scholarly journals Assessment and Surgical Treatment of Calcinosis of the Shoulder Associated with CREST Syndrome

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
R. Manohara ◽  
S. J. Breusch
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Shoulder Pain ◽  
Surgical Management ◽  
Lower Limb ◽  
Unusual Case ◽  
Treatment Modalities ◽  
Crest Syndrome ◽  
Rheumatological Diseases

We report an unusual case of a 65-year-old lady with CREST syndrome with multiple upper and lower limb calcinosis, who presented with severe shoulder pain and stiffness, with widespread intra- and extra-articular calcinosis, which was refractory to conservative measures. We were able to identify the main cause of her symptoms through serial diagnostic injections as calcific biceps tendinosis. We will discuss her assessment and surgical management and the pathophysiology and various treatment modalities for managing the soft tissue calcinosis in rheumatological diseases.

Surgical Management after Doxorubicin and Epirubicin Extravasation

1998 ◽  
Vol 23 (5) ◽  
pp. 666-668 ◽  
Author(s):  
C. HEITMANN ◽  
C. DURMUS ◽  
G. INGIANNI
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Surgical Management ◽  
Antineoplastic Agents ◽  
Major Complication ◽  
Surgical Debridement ◽  
Chronic Ulcers ◽  
Delayed Closure

Doxorubicin and epirubicin are strong antineoplastic agents widely used in chemotherapy. One major complication of their use is skin sloughing after subcutaneous extravasation, the degree of which is often underestimated. Both drugs have a tendency to produce liquefying necrosis in soft tissue and chronic ulcers if extravasation occurs. Three cases of extravasation, their surgical treatment and final results are presented. In cases of doxorubicin and epirubicin extravasation it is very important to perform an early extensive surgical débridement with delayed closure to avoid-long hospitalization and disabling results.

The Canterbury technique for canalplasty via an endaural approach in the surgical management of chronic refractory otitis externa

2003 ◽  
Vol 117 (3) ◽  
pp. 195-197 ◽  
Author(s):  
H. R. Sharp ◽  
R. J. Oakley ◽  
N. D. Padgham
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Medical Treatment ◽  
Surgical Management ◽  
Patient Group ◽  
Retrospective Review ◽  
Surgical Outcome ◽  
Otitis Externa ◽  
Patient Records

We describe an endaural technique for soft tissue and bony meatoplasty and canalplasty in the surgical management of chronic otitis externa unresponsive to medical treatment and out-patient microsuction. Following analysis of the surgical outcome via a retrospective review of patient records, we would recommend this surgical treatment in this patient group.

scholarly journals Melioidosis of the Musculoskeletal System

2019 ◽  
Vol 29 (2) ◽  
pp. 121-127 ◽  
Author(s):  
Rajamani Perumal ◽  
Abel Livingston ◽  
Sumant Samuel ◽  
Santhosh Kumar Govindaraju
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Septic Arthritis ◽  
Musculoskeletal System ◽  
Medical Management ◽  
Clinical Presentation ◽  
Treatment Modalities ◽  
Soft Tissue Abscess ◽  
Musculoskeletal Involvement

Objective: Recent studies indicate that India is an endemic region for Burkholderia pseudomallei infection. We aimed to describe the clinical presentation of B. pseudomallei infection of the musculoskeletal system and summarise the various treatment modalities used in our clinical practice. Subjects and Methods: Patients with confirmed microbiological diagnosis of B. pseudomallei infection involving the musculoskeletal system treated from January 2007 to December 2016 with a minimum follow-up of 1 year were included. A retrospective review of medical records was carried out and patients’ demographic data, co-morbidities, clinical presentation, and details of medical and surgical treatment were documented. Results: Of 342 patients diagnosed with B. pseudomallei infection, 37 (9.2%) had musculoskeletal involvement; 26 patients (23 males) followed up for at least a year were included in the study. Four patients (15%) had multisystem involvement and 10 (37%) had multiple musculoskeletal foci of infection; 15 patients (58%) had osteomyelitis, 10 (38%) had septic arthritis with or without osteomyelitis, and 1 patient (4%) presented with only soft tissue abscess. All patients required surgical intervention in addition to medical management. Surgical treatment varied from soft tissue abscess drainage, arthrotomy for septic arthritis, decompression and curettage for osteomyelitis, and/or use of antibiotic (meropenem or ceftazidime)-loaded polymethylmethacrylate bone cement for local drug delivery. At final follow-up (average: 37 months, range: 12–120), all patients were disease free. Conclusion: We found the rate of musculoskeletal involvement in B. pseudomallei infection to be 9.2%. Appropriate surgical treatment in addition to medical management resulted in resolution of disease in all our patients.

scholarly journals An unusual evolution of a case of Klippel-Trenaunay syndrome

Open Medicine ◽  
2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Valter Martino ◽  
Alessia Ferrarese ◽  
Borello Alessandro ◽  
Silvia Marola ◽  
Alessandra Surace ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Unusual Case ◽  
Varicose Veins ◽  
Congenital Disorder ◽  
Venous Ulcers ◽  
Rare Congenital Disorder ◽  
Klippel Trenaunay Syndrome ◽  
Treatment Of Infection

