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https://www.readbyqxmd.com/read/29049168/sialocutaneous-fistula-to-the-external-auditory-canal-repaired-with-superficial-parotidectomy-and-temporoparietal-flap-a-case-report
#1
Benjamin D van der Woerd, Stephanie Danielle MacNeil
RATIONALE: Gustatory otorrhea can lead to cutaneous changes, recurrent infection, and social disruption. We present a case of a late, evolving sialocutaneous fistula to the external auditory canal, managed surgically after failing conservative therapies. This case is unique by late evolution, whereby the symptoms presented with significance 27 years after her operation and 19 years after mild symptoms initially arose. PATIENT CONCERNS: Gustatory, left-sided clear otorrhea with acutely increased volume over 8 months causing social disruption...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29024832/somatic-second-hit-mutation-of-rasa1-in-vascular-endothelial-cells-in-capillary-malformation-arteriovenous-malformation
#2
Philip E Lapinski, Abbas Doosti, Valerie Salato, Paula North, Patricia E Burrows, Philip D King
Capillary malformation-arteriovenous malformation (CM-AVM) is an autosomal dominant vascular disorder that is associated with inherited inactivating mutations of the RASA1 gene in the majority of cases. Characteristically, patients exhibit one or more focal cutaneous CM that may occur alone or together with AVM, arteriovenous fistulas or lymphatic vessel abnormalities. The focal nature and varying presentation of lesions has led to the hypothesis that somatic "second hit" inactivating mutations of RASA1 are necessary for disease development...
October 9, 2017: European Journal of Medical Genetics
https://www.readbyqxmd.com/read/28981186/the-use-of-singapore-flaps-for-vaginal-reconstruction-in-women-with-vaginal-stenosis-with-obstetric-fistula-a-surgical-technique
#3
Rachel J Pope, Rodger H Brown, Ennet Chipungu, Larry H Hollier, Jeffrey P Wilkinson
Gynecologic and plastic surgeons collaborate to improve vaginal reconstruction for women with vaginal stenosis and obstetric fistula. As these cases are typically in low-resource settings, the Singapore flap is a useful technique given its reliability, safety, ease of dissection, and minimal need for additional supplies. The fasciocutaneous flap maintains cutaneous innervation and vasculature and does not require stenting. The surgical collaboration has made it possible to provide functional vaginal reconstruction as a part of the overall care of obstetric fistula patients...
October 5, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28979632/-staphylococcal-toxic-shock-syndrome-at-a-chronic-hemodialysis
#4
Hassan Alaoui, Ayoub Belhadj, Younes Aissaoui, Rachid Seddiki, Mohamed Zoubir, Mohamed Bougalem
Staphylococcal toxic shock syndrome is an acute and systemic infectious syndrome associated with the super-antigenic activity of staphylococcal toxins. It is a pathology that is rather rare but remains burdened with a considerable mortality despite the therapeutic management. The gateway is usually cutaneous with secondary bacteremic spread could be subject to preventive measures. We report the case of a rapidly fatal staphylococcal toxic shock, developed in a chronic hemodialysis whose entry from the arteriovenous fistula was suspected...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28957324/broncho-pleuro-cutaneous-fistula-and-pneumothorax-rare-challenging-complications-of-chest-wall-eumycetoma
#5
Eiman Siddig Ahmed Saad, Ahmed Hassan Fahal
No abstract text is available yet for this article.
September 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28953152/secondary-maxillary-and-orbital-floor-reconstruction-with-a-free-scapular-flap-using-cutting-and-fixation-guides-created-by-computer-aided-design-computer-aided-manufacturing
#6
Daiki Morita, Toshiaki Numajiri, Shoko Tsujiko, Hiroko Nakamura, Ryo Yamochi, Yoshihiro Sowa, Makoto Yasuda, Shigeru Hirano
Computer-aided design/computer-aided manufacturing (CAD/CAM) guides are now widely used in maxillofacial reconstruction. However, there are few reports of CAD/CAM guides being used for scapular flaps. The authors performed the secondary maxillary and orbital floor reconstruction using a free latissimus dorsi muscle, cutaneous tissue, and scapular flap designed using CAD/CAM techniques in a 72-year-old man who had undergone partial maxillectomy four years previously. The patient had diplopia, the vertical dystopia of eye position, and a large oral-nasal-cutaneous fistula...
