Primary endoprosthetics of the orbit during enucleation for retinoblastoma

2021 ◽  
pp. 44-49
Author(s):  
A.V. Kotelnikova ◽  
◽  
E.S. Kotova ◽  
D.P. Volodin ◽  
T.L. Ushakova ◽  
...  
Keyword(s):  
Key Words ◽  
Surgical Approaches ◽  
External Beam ◽  
Pediatric Rehabilitation ◽  
Key Words Retinoblastoma ◽  
Cosmetic Outcomes

This review presents a cosmetic rehabilitation method in children with enucleated eye due to retinoblastoma – primary orbital endoprosthetics. General surgical approaches, implant types, cosmetic outcomes and complications are described within review. Primary orbital endoprosthetics in children with enucleated eye due to retinoblastoma is considered as safe and necessary method of pediatric rehabilitation. Key words: retinoblastoma, primary endoprosthesis replacement of the orbit, implants, chemotherapy, external beam therapy, pediatric rehabilitation.

scholarly journals Lateral versus posterior surgical approach for the treatment of supracondylar humeral fractures in children: a systematic review and meta-analysis

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 573
Author(s):  
Komang Agung Irianto ◽  
I Putu Gede Pradnyadewa Pradana ◽  
Brigita De Vega
Keyword(s):  
Systematic Review ◽  
Functional Outcomes ◽  
Meta Analysis ◽  
Humeral Fracture ◽  
Lateral Approach ◽  
Surgical Approaches ◽  
Eligibility Criteria ◽  
Supracondylar Humeral Fracture ◽  
Fractures In Children ◽  
Cosmetic Outcomes

Background: Supracondylar humeral fracture (SHF) is the most common type of fracture in children. Moreover, lateral and posterior surgical approaches are the most frequently chosen approaches for open reduction surgery in displaced SHF when C-arm is unavailable. However, previous literature showed mixed findings regarding functional and cosmetic outcomes. Currently, no systematic review and meta-analysis has compared these two procedures.  Methods: Our protocol was registered at PROSPERO (registration number CRD42021213763). We conducted a comprehensive electronic database search in MEDLINE, EMBASE, and CENTRAL. Two independent reviewers screened the title and abstract, followed by full-text reading and study selection based on eligibility criteria. The quality of the selected studies was analyzed with the ROBINS-I tool. Meta-analysis was carried out to compare the range of motion (functional outcome) and cosmetic outcome according to Flynn’s criteria. This systematic review was conducted based on PRISMA and Cochrane handbook guidelines.  Results: Our initial search yielded 163 studies, from which we included five comparative studies comprising 231 children in the qualitative and quantitative analysis. The lateral approach was more likely to result in excellent (OR 1.69, 95% CI [0.97-2.93]) and good (OR 1.12, 95% CI [0.61-2.04]) functional outcomes and less likely to result in fair (OR 0.84, 95% CI [0.34-2.13]) and poor (OR 0.42, 95% CI [0.1-1.73]) functional outcomes compared to the posterior approach. In terms of cosmetic results, both approaches showed mixed findings. The lateral approach was more likely to result in excellent (OR 1.11, 95% CI [0.61-2.02]) and fair (OR 1.18, 95% CI [0.49-2.80]) but less likely to result in good (OR 0.79, 95% CI [0.40-1.55]) cosmetic outcomes. However, none of these analyses were statistically significant (p> 0.05).  Conclusion: Lateral and posterior surgical approaches resulted in satisfactory functional and cosmetic outcomes. The two approaches are comparable for treating SHF in children when evaluated with Flynn’s criteria.

