Surgical Management for Posterior Atlantoaxial Dislocation without Fracture and Atlantoaxial Dynamic Test to Confirm the Integrity of the Transverse Ligament: A Case Report

Osteomyelitis of maxillofacial skeleton is common in developing countries such as India. This case report describes successful surgical treatment of chronic suppurative osteomyelitis {CSO} of the mandible of a 35yr old female. The precipitating factor was thought to be eventful extraction in the {left } posterior body at the inferior border of mandible. Methods: Presurgical course of antibiotics ( Amoxycillin and metronidazole for 7 days and later followed by doxycycline for 1 month).Surgical debridement of the affected bone and reinforcing it with reconstruction plate using AO principles was done . Patient was kept on a high nutrient diet consisting of proteins. Conclusion: The case report demonstrates the typical features of CSO . The combination of the antibiotics therapy and surgical debridement was successful in the treatment of chronic suppurative osteomylitis.

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Bi-microbial Healthcare-Associate Endocarditis caused by Enterococcus faecalis and Burkholderia cepacia: A Case Report and literature review

New Emirates Medical Journal ◽

10.2174/025068xx02666200227171615 ◽

2020 ◽

Vol 02 ◽

Author(s):

Masood Ghori ◽

Nadya O. Al Matrooshi ◽

Samir Al Jabbari ◽

Ahmed Bafadel ◽

Gopal Bhatnagar

Keyword(s):

Case Report ◽

Infective Endocarditis ◽

Literature Review ◽

Enterococcus Faecalis ◽

Surgical Management ◽

Burkholderia Cepacia ◽

Clinical Presentation ◽

Complicated Course ◽

Healthcare Associated ◽

Echocardiographic Findings

: Infective Endocarditis (IE), a known complication of hemodialysis (HD), has recently been categorized as Healthcare-Associated Infective Endocarditis (HAIE). Single pathogen bacteremia is common, polymicrobial endocardial infection is rare in this cohort of the patients. We report a case of endocarditis caused by Enterococcus faecalis (E. faecalis) and Burkholderia cepacia (B. cepacia), a first ever reported combination of a usual and an unusual organism, respectively, in a patient on HD. Clinical presentation of the patient, its complicated course ,medical and surgical management ,along with microbial and echocardiographic findings is presented herein. The authors believe that presentation of this case of HAIE may benefit and contribute positively to cardiac science owing to the rare encounter of this organism as a pathogen in infective endocarditis and the difficulties in treating it.

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Surgical management of choke through oesophagotomy in a buffalo: A case report

THE INDIAN JOURNAL OF VETERINARY SCIENCES AND BIOTECHNOLOGY ◽

10.21887/ijvsbt.v12i3.7098 ◽

2017 ◽

Vol 12 (3) ◽

Author(s):

Devasee Borakhatariya ◽

A. B. Gadara

Keyword(s):

Case Report ◽

Surgical Management ◽

Clinical Presentation ◽

Clinical Signs ◽

Thoracic Inlet ◽

Cervical Oesophagus ◽

Foreign Objects ◽

History Of ◽

Oesophageal Obstruction ◽

Large Animals

Oesophageal disorders are relatively uncommon in large animals. Oesophageal obstruction is the most frequently encountered clinical presentation in bovine and it may be intraluminal or extra luminal (Haven, 1990). Intraluminal obstruction or “choke” is the most common abnormality that usually occurs when foreign objects, large feedstuff, medicated boluses, trichobezoars, or oesophageal granuloma lodge in the lumen of the oesophagus. Oesophageal obstructions in bovine commonly occur at the pharynx, the cranial aspect of the cervical oesophagus, the thoracic inlet, or the base of the heart (Choudhary et al., 2010). Diagnosis of such problem depends on the history of eating particular foodstuff and clinical signs as bloat, tenesmus, retching, and salivation

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Surgical Management of Aural Haematoma in a Rabbit - A Case Report

THE INDIAN JOURNAL OF VETERINARY SCIENCES AND BIOTECHNOLOGY ◽

10.21887/ijvsbt.v12i3.7096 ◽

2017 ◽

Vol 12 (3) ◽

Author(s):

J. S. Shruthi ◽

N. G. Amith ◽

P. Priya ◽

J. K. Pramodh ◽

T. Chandrashekar

Keyword(s):

Case Report ◽

Blood Vessel ◽

Surgical Management ◽

Foreign Bodies ◽

Concave Surface ◽

Allergic Dermatitis ◽

Chronic Irritation ◽

Haematoma Formation

Aural haematoma is the collection of blood or serum within the cartilage plate of the ear pinna which presents as fluctuant, fluid-filled swelling on the concave surface of one or both the pinna (Fossum, 2007). It occurs as a result of constant shaking and rubbing of ear due to otitis, ectoparasitism, ottorrhoea, foreign bodies, hypersensitivity and allergic dermatitis. This chronic irritation, constant shaking and rubbing of the ear leads to rupture of the pinnal blood vessel resulting in haematoma formation (Ahiwar et al., 2007).

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Non-Microsurgical Bipedicled Reverse Sural Fasciocutaneous Flap with Preservation of Medial and Lateral Sural Cutanenous Nerve: Current Surgical Management of Skin Defect After Traumatic Achilles Tendon Rupture – A Case Report

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2020.12.027 ◽

2020 ◽

Author(s):

R. Novriansyah ◽

I. Prabowo ◽

S. Laras

Keyword(s):

Case Report ◽

Achilles Tendon ◽

Surgical Management ◽

Tendon Rupture ◽

Achilles Tendon Rupture ◽

Fasciocutaneous Flap ◽

Skin Defect

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Surgical management, optical considerations and refractive outcomes in anterior lenticonus associated with Alport syndrome: A case report

Journal Français d Ophtalmologie ◽

10.1016/j.jfo.2020.09.013 ◽

2021 ◽

Author(s):

K. Bradly ◽

P. Zeboulon ◽

R. Rampat ◽

D. Gatinel

Keyword(s):

Case Report ◽

Surgical Management ◽

Alport Syndrome ◽

Refractive Outcomes ◽

Anterior Lenticonus

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Anesthetic management for cesarean delivery in a woman with congenital atlantoaxial dislocation and Chiari type I anomaly: a case report and literature review

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03751-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Yuyan Nie ◽

Weimin Zhou ◽

Shaoqiang Huang

Keyword(s):

Case Report ◽

Cesarean Delivery ◽

Anesthetic Management ◽

Neurological Complications ◽

Atlantoaxial Dislocation ◽

Epidural Needle ◽

Team Approach ◽

Anesthetic Techniques ◽

Type I ◽

Combined Spinal Epidural Anesthesia

Abstract Background The preferable choice of anesthesia for the patients with congenital atlantoaxial dislocation (CAAD) and type I Arnold Chiari malformations (ACM-I) has been a very confusing issue in clinical practice. We describe the successful administration of combined spinal-epidural anesthesia for a woman with CAAD and ACM-1 accompanied by syringomyelia. Case presentation Our case report presents the successful management of a challenging obstetric patient with CAAD and ACM-1 accompanied by syringomyelia. She had high risks of difficult airway and aspiration. The injection of bolus drugs through the spinal or epidural needle may worsen the previous neurological complications. The patient was well evaluated with a multidisciplinary technique before surgery and the anesthesia was provided by a skilled anesthesiologist with slow spinal injection. Conclusions An interdisciplinary team approach is needed to weigh risks and benefits for patients with CAAD and ACM-1 undergoing cesarean delivery. Therefore, an individual anesthetic plan should be made basing on the available anesthetic equipments and physicians’ clinical experience on anesthetic techniques.

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