September 25, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28943212/modification-of-fasciocutaneous-radial-forearm-free-flap-to-achieve-two-layer-closure-during-reconstruction-of-circumferential-hypopharyngeal-defects
#7
M Abu-Serriah, S Loughran
Circumferential defects of the hypopharynx are a reconstructive challenge. Various local, regional and free flaps have been described with each having advantages and disadvantages in terms of functional outcomes. The fasciocutaneous radial forearm free flap (RFFF) is one of the most common free flaps used for reconstructing circumferential hypopharyngeal defects. The skin paddle is pliable and reasonably matches the native hypopharyngeal wall. It is easy to raise, has predictable vascular anatomy and a long pedicle...
September 21, 2017: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/28913323/cutaneous-basal-cell-carcinoma-arising-in-odontogenic-cutaneous-fistula
#8
Nam Gyun Kim, Jun Oh Kim, Young Ji Park, Jun Sik Kim, Yoon Jung Lee, Kyung Suk Lee
An odontogenic cutaneous fistula is a pathological communication between the outer skin surface of the face and the oral cavity. Facial cutaneous fistula is a complication of odontogenic infection that is often misdiagnosed with skin infection. We report a rare case, which was diagnosed as basal cell carcinoma based on the biopsy of skin lesions in the patient who had been diagnosed with odontogenic cutaneous fistula. A 64-year-old male patient presented with a cutaneous odontogenic fistula. The patient had undergone surgical extraction of fistula tract and loose tooth before dermatology or plastic surgery consultation...
June 2017: Arch Craniofac Surg
https://www.readbyqxmd.com/read/28913292/the-effect-of-botulinum-toxin-on-an-iatrogenic-sialo-cutaneous-fistula
#9
Seung Eun Hong, Jung Woo Kwon, So Ra Kang, Bo Young Park
A sialo-cutaneous fistula is a communication between the skin and a salivary gland or duct discharging saliva. Trauma and iatrogenic complications are the most common causes of this condition. Treatments include aspiration, compression, and the administration of systemic anticholinergics; however, their effects are transient and unsatisfactory in most cases. We had a case of a patient who developed an iatrogenic sialo-cutaneous fistula after wide excision of squamous cell carcinoma in the parotid region that was not treated with conventional management, but instead completely resolved with the injection of botulinum toxin...
December 2016: Arch Craniofac Surg
https://www.readbyqxmd.com/read/28911880/pelvic-exenteration-for-gynecologic-malignancies-postoperative-complications-and-oncologic-outcomes
#10
A Romeo, M I Gonzalez, J Jaunarena, M E Zubieta, G Favre, J C Tejerizo
INTRODUCTION AND OBJECTIVE: To evaluate complications, morbidity and oncologic outcomes of pelvic exenteration as treatment for gynecologic malignancies. MATERIALS AND METHODS: Between 2008 and 2015, a total of 35 patients underwent pelvic exenteration, due to recurrence of gynecological cancer. Surgical outcomes, early and late postoperative complications, and recurrence/survival outcomes were assessed. RESULTS: Mean patient age was 53.8 years...
