scholarly journals Reconstruction of the columella and the tip of the nose with an island-shaped forehead flap

2011 ◽  
Vol 68 (3) ◽  
pp. 277-280 ◽  
Author(s):  
Dejan Vulovic ◽  
Nenad Stepic ◽  
Aleksandar Pavlovic ◽  
Sasa Milicevic ◽  
Branislav Piscevic
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Tumor Recurrence ◽  
Surgical Excision ◽  
Forehead Flap ◽  
Long Duration ◽  
Step Procedure ◽  
One Step ◽  
One Year ◽  
Surgical Corrections

Background. Posttraumatic and postoperative defects of columella and the tip of the nose are difficult to reconstruct. There are several operative methods described in the literature, and many of them are step-by-step procedures with long duration. The aim of this study was to present one-step procedure for reconstruction of the columella and the tip of the nose with island-shaped arterial forehead flap. Case report. A 45-year old man was submitted to surgical excision of basocellular skin cancer. After the excision, a defect of the columella and tip of the nose the remained, 3 ? 2.5 cm in dimensions, with exposed alar cartilages. During the same operation, the defect was covered with an island-shaped arterial forehead flap. Postoperative one-year course was uneventful, without signs of tumor recurrence after one year, and further surgical corrections were unnecessary. Conclusion. Considering the results of our operative technique, we believe that middle island-shaped forehead flap is suitable for reconstruction of the columella and the tip of the nose, due to the following reasons: safe vascularization of flap, similarity of the transferred tissue with the excised one, the procedure is completed in one step, simple surgical technique and uncomplicated healing of a flap-harvesting site.

Internal Fixation of a Displaced Tibial Sesamoid Fracture

2001 ◽  
Vol 91 (10) ◽  
pp. 536-539 ◽  
Author(s):  
Jay Riley ◽  
Marc Selner
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Surgical Technique ◽  
Internal Fixation ◽  
Open Reduction ◽  
Surgical Excision ◽  
Viable Alternative

The authors present a surgical technique for the preservation and repair of an acutely fractured sesamoid using internal fixation of the sesamoid. A case report demonstrating the technique for the open reduction and internal fixation of a fractured tibial sesamoid is presented. The authors recommend this procedure as a viable alternative to surgical excision of the tibial sesamoid. The use of the procedure as an adjunct for the surgical treatment of recalcitrant traumatic sesamoiditis is also discussed. (J Am Podiatr Med Assoc 91(10): 536-539, 2001)

Treatment of pregnancy-associated oral pyogenic granuloma with life-threatening haemorrhage by transarterial embolisation

2015 ◽  
Vol 129 (6) ◽  
pp. 607-610 ◽  
Author(s):  
K-Y Tsai ◽  
W-H Wang ◽  
G-H Chang ◽  
Y H Tsai
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Severe Bleeding ◽  
Transarterial Embolisation ◽  
Wound Pain ◽  
Life Threatening ◽  
One Year

AbstractBackground:Pregnancy-associated pyogenic granuloma (pregnancy tumour) is not uncommon. However, control of severe bleeding associated with the lesion by transarterial embolisation has never been reported.Case report:We report the case of a 33-year-old pregnant woman (34 weeks gestation) who presented with a pregnancy-associated pyogenic granuloma of the mandibular gingiva with a life-threatening haemorrhage. The bleeding stopped soon after transarterial micro-embolisation and regressed after one month; thus, no further surgical excision was needed. The patient was free of post-operative wound pain and infection, and there was no recurrence after one year of follow up.Conclusion:In general, surgical excision is the first treatment choice for pregnancy tumours. However, it is limited by the risk of marked deformity or incomplete excision when large lesions or difficult surgical areas are encountered. For large tumours, transarterial embolisation may be a safer alternative.

The Use of Cryotherapy to Treat Infantile Digital Fibromatosis with a Functional Deficit: A Case Report

2018 ◽  
Vol 23 (02) ◽  
pp. 278-281 ◽  
Author(s):  
Aviv Kramer ◽  
Yaron Har-Shai ◽  
Isa Metanes ◽  
Hani Harel ◽  
Ronit Wollstein
Keyword(s):  
Case Report ◽  
Occupational Therapy ◽  
Recurrence Rate ◽  
Benign Lesion ◽  
Excellent Result ◽  
Surgical Excision ◽  
Therapeutic Modality ◽  
High Recurrence Rate ◽  
Functional Deficit ◽  
One Year

