Management of alveolar clefts.
Journal - Clinics in plastic surgery (United States )
Treatment philosophies in the management of alveolar clefts have changed greatly over the years. Currently. the most widely accepted protocol is for repair using autologous cancellous bone from the iliac crest during the stage of mixed dentition. Preliminary data suggest that the appropriate age for surgical repair during the secondary phase can be decreased without evidence of limitation of facial growth. Further long-term studies are necessary to support this protocol, however. With a multidisciplinary approach between the various medical and dental specialties, it is now commonplace to achieve normal dentofacial aesthetics and function. The continued advances in medical and dental technology have further contributed to the excellent outcomes that are now achieved.
|ISSN : ||0094-1298|
|Mesh Heading : ||Child Child, Preschool Humans Infant Infant, Newborn Jaw Abnormalities Oral Surgical Procedures Orthodontics Orthopedic Procedures Time Factors Tooth Socket Treatment Outcome methods anatomy & histology|
|Mesh Heading Relevant : ||surgery methods methods abnormalities surgery|
Double-opposing Z-plasty for correction of midline cervical web.
Journal - The Journal of craniofacial surgery (United States )
Midline cervical web is a rare congenital anomaly that may be associated with a spectrum of midline developmental anomalies of the neck, lower face, and mandible. The clinical hallmark is a fibrous band typically extending from the symphysis of the mandible to the suprasternal notch. Various techniques have been used for surgical correction and generally have involved excision either with a straight-line closure or the incorporation of a Z-plasty. The Z-plasty method usually has included only skin and subcutaneous fat, but the development and transposition of composite skin-platysma flaps has been used. The authors describe the correction of a midline cervical web designed with double-opposing Z-plasties of skin and subcutaneous fat and platysma muscle mobilized and transposed separately. This technique provides two primary benefits: creation of a well-defined cervicomental angle, and correction of the vertical soft tissue deficiency in the anterior neck.
|ISSN : ||1049-2275|
|Mesh Heading : ||Child, Preschool Humans Male Neck Neck Muscles Reconstructive Surgical Procedures Skin Abnormalities Surgical Flaps abnormalities surgery surgery|
|Mesh Heading Relevant : ||abnormalities surgery methods|
Lateral force compared with frontal impact nasal fractures: need for reoperation.
Journal - The Journal of cranio-maxillofacial trauma (United States )
Patient concern over the outcome of correction of nasal fractures is usually extremely high; often, a secondary procedure is necessary. Therefore, thorough consultation is mandatory. The clinical data of 50 patients who sustained nasal fractures was retrospectively reviewed to determine if there was any predictive value to classification of nasal fractures and the likelihood of a secondary surgical procedure. Using Stranc and Robertson's nasal fracture classification, 41 of 50 patients were described as lateral force fractures and 9 of 50 were frontal impact fractures. Five of 50 patients underwent a secondary surgical procedure, 4 from the frontal impact and 1 from the lateral force fracture group. The number of patients reoperated on approximately equaled the number who were dissatisfied with the result of the initial procedure (5 versus 6). However, objective assessment by the primary surgeon revealed 21 patients with an anatomic or functional defect. Of these, 15 were lateral force fractures (15 of 41, or 37%) and 6 were frontal impact fractures (6 of 9, or 67%). These results illustrate the difficulty in restoring preinjury nasal anatomy and function, especially in the more severe and complicated frontal impact types of nasal fracture. Using this information can aid in obtaining satisfactory informed patient consent.
|ISSN : ||1074-3219|
|Mesh Heading : ||Adolescent Adult Aged Biomechanics Esthetics Female Follow-Up Studies Forecasting Humans Male Middle Aged Nasal Bone Nose Deformities, Acquired Patient Satisfaction Reoperation Retrospective Studies Skull Fractures Stress, Mechanical etiology surgery surgery|
|Mesh Heading Relevant : ||injuries classification|
Use of a tourniquet in panniculus resection.
Journal - Plastic and reconstructive surgery (UNITED STATES )
The tourniquet technique is simple and provides an efficacious method for panniculectomy. Time spent during surgery and anesthesia can be offered. Furthermore, less fat necrosis can be anticipated because of the reduced use of electrocautery, which in turn should decrease the risk of seroma formation and infection.
|ISSN : ||0032-1052|
|Mesh Heading : ||Abdomen Abdominal Abscess Adipose Tissue Electrocoagulation Exudates and Transudates Fat Necrosis Female Follow-Up Studies Humans Middle Aged Obesity, Morbid Safety Surgical Wound Infection Thigh Time Factors surgery prevention & control prevention & control surgery|
|Mesh Heading Relevant : ||Tourniquets surgery surgery surgery|
Congenital primitive neuroectodermal tumor of the hand: a case report.
Journal - The Journal of hand surgery (UNITED STATES )
A congenital peripheral primitive neuroectodermal tumor of the hand demonstrating aggressive behavior by rapid growth and ulceration, as well as early diffuse metastasis is presented. Management consisted of below-elbow amputation and chemotherapy. Despite the tumor's initial response, intracranial metastases occurred 7 months later. The patient died shortly thereafter, 15 months after presentation.
|ISSN : ||0363-5023|
|Mesh Heading : ||Female Humans Infant Neuroectodermal Tumors, Primitive pathology surgery|
|Mesh Heading Relevant : ||Hand congenital|