Editorial Comment on “Male‐to‐Female Genital Reassignment Surgery: A Retrospective Review of Surgical Technique and Complications in 60 Patients”

SummaryObjectives: Intra-condylar humeral fracture with supracondylar comminution in cats is rare, and the stabilisation for such fractures is challenging. The purpose of our study was to describe the use of a hybrid external skeletal fixator, and to report the complications and outcomes of this surgical technique.Methods: A retrospective review was performed of clinical, radiographic and surgical records of all cats with intra-condylar humeral fractures and non-reconstructable supracondylar comminution stabilized by linear-circular external skeletal fixator in two institutions between January 2005 and March 2010.Results: Four cats met the inclusion criteria of the study. All cases achieved fracture union and clinical outcome was considered excellent at the time of the final assessment (11 – 24 weeks).Clinical significance: This study demonstrates that a linear-circular fixator system can be used successfully in the management of intra-con dylar humeral fractures with non-reconstructable supracondylar comminution in cats.

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Pattern of Preoperative Astigmatism in Patients in South East Nigeria as Determined by Biometry

Ophthalmology Research An International Journal ◽

10.9734/or/2020/v13i330170 ◽

2020 ◽

pp. 28-31

Author(s):

A. Kalu ◽

O.I Otuka ◽

L. Eweputana ◽

K. U. Nwachukwu ◽

J. K. Ume

Keyword(s):

Surgical Technique ◽

Cataract Surgery ◽

Retrospective Review ◽

Positive Impact ◽

Visual Outcome ◽

Surgical Skills ◽

Intraocular Lenses ◽

Surgically Induced ◽

Cataract Patients

Background: Astigmatism is an error of refraction that can affect visual outcome after cataract surgery. The degree of astigmatism is usually estimated pre-operatively by keratometry readings. These readings can help in the plan of surgical technique and choice of intraocular lenses during cataract surgery in order to improve visual outcome. This study was done to provide data on the pattern of preoperative astigmatism in cataract patients in South East Nigeria. It is hoped that this knowledge will increase the awareness on pre-operative astigmatism among ophthalmologist so that they can improve their surgical skills on ways of reducing this astigmatism or avoid worsening it. Methods: A retrospective review of keratometry readings of 533 patients were taken from June 2018 to December 2019, with emphasis on the cylinders. Results: The most common degree of astigmatism was -0.75DC. The proportion of patients with preoperative astigmatism ≤ -1.00DC was 60% while 40% had values higher than -1.00DC. Conclusion: There may usually be significant pre-operative astigmatism in patients scheduled for cataract surgery. This calls for an improvement in surgical skills in minimizing astigmatism and avoiding worsening preoperative astigmatism. There should be increase availability and use of toric lenses for correction of preoperative astigmatism. Finally accurate postoperative refraction will have a positive impact in the management of astigmatism, whether preoperative or surgically induced.

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CONGENITAL CHOANAL ATRESIA: A CASE SERIES

10.36106/gjra/1708791 ◽

2021 ◽

pp. 1-3

Author(s):

Mainak Maitra ◽

Mukesh Kumar Singh

Keyword(s):

Differential Diagnosis ◽

Surgical Technique ◽

Respiratory Distress ◽

Neonatal Period ◽

Choanal Atresia ◽

Case Series ◽

Nasal Discharge ◽

Female Ratio ◽

Oral Airway ◽

Male To Female

Congenital Choanal Atresia (CA) is the failure in the development in communication between the nasal cavity and the nasopharynx. Its incidence is 1 in 7000 births. The male to female ratio for infants with choanal atresia is 2.2. Approximately two-thirds of cases are unilateral. Structurally there are two main types– a) Osseous-90% b) Membranous. Bilateral CA is an important but rare cause of respiratory distress in newborn. The distress improves with an oral airway. Here 3 paediatric cases of congenital choanal atresia are being discussed. Choanal atresia as a differential diagnosis should always be kept in mind in children presenting with respiratory distress in early neonatal period and in patients presenting with unilateral nasal discharge. Endoscopic surgical technique of choanal atresia repair along with stenting was done in all the 3 cases.

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