scholarly journals Subtotal calvarial vault reconstruction utilizing a customized polyetheretherketone (PEEK) implant with chimeric microvascular soft tissue coverage in a patient with syndrome of the trephined: A case report

2019 ◽  
Vol 46 (4) ◽  
pp. 365-370
Author(s):  
Jessica S. Wang ◽  
Ryan P. Ter Louw ◽  
Michael V. DeFazio ◽  
Kevin M. McGrail ◽  
Karen K. Evans
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissue Coverage ◽  
Syndrome Of The Trephined

736 Autologous Skin Cell Suspension in Combination with Meshed Autograft: A Case Report Demonstrating the Efficacy in NSTI

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S200-S200
Author(s):  
Nicole M Kopari
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Cell Suspension ◽  
Skin Graft ◽  
Donor Site ◽  
Soft Tissue Coverage ◽  
Abdominal Wound ◽  
Skin Cell ◽  
Complex Wounds ◽  
Epidermal Graft

Abstract Introduction Necrotizing soft tissue infections (NSTIs) are some of the more difficult disease processes encountered by physicians. Most patients require multiple surgical debridements, and survivors often have complex wounds requiring soft tissue coverage and prolonged hospitalizations. The goal of this report is to describe the use of autologous skin cell suspension over widely meshed skin graft in a patient with large wound secondary to a NSTI. Methods A retrospective chart review was performed of a patient with NSTI of the abdomen.The patient received autologous skin cell suspension as an epidermal graft in combination with widely meshed skin grafting. Results A 41 year-old female had an abdominal wound infection resulting in a NSTI. The patients had poorly controlled diabetes, congestive heart failure, and coronary heart disease with a drug eluting stent on dual antiplatelet therapy. She presented septic to an outside facility where she underwent multiple abdominal wound debridements. She was transferred to our institution with concerns for ongoing infection. Upon arrival, the wounds appeared stable with granulation tissue present over the wound bed with small areas of necrotic fat. She underwent debridement and autologous skin cell suspension in combination with a widely (3:1) meshed skin graft. The donor site also received treatment with the cell suspension. The wounds were covered with a non-adherent dressing along with bismuth-impregnated, petroleum-based gauze. Additional padding was secured with sutures to prevent post-operative shearing. On post-operative day (POD) 2 the outer dressings were changed with excellent adherence of the graft. On POD 4 her dressings were taken down completely, staples were removed, and she was transitioned to daily topical antimicrobial ointment and a non-adherent dress to her torso. She had >95% closure on POD 7 on both her graft and donor site. Conclusions Similar to severe burn injuries, the magnitude and scope of NSTI necessitates radical debridement often creating challenges in wound care, preservation of function, and cosmesis. Autologous skin cell suspension in combination with widely meshed skin grafts appear to be well-suited for treatment of large wounds resulting from NSTI. Treatment of this patient demonstrated decreased healing times, decreased donor sites, and an acceptable cosmetic outcome. Applicability of Research to Practice Autologous skin cell suspension has been approved for the use in partial and full thickness burn either as an epidermal graft alone or in combination with widely meshed grafts. This case report represents an example of its use in large complex wounds secondary to NSTI with acceptable outcomes.

Tongue Flap for Keratinized Soft Tissue Coverage Around Dental Implants: A Case Report and Discussion

2019 ◽  
Vol 45 (3) ◽  
pp. 223-226
Author(s):  
Kevin Yen ◽  
Stewart Lazow ◽  
Joshua Segal
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Dental Implants ◽  
Dental Implant ◽  
Soft Tissue Coverage ◽  
Tongue Flap ◽  
Implant Placement

The tongue flap is a hardy flap that is routinely utilized by oral and maxillofacial surgeons to cover intraoral defects. It has not been previously described as a method for keratinized soft tissue coverage in conjunction with dental implant placement. In this article, we describe use of a tongue flap in the closure of a chronic anterior maxillary dehiscence and to provide keratinized soft tissue coverage for anterior dental implants.