September 11, 2017: Actas Urologicas Españolas
https://www.readbyqxmd.com/read/28902296/an-unusual-case-of-bacillary-angiomatosis-in-the-oral-cavity-of-an-aids-patient-who-had-no-concomitant-tegumentary-lesions-case-report-and-review
#11
Walter de Araujo Eyer-Silva, Pedro Eugênio Mendes Arena Soares, Marcelo Costa Velho Mendes de Azevedo, Guilherme Almeida Rosa da Silva, Dario José Hart Pontes Signorini, Rogerio Neves-Motta, Jorge Francisco da Cunha Pinto, Lívia Machado Moura, Rodrigo Panno Basílio-de-Oliveira, Luciana Ferreira de Araujo, Alexsandra Rodrigues de Mendonça Favacho, Elba Regina Sampaio Lemos
Bacillary angiomatosis (BA) is an angioproliferative disease of immunocompromised patients that usually presents as vascular tumors in the skin and subcutaneous tissues. It is caused by chronic infections with either Bartonella henselae or B. quintana. Oral cavity BA is exceedingly rare and even rarer without simultaneous cutaneous disease. We report herein the case of a 51-year-old HIV-infected man who presented severe odynophagia and an eroded lesion on the hard palate that progressed to an oronasal fistula...
August 24, 2017: Revista do Instituto de Medicina Tropical de São Paulo
https://www.readbyqxmd.com/read/28868317/aorto-cutaneous-fistula-and-false-aneurysm-of-the-ascending-aorta-five-years-after-its-prosthetic-replacement-for-stanford-type-a-acute-aortic-dissection
#12
Pierre Demondion, Dorian Verscheure, Pascal Leprince
Aorto-cutaneous fistula and false aneurysm of the ascending aorta in patients who previously underwent Stanford Type A acute aortic dissection are rare and severe complications. Surgical correction remains a demanding challenge. In a case of false aneurysm rupture during redo sternotomy, selective cannulation of the right axillary and left carotid arteries allowed an efficient method of cerebral perfusion.
April 2017: Aorta (Stamford, Conn.)
https://www.readbyqxmd.com/read/28868201/never-say-never-again-a-bone-graft-infection-due-to-a-hornet-sting-thirty-nine-years-after-cranioplasty
#13
Rosario Maugeri, Roberto G Giammalva, Francesca Graziano, Luigi Basile, Carlo Gulì, Antonella Giugno, Domenico G Iacopino
BACKGROUND: Cranioplasty (CP) is a widespread surgical procedure aimed to restore skull integrity and physiological cerebral hemodynamics, to improve neurological functions and to protect the underlying brain after a life-saving decompressive craniectomy (DC). Nevertheless, CP is still burdened by surgical complications, among which early or late graft infections are the most common outcome-threatening ones. CASE DESCRIPTION: We report the case of 48-year-old man admitted to our neurosurgical unit because of a painful right frontal swelling and 1-week purulent discharge from a cutaneous fistula...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28859892/fistulous-complications-following-radical-cystectomy-for-bladder-cancer-analysis-of-a-large-modern-cohort
#14
Zachary L Smith, Scott C Johnson, Shay Golan, J Riley McGinnis, Gary D Steinberg, Norm D Smith
PURPOSE: Fistula formation is a rare and poorly described complication following radical cystectomy with urinary diversion. We sought to identify patients who experienced any type of fistulous complication and analyze the risk factors for formation as well as management outcomes. MATERIALS AND METHODS: We performed a retrospective review of patients who underwent radical cystectomy for bladder cancer at our institution. Patients who experienced any fistula were identified...
August 28, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28846952/mesh-erosion-to-urinary-bladder-causing-fistulation-to-abdominal-wall-resulting-in-necrotizing-fasciitis-a-case-report-of-late-complication-of-incisional-hernia
#15
Amy S Y Kok, Tommy S H Cheung, Dennis C T Lam, Wilson H C Chan, Sharon W W Chan, T L Chow
INTRODUCTION: Incisional hernia is not an uncommon complication after abdominal operation, and laparoscopic ventral hernia repair with mesh is commonly performed nowadays. It is thought to have less complication compare to the traditional open repair, yet late complication is still observed occasionally and can be disastrous. CASE REPORT: We hereby report a case of abdominal wall necrotizing fasciitis 21 months after laparoscopic incisional hernia repair in lower midline with dual mesh, due to mesh migration and erosion into urinary bladder, resulting in fistulation between bladder and abdominal wall...
