forearm while working as a cheesemaker. He underwent a complex reconstruction of his right adominant hand including a heterotopic thumb replantation into the distal radius and combined with an emergency flow-through anterolateral thigh flap.
2017: Case Reports in Plastic Surgery & Hand Surgery
https://www.readbyqxmd.com/read/29199771/cling-film-as-storage-medium-for-avulsed-teeth-an-in-vitro-pilot-study
#5
Anja Zeissler-Lajtman, Thomas Connert, Sebastian Kühl, Andreas Filippi
The long-term prognosis of avulsed teeth primarily depends on the behavior at the scene of the accident. Lay people are not able to perform an immediate replantation. Therefore, particular significance belongs to the cellphysiologic storage of avulsed teeth. The aim of this pilot study was to evaluate whether cling film facilitates the survival of periodontal ligament cells in vitro. For this purpose, healthy human third molars were used. They were cut into root slices, which were stored in one of five test media: SOS Zahnbox ® , UHT milk (4 °C), sterile isotonic saline solution, tap water, and cling film...
2017: Swiss Dental Journal
https://www.readbyqxmd.com/read/29175425/modelling-the-effects-of-cutting-off-infected-branches-and-replanting-on-fire-blight-transmission-using-filippov-systems
#6
Can Chen, Chentong Li, Yanmei Kang
Fire blight is one of the most devastating plant diseases in the world. This paper proposes a Filippov fire-blight model incorporating cutting off infected branches and replanting susceptible trees. The Filippov-type model is formulated by considering that no control strategy is taken if the number of infected trees is less than an infected threshold level Ic; further, we cut off infected branches once the number of infected trees exceeds Ic; meanwhile, we replant trees if the number of susceptible trees is less than a susceptible threshold level Sc...
November 22, 2017: Journal of Theoretical Biology
https://www.readbyqxmd.com/read/29164757/considerations-in-fertility-preservation-in-cases-of-genital-trauma
#7
B Z Starmer, A Baird, M A Lucky
OBJECTIVE: To perform a review of the literature to assess the options of preserving fertility in patients with fertility threatening testicular injuries and their efficacy to help guide surgeons who encounter these patients in the future. METHODS: Medline, EMBASE and Cochrane library databases were searched using the keywords treatment, therapy, management, scrotal trauma / injury, testicular trauma / injury / amputation, fertility and fertility preservation Inclusion criteria: studies reporting the fertility preserving techniques with a history of testicular trauma with loss of one, both or nearly all testicular parenchymal tissue RESULTS: Two cases of testicular sperm extraction, eight cases of testicular replantation, and one case of cryopreservation after injury were identified...
November 22, 2017: BJU International
https://www.readbyqxmd.com/read/29164182/replantation-of-an-avulsed-tooth-after-one-day-of-storage-in-adverse-extraoral-dry-conditions-acceptable-outcome-after-a-10-year-follow-up
#8
Lluís Brunet-Llobet, Eduard Lahor-Soler, Jaume Miranda-Rius
This article reports a clinical case of a 10-year-old boy who sustained an avulsion of the maxillary right central incisor. The avulsed tooth was kept in adverse extraoral dry conditions for 26 hours from the moment of trauma until its replantation. Treatment guidelines for avulsed mature permanent teeth with closed apex were only partially followed. However, the clinical and radiographic findings after 10 years revealed acceptable functional outcome, in spite of ankylosis and root resorption of the replanted tooth, which was eventually treated cosmetically...
November 21, 2017: Quintessence International
https://www.readbyqxmd.com/read/29142863/rabbit-submandibular-salivary-gland-replantation
#9
Akram A Almansoori, Namuun Khentii, Wei-Hong Hei, Nari Seo, Sung-Ho Lee, Soung Min Kim, Jong Ho Lee
Objectives: To test the feasibility of submandibular salivary gland (SMG) replantation techniques and the survival of the replanted glands. Such a study can provide a rationale for later allotransplantation procedures, along with implementation of conventional and advanced immunosuppression therapy. Materials and Methods: Six SMG replantations were performed in New Zealand white rabbits. One week postoperatively, (99m)Tc scintigraphy was performed and the uptake ratio and salivary excretion fraction were calculated...
