scholarly journals Repair of a Large Sternal Notch Defect

2019 ◽  
Vol 45 (9) ◽  
pp. 1191-1193
Author(s):  
Prasanthi Kandula ◽  
Callie Burgin ◽  
Ally-Khan Somani
Keyword(s):  
Sternal Notch

scholarly journals Presternal Thyroglossal Fistula: A Rare Case Report

2013 ◽  
Vol 4 (2) ◽  
pp. 92-94
Author(s):  
Manas Ranjan Rout ◽  
Deeganta Mohanty ◽  
Kamalesh Bobba ◽  
Chakradhar Meta ◽  
Susritha Karri
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Hyoid Bone ◽  
Rare Occurrence ◽  
Thyroglossal Cyst ◽  
Neck Movement ◽  
Sternal Notch ◽  
Rare Case Report ◽  
Congenital Condition ◽  
Head Neck

ABSTRACT Thyroglossal cyst is a congenital condition of the neck where the painless swelling is found in the midline of the neck in between the foramen cecum of tongue base and sternal notch. Condition is common in children. Thyroglossal fistula is either secondary to infection or drainage of a misdiagnosed abscess. Here we are presenting a case of thyroglossal fistula with its opening over the chest and a cord extending from the hyoid bone to the chest causing restriction of the neck movement. Thyroglossal fistula opening in the chest, i.e. over the sternum is very rare and not been reported in any literatures. Treatment of this type of thyroglossal fistula is same as other types, i.e. Sistrunk's operation, where tract along with part of the hyoid bone is to be removed to prevent recurrence. We are reporting this case for its rare occurrence. How to cite this article Rout MR, Mohanty D, Bobba K, Meta C, Karri S. Presternal Thyroglossal Fistula: A Rare Case Report. Int J Head Neck Surg 2013;4(2):92-94.

Intracardiac migration of a distal shunt catheter: an unusual complication of ventricular shunts

2009 ◽  
Vol 3 (6) ◽  
pp. 525-528 ◽  
Author(s):  
Elias Rizk ◽  
Mark S. Dias ◽  
Joel Verbrugge ◽  
Frederick A. Boop
Keyword(s):  
Jugular Vein ◽  
Unusual Complication ◽  
Rare Occurrence ◽  
Peritoneal Catheter ◽  
Sternal Notch ◽  
Tunneling Process ◽  
Diagnosis And Management ◽  
Shunt Catheter ◽  
Vascular Structures

Unusual complications of peritoneal shunts are a well-known occurrence. The authors present 2 cases of intracardiac migration of a distal shunt catheter, summarizing the diagnosis and management of each case. This complication seems to be a rare occurrence; the transgression of the jugular vein leading to intracardiac migration of a shunt catheter has been reported only 6 times previously. The authors highlight the importance of careful and proper placement of the distal peritoneal catheter during the tunneling process, in particular avoiding too deep a penetration of the shunt passer into the neck tissues and too medial a shunt passage near the sternal notch to avoid vascular structures.

Potential forensic implications of kerokan therapy – a traditional Indonesian therapy associated with neck bruising

2020 ◽  
Vol 60 (4) ◽  
pp. 315-318
Author(s):  
Prashant N Samberkar ◽  
Snehlata P Samberkar ◽  
Roger W Byard
Keyword(s):  
Hyoid Bone ◽  
Thyroid Cartilage ◽  
The Body ◽  
Traditional Practices ◽  
Cultural Groups ◽  
Epigastric Discomfort ◽  
Sternal Notch ◽  
Police Investigation ◽  
Anterior Aspect ◽  
Forensic Implications

Kerokan is a traditional Indonesian treatment involving abrading the skin over various parts of the body with a blunt object such as a coin or a piece of ginger which may create suspicious injuries. Here, the case of a 30-year-old woman who had undergone kerokan therapy is reported. She was complaining of retro-sternal pain and epigastric discomfort and subsequently became markedly short of breath and died. The observation of injuries predominantly located around the neck initiated a police investigation and forensic autopsy. Scattered abrasions, blisters and bruises were present on the forehead, the bridge of the nose extending to the ala, the upper and anterior aspect of the chin and the sternal notch, with discrete fresh and scabbed abrasions around the neck, over the sternum and on the backs of both hands. There were, however, no facial or conjunctival petechiae and no bruising of the underlying strap muscles, or fractures of the hyoid bone or thyroid cartilage. Histology revealed that myocarditis was the cause of death. Traditional practices may cause unusual bruises, abrasions, blisters and burns that may raise suspicion of inflicted injury from an assault. Knowledge of the manifestations of socio-ethnic practices such as kerokan is important in the evaluation of trauma in specific cultural groups.

