A Case of Gorham-Stout Disease Treated with Fistula Closure by                    Transmeatal Approach

<p>Coronary artery fistula (CAF) is a rare entity. Sometimes it may associate with mild diffuse or segmental coronary ectasia. CAF with giant coronary artery is exceptionally rare. We present a unique case of a 49-year-old female patient with a giant right coronary artery of diffuse ectasia coexisting with a fistula draining into the right ventricle. To our best knowledge, CAF with diffuse coronary ectasia of such giant size has never been reported. The patient was treated successfully by resection of the dilated right coronary artery, fistula closure, and coronary artery bypass grafting.</p>

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Faculty Opinions recommendation of Tracheocutaneous fistula closure in the pediatric population: should secondary closure be the standard of care?

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718079333.793491121 ◽

2014 ◽

Author(s):

Nina Shapiro ◽

Victor Duarte

Keyword(s):

Pediatric Population ◽

Standard Of Care ◽

Fistula Closure ◽

Tracheocutaneous Fistula ◽

Secondary Closure

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Versatility of the pedicled buccal fat pad flap for the management of oroantral fistula: a retrospective study of 25 cases

Maxillofacial Plastic and Reconstructive Surgery ◽

10.1186/s40902-019-0229-x ◽

2019 ◽

Vol 41 (1) ◽

Cited By ~ 3

Author(s):

Jinyoung Park ◽

Byung-do Chun ◽

Uk-Kyu Kim ◽

Na-Rae Choi ◽

Hong-Seok Choi ◽

...

Keyword(s):

Bone Graft ◽

Graft Failure ◽

Fistula Closure ◽

Fat Pad ◽

Buccal Fat Pad ◽

Dental Surgery ◽

Female Ratio ◽

Maxillary Bone ◽

Oroantral Fistula

Abstract Purpose Maxillary bone grafts and implantations have increased over recent years despite a lack of maxillary bone quality and quantity. The number of patients referred for oroantral fistula (OAF) due to implant or bone graft failure has increased, and in patients with an oroantral fistula, the pedicled buccal fat pad is viewed as a robust, reliable option. This study was conducted to document the usefulness of buccal fat pad grafts for oroantral fistula closure. Materials and methods We retrospectively studied 25 patients with OAF treated with a buccal fat pad graft from 2015 to 2018. Sex, age, OAF location, cause, duration, presence of systemic disease, smoking, previous dental surgery, and side effects were investigated. Results A total of 25 patients were studied. Mean patient age was 54.8 years, and the male to female ratio was 19:6. Causes of oroantral fistula were cyst enucleation, tumor resection, implant removal, bone graft failure, and extraction. Excellent results were obtained in 23 (92%) of the 25 patients. In the other two patients that both smoked, a small fistula was observed during follow-up. No recurrence of oroantral fistula was observed after 2 months to 1 year of follow-up. Conclusions The incidence of oroantral fistula is increasing due to implant and bone graft failures. Oroantral fistula closure using a pedicled buccal fat pad was found to have a high success rate.

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Evaluation and management of obstetric genital fistulas treated at a pelvic floor centre in Germany

BMC Women s Health ◽

10.1186/s12905-021-01175-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Christl Reisenauer ◽

Bastian Amend ◽

Claudius Falch ◽

Harald Abele ◽

Sara Yvonne Brucker ◽

...

Keyword(s):

Pelvic Floor ◽

Developed Countries ◽

Vaginal Wall ◽

Fistula Closure ◽

Fistula Repair ◽

Anterior Position ◽

Multiparous Women ◽

Uncommon Condition ◽

Rectovaginal Fistulas ◽

Vesicovaginal Fistulas

Abstract Background Obstetric genital fistulas are an uncommon condition in developed countries. We evaluated their causes and management in women treated at a German pelvic floor centre. Methods Women who had undergone surgery for obstetric genital fistulas between January 2006 and June 2020 were identified, and their records were reviewed retrospectively. Results Eleven out of 40 women presented with genitourinary fistulas, and 29 suffered from rectovaginal fistulas. In our cohort, genitourinary fistulas were more common in multiparous women (9/11), and rectovaginal fistulas were more common in primiparous women (24/29). The majority of the genitourinary fistulas were at a high anterior position in the vagina, and all rectovaginal fistulas were at a low posterior position. While all genitourinary fistulas were successfully closed, rectovaginal fistula closure was achieved in 88.65% of cases. Women who suffered from rectovaginal fistulas and were at high risk of recurrence or postoperative functional discomfort and desired another child, we recommended fistula repair in the context of a subsequent delivery. For the first time, pregnancy-related changes in the vaginal wall were used to optimize the success rate of fistula closure. Conclusions In developed countries, birth itself can lead to injury-related genital fistulas. As fistula repair lacks evidence-based guidance, management must be tailored to the underlying pathology and the surgeon’s experience. Attention should be directed towards preventive obstetric practice and adequate perinatal and postpartum care. Although vesicovaginal fistulas occur rarely, in case of urinary incontinence after delivery, attention should be paid to the patient, and a vesicovaginal fistula should be ruled out. Trial registration Retrospectively registered, DRKS 00022543, 28.07.2020.

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