Outcomes following Craniosynostosis Surgery at a Tertiary Care Center in the Middle East

2021 ◽  
pp. 1-9
Author(s):  
Omar Najjar ◽  
Naji AbouChebel ◽  
Carine Zeeni ◽  
Marwan W. Najjar
Keyword(s):  
Middle East ◽  
Clinical Features ◽  
Care Center ◽  
Tertiary Care ◽  
Surgical Approaches ◽  
Tertiary Care Center ◽  
Postoperative Blood Transfusion ◽  
Estimated Blood Loss ◽  
Traumatic Fracture ◽  
Cosmetic Outcomes

<b><i>Background:</i></b> Despite advancements in craniosynostosis surgery, open surgical approaches remain crucial for the management of infants &#x3e;6 months of age and in those with complex synostosis. The clinical features of craniosynostosis remain poorly characterized in the Middle East. This study sought to assess the clinical features and outcomes of infants undergoing craniosynostosis surgery at a tertiary care center in Lebanon. <b><i>Methods:</i></b> A retrospective review was performed of all patients who underwent craniosynostosis surgery from December 2006 to December 2018 at the American University of Beirut Medical Center, Lebanon. Clinicodemographic characteristics, complications, and recurrence outcomes were recorded and evaluated using descriptive statistics. <b><i>Results:</i></b> Thirty-five infants met the inclusion criteria, with a mean age of 9.0 ± 4.0 months. The most common site of suture involvement was metopic (28.6%), followed by unilateral coronal (25.7%), sagittal (20.0%), bicoronal (8.6%), and multiple sites (17.1%). Five patients (14.3%) had syndromic synostosis. Median estimated blood loss was 200 mL, and median volume of transfused packed red blood cells was 180 mL. Two patients (5.7%) experienced postoperative complications, including postoperative blood transfusion (<i>n</i> = 1)and wire protrusion requiring removal (<i>n</i> = 1). Three patients (8.6%) required reoperation: 2 (5.7%) for resynostosis and 1 for traumatic fracture repair. Caregivers of all patients reported high satisfaction with cosmetic outcomes 4 weeks postoperatively. <b><i>Conclusions:</i></b> With appropriate perioperative precautions, open craniosynostosis surgery can be performed with minimal complications, low recurrence rates, and satisfactory cosmetic outcomes. Additional population-level data are needed to better characterize craniosynostosis patterns and outcomes in the Middle East.

Wrist Fractures and Dislocations

2018 ◽  
Author(s):  
Angelo B Lipira ◽  
Rahul K Kasukurthi ◽  
Jerry I Huang
Keyword(s):  
Physical Examination ◽  
Key Words ◽  
Distal Radius ◽  
Surgical Approaches ◽  
Wrist Injuries ◽  
Wrist Fractures ◽  
Injury Type ◽  
Key Concepts ◽  
Associated Conditions ◽  
Reconstructive Techniques

Wrist injuries are common and encompass a wide variety of pathologies. This review discusses key concepts related to the evaluation and management of wrist injuries, including bony and ligamentous injuries of the carpus, fractures of the distal radius and ulna, and associated conditions. Pertinent anatomy and biomechanical principles are briefly reviewed, followed by more detailed discussions of evaluation and management of specific injury types based on best available evidence. A diagnostic approach including the history, physical examination, and imaging is reviewed for each injury type. Common surgical approaches, fixation methods, and reconstructive techniques are then described within each section. Numerous illustrations, radiographs, and cadaveric photographs are included. This review contains 32 figures, 2 tables and 76 references Key words: carpal, carpus, distal radius, fracture, ligament, lunotriquetral, scaphoid, scapholunate, wrist

scholarly journals Lateral versus posterior surgical approach for the treatment of supracondylar humeral fractures in children: a systematic review and meta-analysis

F1000Research ◽  
2022 ◽  
Vol 10 ◽  
pp. 573
Author(s):  
Komang Agung Irianto ◽  
I Putu Gede Pradnyadewa Pradana ◽  
Brigita De Vega
Keyword(s):  
Systematic Review ◽  
Functional Outcomes ◽  
Meta Analysis ◽  
Humeral Fracture ◽  
Lateral Approach ◽  
Surgical Approaches ◽  
Eligibility Criteria ◽  
Supracondylar Humeral Fracture ◽  
Fractures In Children ◽  
Cosmetic Outcomes

