1,720,976 research outputs found
Salvage procedure after sternochondroplasty for pectus excavatum.
Get PDFVacuum-Assisted Closure in association to flap reconstruction is a well-established approach for treating complicated wounds. Case presentation: The authors present a case of soft-tissue breakdown with hardware exposure in a patient treated with strenochondroplasty for pectus excavatum. VAC therapy was applied in association to multiple debridement procedures and final flap closure. This was achieved without the need for hardware removal, thus maintaining adequate skeletal fixation. To our knowledge this approach has not yet been described into the literature after sternochondroplasty procedure. Conclusion Aggressive debridement and VAC therapy before final closure may represent a new, conservative method for managing surgical complications after sternochondroplasty procedures
Vacuum Assisted Closure in the Management of exposed hardware for skeletal fixation: a challenging case
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Schwannomas of the upper extremity: diagnosis and treatment
No full textSchwannomas are the most common benign tumors developing in peripheral nerves. They account for 5% of all tumors in upper extremity. They usually present as a slow-growing mass, sometimes associated to pain and paresthesia. Preoperative evaluation is based on US and MRI, but final diagnosis requires histopathology. The aim of this study is to define clinical findings and MRI characteristics in identification, localization, and possible differential diagnosis of schwannomas
Free fibula flap for humerus segmental reconstruction: report on 13 cases
No full textIn the period between 1994 and 2004, 13 patients (10 male, 3 female) presenting with post-traumatic defects to the humerus were treated with vascularised fibula graft. Age ranged from 21 to 62 (mean 37) years. Length of the bony defect ranged from 6 to 16 cm. Graft fixation was performed with plates in 12 cases, and in one case only screws were used. All patients were clinically reviewed between 120 days and 14 months after surgery. In one patient the flap was lost and a second free fibula flap was performed to achieve the reconstructive goal. Mean time for segmental bony union was 6 months (range from 3 to 13 months). Vascularised fibula graft allows for a successful humerus reconstruction when traditional techniques provide unsatisfactory results
Reconstruction of posttraumatic bone defects of the humerus with vascularized fibular graft
No full textHumeral nonunions still present a challenge to the orthopedic surgeon. Many methods of treating recalcitrant, posttraumatic humeral shaft nonunions have been described, with varying degrees of success. The present report reviews our experience with the use of vascularized fibular grafting for the treatment of large humeral defects. We treated 13 patients, with an average length of the humeral defect of 10.5 cm. Nine patients healed primarily, 3 required additional bone grafting, and 1 had a second fibular transplant. The mean period to radiographic bone union was 6 months. Only 5 patients regained full range of motion of the shoulder and elbow. The vascularized fibular graft is a reliable reconstructive procedure for recalcitrant pseudoarthrosis of the humerus in which the bony gap is greater than 6 to 7 cm, especially when traditional procedures have not provided the expected result. © 2008 Journal of Shoulder and Elbow Surgery Board of Trustees
A New Approach in the Management of Triangular Fossa Auricular Defects: The Posterior Auricular Artery Perforator Antihelix-Conchal Flap (PAAP Flap).
Get PDFBackground: The reconstruction of extensive scapha or triangular fossa defects to the ear still represents a
challenge considering the lack of local simple surgical procedures. Objective: To present a new perforator flap which is a
modification of the Elsahy and Ladocsi chondrocutaneous rotation flaps. Patients and Methods: Ten patients, in whom the
oncological resection to the triangular fossa did not include cartilage, but skin and perichondrium. Defects no larger than 3
cm in diameter were treated. The dissection of the flap was carried out from lateral to medial on the anterior subperichondral
plane. The flap was thus raised without the cartilage component but with the anterior perichondrium
branched with the perforating vessels. Results: All flaps survived and treated patients presented good aesthetic results.
Conclusions: We think that this procedure represents a valuable option to be considered in reconstructing well selected
composite defects to upper ear
Ecthyma gangrenosum in a newborn causing external otitis with complete facial nerve palsy
No full textEcthyma gangrenosum (EG) involving the external ear canal is an unusual presentation
The New Transverse-Facial Artery Musculomucosal Flap for Intraoral Reconstructions
Get PDFWith the bilateral progression of the 2 pedicled flaps, we were able to successfully restore both form and function of the soft palate, with a single-stage straightforward procedure, preserving at the same time the natural course of the facial arteries. Both flaps healed uneventfully. Six days after operation, the patient was placed on a liquid diet with no velopharyngeal insufficiency. This is to our knowledge the first extensive palatal reconstruction carried out with intraoral flaps onl
Rectus abdominis muscolocutaneous flap in the management of sacrogluteal, flank and iliac crest region defects: a case report.
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