Biodegradeable temporising matrix use in a traumatic chest wound

2021 ◽  
Vol 14 (12) ◽  
pp. e246691
Author(s):  
Eliot Carrington-Windo ◽  
Sam Leong ◽  
Nader Ibrahim ◽  
Sophie Pope-Jones
Keyword(s):  
Breast Tissue ◽  
Soft Tissue Coverage ◽  
Skin Defect ◽  
Dermal Substitute ◽  
Sternal Notch ◽  
Thickness Skin ◽  
Chest Wound ◽  
Upper Abdomen ◽  
Graft Reconstruction ◽  
Complex Wounds

The Welsh Centre for Burns and Plastic Surgery is responsible for a population of 10 million people in Wales and England. We describe the use of biodegradable temporising matrix (BTM) in a large traumatic chest wound in a 23-year-old woman. BTM is a synthetic dermal substitute and has been utilised to achieve soft tissue coverage in complex wounds. This wound was sustained after the patient fell from a tractor into a large silage rake, resulting in injuries to her chest and limbs. Following meticulous debridement, her resulting full thickness skin defect measured 30 × 30 cm extending from the sternal notch to the upper abdomen, with bone, muscle and breast tissue exposure. The central chest area is complex to reconstruct due to the contours of the breasts and tendency to contracture following skin graft reconstruction. We demonstrate the first reported use of BTM for breast reconstruction, as far as we are aware.

Reconstruction of a Deep and Wide Sternal Notch Defect After Mohs Micrographic Surgery

2020 ◽  
Vol 46 (5) ◽  
pp. 697-699
Author(s):  
Drew K. Saylor ◽  
Joyce T. Yuan ◽  
Lauren Crow ◽  
Sarah T. Arron ◽  
Ekama O. Carlson
Keyword(s):  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
Sternal Notch

scholarly journals Huge thyroglossal duct cyst at the supra-sternal notch

2019 ◽  
Vol 2019 (4) ◽  
Author(s):  
Engida Abebe ◽  
Abebe Megersa ◽  
Kirubel Abebe
Keyword(s):  
Thyroglossal Duct Cyst ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Sternal Notch

Outcomes of Nipple-Sparing Mastectomy: Role of Anatomic Measurements

2016 ◽  
Vol 82 (10) ◽  
pp. 944-948
Author(s):  
Seyed S. Pairawan ◽  
Derek Cody ◽  
Hahns Kim ◽  
M. Katherine Hughes ◽  
Naveenraj Solomon ◽  
...  
Keyword(s):  
Wound Care ◽  
Skin Flap ◽  
Inframammary Fold ◽  
Sternal Notch ◽  
Increased Risk ◽  
Nipple Sparing Mastectomy ◽  
Nipple Sparing ◽  
Care Requirements ◽  
Base Width

Nipple-sparing mastectomy (NSM) offers improved cosmesis for women undergoing mastectomy; however, there is increased risk for complications with this technique. We sought to determine if standard anatomic measurements could be used to predict complications of NSM. We performed a retrospective review of NSM for which anthropometric measurements of sternal notch to nipple distance, base width, and inframammary fold to nipple distance were available, and compared outcomes by anatomic measurements. We identified 102 cases of NSM with measurements available for study performed in 55 patients. Areola necrosis was associated with base width of greater than 15 cm (42.9% vs 10.9%, P = 0.02), infections were more likely with inframammary fold to nipple distance of more than 10 cm (29.2% vs 10.3%, P = 0.02), hematomas were more likely with sternal notch to nipple distance more than 30 cm (22.2% vs 4.3%, P = 0.03), and delayed wound healing was more likely with sternal notch to nipple distance of more than 25 cm (10.3% vs 1.6%, P = 0.03). There were no significant differences in nipple necrosis, skin flap necrosis, wound care requirements, or operative intervention based on anatomic measurement. Standard anatomic measurements are inconsistent predictors of outcome from NSM and should not be used alone to exclude attempts at NSM.

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