Infantile Digital Fibromatosis (IDF) is a rare benign lesion that can affect the fingers, often appearing at birth or early on in life. Treatment is controversial due to a high recurrence rate following surgical excision, and the tendency of the lesions to regress or resolve completely after the age of one year. Functional loss has rarely been described. We describe a case of IDF with joint contracture and significant functional deficit that was treated with cryotherapy and post procedural occupational therapy with an excellent result. Indications for treatment and cryotherapy as a therapeutic modality for IDF are discussed.

scholarly journals Island Abdominal Skin Flap For Reconstruction Post Excision Defect Of Arterio-Venous Malformation In Labia Majora: A Case Report

2020 ◽  
Vol 6 (1) ◽  
pp. 254-257
Author(s):  
Jenny Indah Haryani ◽  
Ahmad Fawzy Mas’ud
Keyword(s):  
Case Report ◽  
Primary Closure ◽  
Vascular Malformations ◽  
Venous Malformation ◽  
Skin Flap ◽  
Surgical Excision ◽  
Reconstruction Procedure ◽  
Labia Majora ◽  
Good Cosmetic ◽  
One Year

Background : Arterio-venous malformations (AVMs) defined as high-flow vascular malformations of dysmorphic arterial and venous vessels. And connected directly to one another without an intervening capillary bed. The incidence is higher in females than male (3-5:1). Globally, there are only 5 cases of genital hemangiomas reported. Various treatment has been investigated, a recent topical treatment is the application of timolol. It has minimal adverse effects, easy administration, and good cosmetic outcomes. However, the effectiveness of timolol in vulvar cases remains unclear. Case Report : A one-year-old girl was brought by her mother with complaint of a lump in her child's genitals. The lump was appeared during the early days of her life and it was getting bigger gradually. A plastic surgeon performed excision and reconstruction procedure using the island abdominal flap technique. Discussion : Preserving vaginal function and perineal integrity is quite challenging, and cosmesis correspondingly less important. The patient underwent surgical excision and primary closure procedure in the labia majora region, followed with abdominal flap tunneled through the mons pubis. Conclusion: Surgical excision and primary closure are the most recommended procedure for overcoming genital lesion. A reconstruction using flap following the procedure resulted in a normal contour and well functioned genital.

scholarly journals Novel “all-in-one” sandwich technique for reconstruction of full-thickness defects of the lower eyelid: a case report

2020 ◽  
Vol 48 (4) ◽  
pp. 030006052091869
Author(s):  
Lucian Fodor ◽  
Simion Bran ◽  
Gabriel Armencea ◽  
Florin Onisor
Keyword(s):  
Case Report ◽  
Lower Eyelid ◽  
Nasolacrimal Duct ◽  
Reconstruction Method ◽  
Forehead Flap ◽  
Sandwich Technique ◽  
Paramedian Forehead Flap ◽  
Lower Eyelid Reconstruction ◽  
Ear Cartilage ◽  
One Step

The current paper presents a case report of lower eyelid reconstruction after removal of a basal cell carcinoma. Our novel reconstruction method consists of translation and rotation of a paramedian forehead flap into the defect, conjunctivorhinostomy for reconstruction of the nasolacrimal duct, and placement of a sandwich ear cartilage graft that is primarily seated into the forehead flap to maintain the vertical dimension of the eyelid. This “all-in-one” technique has the advantage of one-step reconstruction, avoiding multiple surgical procedures.

scholarly journals Mucosal stripping and muscular layer quilting in the treatment of anal canal duplication: Operative technique

2019 ◽  
pp. 04-07
Author(s):  
Dogus Güney ◽  
Emrah Senel
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Anal Canal ◽  
Operative Technique ◽  
Surgical Excision ◽  
Risk Of Infection ◽  
Case Presentation ◽  
Muscular Layer ◽  
First Time ◽  
Anal Canal Duplication

Anal canal duplication (ACD) is the least frequent digestive duplication [1]. It presents as a perineal orifice that ends with a tract along the anal canal [2]. Symptoms are often absent but can occur or worsen with age. Surgical excision of the duplicated anus is required because of the risk of infection and malignancy [3]. Here we present a patient with ACD that was treated with a technique that we pioneered called mucosal stripping and muscular layer quilting (MSMQ). This technique was performed for the first time in our clinic 11 years ago on 2 patients and has been described in a case report [4]. We describe the surgical technique here using a case presentation with photographs that illustrate the technique.

scholarly journals Congenital Nasal Chondromesenchymal Hamartoma

2009 ◽  
Vol 24 (2) ◽  
pp. 23-26
Author(s):  
Ruth S. Estimar ◽  
Mario Adrian M. Zafra ◽  
Ramon Antonio B. Lopa
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Malignant Tumor ◽  
Clinical Picture ◽  
Malignant Tumors ◽  
Surgical Excision ◽  
Histopathologic Diagnosis ◽  
Design Case ◽  
One Year ◽  
Nasal Chondromesenchymal Hamartoma

Objectives: To report the case of a congenital nasal chondromesenchymal hamartoma in a one-year-old female and review the literature, identifying problems encountered in confirming the diagnosis and in treatment of this patient. Methods: Design: Case Report  Setting: Tertiary Public General Hospital Patient: One Results: A one-year-old female with an intranasal mass noted at birth and with subsequent unilateral maxillary enlargement is described. Computed tomography showed calcifications and erosion of adjacent bony structures. Histopathology and immunohistochemistry of an intranasal biopsy were interpreted as chordoma, a malignant tumor. Following surgical excision, the final histopathologic diagnosis was chondroid hamartoma. Conclusion: Only 20 cases of nasal chondromesenchymal hamartoma have been reported in the literature worldwide. These tumors may present clinically, histopathologicaly and radiologically as malignant tumors and may mislead even the experts. The whole clinical picture should be taken together to avoid misdiagnosis as a malignancy and to facilitate appropriate management.  Keywords: nasal chondromesenchymal hamartoma, nasal masses in infancy, nasal chondroid lesions

scholarly journals Scapholunate Instability Following the Surgical Excision of Dorsal Ganglion Cyst of the Wrist: A Case Report

2021 ◽  
Vol 8 (2) ◽  
pp. 95-100
Author(s):  
Hooman Shariatzade ◽  
◽  
Mohsen Barkam ◽  
Alireza Saied ◽  
Alireza Akbarzadeh Arab ◽  
...  
Keyword(s):  
Case Report ◽  
Ganglion Cyst ◽  
Surgical Excision ◽  
Surgical Removal ◽  
Interosseous Ligament ◽  
Scapholunate Instability ◽  
Ganglion Cysts ◽  
One Year ◽  
Dorsal Ganglion

Ganglion cysts of the dorsal wrist are generally attached to the scapholunate interosseous ligament, and surgical removal could injure this ligament. Such injury could rarely result in postoperative scapholunate instability. To date, a few cases of scapholunate instability following the excision of the dorsal ganglion cyst of the wrist have been reported. In this report, we present a 23-year-old man with scapholunate instability following the surgical resection of the dorsal ganglion cyst of his wrist. The instability was treated with open reduction and reconstruction. One year follow-up of the patient was event-free. The patient had no pain and limitation and resumed his preoperative activities. According to this case, the iatrogenic or pre-existing nature of scapholunate instability following the surgical excision of the dorsal ganglion cyst of the wrist‎‏ cannot be determined. However, the patients should be informed of this complication before undergoing surgery.

scholarly journals Aggressive intraabdominal fibromatosis

2006 ◽  
Vol 63 (9) ◽  
pp. 839-842 ◽  
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Vladimir Radak ◽  
Marijan Micev ◽  
Mirjana Stojkovic ◽  
...  
Keyword(s):  
Case Report ◽  
Tumor Recurrence ◽  
Common Iliac Artery ◽  
Fatal Outcome ◽  
Surgical Excision ◽  
Ascending Colon ◽  
Arterial Reconstruction ◽  
Mesenteric Fibromatosis ◽  
The Right ◽  
Graft Interposition

Background. Intraabdominal or mesenteric fibromatosis is a rare benign nonmetastatic neoplasm that appears as a sporadic lesion or in patients with familiar polyposis. Its evolution is unpredictable. About 10% of the cases show a very aggressive growth. Case report. We presented a 22-year-old woman in whom an aggressive intraabdominal fibromatosis had appeared during the first pregnancy as a well circumscribed ovoid tumor, involving the terminal ileum, the caecum, the ascending colon, the right kidney, the ureter, and the right common iliac artery. The tumor was excised with right colectomy, nephroureterectomy and resection of the involved artery using arterial reconstruction with graft interposition. Two years after the surgery the patient developed an inoperable tumor recurrence with a fatal outcome. Conclusion. In spite of a successful surgical excision during the original surgery intraabdominal or mesenteric fibromatosis might have an aggressive evolution leading to an inoperable tumor recurrency and a fatal outcome.

Sign in / Sign up

Export Citation Format

Share Document