scholarly journals First Sternal Cleft Repair Using a Porous Alumina Ceramic Prosthesis in a 9-Year-Old Child

2019 ◽  
Vol 07 (01) ◽  
pp. e20-e23
Author(s):  
Virginie Fouilloux ◽  
François Bertin ◽  
Emilie Peltier ◽  
Jean-Luc Jouve
Keyword(s):  
Porous Alumina ◽  
Muscle Flap ◽  
Alumina Ceramic ◽  
Congenital Defects ◽  
Deep Sternal Wound Infection ◽  
Sternal Cleft ◽  
Good Healing ◽  
Rare Congenital Abnormality ◽  
Sternal Reconstruction

AbstractSternal cleft is a rare congenital abnormality, often associated with other congenital defects. We present the case of a 9-year-old child with complete sternal cleft, treated with an innovative sternal prosthesis. Surgery was performed to protect the heart and also, as pulsations was visible, leading to serious esthetical concerns, to enhance school integration, which was difficult. The porous alumina device used was initially designed for sternal reconstruction after refractory deep sternal wound infection or carcinoma. Surgery and early follow-up were simple. There was no complication and the follow-up of more than 1 year reveals a good healing without breath discomfort and a correct development of the chest wall. In this rare indication, the alumina ceramic sternal prosthesis offers a reliable alternative to classical methods, such as muscle flap, autogenous tissue transfer, costal homograft, and other prosthetic materials like mesh or synthetic patch.

Antibiotic-loaded ceramic sternum for sternal replacement in a patient with deep sternal wound infection

2019 ◽  
Vol 29 (6) ◽  
pp. 973-975 ◽  
Author(s):  
Jeremy Tricard ◽  
Anaëlle Chermat ◽  
Eric Denes ◽  
François Bertin
Keyword(s):  
Cardiac Surgery ◽  
Pulmonary Function ◽  
Wound Infection ◽  
Pulmonary Function Tests ◽  
Porous Alumina ◽  
Alumina Ceramic ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Infected Wound ◽  
Antibiotic Concentration

Abstract A 68-year-old man presented with destruction of his sternum after cardiac surgery. Classical management with multiple debridements, vacuum dressings and antibiotics failed. A replacement of his sternum was performed using an antibiotic-loaded porous alumina ceramic sternum. Despite the infected wound, the ceramic sternum did not get infected due to the high antibiotic concentration obtained locally. Two years after the surgery, no relapse occurred and the pulmonary function tests improved.

Porous Alumina Ceramic Prepared by HEMA-TBA Gelcasting System

2017 ◽  
Vol 32 (7) ◽  
pp. 731 ◽  
Author(s):  
XIE Yu-Zhou ◽  
PENG Chao-Qun ◽  
WANG Xiao-Feng ◽  
WANG Ri-Chu ◽  
LUO Feng
Keyword(s):  
Porous Alumina ◽  
Alumina Ceramic

Skew flap technique in trans-tibial amputation

2005 ◽  
Vol 29 (3) ◽  
pp. 283-290 ◽  
Author(s):  
S. K. Jain
Keyword(s):  
Muscle Flap ◽  
Suture Line ◽  
Skin Flaps ◽  
Posterior Flap ◽  
Flap Technique ◽  
Flap Procedure ◽  
In Trans ◽  
Dog Ears ◽  
Established Technique

The long posterior flap technique is an established technique for trans-tibial amputation in ischaemic limbs. Despite its success, it has a few drawbacks. It may be time-consuming and requires considerable planning, and at times the dog-ears cannot be avoided. The suture line passes over the distal end of the stump, which is usually a problem during prosthetic use. The skew flap technique retains the advantages of the long posterior flap technique and eliminates the difficulties of prosthetic fitting. The equal skin flaps are skewed so that the flaps become anteromedial and posterolateral, whereas the calf muscle flap remains long underneath the skewed skin flaps. The posterior muscles are brought anteriorly covering the cut ends of the bones and are buried in between the tibia and its anterior periosteum, by suturing their margins with the periosteum. The skew flap procedure was perceived in 1980 and was started at the Artificial Limb Centre, Pune in 1983 by the author. This procedure underwent many changes during the initial 5 years and by the end of April 1992, 85 trans-tibial amputations were performed using this technique. A 9-year follow-up of these patients, who had been using prostheses with ease and without any discomfort or problem, had been exceptionally good. Encouraged by the results, this technique is now being practised as routinely. By March 1998, a total of 125 such trans-tibial amputations had been performed in 119 patients, with excellent results.