Abstract Klippel-Trenaunay syndrome (KTS) is a rare congenital disorder. KTS can be diagnosed on the basis of any 2 of 3 features: cutaneous capillary malformations, soft tissue or bony hypertrophy and varicose veins. We present an unusual case of KTS complicated by an infection of venous ulcers of the lower limb by larvae. The treatment of infection was a complete debridement; however baseline treatment of KTS is still in evaluation.

scholarly journals Severe rhinophyma treated by shave excision and electrocautery

2020 ◽  
Vol 13 (1) ◽  
pp. e232973
Author(s):  
Manish Gupta ◽  
Gurchand Singh ◽  
Monica Gupta
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Rare Disease ◽  
Cosmetic Outcome ◽  
Treatment Modalities ◽  
Limited Success

Rhinophyma is a rare disease, causing disfiguring soft-tissue hypertrophy of the nose. Various medical and surgical treatment modalities have been tried, with limited success. We report a case of a 76-year-old man, where shave excision of the rhinophymatous tissue was done with satisfactory cosmetic outcome.

scholarly journals Rhinophyma: Excision and Reconstruction with Local Nasolabial Flap

2011 ◽  
Vol 4 (1) ◽  
pp. 57-58 ◽  
Author(s):  
Yogesh Gajjar ◽  
Rupa Parikh
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Rare Disease ◽  
Treatment Modalities ◽  
Nasolabial Flap

ABSTRACT Rhinophyma is a rare disease which causes disfiguring soft tissue hypertrophy of the nose. Various medical and surgical treatment modalities have been proposed and tried with varying degree of success. We report a case where we adopted excision of the rhinophymatous tissue and reconstructed with the local nasolabial flap. The result was cosmetically good enough and the procedure technically simple.

The use of Integra dermal regeneration matrix in the surgical treatment of a recurrent, extensive malignant skin lesion in the temporal region

2013 ◽  
Vol 154 (6) ◽  
pp. 225-227 ◽  
Author(s):  
Csaba Halmy ◽  
Zoltán Nádai ◽  
Krisztián Csőre ◽  
Adrienne Vajda ◽  
Róbert Tamás
Keyword(s):  
Surgical Treatment ◽  
Skin Lesion ◽  
Surgical Management ◽  
Skin Grafting ◽  
Skin Tumor ◽  
Temporal Region ◽  
Aesthetic Result ◽  
Malignant Skin ◽  
Dermal Regeneration Template ◽  
Dermal Regeneration

Authors report on the use of Integra dermal regeneration template after excision of an extended, recurrent skin tumor in the temporal region. The area covered with Integra was 180 cm2. Skin grafting to cover Integra was performed on the 28th day. Both Integra and the skin transplant were taken 100%. Integra dermal regeneration template can provide good functional and aesthetic result in the surgical management of extended skin tumors over the skull. Orv. Hetil., 2013, 154, 225–227.

Comprehensive Surgical Management of Chronic Suppurative Osteomyelitis Extending to The Lower Border of Mandible – A Case Report

2018 ◽  
Vol 5 (3) ◽  
Author(s):  
Deepak Kaul ◽  
Farahnaz Muddebihal ◽  
Mohammed Anwar Ul Haque Chand
Keyword(s):  
Developing Countries ◽  
Case Report ◽  
Surgical Treatment ◽  
Surgical Management ◽  
Surgical Debridement ◽  
Reconstruction Plate ◽  
Left Posterior ◽  
High Nutrient ◽  
Inferior Border ◽  
Precipitating Factor

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.

scholarly journals An unusual case of aggressive malignant spread of epithelioid hemangioendothelioma

Rare Tumors ◽  
2021 ◽  
Vol 13 ◽  
pp. 203636132110108
Author(s):  
Ashley D Hickman ◽  
Evandro D Bezerra ◽  
Anja C Roden ◽  
Matthew T Houdek ◽  
Jonathan D Barlow ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Soft Tissue ◽  
Multimodal Treatment ◽  
Unusual Case ◽  
Case Reports ◽  
Case Series ◽  
Epithelioid Hemangioendothelioma ◽  
Vascular Neoplasm ◽  
Pulmonary Imaging ◽  
Low Incidence

Epithelioid hemangioendothelioma (EHE) is a rare vascular neoplasm which typically originates from liver, lung, or bone. Due to the low incidence of disease, the most effective treatment is not easily studied and much of the information known about EHE has been learned through case reports and case series. In this case, we will present an uncommon form of primary soft tissue EHE with local recurrence, bone metastasis, and lymphangitic spread to the lungs leading to respiratory failure. Imaging of the chest was atypical for EHE with intraseptal thickening and hilar lymphadenopathy. Respiratory failure was progressive despite aggressive multimodal treatment. This case highlights an unusually aggressive recurrence and metastasis of primary soft tissue EHE with atypical pulmonary imaging findings.

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