6 research outputs found
Transcervical Removal of a Rare Giant Proximal Wharton’s Duct Sialolith and Submandibular Gland
No full textUse of preputial skin as cutaneous graft in post excision of a verrucous hemangioma of the thumb
No full textRARE PENILE KELOID AFTER CIRCUMCISION: CASE REPORT AND LITERATURE REVIEW
No full textObjective: To report a case of keloid formation after circumcision and review the literature for similar cases to formulate possible risk factors contributing to its development as well as its treatment options.
Method: a literature review was done using PubMed and Google Scholar by searching the keyword “keloid”, “penis” and “circumcision”. Additional searches were done on references from related articles. The articles are then reviewed by the author, noting for possible predisposing factors to keloid formation, along with patient demographics and method of treatments. Findings were then tabulated and analyzed using Microsoft Excel (2018).
Results: Thirteen case reports on penile keloid after circumcision with a total of 16 patients were found dating from 1993 to 2017. Circumcision in four cases (25%) were complicated with infection or dehiscence. The median age during circumcision is 9 years old. Two patients (12.5%) were reported with the tendency for keloid. The ethnicity of the patients is as follows; Turkish (7 cases, 43.7%), African descent (4 cases, 25%), Chinese (3 cases, 18.75%), Indian (1 case 6.25%) and Caucasian (1 case, 6.25%). Ten (62.5%) cases were treated with a combination of excision and immediate injection of triamcinolone acetate. Others were treated with either excision alone, steroid injection alone or excision with topical steroid. Maintenance treatment includes topical steroid, intralesional injection of steroid, and silicone gel. Recurrence occurred in one patient.
Conclusion: The minuscule number of published reports of keloid formation after circumcision underscores the rarity of the complication. No specific risk factors can be attributed to stratify patients who may develop keloid after circumcision. Excision followed by triamcinolone acetate injection with maintenance therapy until scar maturity is the preferred choice of treatment for penile keloid
LIP PITS ABSCESS: ISOLATED CONGENITAL MIDLINE UPPER LIP SINUS
No full textCongenital midline upper lip sinuses or fistulas are exceptionally uncommon condition following abnormal fusion of embryologic structures. Here, we report a case of congenital upper lip sinus type I presented as upper vestibular fold abscess in a seven year old boy
Outcome Analysis Following Microvascular Free Gracilis Muscle Transfer for Multi-Vector Facial Reanimation
No full textThe purpose of this research to address objective excursion and symmetry results from a series of free gracilis muscle transfer (FGMT) cases and examine the predictive intraoperative number of vectors anchored during flap inset on outcomes. A retrospective analysis performs by data retrieved from the HUSM Plastic & Reconstructive Surgery OR Registry from January 2005 to June 2019. All patients who reported facial nerve palsy were recorded and re-evaluated. All characteristics in interest were epidemiologically tabulated and analyzed in detail. Subsequently, outcome assessment was performed to look for facial symmetry and smile excursion compared to the healthy side of the face—this study exempted by the Institutional Review Board of the Hospital of University of Sciences Malaysia. Out of 12 patients diagnosed with facial palsy, four patients underwent static facial reanimation. Eight patients underwent a dynamic facial reanimation, with 4 of them completed two stages of cross-facial nerve grafting (CFNG) and free gracilis muscle transfer (FGMT). One of the FGMTs patients had missed a follow-up. The mean age was 20 (range 11 to 30), one patient was male, and two were female. The mean duration for follow-up was 69 months. The mean duration of operating time was 8.67 hours. All operations without complication, and there was no microvascular re-exploration. Smile excursion and angle excursion at smile improved following FGMT. Association between the number of vectors anchored during flap inset to the outcome were identified. Dynamic facial reanimation using FGMT still the gold standard of treatment, which provides an excellent quantifiable improvement in oral commissure excursion and facial symmetry with smiling. The use of multivector gracilis flap was suggestive to associate with the good outcome on excursion and symmetrical of the smile