Image analysis of soft-tissue in-growth and attachment into highly porous alumina ceramic foam metals

2009 ◽  
Vol 31 (7) ◽  
pp. 775-783 ◽  
Author(s):  
A. Khalil ◽  
C. Aponte ◽  
R. Zhang ◽  
T. Davisson ◽  
I. Dickey ◽  
...  
Keyword(s):  
Image Analysis ◽  
Soft Tissue ◽  
Porous Alumina ◽  
Alumina Ceramic ◽  
Ceramic Foam ◽  
Highly Porous

scholarly journals Correction of Temporal Hollowing Deformity Using Serratus Anterior Muscle Flap

2022 ◽  
Vol 2022 ◽  
pp. 1-6
Author(s):  
Lan Sook Chang ◽  
Youn Hwan Kim ◽  
Sang Wha Kim
Keyword(s):  
Muscle Flap ◽  
Operation Time ◽  
Facial Asymmetry ◽  
Free Flaps ◽  
Frontal View ◽  
Serratus Anterior ◽  
Aesthetic Form ◽  
The Mean ◽  
Fascia Flap

Temporal hollowing deformity (THD) is a contour irregularity in the frontotemporal region, which results in facial asymmetry in the frontal view. Here, we present our clinical experience of correction of THD using serratus anterior (SA) muscle and fascia free flaps. Between March 2016 and December 2018, 13 patients presenting with THD were treated with SA free flap. The mean age of the patients was 47.8 years. The patients received craniectomy due to subarachnoid hemorrhage, epidural hematoma, or brain tumor. On average, correction of THD was performed 17 months after cranioplasty. The SA flap size ranged from 5 × 5   cm to 10 × 8   cm . The mean operation time was 107.3 minutes. All of the flaps survived without complications. The mean follow-up duration was 20.3 months. For correction of THD, the SA muscle and fascia flap is among the best candidates to permanently restore aesthetic form and symmetry.

scholarly journals Case Report: Dilemma To Save Or Not To Save A Tooth

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Yee Woo Yap ◽  
Azillah Mohd Ali
Keyword(s):  
Case Report ◽  
Root Formation ◽  
Dentigerous Cyst ◽  
Permanent Teeth ◽  
Treatment Modalities ◽  
Successful Outcome ◽  
Odontogenic Cysts ◽  
Standard Assessment ◽  
Good Healing

Introduction: Dentigerous cyst is the most common odontogenic cysts that are associated with the crowns of permanent teeth. Treatment modalities normally include enucleation or marsupialization of the cyst. However, currently there are no standard assessment criteria to dictate which kind of treatment for certain cases. The purpose of this report is to describe the successful outcome of conservative surgical management of a large dentigerous cyst associated with an unerupted right maxillary permanent canine in an 8-year-old boy. The cyst was enucleated partially but leaving the cystic lining surrounding the unerupted canine in order to preserve the tooth. 3-year follow up revealed good healing with significant root formation and tooth eruption.

Preparation of Macroporous Ceramic Materials by Using Aluminium Powder as Foaming Agent

2014 ◽  
Vol 699 ◽  
pp. 336-341 ◽  
Author(s):  
Nurulfazielah Nasir ◽  
Ridhwan Jumaidin ◽  
Hady Efendy ◽  
Mohd Zulkefli Selamat ◽  
Goh Keat Beng ◽  
...  
Keyword(s):  
Ceramic Material ◽  
Reaction Rate ◽  
Porous Alumina ◽  
Porous Ceramic ◽  
Ceramic Materials ◽  
Calcium Sulphate ◽  
Alumina Ceramic ◽  
Deionized Water ◽  
Foaming Agent ◽  
Aluminium Powder

Aluminium powder was used as foaming agent in the production of macro-porous alumina ceramic. The porous ceramic material was developed by mixing an appropriate composition of cement, aluminium powder (Al), alumina (Al2O3), calcium oxide (CaO), gypsum (calcium sulphate dehydrate, CaSO4.2H2O), silica powder and deionized water. Different compositions of porous ceramic were produced at 2wt.%, 3wt.% and 4wt.% of aluminium powder. Their mechanical properties and macro-porosity structural of the porous ceramic material were analysed and compared. It is determined that the optimal properties of porous ceramic material were found at 3wt.% of aluminium powder and degraded drastically at 4wt.%. This phenomenon is due to the chemical reaction between the aluminium powder and DI water in which they form aluminium oxide that promotes the strength of the material but at the same time, more pores are created at higher reaction rate between these two fundamental materials.