August 18, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28789936/buck-s-fascia-repair-with-glanuloplasty-in-hypospadias-surgery-a-simple-approach-with-excellent-outcome
#16
Aejaz Ahsan Baba, Sajad Ahmad Wani, Nisar Ahmad Bhat, Gowhar Nazir Mufti, Tariq Nazir Lone, Shaista Nazir
BACKGROUND: Hypospadias is a common problem encountered in surgical practice and its repair is challenging because of various complications. Urethro-cutaneous fistula is the most common postoperative complication (incidence of 0-33%). Different types of intermediate protective layers have been used in attempts to decrease UCF formation; however, no single surgical technique is ideal. OBJECTIVE: The aim of this study was to compare use of dartos fascia and Buck's fascia as intermediate layers in prevention of the formation of UCF...
July 16, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28730721/ephb4-mutation-implicated-in-capillary-malformation-arteriovenous-malformation-syndrome-a-case-report
#17
JiaDe Yu, Jenna L Streicher, Livija Medne, Ian D Krantz, Albert C Yan
Capillary malformation-arteriovenous malformation (CM-AVM) syndrome, due to inactivating mutations in RASA1 in 68% of cases, is characterized by the development of cutaneous capillary malformations and arteriovenous malformations or fistulas; no known genetic etiology has been identified in patients with CM-AVM syndrome without RASA1 mutations. We present the case of a child with RASA1-negative CM-AVM syndrome with a de novo missense mutation in EPHB4, a transmembrane tyrosine kinase receptor essential for vasculogenesis...
July 21, 2017: Pediatric Dermatology
https://www.readbyqxmd.com/read/28697152/transcutaneous-endoscopic-necrosectomy-for-walled-off-pancreatic-necrosis-in-the-paracolic-gutter
#18
Monica Saumoy, Nikhil A Kumta, Amy Tyberg, Elizabeth Brown, Micheal D Lieberman, Soumitra R Eachempati, Ronald S Winokur, Monica Gaidhane, Reem Z Sharaiha, Michel Kahaleh
BACKGROUND: Walled-off pancreatic necrosis (WON) is a sequelae of acute pancreatitis that requires debridement, once infected. Recently, endoscopic necrosectomy has become the mainstay for management. However, peripancreatic collections that extend to the paracolic gutter or lesser sac, are more challenging to treat endoscopically. We report an endoscopic method for management of necrotic collections that extend into the paracolic gutter. METHODS: Consecutive patients, with symptomatic WON extending into the retroperitoneum, were included in a prospective registry...
July 10, 2017: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/28689779/urinary-cutaneous-fistulae-following-conservative-management-of-extraperitoneal-bladder-ruptures
#19
Niels V Johnsen, Rachel Sosland, Melissa R Kaufman, Oscar D Guillamondegui, Roger R Dmochowski
OBJECTIVE: To evaluate our experience with urinary-cutaneous fistulae (UCFs) in patients following conservative management of extraperitoneal bladder ruptures (EBRs) caused by blunt trauma. MATERIALS AND METHODS: Patients with blunt-trauma related EBR who underwent primary management with urethral catheter drainage alone from 2000 to 2015 were identified in our institutional trauma registry. The demographics, the hospital courses, and the outcomes of patients who developed UCF were analyzed...
July 6, 2017: Urology
https://www.readbyqxmd.com/read/28617876/cholecysto-cutaneous-fistula-in-a-patient-with-biliary-lithiasis
#20
Victor Stoica, Vasile Lungu, Carmen M Preda, Gabriel Constantinescu, Anca Hurduc, Mircea Diculescu
No abstract text is available yet for this article.
June 2017: Journal of Gastrointestinal and Liver Diseases: JGLD
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