scholarly journals Reconstruction of Thumb Polydactily: A Case Report

2020 ◽  
Vol 6 (2) ◽  
pp. 276-280
Author(s):  
Budiman Budiman ◽  
Gladya Utami ◽  
T. Fadli Nazwan Sani
Keyword(s):  
Case Report ◽  
Congenital Abnormality ◽  
Hand Function ◽  
Metacarpal Bone ◽  
Surgical Removal ◽  
Simple Excision ◽  
History Of ◽  
Aesthetic Aspect ◽  
The Aesthetic

Background: Polydactyly is the most common hand congenital abnormality found, next after syndactyly. The presence of these extra fingers is not merely duplication but is accompanied by abnormal hypoplastic structures, abnormal joints, tendon anomalies, and anomly of the insertion of ligaments. There are many tehniques proposed to reconstruct polydactyly, from simple excision of bones, ligaments, and tendons to complex reconstructions. We report a case of polydactily, the patient had bone exicision of the duplicates when the patient was four-month-old, but that extra metacarpal with no phalanges resulted in a greater space of finger 1 and 2. Patient and Method: A 21-year-old woman complaining of difficulty in grasping because the space between first and second fingers is too far away, and the extra metacarpal bone is protruding that causes snagging and stumbling on other objects. She had a history of surgical removal of polydactyl when she was 4-month-old. The patient has a limitation in hand activities. Result: Six months after surgery, the patient was satisfied with the results. The fingers has better mobility, good appearance. No more prominent bone, and neuropathic problems, or other disorders were found. Conclusion: Polydactyly is a common congenital hand occurrence. Understanding the anatomy to guide the reconstructive actions is important. It is not only about which digit would be preserved, but we have to concern about what our patient need, improving the quality,  patient's hand function, and the aesthetic aspect.  

scholarly journals The Aneurysmal Bone Cyst - A Case Report

2018 ◽  
Vol 1 (Supplement) ◽  
pp. 56
Author(s):  
I. Petrescu ◽  
A.M. Oproiu ◽  
C. Tudorache ◽  
A. Mitcan
Keyword(s):  
Case Report ◽  
Aneurysmal Bone Cyst ◽  
Bone Structure ◽  
Articular Surface ◽  
Hand Function ◽  
Bone Cyst ◽  
Autologous Bone Graft ◽  
Metacarpal Bone ◽  
Reconstruction Method ◽  
Left Hand

Abstract Introduction. The aneurysmal bone cyst is a benign bone tumor with a low incidence. Its presence within the bone of the hand is quite unusual. When it comes to its evolution, it is known to be an aggressive tumor with a progressive weakening of the bone structure. Objective. This case report aimed to present the importance of keeping the hand function intact for patients who are usually in their first decades of life. As a reconstruction method, a radical surgical approach and grafting are both mandatory for the unit to have the mobility unaltered. Material and methods. It is a case of a 15-year-old male with a giant aneurysmal bone cyst of the fifth metacarpal bone of the left hand. This tumor was surgically removed and the entire bone was rebuilt with an autologous bone graft from the iliac crest. The articular surface was preserved for the distal joint (the head of the metacarpal bone was spared). Results. The surgical procedure concluding the resection and immediate grafting reestablished the function of the hand with no infirmity, and the results for the past 7 years after surgery kept being negative for relapse and the patient had great mobility within the segment. Conclusions: The proper and correct surgical treatment of giant aneurysmal bone cyst located on the fifth metacarpal bone is the mandatory resection of the entire tumor for the high risk of pathological bone fracture with a severe impact on the mobility of the hand.

scholarly journals First Autochthonous Infection of a Cat with Dirofilaria immitis in Austria

Pathogens ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. 1104 ◽  
Author(s):  
Lisa-Maria Kulmer ◽  
Maria Sophia Unterköfler ◽  
Hans-Peter Fuehrer ◽  
Varvara Janovska ◽  
Matus Pagac ◽  
...  
Keyword(s):  
Case Report ◽  
Dirofilaria Immitis ◽  
Complete Blood Count ◽  
Clinical Signs ◽  
Surgical Removal ◽  
Negative Results ◽  
Heartworm Disease ◽  
History Of ◽  
One Year ◽  
The Right