HYPOPLASTIC ANEMIA WITH MULTIPLE CONGENITAL DEFECTS (FANCONI SYNDROME)

PEDIATRICS ◽  
1952 ◽  
Vol 10 (3) ◽  
pp. 286-292
Author(s):  
HANS W. KUNZ
Keyword(s):  
Bone Marrow ◽  
Fanconi Syndrome ◽  
Skin Pigmentation ◽  
Young Age ◽  
Adrenocortical Function ◽  
Congenital Defects ◽  
Hypoplastic Anemia

A case of Fanconi syndrome at an unusually young age presenting anemia, leukopenia, thrombocytopenia, microcephaly, hypogenitalism, skin pigmentation, and anomalies of thumbs, kidneys and heart is described. The patient's younger brother with multiple anomalies of the extremities, hydrocephalus, abnormal ears and genitalia died at the age of 17 months without pigmentation and hematologic symptoms, changes which usually do not occur before the age of 5 years. The literature is reviewed and a follow-up on previously reported cases is given. It seems that in addition to a hypoplasia of the bone marrow an extracorpuscular hemolytic mechanism plays a role in the pathogenesis of the anemia. It is suggested that some manifestations may be due to impaired adrenocortical function.

TRAUMATIC LESIONS OF THE BRACHIAL PLEXUS

Neurosurgery ◽  
2008 ◽  
Vol 62 (4) ◽  
pp. 873-886 ◽  
Author(s):  
Kartik G. Krishnan ◽  
K. Daniel Martin ◽  
Gabriele Schackert
Keyword(s):  
Brachial Plexus ◽  
Muscle Flap ◽  
Multiple Root ◽  
Outcome Evaluation ◽  
Favorable Effect ◽  
Reconstructive Procedures ◽  
Traumatic Lesion ◽  
Flap Transfer ◽  
Nerve Transfers

Abstract OBJECTIVE To analyze retrospectively the outcomes of primary as well as secondary functional reconstructions in 49 patients with traumatic brachial plexus lesions from a single service. Guidelines for treatment might be extracted from this analysis. METHODS Among 152 cases of traumatic lesion of the brachial plexus presented to our clinic, 58 underwent primary brachial plexus reconstructive surgery. On exploration, all patients showed stretching and scarring of plexus elements; root avulsions were found in 28 patients (48%). Outcome evaluation was carried out in 49 of these patients with a follow-up period of 1 year or longer (mean follow-up, 27.9 mo; range, 12–72 mo). A total of 43 secondary reconstructive procedures to improve functionality of the involved arm were performed at a later stage in 25 of 58 patients. Outcomes of the secondary functional restorative procedures were evaluated (mean follow-up, 11.5 mo; range, 3–60 mo in 43 procedures). RESULTS Patients with neurolysis as a stand-alone procedure (11 patients) showed an outcome grade of 4 or 5. The average outcome of the 19 patients with C5, C6, and C7 grafting was Grade 3, the same as in patients with nerve transfers to the upper plexus elements (C5–C6 root avulsions, 13 patients). Patients with multiple root avulsions (five cases) showed an overall poor outcome (Grades 0–2). Secondary functional restorative surgery was performed in 43% of the patients and helped improve individual outcomes, providing a favorable effect on the general functionality of the arm. Among the restorative operations performed, the Steindler procedure, wrist extension restoration, claw hand correction, and free functional muscle flap transfer to the arm and forearm were the most rewarding. CONCLUSION A combination of primary brachial plexus reconstruction and carefully evaluated, selected, and planned function-restorative secondary procedures might offer favorable outcomes in patients with partial or total brachial plexus lesions.

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