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https://www.readbyqxmd.com/read/29114294/evisceration-of-brain-an-unusual-case-report-of-bear-mauling-from-eastern-india
#1
Bikash Ranjan Behera, Sanjib Mishra, Deepak Das, Rajesh Gantayat
Even if human beings are the most intelligent among all living beings, they are still not immune to attack from wild animals. Human contact with bears has become more frequent as their habitat is being endangered by frequent deforestation. The sloth bear is one of the few bear species found in India, especially in the hilly areas of Southern Odisha. Bears are highly intelligent and omnivorous animals with long claws coupled with powerful shoulder. Here, we describe the tale of a poor tribal male's encounter with a sloth bear resulting in critical injuries to face, scalp, skull bone, with brain matter fungating-out of the skull...
October 2017: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29098278/cranioplasty-using-a-mixture-of-biologic-and-nonbiologic-agents
#2
Demetri Arnaoutakis, Arash Bahrami, Jason E Cohn, Jesse E Smith
Importance: A surgeon faces challenges with cranioplasty techniques to achieve a successful result with relatively few complications. Objective: To describe a unique technique for incorporating both biologic autologous bone and nonbiologic allograft materials for defect coverage in cranioplasty with favorable outcomes and low occurrence of complications. Design, Setting, and Participants: A retrospective medical records review of all 26 patients who underwent primary cranioplasty procedure with a modified technique between January 2011 and December 2015 at a high-volume head and neck oncologic reconstructive practice was conducted; data analysis was also performed during that period...
November 2, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29090197/surgical-management-of-localized-scleroderma
#3
Jae Hyun Lee, Soo Yeon Lim, Jang Hyun Lee, Hee Chang Ahn
BACKGROUND: Localized scleroderma is characterized by a thickening of the skin from excessive collagen deposits. It is not a fatal disease, but quality of life can be adversely affected due to changes in skin appearance, joint contractures, and, rarely, serious deformities of the face and extremities. We present six cases of localized scleroderma in face from our surgical practice. METHODS: We reviewed six localized scleroderma cases that were initially treated with medication and then received follow-up surgery between April 2003 and February 2015...
September 2017: Arch Craniofac Surg
https://www.readbyqxmd.com/read/29077679/revisiting-the-skin-lines-on-the-forehead-and-glabellar-area
#4
Kun Hwang
This paper attempted to revisit the skin lines in forehead and glabellar area.Using PubMed, Scopus, and Google, papers describing skin tension lines of face were searched. Papers with illustrations or pictures of the facial lines were selected and reviewed. The studies of the skin lines in the forehead and glabellar area were analyzed.Langer used the term "cleavage of the cutis, anatomical lines." Over the forehead, he found a border zone of horizontal folds that were interrupted many times by the ascending folds coming from the flabella area...
October 26, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29076325/a-shark-attack-treated-in-a-tertiary-care-centre-case-report-and-review-of-the-literature
#5
Melissa Roy, Mathew Plant, Laura Snell
Although uncommon, shark attacks can lead to devastating outcomes for victims. Surgeons also face unique challenges during operative management such as exsanguination, shock, specific injury patterns and infections. This case report presents the management of a 39-year-old previously healthy female attacked by a shark while on vacation in Mexico. The patient sustained severe injuries to her left arm and her left thigh. She was transferred to a Canadian institution after ambiguous operative management in Mexico and presented with no clear antibiotic coverage and a Volkman's contracture of the left upper extremity...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076324/innovation-in-the-planning-of-v-y-rotation-advancement-flaps-a-template-for-flap-design
#6
Utku C Dölen, Uğur Koçer
Local flaps exhibit excellent color matching that no other type of flap can compete with. Moreover, surgery using a local flap is easier and faster than surgery using a distant or free flap. However, local flaps can be much more difficult to design. We designed 2 templates to plan a V-Y rotation advancement flap. The template for a unilateral V-Y rotation advancement flap was used on the face (n=5), anterior tibia (n=1), posterior axilla (n=1), ischium (n=1), and trochanter (n=2). The template for a bilateral flap was used on the sacrum (n=8), arm (n=1), and anterior tibia (n=1)...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29074443/posterior-belly-of-digastric-muscle-flap-for-contour-deformity-correction-after-superficial-parotidectomy
#7
A Rai, A Jain, M Khan
The correction of the contour deformity after parotidectomy has become an essential procedure in the recent times for the betterment of patients' quality of life. Various modalities have been highlighted in the literature for the same. We recommend the use of posterior belly of digastric muscle flap for correction of contour deformity post excision of parotid gland tumors, subsequently ameliorating the aesthetics of the face.
October 23, 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29068937/three-dimensional-computer-assisted-two-layer-elastic-models-of-the-face
#8
Koichi Ueda, Yuka Shigemura, Yuki Otsuki, Asuka Fuse, Daisuke Mitsuno
To make three-dimensional computer-assisted elastic models for the face, we decided on five requirements: (1) an elastic texture like skin and subcutaneous tissue; (2) the ability to take pen marking for incisions; (3) the ability to be cut with a surgical knife; (4) the ability to keep stitches in place for a long time; and (5) a layered structure. After testing many elastic solvents, we have made realistic three-dimensional computer-assisted two-layer elastic models of the face and cleft lip from the computed tomographic and magnetic resonance imaging stereolithographic data...