October 2017: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/29140906/nose-and-lips-graft-variants-a-subunit-anatomical-study
#10
Jérôme Duisit, Louis Maistriaux, Alexander Gerdom, Martial Vergauwen, Pierre Gianello, Catherine Behets, Benoît Lengelé
BACKGROUND: In the field of Vascularized Composite tissue Allotransplantation (VCA), the surgical design of facial subunit grafts is an evolving concept. The purpose of the present paper is to study the possibilities to divide the historical nose and lips face transplant into several morphological and functional subunit grafts, depending on their respective supply. METHODS: Our study was conducted in 20 adult cadavers. The facial artery and its branches were dissected bilaterally in 16 fresh and 4 embalmed heads...
November 11, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29123895/microsurgical-replantation-of-an-amputated-ear
#11
Tomoya Sato, Shigeru Ichioka
We report a case of successful microsurgical reattachment of an amputated ear. Microsurgical reattachment should be considered whenever possible.
July 2017: Acute Medicine & Surgery
https://www.readbyqxmd.com/read/29117833/management-of-the-pediatric-patient-following-upper-extremity-replantation-or-revascularization-a-suggested-protocol
#12
Alec Sundet, Kyros Ipaktchi, Claudia Kunrath, Rodrigo N Banegas
BACKGROUND: Traumatic pediatric amputations of the hand and upper extremity can have long-term financial, psychological, developmental, and functional consequences that readily extend beyond the realm of that which is normally encountered in comparatively injured adults. These factors, along with a paucity of medical comorbidities, have guided a more liberal and aggressive approach to treating pediatric amputations in hopes of optimizing psychosocial, aesthetic, and developmental outcomes...
December 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29117830/in-vitro-evaluation-of-human-hand-tendon-ingrowth-into-a-synthetic-scaffold
#13
Shalimar Abdullah, Fadzlina Mohtar, Nordashima Abdul Shukor, Jamari Sapuan
BACKGROUND: Synthetic scaffold has been used for tissue approximation and reconstructing damaged and torn ligaments. This study explores the ability of tendon ingrowth into a synthetic scaffold in vitro, evaluate growth characteristics, morphology and deposition of collagen matrix into a synthetic scaffold. METHODS: Upper limb tendons were harvested with consent from patients with crush injuries and non-replantable amputations. These tendons (both extensor and flexor) measuring 1 cm are sutured to either side of a 0...
December 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29100662/management-of-partial-fingertip-amputation-in-adults-operative-and-non-operative-treatment
#14
REVIEW
Kunal Sindhu, Steven F DeFroda, Andrew P Harris, Joseph A Gil
BACKGROUND: Hand and finger injuries account for approximately 4.8 million visits to emergency departments each year. These injuries can cause a great deal of distress for both patients and providers and are often initially encountered in urgent care clinics, community hospitals, and level one trauma centers. Tip amputation injuries vary widely in mechanism, ranging from sharp lacerations to crush injuries that present with varying degrees of contamination. The severity of damage to soft tissue, bone, arteries and nerves is dependent upon the mechanism and guides treatment decision-making...
