Poland Syndrome: Use of Vertical Expandable Prosthetic Titanium Rib System before Walking Age—A Case Report

Aim To present a new therapy for Poland syndrome (PS) using a novel surgical approach: the vertical expandable prosthetic titanium rib (VEPTR) system. Methods The VEPTR system rib-to-rib variant was used to enhance the chest wall and vertebral column support in a young patient before walking age. Case Report We present a 12-month-old infant diagnosed with left-sided PS at the age of 6 months associated with missing ribs, scoliosis, and absence of the left pectoral muscles. Because of four missing ribs, paradoxical breathing was present. In addition, the left scapula was protruding into the chest due to the missing rib support. Scoliosis was caused by a left-sided nonsegmented bar of the thoracic spine. Results We decided to use the VEPTR system before the patient reached walking age to prevent progression of column deformation and future pulmonary problems. To improve the spinal deformity, to stabilize the thorax, and to improve thoracic function, we performed the operation at 1 year of age. At 10-month follow-up, the patient was reevaluated. The construction was still stable and scoliosis had not deteriorated. Conclusion The VEPTR system is a choice of treatment in young patients with PS to prevent late complications after a child reaches walking age.

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Non-surgical management of iatrogenic lateral root perforation: a case report

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20181781 ◽

2018 ◽

Vol 6 (5) ◽

pp. 1804 ◽

Cited By ~ 1

Author(s):

Abid Lanker ◽

Wessam Fathey ◽

Shereen Samar ◽

Zakirulla M. ◽

Mohamed Imranulla ◽

...

Keyword(s):

Case Report ◽

Root Canal ◽

Lateral Root ◽

Major Complication ◽

Successful Management ◽

Choice Of Treatment ◽

Materials Used ◽

One Year ◽

Periodontal Healing

Perforation is a procedural accident that occurs during root canal treatment, creating an artificial communication between the root canal and the supporting periodontal apparatus. Iatrogenic root perforation is a major complication of endodontic and restorative treatments, leading to impairment of tooth prognosis. Successful management of root perforations is dependent on early diagnosis of the defect, location of the perforation, choice of treatment, materials used, host response, and the experience of the practitioner. This case report presents the successful management of an iatrogenic lateral root perforation in a tooth with radiographic evidence of periodontal healing over one year follow-up.

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Fertility preservation in patients with uterus didelphys and endometrial carcinoma: a case report

BMC Women s Health ◽

10.1186/s12905-021-01455-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jiao Yu ◽

Jing Shang ◽

Hongwu Wen ◽

Yang Xu

Keyword(s):

Endometrial Cancer ◽

Case Report ◽

Endometrial Carcinoma ◽

Fertility Preservation ◽

High Efficiency ◽

Young Patients ◽

Uterine Endometrium ◽

Uterus Didelphys ◽

Child Bearing

Abstract Background Endometrial cancer combining uterus didelphys is quite rare clinically which partially explains that there is no discussion about young patients’ fertility preservation and follow up of tumor outcome. Case presentation In this article, we report a case of unilateral endometrial carcinoma found in a young patient with uterus didelphys who was treated with high-efficiency progesterone due to unfinished child-bearing. During the follow-up, the affected uterine endometrium was not reversed by progesterone. So, the patient underwent the abdominal surgery with the left uterus and left fallopian tube resection. We performed three consecutive immunohistochemical studies of the contralateral uterine endometrium to verify the safety of preserving the contralateral uterus and its appendages which preserved her fertility. Conclusions Endometrial cancer occurring in patients with uterus didelphys is quite rare in child-bearing age. In this case report, we preserved the patient’s contralateral uterus based on patient’s strong needs and negative IHC analysis of the preserved side uterine endometrium. However, the tumor and fertility outcome require more follow-up.

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Clinical Correction of Complete Median Cleft of the Mandible and Lower Lip: A 17-Year Follow-Up of a Case Report With Literature Review

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665621990170 ◽

2021 ◽

pp. 105566562199017

Author(s):

Weidong Liu ◽

Li Ma ◽

Shizhou Zhang ◽

Tengda Zhao

Keyword(s):

Case Report ◽

Literature Review ◽

Clinical Characteristics ◽

Relevant Literature ◽

Therapeutic Options ◽

Lower Lip ◽

Maxillofacial Development ◽

Choice Of Treatment ◽

Median Cleft

The median cleft of the mandible and lower lip is an extremely rare congenital maxillofacial deformity, and the therapeutic options are controversial. To evaluate the clinical characteristics and identify a better choice of treatment modes used among us and others, we reviewed 34 relevant literature and herein describe a 17-year follow-up of a case with a median cleft of the mandible and lower lip. Based on the literature and our case with good functional and aesthetical outcomes, we propose a prospective clinical treatment: Patients of Tessier 30 cleft associated with cleft of the mandible could undergo mandibular repair after puberty in conditions of a good occlusal relationship and normal maxillofacial development, even with mild masticatory dysfunction.