Soft tissue coverage of a total gluteal defect with a combination of perforator‐based flaps: A case report

Microsurgery ◽  
2020 ◽  
Vol 40 (7) ◽  
pp. 797-801
Author(s):  
Mario F. Scaglioni ◽  
Vendela Grufman ◽  
Matteo Meroni ◽  
Elmar Fritsche
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissue Coverage

TRANSVERSE AND LONGITUDINAL OSTEOTOMY FOR THE TREATMENT OF MACRODACTYLY SIMPLEX CONGENITA — A CASE REPORT

Hand Surgery ◽  
2008 ◽  
Vol 13 (02) ◽  
pp. 121-128 ◽  
Author(s):  
R. Kakinoki ◽  
R. Ikeguchi ◽  
Scott F. M. Duncan
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Ring Finger ◽  
Interphalangeal Joint ◽  
Soft Tissue Coverage ◽  
Distal Interphalangeal Joint ◽  
Transverse Osteotomy ◽  
Distal Interphalangeal

We report on a three-year-old girl with a severely enlarged right ring finger, which was diagnosed as macrodactyly simplex congenita. This was treated by epiphysial resection and osteosynthesis of the distal interphalangeal joint, longitudinal and transverse osteotomy of the phalanges, and soft tissue coverage using palmar proximal and dorsal distal flaps taken from the original oversised finger.

scholarly journals A Case Report of Post-traumatic Osteomyelitis with Gap Non-union of Humerus with Segmental Bone Defect and Scarred Skin Treated with Open Reduction Internal Fixation with Osteomyocutaneous Fibula

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Prakash K. George ◽  
Bibhas Dasgupta ◽  
Bhanuprakash Reddy ◽  
P. V. Shubhanshu Bhaladhare
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Bone Loss ◽  
Bone Defect ◽  
Treatment Options ◽  
Bone Union ◽  
Soft Tissue Coverage ◽  
Segmental Bone Defect ◽  
Non Union ◽  
Segmental Bone

Introduction: Non-union of closed humerus fractures is estimated to be about 5.5% and this figure is even higher in open fractures. In cases of non-union of the humerus with segmental bone defect, if a conventional treatment has failed, free fibular transfer is often considered for satisfactory bone union. In some cases, where there is severe scarring due to multiple previous surgeries. In such cases, skin cover may not be adequate and tight closures often lead to necrosis and failure excision. Segmental bone defects of the upper limb that is >6 cm with soft-tissue coverage defects have limited options for reconstruction. Osteomyocutaneous fibula may provide to be a valuable option in such cases. Case Report: This is a report a case of a 27-year-old male presented with a history of road traffic accident with Gustilo-Anderson Grade 3 B open fracture of humerus midshaft. He developed humerus osteomyelitis, for which he underwent surgical debridement. He presented to us with gap non-union with segmental bone loss. The overlying skin was scarred and had significant limb shortening. Treatment options for such a case are reconstruction or amputation. Challenges for reconstruction were to deal with the segmental bone loss and the soft-tissue defect following scar excision. We tackled both these challenges with an osteomyocutaneous fibula flap. At 1-year follow-up, the humerus showed union and flap uptake was good. Conclusion: Osteomyocutaneous fibula flap is a valuable treatment options in such complicated cases allowing for both bone union and soft-tissue coverage with a single surgical procedure. Keywords: Osteomyocutaneous flap, humerus gap nonunion, osteomyelitis humerus.

Ultrasonographic and MR Findings of Cysticercosis in Soft Tissue: A Case Report

1999 ◽  
Vol 40 (2) ◽  
pp. 367
Author(s):  
Wook Jin ◽  
Yoon Jung Choi
Keyword(s):  
Case Report ◽  
Soft Tissue

Inflammatory Myofibroblastic Tumor of Perineal Soft Tissue: A Case Report

2001 ◽  
Vol 45 (4) ◽  
pp. 417
Author(s):  
Jong Myeong Yang ◽  
Kyu Soon Kim ◽  
Soon Tae Kwon ◽  
Jong Chul Kim ