scholarly journals Reconstruction of the large columella defect with Сchmid-Мeyer flap

2021 ◽  
pp. 91-91
Author(s):  
Milovan Dimitrijevic ◽  
Marko Jovic ◽  
Goran Stojkovic ◽  
Ana Dimitrijevic
Keyword(s):  
Case Report ◽  
Functional Results ◽  
Complex Defect ◽  
Regional Flap ◽  
Ear Cartilage

Introduction: Reconstruction of columella defects is still regarded a challenging procedure, due to very specific anatomy of columella and limited local and regional flap options. Furthermore, a texture and color of columella tissue pose difficulties in choosing right method of reconstruction. Case report: Authors present a patient who underwent reconstruction of complex columella defect using Schmid-Meyer flap. Schmid-Meyer flap represents a tubular flap with an internal supraciliary pedicle which allows the transposition of the temporal skin with the addition of ear cartilage on the tip of the nose or the ala nasi. The integration of the flap was complete. During five-year follow-up period, the cosmetic and functional results were satisfying. Conclusion. Schmid-Meyer flap may be one of the best options for reconstruction of complex defect of columella.

scholarly journals Treatment of oral hemangioma with sclerotherapy: case report

2014 ◽  
Vol 13 (3) ◽  
pp. 249-253 ◽  
Author(s):  
Salomão Israel Monteiro Lourenço Queiroz ◽  
Gleysson Matias de Assis ◽  
Valéria Damasceno Silvestre ◽  
Adriano Rocha Germano ◽  
José Sandro Pereira da Silva
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Clinical Characteristics ◽  
Correct Diagnosis ◽  
Functional Results ◽  
Benign Neoplasms ◽  
Common Site ◽  
Upper Lip ◽  
Precise Diagnosis

Hemangiomas are benign neoplasms that are common in the head and neck, but relatively rare in the oral cavity. They can cause esthetic and functional impairment, depending on location. The most common site is the upper lip, but they can occur in other areas, such as the tongue, buccal mucosa and palate. Treatment is primarily dependent on correct diagnosis of the lesion and on its anatomic location. The purpose of this article is to provide a description of a case of a hemangioma on the upper lip, treated by therapeutic sclerosis with monoethanolamine oleate (Ethamolin®), covering clinical characteristics and methods for diagnosing these lesions. Precise diagnosis and appropriate therapeutic management resulted in satisfactory esthetic and functional results, with total regression of the lesion and no signs of relapse at 1-year follow-up.

scholarly journals Primary Meningococcal Type C Arthritis: A Case Report and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Maximiliano Barahona ◽  
Jaime Catalan ◽  
Yoshiro Sato ◽  
Jaime Hinzpeter
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Literature Review ◽  
Neisseria Meningitidis ◽  
Functional Results ◽  
Clinical Problem ◽  
Short Term ◽  
Type C ◽  
Common Clinical Problem

Acute septic arthritis is a common clinical problem in emergency departments. Primary meningococcal arthritis (PMA) is very rare and few cases are reported in literature. D. B. M. consulted the emergency department for knee pain and fever; analysis showed that the cause was a Neisseria meningitidis type C infection. He received a treatment consisting of 2 arthroscopies and 5 weeks of antibiotics. At five weeks he returned to work and at 2 months he resumed sports (jogging and soccer) without complaints. Primary arthritis of the knee caused by Neisseria meningitidis is very rare. It has a very good response to antibiotics and arthroscopy procedure. Short-term follow-up and functional results are often good or excellent.

scholarly journals MTA Cvek Pulpotomy Followed by Fragment Re-Attachment in Traumatized Young Permanent Maxillary Left Central Incisor – A Case Report

2021 ◽  
Vol 30 (1) ◽  
pp. 70-73
Author(s):  
Abul Khair Zalan ◽  
◽  
Khadeejah Khalil Zubairy ◽  
Hira Zaman ◽  
Anser Maxood ◽  
...  
Keyword(s):  
Case Report ◽  
Dental Trauma ◽  
Functional Results ◽  
Clinical Results ◽  
Central Incisor ◽  
Anterior Teeth ◽  
Alternative Approach ◽  
Long Term Follow Up ◽  
Dent Assoc

Most common form of dental trauma in children are the fractures of crown mainly in anterior teeth. A case of complicated crown fracture treated with Cvek pulpotomy using MTA followed by fragment re-attachment with careful follow-up is presented here. Tooth fragment re-attachment provides feasible conservative alternative approach to restore esthetics and tooth function. Successful outcomes have been shown by the long term follow up of the treatment with the preservation of pulp vitality and continued development of root. Clinical results have also shown good esthetics and functional results of presented technique. KEYWORDS: Complicated crown fracture, Cvek pulpotomy, MTA, fragment re-attachment HOW TO CITE: Zalan AK, Zubairy KK, Zaman H, Maxood A, Gul A, Anser M. MTA cvek pulpotomy followed by fragment re-attachment in traumatized young permanent maxillary left central incisor – A case report. J Pak Dent Assoc 2021;30(1):70-73.

Esthetic Smile Rehabilitation through Autogenous Bonding of Dental Fragment: A Case Report

2012 ◽  
Vol 37 (1) ◽  
pp. 5-8
Author(s):  
L Gonçalves-Sena ◽  
AC Guimarães Rosa Dutra ◽  
P Corrêa-Faria ◽  
AM Botelho ◽  
ML Ramos-Jorge ◽  
...  
Keyword(s):  
Case Report ◽  
Execution Time ◽  
Functional Results ◽  
Composite Resins ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Natural Function ◽  
Pulp Exposure ◽  
Bonding Method

Autogenous tooth fragment bonding offers advantages over restorations with composite resins and porcelain, including better esthetics, greater durability, reestablishment of the natural function of the dental element and short execution time. A case is presented of a 14-year-old male patient who suffered an oblique crown fracture of the permanent right maxillary central incisor (11) due to a traumatic fall. The clinical examination revealed pulp exposure with no invasion of the biological space. Due to the extension of the fracture, endodontic treatment and the placement of an intra-root esthetic pin was needed. The tooth was restored using the autogenous fragment bonding method. Excellent esthetic and functional results were observed after two years of follow up.

scholarly journals Transoral Segmental Resection and Disarticulation of Mandible with Immediate Nonvascularized Reconstruction: A Case Report

2016 ◽  
Vol 9 (4) ◽  
pp. 349-354
Author(s):  
Hemant Gupta ◽  
Deepak Singh ◽  
Sumit Gupta ◽  
Hemant Mehra ◽  
Jasmeet Singh ◽  
...  
Keyword(s):  
Case Report ◽  
Postoperative Morbidity ◽  
Functional Results ◽  
Transoral Approach ◽  
Segmental Resection ◽  
Odontogenic Tumor ◽  
Immediate Reconstruction ◽  
Simultaneous Reconstruction

Disarticulation resections are required for treatment of variety of pathologies of the jaws. These resections are mostly carried out through extraoral approach, which bear significant postoperative morbidity. The transoral approach may be used for this purpose in benign pathological cases of the mandible to limit the postoperative morbidity of extraoral approach, as it provides sufficient access not only for resection and disarticulation but also for immediate reconstruction. This article shares our experience with transoral approach for resection and disarticulation in a case of kerato cystic odontogenic tumor and simultaneous reconstruction. Excellent cosmetic and functional results were observed in 6-month follow-up.

scholarly journals Acquired idiopathic phlebectasia of the penis: case report

2020 ◽  
Vol 8 (1) ◽  
pp. 365
Author(s):  
Younes Houry ◽  
Abdessamad Labyad ◽  
Rabii Redouan
Keyword(s):  
Erectile Dysfunction ◽  
Case Report ◽  
Similar Case ◽  
Varicose Veins ◽  
Functional Results ◽  
Scrotal Skin ◽  
Diagnostic Difficulties ◽  
History Of ◽  
Doppler Color

There is a many example of diseases of blood vessels involving serious diagnostic difficulties and sometimes the etiologic factors may be only presumed. Varicose veins rarely affect the penis, and we were unable to find in dermatologic and urologic literature reports of a similar case. We report here a case of a 26-year-old man with a history of a penis getting bigger since his adolescent life associated with minor pain, discomfort, and a primitive erectile dysfunction. After a complete medical history, physical examination and ultrasonic doppler color investigation, the diagnosis of acquired phlebectasia of the penis was confirmed. The patient was treated surgically by ligaturing and section of the voluminous dorsal varicose veins of the penis and reducing the ventral scrotal skin, with successful aesthetic and functional results, with a follow up more than 3 months. Varicose veins of the penis are an exceptional pathology. This condition may not need any treatment. However, when varicose veins cause great discomfort, pain, aesthetic or sexual issues, surgery is the best option of the patient. 

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Intensive Therapy ◽  
Positive Outcome ◽  
Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

Congenital Syphilis Simulating Bone Neoplasm in 2-Month Old Infant – Case Report

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Case Report ◽  
Congenital Syphilis ◽  
Eosinophilic Granuloma ◽  
Osteolytic Lesion ◽  
Lower Limbs ◽  
Upper Body ◽  
Elective Cesarean Section ◽  
Distal Fibula ◽  
X Ray

Introduction: Congenital Syphilis (CS) occurs through the transplacental transmission of Treponema pallidum in inadequately treated or non-treated pregnant women, and is capable of severe consequences such as miscarriage, preterm birth, congenital disease and/or neonatal death. CS has been showing an increasing incidence worldwide, with an increase of 208% from 2009 to 2015 in Brazil. Case report: 2-month old infant receives care in emergency service due to edema of right lower limb with pain in mobilization. X-ray with osteolytic lesion in distal fibula. Infant was sent to the Pediatrics Oncology clinic. Perinatal data: 7 prenatal appointments, negative serology at 10 and 30 weeks of gestation. End of pregnancy tests were not examined and tests for mother’s hospital admission were not requested. Mother undergone elective cesarean section at 38 weeks without complications. During the pediatric oncologist appointment, patient showed erythematous-squamous lesions in neck and other scar-like lesions in upper body. A new X-ray of lower limbs showed lesions in right fibula with periosteal reaction associated with aggressive osteolytic lesion compromising distal diaphysis, with cortical bone rupture and signs of pathological fracture, suggestive of eosinophilic granuloma. She was hospitalized for a lesion biopsy. Laboratory tests: hematocrit: 23.1 / hemoglobin 7.7 / leukocytes 10,130 (without left deviation) / platelets 638,000 / Negative Cytomegalovirus IgG and IgM and Toxoplasmosis IgG and IgM / VDRL 1:128. Congenital syphilis diagnosis with skin lesions, bone alterations and anemia. Lumbar puncture: glucose 55 / total proteins 26 / VDRL non reagent / 13 leukocytes (8% neutrophils; 84% monomorphonuclear; 8% macrophages) and 160 erythrocytes / negative VDRL and culture. X-ray of other long bones, ophthalmological evaluation and abdominal ultrasound without alterations. Patient was hospitalized for 14 days for treatment with Ceftriaxone 100mg/kg/day, due to the lack of Crystalline Penicillin in the hospital. She is now under outpatient follow-up. Discussion: CS is responsible for high rates of morbidity and mortality. The ongoing increase of cases of this pathology reflects a severe health issue and indicates failures in policies for the prevention of sexually transmitted diseases, with inadequate follow-up of prenatal and maternity protocols.

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