This case report is about a seven-year-old male neutered European Shorthair cat infected by Dirofilaria immitis as the first reported autochthonous Dirofilaria immitis infection in Austria. There was no history of periods abroad. Echocardiography showed suspected D. immitis in the right cardiac chamber with increased pulmonary pressure and ascites. Surgical removal of the heartworms was performed. Twenty adult heartworms were removed by transvenous jugular approach under general anesthesia and stored in 4% formalin. Five out of 20 specimens were examined via light and stereomicroscopy and feline heartworm infection was confirmed. Amplification of a 203 bp or 724 bp fragment of the cytochrome c oxidase subunit I gene was unsuccessful. After surgery the cat developed acute renal failure but recovered quickly. One year later, the cat underwent a control examination including echocardiography and blood work. There were no more D. immitis detectable at echocardiography. Lung pressure was mildly increased. Complete blood count and creatinine were unremarkable. The Knott’s test and Dirofilaria-Antigen-test produced negative results. The cat did not show any clinical signs during the follow-up period. The aim of this case report is to highlight the growing risk of acquiring infection with D. immitis not only for Austrian dogs, but also for cats. This case report represents the first report of autochthonous D. immitis infection in Austria. Moreover, even if the prognosis in cats with caval syndrome due to feline heartworm disease is guarded to poor, surgical removal of the filariae can be a successful treatment option.

scholarly journals Spontaneous Condyle-Like Development after Total Resection of Mandible Giant Osteochondroma: Case Report and a Follow-Up for Five Years

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Marco Antonio de Oliveira Filho ◽  
Luis Eduardo Almeida ◽  
Andrea Duarte Doetzer ◽  
Allan Fernando Giovanini ◽  
Osvaldo Malafaia
Keyword(s):  
Case Report ◽  
Surgical Approach ◽  
Mandibular Condyle ◽  
Maxillary Bone ◽  
Prosthetic Reconstruction ◽  
Post Operation ◽  
Facial Harmony ◽  
Aesthetic Aspect ◽  
The Aesthetic

Osteochondroma manifests as a benign tumor that occurs as an abnormal bony development. This tumor is commonly asymptomatic and presents an exophytic outgrowth on bone surfaces, near synovial joints, a condition that invariably induces evident facial deformities. Treatment for this type of tumor usually involves a surgical approach promoting a total or partial resection of the affected anatomical area associated to prosthetic reconstruction of the bone area extracted. We present a case report about a giant mandibular condyle osteochondroma in a 37-year-old female patient. Her treatment involved a total condylectomy without immediate condylar reconstruction, which would be performed in a posterior surgical approach. During the patient’s follow-up (every 6 months of post operation), a spontaneous and rudimentary condyle-like formation was observed. Because the stomatognathic function and facial harmony were satisfactory, we observed the condyle-like development for 5 years of follow-up. Also, because both the aesthetic aspect and functional evolution of the maxillary bone were considered satisfactory, no complementary reconstruction surgical treatment was required for the giant osteochondroma of the mandibular condyle.

scholarly journals Evaluation of Plasma-Assisted Noninvasive Surgery (PANIS) as a New Technique for Sublimating Large Benign Conjunctival Nevus with Amniotic Membrane Transplantation (AMT); A Clinical Case Report

2021 ◽  
Author(s):  
Farhad Nejat ◽  
Khosrow Jadidi ◽  
Shima Eghtedari ◽  
Maryam Moradi ◽  
Nazanin Sadat Nabavi
Keyword(s):  
Case Report ◽  
Amniotic Membrane ◽  
Therapeutic Option ◽  
Amniotic Membrane Transplantation ◽  
Surgical Removal ◽  
Ocular Surface Disease Index ◽  
Noninvasive Surgery ◽  
Ocular Lesions ◽  
History Of ◽  
A New Technique

