Invited Discussion on: “Double Columellar Strut—A New Method for Tip Surgery—A Study of 642 Cases With a 15-Year Follow-Up”

2020 ◽  
Author(s):  
Dean M. Toriumi
Keyword(s):  
New Method ◽  
Columellar Strut

scholarly journals Results-Based Project Follow-Up

2020 ◽  
Vol 11 (2) ◽  
pp. 14-30
Author(s):  
Gideon Mekonnen Jonathan
Keyword(s):  
Design Science ◽  
New Method ◽  
Future Research ◽  
Development Projects ◽  
For Profit ◽  
Actual Outcome ◽  
Future Research Directions ◽  
Science Methodology ◽  
High Level

Results-based management (RBM) has become the choice of many governmental and non-governmental organisations, and not-for-profit agencies engaged in development projects. Despite its widespread adoption, tools and methods are still being developed to complement the framework. One of such methods sought by practitioners, according to the extant literature, is a method for project follow-up. Employing design science methodology, the study aimed to develop a new method that can be used to evaluate the gap between design and actual outcome of development projects. The research has resulted in a new method which proposed ten steps to perform project follow-up. The high-level requirements were evaluated using informed arguments. To warranty validity and impartiality of the evaluation of the method, the internal and external properties were evaluated by 37 qualified experts. The research has identified and suggested other methods that can be used to complement the designed method. The contribution of the study and potential future research directions are presented.

Non-vascularized toe phalanx transfer for correction of severe clinodactyly of the thumb in Rubinstein–Taybi syndrome

2020 ◽  
Vol 45 (7) ◽  
pp. 715-721
Author(s):  
Marie Le Mapihan ◽  
Alina Badina ◽  
Stéphanie Pannier ◽  
Arielle Salon ◽  
Chrisophe Glorion ◽  
...  
Keyword(s):  
New Method ◽  
New Technique ◽  
Level Of Evidence ◽  
Before And After ◽  
Long Term Follow Up ◽  
Osteotomy Technique ◽  
Toe Transfer ◽  
Delta Phalanx

In Rubinstein–Taybi syndrome, patients may have a particularly severe clinodactyly of the thumb. We evaluated a new method for correction of these severe clinodactylies using non-vascularized toe phalanx transfer as a replacement for the abnormal delta phalanx. Results of the new technique are presented, together with those of an osteotomy technique. We retrospectively recorded the angle of the clinodactyly before and after surgery and at long-term follow-up of 11 osteotomies and five transfers in nine patients from 1990 to 2017. The pre-operative angle of clinodactyli was similar between the two groups with a mean of 59°. After surgery, the correction was equivalent (7° and 11°). At the last follow-up (7 and 18 years), the relapse of clinodactyly was 17° for osteotomies and 1° for phalanx transfers. We noticed growth of the transferred phalanx, resulting in an excellent thumb length. We conclude that non-vascularized toe transfer can be an effective correction of severe clinodactyly and may be more stable than osteotomy in the long-term. Level of evidence: IV

A new method for partial breast reconstruction: 3-year New Zealand experience.

2015 ◽  
Vol 33 (28_suppl) ◽  
pp. 89-89
Author(s):  
Stan Govender ◽  
John Harman ◽  
Gail Lebovic ◽  
John Simpson ◽  
Benji Benjamin
Keyword(s):  
New Zealand ◽  
Breast Reconstruction ◽  
Tumor Resection ◽  
New Method ◽  
Healthcare Sector ◽  
Partial Mastectomy ◽  
Radiotherapy Planning ◽  
Public Healthcare ◽  
Tissue Flaps

89 Background: Most women in New Zealand undergo partial mastectomy (PM) and 6 weeks of whole breast irradiation for early breast cancer. Oncoplastic surgery (OPS) is common, however, reconstruction of the breast during partial mastectomy presents challenges for radiation targeting since tissues have been extensively rearranged. Further complicating matters, the seroma cavity is often absent, and many patients travel to different cities for radiation without much communication between the surgeon and radiation oncologist prior to treatment. Throughout the country there is interest in promoting hypofractionated or accelerated radiotherapy, however, these techniques cannot be popularized without accurate targeting to minimize complications. In this series of patients we studied a new method of breast reconstruction using a bioabsorbable implant that serves as a surgical site marker as well. Methods: Following informed consent, 15 women were studied in a prospective manner. The bioabsorbable implant was sutured into the tumor resection site, and tissue flaps were directly attached. Radiation treatment protocols followed ASTRO guidelines. Results: The implant provided volume replacement and acted as a scaffolding for the breast tissue flaps providing local reconstruction. Cosmetic outcomes were excellent in all patients, no device related or radiation complications occurred. One patient had a post-operative hematoma that resolved without intervention, there were no post-operative infections. 3 year follow up shows no tumor recurrences, and no untoward effects. When compared to conventional radiation targeting, use of the implant showed a > 50% reduction in treatment volume is possible. 3 year mammograms show normal regrowth of tissue without artifact and with minimal fibrosis. Conclusions: Three year follow-up shows this "mini" breast implant assists with oncoplastic breast reconstruction, while at the same time clearly marks the surgical site of tumor excision. Patients tolerated it well, and radiotherapy planning, positioning and treatment were all facilitated by the implant. Excellent patient outcomes in this pilot study have resulted in a national evaluation of this method in the public healthcare sector.

Compression of the Deep Palmar Branch of the Ulnar Nerve: Clinical and Electromyographic Findings After a new Method of Decompression

HAND ◽  
1983 ◽  
Vol os-15 (1) ◽  
pp. 106-109 ◽  
Author(s):  
P. Pastacaldi ◽  
B. Rossi ◽  
F. Sartucci ◽  
C. De Rosa
Keyword(s):  
Ulnar Nerve ◽  
Preoperative Diagnosis ◽  
New Method ◽  
Correct Preoperative Diagnosis ◽  
Pisiform Bone

Five cases of compression of the deep palmar branch of the ulnar nerve were operated upon and the hiatus released by subperiosteal removal of the pisiform bone. The clinical and electromyographical results after a minimum follow-up of eight months showed an improvement in all cases. The authors stress the importance of accurate electromyographic examination for a correct preoperative diagnosis.

The Pedicled Superficial Temporalis Fascial Flap: A New Method for Reconstruction in Otologic Surgery

2002 ◽  
Vol 126 (5) ◽  
pp. 538-547 ◽  
Author(s):  
Krista L. Olson ◽  
Spiros Manolidis
Keyword(s):  
Surface Area ◽  
Blood Supply ◽  
Temporal Artery ◽  
New Method ◽  
Temporal Region ◽  
Temporalis Fascia ◽  
Middle Temporal ◽  
Otologic Surgery ◽  
Fascial Flap

OBJECTIVES: Our goal was to describe a novel fascial flap of the temporal region and its use for reconstruction in otologic and neurotologic surgery. METHODS: The superficial temporalis fascia has an axial blood supply derived from the middle temporal artery and can be raised independently from the overlying temporoparietal fascia or the underlying deep temporalis fascia. This flap was used on 15 consecutive patients to solve a wide variety of reconstructive problems after otologic procedures. RESULTS: No additional morbidity was observed from the use of this flap. There were no complications related to the reconstruction. Adequate exposure for raising this flap was obtained using standard incisions for the otologic procedures. Follow-up ranges from 2 to 25 months. CONCLUSIONS: This fascial flap provides a wide surface area of tissue on a narrow-based pedicle capable of a wide arc of rotation. It provides thin, pliable tissue that can be adapted to the needs of various reconstructive otologic/neurotologic problems.

Grading of Radiographic Osteolytic Changes after Silastic Metacarpophalangeal Arthroplasty and a Prospective Trial of Osteolysis Following Use of Swanson and Sutter Prostheses

2005 ◽  
Vol 30 (4) ◽  
pp. 382-387 ◽  
Author(s):  
T. J. PARKKILA ◽  
E. A. BELT ◽  
M. HAKALA ◽  
H. J. KAUTIAINEN ◽  
J. LEPPILAHTI
Keyword(s):  
Rheumatoid Arthritis ◽  
Prospective Trial ◽  
New Method ◽  
The Mean ◽  
Swanson Implant ◽  
Silicone Prostheses

The purpose of this study was to compare the incidence of radiographic osteolysis following insertion of 89 Swanson and 126 Sutter metacarpophalangeal implants in rheumatoid arthritis patients. The mean follow-up time in the two groups of patients was 57 (40–80) and 55 (36–79) months, respectively. This paper proposes a new method of classifying radiographic osteolysis. The remarkable number of osteolytic changes seen in the bones adjacent to MCP prostheses in this study would suggest that silastic prostheses should only be used when other surgical alternatives cannot be used and that long-term control by radiography be maintained after implantation of silicone prostheses into the MCP joint. In all grades of our classification, osteolysis was more frequent in the Sutter than in the Swanson group in this study, suggesting that use of the Sutter rather than the Swanson implant is questionable.

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