November 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29068454/structure-and-dynamics-of-heterometallic-clusters-derived-from-addition-of-metal-carbonyl-fragments-to-the-unsaturated-hydride-w2cp2-%C3%AE-h-%C3%AE-pph2-no-2
#9
M Angeles Alvarez, M Esther García, Daniel García-Vivó, Miguel A Ruiz, Adrián Toyos
The title complex reacted with [Fe2(CO)9] to give the trinuclear derivative [FeW2Cp2(μ-H)(μ-PPh2)(CO)4(NO)2] (W-W = 3.044(1) Å) as a result of full insertion of the 16-electron Fe(CO)4 fragment into the tricentric W-H-W bond of the parent substrate. In contrast, the reactions with the THF adducts [M(CO)5(THF)] (M = W, Mo) and [MnCp'(CO)2(THF)] (Cp' = C5H4Me) yielded the μ3-hydride derivatives [MW2Cp2(μ3-H)(μ-PPh2)(CO)5(NO)2] (W-W = 3.006(1) to 3.164(1) Å for the W3 compound) and [MnW2Cp2Cp'(μ3-H)(μ-PPh2)(CO)2(NO)2] respectively, all of them resulting from addition (rather than insertion) of the corresponding 16-electron fragment to the W2H moiety of the parent compound...
November 14, 2017: Dalton Transactions: An International Journal of Inorganic Chemistry
https://www.readbyqxmd.com/read/29051400/how-to-eliminate-bilateral-cleft-lip-stigmata-30-year-experience
#10
Patricia Cecchi, Maria Ida Rizzo, Oriana Rajabtork Zadeh, Daria Bucci, Mario Zama
PURPOSE: To report a surgical algorithm for the treatment of bilateral cleft lip stigmata. METHODS: The investigators designs a retrospective study composed of patients with bilateral cleft lip stigmata. The surgical approach is on the basis of the severity of the deformity and of course the age of the patient. It consists in Simple scar revision with orbicularis muscle synthesis; Two dermal flaps tunneled in the central vermilion; Abbe flap. The investigators analyzes early and late complications, and performs the evaluation of the cosmetic appearance by a parent or patient himself/herself, a surgeon and a blinded third party observer...
2017: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29045320/autologous-lens-capsular-flap-transplantation-combined-with-autologous-blood-application-in-the-management-of-refractory-macular-hole
#11
Jie Peng, Chunli Chen, Haiying Jin, Hongtao Zhang, Peiquan Zhao
PURPOSE: To report results of lens capsular flap transplantation (LCFT) and autologous whole blood application in refractory macular hole (MH) treatment. METHODS: Seven phakic and three aphakic eyes with persistent MH after standard surgery with internal limiting membrane peeling were studied. Lens capsule flap was acquired from the same eye in eight cases (seven phakic and one aphakic). The fellow eye was used in two aphakic eyes without sufficient lens capsule...
October 17, 2017: Retina
https://www.readbyqxmd.com/read/29044539/cervicofacial-facial-artery-myocutaneous-flap-c-fam-flap-a-novel-flap-in-oral-cavity-reconstruction
#12
Chandrasekhara Rao S L M, Nusrath Syed, Hemantkumar O Nemade, Jonathan Gondi T, Krantikumar Gangiti, Subramanyeshwar Rao T
BACKGROUND: Reconstruction is an integral part of the surgical management of oral cancer. Local flaps are one of the options in reconstruction of small to moderate sized defects of oral cavity. Reconstruction is an integral part of the surgical management of oral cancer. Every defect needs to be assessed individually to tailor made the reconstruction because of its multidimensionality and complexity. Varieties of autologous tissues are being used in reconstruction like local, regional, or free flaps which can be simple or complex tissues...
October 16, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29035774/facial-dog-bite-injuries-in-children-a-case-report
#13
Alessandro Leite Cavalcanti, Edgleys Porto, Bruno Ferreira Dos Santos, Christiane Leite Cavalcanti, Alidianne Fábia Cabral Cavalcanti
INTRODUCTION: Dog bites are common and can affect victims of different ages, from children to the elderly. Injuries are usually located in different body regions, including head and face. The treatment of choice for injuries is the suture of the lesion, accompanied by antibiotic therapy and tetanus and anti-rabies vaccination. PRESENTATION OF CASE: An 11-year-old male black patient was admitted to the Surgery and Maxillo-Facial Traumatology Service, on an urgent basis, victim of domestic animal aggression (dog biting)...
October 10, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29031526/the-temporal-artery-island-flap-a-good-reconstructive-option-for-small-to-medium-sized-facial-defects
#14
Said Algan, Murat Kara, Hakan Cinal, Ensar Zafer Barin, Akin Inaloz, Onder Tan
PURPOSE: The reconstruction of facial defects is esthetically vital because of the unique skin color and texture of the face. The aim of this study was to show the utility of different temporal artery island flap designs for the reconstruction of upper and middle facial defects without contrast to the color and texture of the face. MATERIALS AND METHODS: This study is a retrospective case series conducted from November 2004 through May 2015. Patients older than 18 years with upper and middle facial defects smaller than 5 cm were included...
September 19, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29027115/correlation-between-mri-and-hip-arthroscopy-in-children-with-legg-calve-perthes-disease
#15
V Tiwari, S Gamanagatti, R Mittal, H Nag, S A Khan
BACKGROUND: Most of the information available about Legg-Calve-Perthes disease (LCPD) at present is gained through imaging modalities including plain radiographs and magnetic resonance imaging (MRI). But the accuracy of MRI in this disease and its predictive value to reveal various intra-articular pathologies is not known. We correlated the findings of MRI with those seen on hip arthroscopy in children with active stage of LCPD. METHODS: We conducted a prospective observational study in which MRI findings were correlated with corresponding findings on hip arthroscopy in a cohort of 25 patients of active LCPD below 12 years of age...
October 12, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29021728/olympic-torch-flap-one-stop-option-for-simultaneous-brow-upper-and-lower-lid-reconstruction-in-post-burn-patients
#16
M Vathulya, D Chattopadhyay, K Koyama
Facial units reconstruction in a post burn patient poses tough challenges. Simultaneous brow and lid reconstruction is one of them. This article presents a 45-year-old epileptic male with burn of complete face. The task of reconstructing the brow, upper and lower lids was successfully accomplished using a modification of the Guyuron postauricular fasciocutaneous flap, after initial grafting and radial forearm flap reconstruction of forehead and other parts of the face. The article gives a single-stop solution for simultaneous reconstruction of brow and lids using a random pattern extension of the traditional postauricular flap, thus proving the excellent vascularity and hence durability of the flap in spite of a 180 degrees change in the orientation of the flap with respect to the axis...
June 30, 2017: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28993905/large-semicircular-inverted-internal-limiting-membrane-flap-in-the-treatment-of-macular-hole-in-high-myopia
#17
San-Ni Chen
PURPOSE: To describe the technique and surgical outcomes of a modified large semicircular inverted internal limiting membrane (ILM) flap in the management of macular holes (MHs) in patients with high myopia. METHODS: We performed this retrospective study on consecutive patients with MH and high myopia (axial length ≥ 28 mm),who received vitrectomy, a large semicircular ILM flap 4 discs in diameter to cover the MH, incomplete air-fluid exchange, and SF6 gas tamponade...
October 10, 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/28989235/a-new-treatment-for-reliable-functional-and-esthetic-outcome-after-local-facial-flap-reconstruction-a-transparent-polycarbonate-facial-mask-with-silicone-sheeting
#18
Sander B Kant, Patrick I Ferdinandus, Eric Van den Kerckhove, Carlo Colla, René R W J Van der Hulst, Andrzej A Piatkowski de Grzymala, Stefania M H Tuinder
BACKGROUND: Facial flap surgery predominantly leads to good functional results. However, in some cases, it can cause unsatisfactory esthetic results. They include persistent erythema, pincushioning, and development of hypertrophic scars. Conservative, reliable treatment for facial flaps is lacking. Pressure and silicone therapy have proven to result in significant improvement in scar erythema, pliability, and thickness in postburn hypertrophic scars. By combining these therapies in a facial mask, the esthetic outcome of facial flaps could be improved...
2017: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/28979640/-zitelli-bilobed-flap-for-the-reconstruction-of-the-nasal-pyramid-after-excision-of-basal-cell-carcinoma-bcc
#19
Karim Bourra, Samir Mazouz
We report the case of a 65-year old patient presenting with well-defined nodular basal cell carcinom measuring 5mm in diameter in the right paramedian nasal tip and the superior margin of the nasal wing, near the free edge. The tumor was removed, with resection margin of 1mm. It was associated with multiple hyperkeratotic lesions spread across his face. The patient was a farmer with a past history of massive sun exposure. He lived in rural, mountainous and remote regions. The nasal tumor had evolved very slowly and very gradually in volume...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28968321/postradiotherapy-prosthetic-management-of-mandible-reconstructed-with-fibular-graft
#20
Pankaj Kharade, Kanchan Dholam, Pravin Bhirangi
Intraoral defects secondary to resection of mandible leading to mandibular discontinuity are very complicated to treat as the muscles exert forces on the residual portion of the mandible. Primarily this leads to disfigurement of the face. These forces also make mastication difficult due to imbalance. Ultimately it leads to poor quality of life for the patient. Apart from that the clinical outcome and prognosis of prosthetic rehabilitation of such patients is very poor. The composite fibular flap is the preferred donor site for reconstruction of most complex orofacial-mandibular defects...
September 29, 2017: Journal of Craniofacial Surgery
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