Abstract Background: conjunctival nevi are benign ocular lesions with a low risk of malignant transformation to melanoma. Due to cosmetic reasons patients usually consider surgical removal options. In this case report, we are presenting a new approach using plasma-assisted noninvasive surgery (PANIS) with amniotic membrane transplantation (AMT) to sublimate the nevus border and fuse the AMT with the remaining conjunctiva.Case presentation: A 33-year-old man with a history of large conjunctival nevus in his left eye, that its benignity was proved by an expert ophthalmologist through years of examination, has visited our center in September 2020. Plasma spots were used to sublimate the nevus border and fuse AMT with the conjunctiva. The patient was discharged fully satisfied without any complications and no recurrences were seen in a year of follow-up. Visual parameters were not significantly changed while the Ocular Surface Disease Index (OSDI) was reduced dramatically. Conclusion: Conjunctival nevi removal using the PANIS method with AMT is a safe, minimally invasive, and inexpensive therapeutic option. Plasma spots are suitable for AMT adhesion to the remaining conjunctiva after the nevus removal.

Ossification of the Achilles Tendon: A Case Report

1994 ◽  
Vol 15 (1) ◽  
pp. 44-47 ◽  
Author(s):  
Masahito Hatori ◽  
Atsushi Kita ◽  
Yoshinori Hashimoto ◽  
Nikichi Watanabe ◽  
Minoru Sakurai
Keyword(s):  
Case Report ◽  
Achilles Tendon ◽  
Previous History ◽  
Rare Condition ◽  
Chief Complaint ◽  
Surgical Removal ◽  
Intramembranous Ossification ◽  
History Of ◽  
Bony Mass ◽  
The Right

Ossification of the Achilles tendon is a rare condition. We recently treated a patient with ossification of bilateral Achilles tendons. The patient was a 50 year old male whose chief complaint was discomfort around the Achilles tendon. He had a previous history of treatment of bilateral club feet On the roentgenograms, the length of the bony mass in the Achilles tendon was 5.5 cm on the right side and 1.5 cm on the left side. The left side was treated by surgical removal of a bony mass and suture of the tendon. Microscopic examination of the extirpated specimen revealed bone formation through enchondral and intramembranous ossification in the Achilles tendon.

Inflammatory Fibrous Hyperplasia Treated with a Modified Vestibuloplasty: A Case Report

2008 ◽  
Vol 9 (3) ◽  
pp. 135-141 ◽  
Author(s):  
Miguel Jaimes ◽  
Jose Muñante ◽  
Jaime Giuseppe Rodrizuez-Chessa ◽  
Sergio Olate ◽  
Jose Ricardo de Albergaria-Barbosa ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Surgical Excision ◽  
Chief Complaint ◽  
Surgical Removal ◽  
Routine Procedure ◽  
Prosthetic Devices ◽  
Benign Pathology ◽  
Hyperplastic Tissue ◽  
History Of

Abstract Aim The purpose of this report is to present a case of surgical and prosthetic treatment of a woman with inflammatory fibrous hyperplasia (IFH) and her evaluation during a six month period. Background IFH is a benign pathology, prevalent in female patients, and principally associated with ill-fitting prosthetic devices in need of adjustment. It is common for patients to require surgical removal of the hyperplastic tissue and fabrication of a new prosthesis. Case Report A 55-year-old female with a history of smoking presented with a chief complaint of missing the scheduled adjustment of her maxillary complete denture and the presence of moveable tissue under the denture. Surgical excision of the hyperplastic tissue followed with fixation of the prosthesis for six months to guide the healing of the soft tissue and to reshape the contours of the maxillary supporting tissues. Summary Surgical removal of hyperplasic soft tissue is a routine procedure, and the fixation of the prosthesis for the support of tissue during healing improves intraoral conditions for the fabrication of a new prosthesis in the future. Citation Jaimes M, Muñante J, Rodriguez-Chessa JG, Olate S, de Albergaria-Barbosa JR, Mazzonetto R, Klüppel LE. Inflammatory Fibrous Hyperplasia Treated with a Modified Vestibuloplasty: A Case Report. J Contemp Dent Pract 2008 March; (9)3:135-141.