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Management of two teeth unerupted due to an odontoma: two years follow-up

Revista de Ciências Médicas e Biológicas ◽

10.9771/cmbio.v13i1.10089 ◽

2014 ◽

Vol 13 (1) ◽

pp. 107

Author(s):

Tacíria Machado Bezerra ◽

Thaís Pinto Alves ◽

Thaís Rodrigues Soares ◽

Oswaldo Costa Neto ◽

Maria da Encarnação P. R. Costa ◽

...

Keyword(s):

Case Report ◽

Primary Teeth ◽

Young Patients ◽

Dental Trauma ◽

Permanent Tooth ◽

Font Size ◽

Successful Management ◽

Correct Alignment ◽

History Of

Objective: The purpose of this case report was to describe the successful management of unerupted incisors due to an odontoma in two young girls with history of dental trauma in primary teeth. Case report: The radiographic examinations revealed odontoma-like malformations, which were surgically removed in both cases. In case 1 the crown of the permanent tooth was exposed and orthodontic traction performed and in case 2, a waiting period of at least 6 months for spontaneous eruption of permanent tooth was expected. After 8 months it was necessary the orthodontic traction because the tooth had not erupted. In both cases the correct alignment of the upper incisors was achieved, the final occlusion was satisfactory and periapical radiographs revealed no pathological signs. Conclusion: The satisfactory results confirmed the advantages of these approaches, which restored the esthetics and oral function of these two young patients.

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Occhio all’asimmetria toracica alla nascita... e se fosse la sindrome di Poland?

Medico e Bambino pagine elettr ◽

10.53126/mebxxiv166 ◽

2021 ◽

Vol 24 (6) ◽

pp. 166-170

Author(s):

Antonella Di Caprio ◽

Luca Bedetti ◽

Simona F. Madeo ◽

Laura Lucaccioni ◽

Federica Roversi ◽

...

Keyword(s):

Quality Of Life ◽

Case Report ◽

Early Diagnosis ◽

Pectoralis Major Muscle ◽

Poland Syndrome ◽

Therapeutic Approaches ◽

Limb Defects ◽

Rare Congenital Disorder

Poland syndrome is a rare congenital disorder characterized by agenesis of the pectoralis major muscle. It is usually unilateral and right-sided and can be associated with several thoracic and upper limb defects. Early diagnosis and timely therapeutic approaches play an important role, improving the quality of life of patients and their families. This case report aims to show the benefits of early diagnosis, especially for follow-up management.

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Severe Fracture of the Maxillary Alveolar Process Associated with Extrusive Luxation and Tooth Avulsion: A Case Report

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-10-1-91 ◽

2009 ◽

Vol 10 (1) ◽

pp. 91-97 ◽

Cited By ~ 4

Author(s):

Célia Saito ◽

Jéssica Gulinelli ◽

Leandro Cardoso ◽

Idelmo Rangel Garcia ◽

Sônia Panzarini ◽

...

Keyword(s):

Case Report ◽

Root Resorption ◽

Treatment Success ◽

Young Patients ◽

Self Esteem ◽

Alveolar Process ◽

Tooth Avulsion ◽

Dentoalveolar Trauma ◽

Severe Fracture

Abstract Aim The aim of this report is to present a case of severe fracture of the maxillary anterior alveolar process with substantial bone dislodgement associated with extrusive tooth luxation and avulsion. Background Dentoalveolar trauma is a challenge to dentistry, especially in young patients, for it can lead to early tooth loss which compromises oral function, esthetics, self-esteem, and alter the long-term plan of care for the victim. Case Report A 12-year-old girl with severe dentoalveolar trauma to the maxillary anterior region presented for emergency care for her injury. Treatment consisted of fracture reduction of the alveolar process, repositioning of the teeth that had suffered extrusive luxation, placement of a semi-rigid splint, and suturing of soft tissue lacerations. The traumatized teeth presented with pulpal necrosis and were treated endodontically. After 24 months of follow up, the fracture of the alveolar process was completely healed and the displaced teeth presented no signs of ankylosis or root resorption. Summary First-aid care contributed remarkably to this case allowing the re-establishment of esthetics, function, and patient's self-esteem. In spite of trauma extension the treatment outcomes were favorable. Clinical Significance Cases of dentoalveolar trauma should be evaluated on an individual basis. However, early emergency management and adequate follow-up can prevent further complications and contribute to treatment success. Citation Saito C, Gulinelli J, Cardoso L, Garcia Jr IR, Panzarini S, Poi W, Sonoda C. Severe Fracture of the Maxillary Alveolar Process Associated with Extrusive Luxation and Tooth Avulsion: A Case Report. J Contemp Dent Pract 2009 January; (10)1:091-097.

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Surgical treatment of secondary hip osteoarthritis using cementless total hip endoprosthesis with Fitmore® Hip Stem: A case report

Vojnosanitetski pregled ◽

10.2298/vsp151223198g ◽

2017 ◽

Vol 74 (8) ◽

pp. 791-794

Author(s):

Ivan Golubovic ◽

Zoran Bascarevic ◽

Predrag Stojiljkovic ◽

Zoran Radovanovic ◽

Ivana Golubovic ◽

...

Keyword(s):

Case Report ◽

Hip Joint ◽

Proximal Femur ◽

Young Patients ◽

Hip Osteoarthritis ◽

Good Choice ◽

X Ray ◽

Total Endoprosthesis ◽

Long Stem

Introduction. Hip dysplasia with subluxation represents insufficient coverage of the femur's head placed in the dysplastic acetabulum. This lack of coverage ranges from barely noticeable to condition where half of femur head is uncovered by acetabulum. The caput-collum-diaphyseal angle of the proximal femur and anteversion angle of collum are increased, Wiberg?s angle is less than 15? and M?nard-Shenton line is interrupted. Hip joint degeneration occurs very early. When radiological signs of hip joint degenerative changes are discovered in elderly they are associated with pain, limited movements and leg shortening. Case report. We present a 53-year old female treated conservatively in childhood because of hip diyplasia with subluxation. After pregnancy, right hip pain emerged. Clinical and radiological examinations revealed hip subluxation with the signs of degenerative osteoarthritis. Initial treatment was conservative and included drugs and balneophysical procedures. Since pain and movement impairment progressed and became constant, a hip replacement using cementless total endoprosthesis with Fitmore? Hip Stem was done. In the pre-operative preparation, anteroposterior x-ray of the hip(with third of the proximal femur) was made. This X-ray enabled precise planning of implantation endoprosthesis component. The early postoperative course was uneventful with very good therapeutic effect. Following successful physical rehabilitation, the patient returned to work and full life activity. Conclusion. Implantation of the cementless endoprosthesis with Fitmore? Hip Stem in the treatment of secondary hip osteoarthritis is a good choice in the treatment of young patients with good bone quality. Future clinical and radiological follow-up and comparative studies are needed to show the advantages of this type of stem compared to the classical cementless long stem.

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Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

Perspectives on Fluency and Fluency Disorders ◽

10.1044/ffd21.1.11 ◽

2011 ◽

Vol 21 (1) ◽

pp. 11-21 ◽

Cited By ~ 2

Author(s):

Farzan Irani ◽

Rodney Gabel

Keyword(s):

Case Report ◽

Therapeutic Intervention ◽

Intensive Therapy ◽

Positive Outcome ◽

Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

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The Abusive Head Trauma: Case Report and Neurological Follow-Up

Neuropediatrics ◽

10.1055/s-0035-1550696 ◽

2015 ◽

Vol 46 (S 01) ◽

Author(s):

C. Bischof

Keyword(s):

Case Report ◽

Head Trauma ◽

Abusive Head Trauma ◽

Trauma Case

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Rezidivrisiko nach thyreostatischer Behandlung immunogener und nicht-immunogener Hyperthyreosen

Nuklearmedizin ◽

10.1055/s-0038-1629504 ◽

1990 ◽

Vol 29 (01) ◽

pp. 1-6 ◽

Cited By ~ 3

Author(s):

E. Voth ◽

N. Dickmann ◽

H. Schicha ◽

D. Emrich

Keyword(s):

Relapse Rate ◽

Urinary Iodine ◽

Young Patients ◽

Antithyroid Drugs ◽

Urinary Iodine Excretion ◽

Old Patients ◽

Primary Disease ◽

Iodine Excretion ◽

Immunogenic Hyperthyroidism

Data of 196 patients treated for hyperthyroidism exclusively with antithyroid drugs were analyzed retrospectively concerning the relapse rate within a follow-up period of four years. Patients were subdivided for primary or recurrent disease, and for immunogenic or non-immunogenic hyperthyroidism, respectively. In immunogenic as well as in non-immunogeriic hyperthyroidism, the relapse rate was significantly lower for patients with primary disease (35% and 52%, respectively) compared to those with recurrent hyperthyroidism (82%, p <0.001 and 83%, p <0.001, respectively). In patients with primary disease, clinical, biochemical and scintigraphic parameters were tested with respect to their capability of predicting a relapse. For immunogenic hyperthyroidism the highest relapse rates were observed in young patients and in those with large goitres, whereas for non-immunogenic hyperthyroidism they were highest in old patients, in those with nodular goitres and in those without an increased urinary iodine excretion at the time of diagnosing hyperthyroidism.

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