Congenital Ulcerated Lip Hemangioma Treated with a Cleft Lip Technique

2017 ◽  
Vol 54 (2) ◽  
pp. 231-234 ◽  
Author(s):  
Alberto Bianchi ◽  
Sara Amadori ◽  
Massimo Bassi ◽  
Iria Neri ◽  
Angelo Campobassi ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Surgical Treatment ◽  
Systemic Therapy ◽  
Cleft Lip ◽  
Treatment Plan ◽  
Cleft Lip Repair ◽  
Congenital Cleft ◽  
Microform Cleft Lip ◽  
Stable Result

A neonate presented to our clinic for evaluation of unusual congenital cleft lip. The clinical follow-up showed at first an ulceration of the lesion and then a stable result after propanolol systemic therapy. After 18 months of clinical follow-up, surgical treatment was performed, which consisted of double unilimb Z-plasty according to Mulliken's microform cleft lip repair. Knowing the existence of these strange vascular anomalies of the lip will allow us to improve the differential diagnosis and treatment plan.

scholarly journals Shoulder Septic Arthritis

2018 ◽  
pp. 17-22
Author(s):  
Ivan Copete-González ◽  
Joan Ferràs-Tarragó ◽  
Manuel Ángel Angulo Sánchez
Keyword(s):  
Differential Diagnosis ◽  
Surgical Treatment ◽  
Septic Arthritis ◽  
Protein Chain ◽  
Hematogenous Spread ◽  
Chain Reaction ◽  
Intravenous Antibiotic ◽  
Direct Inoculation ◽  
Process Material

Background: Septic arthritis is an emergency in orthopedics. Several mechanisms have been described: hematogenous spread, extension from an adjacent focus and direct inoculation, being the first one the most frequent mechanism. If not handled properly neither early, what can lead to the destruction of the articular cartilage and the production of sequelae. In an incipient case, good results can be got with conservative treatment, but usually surgical management is necessary for the resolution of the process. Material and Methods: We present a case of a 5 year old child who suffered an episode of arthritis after the administration of vaccine against serogroup B Neisseria Meningitidis. Symptoms began 2 hours after vaccination with pain and fever of up to 39ºC. At this moment, arthrocentesis was performed and intravenous antimicrobial therapy was initiated. Results: The evolution was favorable with no need of surgical treatment. Symptoms continued going down after the management with arthrocentesis and intravenous antibiotic treatment, until disappearing completely in a few days. During the follow-up, no signs of recurrence have appeared after 12 months. Conclusions: despite the fact that the hematogenous spread is the most frequent mechanism of establishment of arthritis septic, direct inoculation can justify a case of arthritis after vaccination in the deltoid region. We must be careful during vaccination with bacteria toxoids in the deltoid region, due to the risk of reactive arthritis and its differential diagnosis with septic arthritis. More studies are needed to clarify the diagnoses in the borderline cases, being molecular biology techniques as protein chain reaction a fast and useful tool.

Dental Cast Study of Adult Patients with Untreated Unilateral Cleft Lip or Cleft Lip and Palate in Indonesia Compared with Surgically Treated Patients in the Netherlands

1993 ◽  
Vol 30 (3) ◽  
pp. 313-319 ◽  
Author(s):  
Paul H.M. Spauwen ◽  
Widanto Hardjowasito ◽  
Jan Boersma ◽  
Benny S. Latief
Keyword(s):  
Surgical Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Surgical Intervention ◽  
Negative Effects ◽  
Tongue Position ◽  
Cleft Lip Repair ◽  
Palate Repair ◽  
Maxilla And Mandible ◽  
Dental Cast

To determine differences in maxillary and dentoalveolar relationships between untreated and treated patients having unilateral clefts of the lip and alveolus (UCLA) or lip and palate (UCLP), dental cast assessments were done on 70 untreated adult indonesian patients (UCLA-I, UCLP-I) and 67 Dutch patients, surgically treated in infancy (UCLA-D, UCLP-D). The indonesian group consisted of 44 UCLA-I and 26 UCLP-I patients, and the Dutch group of 24 UCLA-D and 43 UCLP-D patients. In the UCLA-I patients, deformities occurred in that part of the dentoalveolar complex that surrounds the cleft. Lip repair in the UCLA-D group more frequently caused deformities in the incisor and buccal areas on the cleft side. In the UCLP-I patients, deformities were present in the incisor and cuspid areas on the cleft side. The buccal segments showed collapse both on the cleft and noncIeft sides. Lip and palate repair in the UCLP-D group caused significantly more deformities in the incisor, cuspid, and buccal areas up to the level of the first molars, both on the cleft and noncleft sides. Surgical treatment seems to cause maxillary and dentoalveolar deformities up to the first molars more frequently, but these are not as pronounced as one would expect: following the practiced surgical regimen, the deformities were usually mild. Negative effects of surgical intervention seem to be antagonized by the restored integrity of the lip and palate leading to orientation of maxillary parts and correction of tongue position, which in turn has a molding effect on the maxilla and mandible.

A comparitive study of tissue adhesive versus sutures in congenital cleft lip repair

2013 ◽  
Vol 42 (10) ◽  
pp. 1196
Author(s):  
A.K. Desai ◽  
N. Kumar ◽  
P. Ganesh ◽  
G. kundalswamy ◽  
B. Lakkundi
Keyword(s):  
Cleft Lip ◽  
Tissue Adhesive ◽  
Cleft Lip Repair ◽  
Congenital Cleft

Novel Passage of Dermis-Fat Graft for Augmentation of Vermilion Deficiency Following Cleft Lip Repair

2020 ◽  
Vol 57 (7) ◽  
pp. 919-922
Author(s):  
Daniel C. Sasson ◽  
Sergey Y. Turin ◽  
Arun K. Gosain
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Cleft Lip ◽  
Soft Tissue Augmentation ◽  
Fat Graft ◽  
Upper Lip ◽  
Fat Injection ◽  
Cleft Lip Repair ◽  
Rubber Catheter ◽  
Established Technique

Despite timely repair of cleft lip, secondary deformities such as vermilion notching or “whistle deformity” often require further surgical treatment. The use of dermis-fat graft for soft tissue augmentation of the upper lip is an established technique. We propose an innovation on this technique, by which the dermis-fat graft can be placed reliably and with minimal dissection by use of a soft red rubber sheath to protect the Keith needle while delivering the graft through the submucosal pocket in the dry vermilion, thereby avoiding the needle inadvertently catching soft tissue inside the pocket. We recommend using an 8F red rubber catheter, cutting the catheter to be just shorter than a 2.5-inch Keith needle. This provides a sheath through which the Keith needle can be passed within the submucosal vermilion tunnel. We believe this to be much more reliable for vermilion augmentation than other techniques, including fat injection, and makes graft inset more predictable, faster, and simpler.

scholarly journals Surgical treatment of a thoracic oesophageal duplication cyst causing recurrent dysphagia in an adult dog

2018 ◽  
Vol 63 (No. 4) ◽  
pp. 175-180
Author(s):  
A. Foglia ◽  
S. Del Magno ◽  
M. Pietra ◽  
V. Cola ◽  
M. Joechler ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Surgical Treatment ◽  
Physical Examination ◽  
Clinical Signs ◽  
Duplication Cyst ◽  
Intact Male ◽  
Normal Limits ◽  
Oesophageal Duplication Cyst

A 7-year-old intact male Rottweiler dog was evaluated for recurrent dysphagia and regurgitation. Physical examination was unremarkable and routine blood works were within normal limits. Computed tomography revealed a defined lesion in the caudal mediastinum arising from the oesophagus. The lesion was excised using intercostal thoracotomy and the histological diagnosis was oesophageal duplication cyst. The dog recovered uneventfully and at a 3-year follow-up no clinical signs were reported. Although extremely rare, oesophageal duplication cysts should be considered in the differential diagnosis in cases of chronic regurgitation and dysphagia associated with evidence of an oesophageal lesion.

Microform Cleft Lip Repair With Intraoral Muscle Interdigitation

2009 ◽  
Vol 62 (6) ◽  
pp. 640-644 ◽  
Author(s):  
Arthur E. Desrosiers ◽  
Henry K. Kawamoto ◽  
Hurig V. Katchikian ◽  
Reza Jarrahy ◽  
James P. Bradley
Keyword(s):  
Cleft Lip ◽  
Cleft Lip Repair ◽  
Microform Cleft Lip

Changes in the Oral Health-Related Quality of Life in Infants With Cleft Lip and/or Palate Before and After Surgical Treatment

2021 ◽  
pp. 105566562199328
Author(s):  
Roxana Patricia López Ramos ◽  
Daniel José Blanco Victorio ◽  
Gilmer Torres Ramos ◽  
Mónica J. Pajuelo ◽  
Jenny Abanto
Keyword(s):  
Surgical Treatment ◽  
Oral Health ◽  
Cleft Lip ◽  
Post Treatment ◽  
Health Related Quality ◽  
Before And After ◽  
Related Quality ◽  
Health Related

Objective: To assess oral health-related quality of life (OHRQoL) changes before and after the primary surgical treatment in infants with cleft lip and/or palate (CL/P). Design: Quasi-experimental study. Methods: A total of 106 infants with CL/P younger than 2 years undergoing primary surgical treatment in the Plastic Surgery Service of the Instituto Nacional de Salud del Niño in Peru. The parent/caregiver answered a questionnaire about OHRQoL named the Peruvian version of the Early Childhood Oral Health Impact Scale (P-ECOHIS) in the pretreatment (baseline) and follow-up post-treatment. The total score of P-ECOHIS and their 2 sections (child impact and family impact) in the baseline and each follow-up period post-treatment scores were assessed. As well as, the type of the CL/P on OHRQoL, standardized effect sizes (ES) based on mean total change scores (difference between baseline and 12th month) were analyzed. Results: Improvements in infant’s OHRQoL after treatment were reflected in each follow-up period P-ECOHIS score compared to the baseline score. The total P-ECOHIS scores decreased significantly from 28.07 (baseline) to 7.7 (12th month; P < .0001), as did the individual domain scores ( P < .0001). There were significant differences in the baseline and follow-up post-treatment scores of infants who reported improvement of the OHRQoL ( P < .0001). The ES was large (3.79). The cleft lip had an improvement in the OHRQoL at 12th month post-treatment ( P < .0001). Conclusions: Primary surgical post-treatment resulted in significant improvement of the infant’s OHRQoL with CL/P.

Sign in / Sign up

Export Citation Format

Share Document