scholarly journals Perawatan Saluran Akar Satu Kunjungan Pada Pulpa Nekrosis Disertai Restorasi Mahkota Jaket Porselin Fusi Metal dengan Pasak Fiber Reinforced Composit (Kasus Gigi Insisivus Sentralis Kanan Maksila)

2013 ◽  
Vol 20 (1) ◽  
pp. 71
Author(s):  
Surya Triharsa ◽  
Ema Mulyawati
Keyword(s):  
Case Report ◽  
Clinical Evaluation ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Maxillary Incisor ◽  
Fiber Reinforced ◽  
Fiber Post ◽  
Hard Tissue ◽  
Aesthetic Aspect ◽  
The Aesthetic

Perawatan saluran akar satu kunjungan dapat memperkecil resiko adanya kontaminasi bakteri serta mengurangi jumlah kunjungan. Restorasi gigi insisvus sentralis maksila setelah perawatan saluran akar harus mempertimbangkan sisa jaringan keras gigi yang masih ada. Tujuan laporan kasus ini adalah untuk menginformasikan hasil perawatan saluran akar satu kunjungan dengan restorasi mahkota jaket porselin fusi metal dengan pasak Fiber Reinforced Composit (FRC) pada gigi insisivus sentralis kanan maksila. Pasien perempuan 32 tahun datang ke klinik konservasi Gigi RSGM Prof Soedomo FKG UGM ingin merawat gigi depan atas dengan tumpatan yang telah berubah warna. Berdasarkan pemeriksaan subjektif, objektif dan radiografis diperoleh diagnosis pulpa nekrosis. Selanjutnya dilakukan perawatan saluran akar satu kunjungan, dan restorasi mahkota jaket porselin dengan pasak  FRC. Hasil evaluasi klinis saat kontrol tidak ada keluhan rasa sakit gigi dan gigi bisa berfungsi dengan normal. One Visit Root Canal Treatment On Necrosis Pulp Followed by Fused Porcelain Metal Jacket Crown with Fiber Reinforced Composit (A Case on Right Maxillary Central Incisivus Teeth). One visit root canal treatment is more beneficial to reduce the risk of bacteria and also shorten the time during the treatment in restoring maxillary incisor, considering the on rest of hard tissue. The objective of this case report is to inform the result of restoration teeth 11 to necrotic pulp after one visit root canal treatment. A 32 year-old female came to RSGM Prof Soedomo FKG UGM to have a treatment on her maxillary central teeth restoration for tooth whose color has changed. After an objective and radiograph examination, it was diagnosed that she suffered from necrotic pulp. The treatment chosen was a one visit root canal treatment followed by porcelain fused to metal jacket crown with fiber post reinforced composit. Based on the clinical evaluation, there was no more pain after the treatment, and the aesthetic aspect was also achieved. The patient was satisfied.

scholarly journals Schwannoma on Cervical Cervices (C2 & C3): A Case Report

2021 ◽  
Vol 2 (6) ◽  
Author(s):  
Djoko Supriyandono ◽  
Marjono Dwi Wibowo
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Rare Case ◽  
Surgical Removal ◽  
Nerve Roots ◽  
Case Presentation ◽  
The Past ◽  
Rare Case Report ◽  
Left Neck ◽  
History Of

Background: Schwannoma is classified as a benign, encapsulated tumor, derived from the perineural cells which are classified as neural cell membranes. About 10% of Schwannomas has occurred in the head and neck and the incidence of Schwannoma arising from the Cervical C2 nerve roots is extremely rare. Aims of study: This case report aims to provide a rare case report on Schwannoma located in cervical cervices (C2& C3). Case presentation: A 37-year-old female patient with a lump in the left neck for 4 years ago, the first lump appeared as a larger (increasingly large 1×1 cm) marbles with no pain in the lump but over the past 4 months the patient felt his legs and arms are weak. Patients have a history of surgical removal of tumors in the back of the neckline by the end of 2016. At first, we estimated the lump that appeared on the left neck of the patient stands alone in the sense that it was not related to the history of the first lump surgery, but when further examination, the tumor was apparently related to the lump that appeared previously who had surgery. Conclusion: The extracranial Schwannoma in the head and neck areas is a rare neoplasm. The extracranial Schwannoma case is a case that is difficult to diagnose, in addition to good clinical examination, imaging examination, such as CT scan and MRI are an indispensable way of ensuring the diagnosis of an extracranial Schwannoma.