October 31, 2017: Injury
https://www.readbyqxmd.com/read/29076329/multiple-venous-anastomoses-decrease-the-need-for-intensive-postoperative-management-in-tamai-zone-i-replantations
#15
Deok Hyeon Ryu, Si Young Roh, Jin Soo Kim, Dong Chul Lee, Kyung Jin Lee
Background: Venous anastomosis is an important component of digital replantation but is not always feasible in all cases, which can require external bleeding to prevent or treat venous congested in the replanted tissue. Our study evaluates the relationship between number of vein anastomosis and survival rate for Tamai zone I replantations. Methods: A retrospective review was performed for all patients who received replantation of fingertip amputation between 2014 and 2016...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076317/salvage-of-unilateral-complete-ear-amputation-with-continuous-local-hyperbaric-oxygen-platelet-rich-plasma-and-polydeoxyribonucleotide-without-micro-revascularization
#16
Sang Keon Lee, Yoon Min Lim, Dae Hyun Lew, Seung Yong Song
In many cases of complete ear amputation, microvascular surgery is required for tissue perfusion and organ survival. However, microvascular reconstruction is not always feasible in the absence of suitable vessels. Here, we present the case of a 76-year-old man who underwent complete amputation of the left ear after a collapse at home because of cardiogenic syncope. He was treated with primary replantation and underwent a postoperative salvage course including continuous local hyperbaric oxygen therapy (HBOT), platelet-rich plasma (PRP) injections, and polydeoxyribonucleotide (PDRN) injections...
November 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29066648/vascular-consideration-in-repair-of-total-scalp-avulsion
#17
Jun Karibe, Toshiharu Minabe
Successful total scalp replantation was performed in our case. Based on the angiosome concept and anatomical study, the avulsed scalp survived with unilateral anastomosis of the superficial temporal artery and superficial temporal vein, largely due to the presence of rich arterial and venous arcades in the scalp. The patient currently has no problems with activities of daily living, although total hypoaesthesia and dysfunction of the left frontal muscle of the forehead are present. In addition, the combined findings of hair growth pattern indicated the vascular territories of the scalp skin...
October 24, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29062672/successful-second-microsurgical-replantation-for-amputated-penis
#18
Masahide Fujiki, Mine Ozaki, Akiko Kai, Akihiko Takushima, Kiyonori Harii
Penile amputation is a rare emergency, but the best method for its repair is required due to the organ's functional and societal role. Since the first successful microsurgical replantation of the amputated penis, microsurgical techniques have matured and become the standard treatment for the penile replantation. However, the successful second microsurgical replantation for amputated penis has been rarely reported. We present the case of a 40-year-old man with schizophrenia who had a past history of penile self-mutilation and successful replantation at another hospital 2 years ago...
September 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29062662/hyperbaric-oxygen-inhibits-reperfusion-induced-neutrophil-polarization-and-adhesion-via-plasmin-mediated-vegf-release
#19
Ashish Francis, Shawna R Kleban, Linda L Stephenson, Patrick S Murphy, Peter R Letourneau, Xin-Hua Fang, Wei Z Wang, Richard C Baynosa
BACKGROUND: Ischemia-reperfusion (IR) injury is seen in many settings such as free flap salvage and limb replantation/revascularization. The consequences-partial/total flap loss, functional muscle loss, or amputation-can be devastating. Of the treatment options available for IR injury, hyperbaric oxygen (HBO) is the most beneficial. HBO inhibits neutrophil-endothelial adhesion through interference of CD18 neutrophil polarization in IR, a process mediated by nitric oxide. The purposes of this study were to examine the involvement of vascular endothelial growth factor (VEGF) in the beneficial HBO effect on CD18 polarization and neutrophil adhesion and investigate the effect of plasmin on VEGF expression in skeletal muscle following IR injury...
September 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29061358/a-systematic-review-of-the-survival-of-teeth-intentionally-replanted-with-a-modern-technique-and-cost-effectiveness-compared-with-single-tooth-implants
#20
REVIEW
Anshul Mainkar
INTRODUCTION: The aim of this study was to investigate the survival rate of teeth intentionally replanted with a modern technique and to compare their cost-effectiveness with that of single-tooth implants. MATERIALS AND METHODS: Four databases were systematically searched for articles that met inclusion criteria published between January 1966 and February 2017. Overall survival rate of intentional replantation was determined through a meta-analysis using a random-effects model...
October 20, 2017: Journal of Endodontics
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