Background: Supracondylar humeral fracture (SHF) is the most common type of fracture in children. Moreover, lateral and posterior surgical approaches are the most frequently chosen approaches for open reduction surgery in displaced SHF when C-arm is unavailable. However, previous literature showed mixed findings regarding functional and cosmetic outcomes. Currently, no systematic review and meta-analysis has compared these two procedures.  Methods: Our protocol was registered at PROSPERO (registration number CRD42021213763). We conducted a comprehensive electronic database search in MEDLINE, EMBASE, and CENTRAL. Two independent reviewers screened the title and abstract, followed by full-text reading and study selection based on eligibility criteria. The quality of the selected studies was analyzed with the ROBINS-I tool. Meta-analysis was carried out to compare the range of motion (functional outcome) and cosmetic outcome according to Flynn’s criteria. This systematic review was conducted based on PRISMA and Cochrane handbook guidelines.  Results: Our initial search yielded 163 studies, from which we included five comparative studies comprising 231 children in the qualitative and quantitative analysis. The lateral approach was more likely to result in excellent (OR 1.69, 95% CI [0.97-2.93]) and good (OR 1.12, 95% CI [0.61-2.04]) functional outcomes and less likely to result in fair (OR 0.84, 95% CI [0.34-2.13]) and poor (OR 0.42, 95% CI [0.1-1.73]) functional outcomes compared to the posterior approach. In terms of cosmetic results, both approaches showed mixed findings. The lateral approach was more likely to result in excellent (OR 1.11, 95% CI [0.61-2.02]) and fair (OR 1.18, 95% CI [0.49-2.80]) but less likely to result in good (OR 0.79, 95% CI [0.40-1.55]) cosmetic outcomes. However, none of these analyses were statistically significant (p> 0.05).  Conclusion: Lateral and posterior surgical approaches resulted in satisfactory functional and cosmetic outcomes. The two approaches are comparable for treating SHF in children when evaluated with Flynn’s criteria.

scholarly journals Lateral versus posterior surgical approach for the treatment of supracondylar humeral fractures in children: a systematic review and meta-analysis

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 573
Author(s):  
Komang Agung Irianto ◽  
I Putu Gede Pradnyadewa Pradana ◽  
Brigita De Vega
Keyword(s):  
Systematic Review ◽  
Functional Outcomes ◽  
Meta Analysis ◽  
Humeral Fracture ◽  
Lateral Approach ◽  
Surgical Approaches ◽  
Eligibility Criteria ◽  
Supracondylar Humeral Fracture ◽  
Fractures In Children ◽  
Cosmetic Outcomes

Background: Supracondylar humeral fracture (SHF) is the most common type of fracture in children. Moreover, lateral and posterior surgical approaches are the most frequently chosen approaches for open reduction surgery in displaced SHF when closed reduction fails. However, previous literature showed mixed findings regarding functional and cosmetic outcomes. Currently, no systematic review and meta-analysis has compared these two procedures.  Methods: Our protocol was registered at PROSPERO (registration number CRD42021213763). We conducted a comprehensive electronic database search in MEDLINE, EMBASE, and CENTRAL. Two independent reviewers screened the title and abstract, followed by full-text reading and study selection based on eligibility criteria. The quality of the selected studies was analyzed with the ROBINS-I tool. Meta-analysis was carried out to compare the range of motion (functional outcome) and cosmetic outcome according to Flynn’s criteria. This systematic review was conducted based on PRISMA and Cochrane handbook guidelines.  Results: Our initial search yielded 163 studies, from which we included five comparative studies comprising 231 children in the qualitative and quantitative analysis. The lateral approach was more likely to result in excellent (OR 1.69, 95% CI [0.97-2.93]) and good (OR 1.12, 95% CI [0.61-2.04]) functional outcomes and less likely to result in fair (OR 0.84, 95% CI [0.34-2.13]) and poor (OR 0.42, 95% CI [0.1-1.73]) functional outcomes compared to the posterior approach. In terms of cosmetic results, both approaches showed mixed findings. The lateral approach was more likely to result in excellent (OR 1.11, 95% CI [0.61-2.02]) and fair (OR 1.18, 95% CI [0.49-2.80]) but less likely to result in good (OR 0.79, 95% CI [0.40-1.55]) cosmetic outcomes. However, none of these analyses were statistically significant (p> 0.05).  Conclusion: Lateral and posterior surgical approaches resulted in satisfactory functional and cosmetic outcomes. The two approaches are comparable for treating SHF in children when evaluated with Flynn’s criteria.

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