scholarly journals The role of apraclonidine in Horner’s syndrome: A case report

2016 ◽  
Vol 144 (5-6) ◽  
pp. 312-314
Author(s):  
Jelena Karadzic ◽  
Igor Kovacevic ◽  
Jelena Ljikar
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Diagnostic Value ◽  
Surgical Removal ◽  
Imaging Studies ◽  
Life Threatening ◽  
History Of ◽  
Previous Medical History ◽  
Sympathetic Pathway

Introduction. Horner?s syndrome is an interruption of the sympathetic nervous system at any point along its course between the hypothalamus and the orbit. Horner?s syndrome is classically presented as an ipsilateral miosis, subtle ptosis, and facial anhidrosis. Pharmacologic testing is very useful in the diagnosis of Horner?s syndrome as it could help to localize the lesioned neuron in the sympathetic pathway, suggesting an etiology. Case Outline. We present a case report of a 41-year-old woman who reported right eyelid drooping immediately after operation of sympathetic chain schwannoma. We performed apraclonidine test for the diagnosis of Horner?s syndrome, which produced mydriasis on the affected eye, while there was no significant change of the normal eye. Based on the clinical presentation of anisocoria and one-sided ptosis, and previous medical history of surgical removal of the mediastinal tumor, the patient was diagnosed with a right-sided, partial Horner?s syndrome. Conclusion. Timely recognition, exact localization of the lesioned neuron, and referral for urgent imaging studies are important for ophthalmologists in order to prevent and treat life-threatening conditions. Besides its diagnostic value in Horner?s syndrome, topical apraclonidine could correct ptosis for the sake of esthetics or when ptosis reduces the superior visual field.

scholarly journals 885 Surgical Removal of Unerupted Ectopic Maxillary Central Incisors - A Case Report

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Mayor ◽  
I McHenry
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Maxillofacial Surgery ◽  
Dental Trauma ◽  
Cortical Plate ◽  
Surgical Removal ◽  
Satisfactory Outcome ◽  
Iatrogenic Damage ◽  
History Of ◽  
Maxillary Incisors

Abstract Introduction Maxillary incisors have a significant role on the facial aesthetics of an individual. Following trauma to the primary dentition, the maxillary incisors are vulnerable to eruption failure and occasionally root dilaceration. These teeth can be challenging to treat. Discussion This case report demonstrates the complex management of a 10-year-old male who presented with severely displaced and unerupted maxillary central incisors, following a history of dental trauma when he was 4 years old. Cone beam computed tomography revealed the upper maxillary central incisors to be lying transversely across the maxillary arch with the crowns directed superiorly and significantly close to the floor of the nose. The incisal edges of both crowns perforated the labial cortex of the maxilla. The roots of the maxillary central incisors were dilacerated with the apices directed superiorly. A multi-disciplinary approach was taken, with involvement from both maxillofacial surgery and orthodontic teams. Maxillofacial surgeons completed the surgical removal of the ectopic maxillary central incisors, rather than the more common approach of surgical exposure and orthodontic repositioning. In this case, full alignment of these teeth would most likely have led to perforation of the labial cortical plate of bone. Conclusions Although surgery was complex and technique sensitive, both teeth were successfully removed under general anaesthesia with no iatrogenic damage. The patient underwent fixed orthodontics to align the maxillary lateral incisors as central incisors. A multidisciplinary approach along with careful surgical planning and effective communication with the patient and his mother helped to achieve a satisfactory outcome.

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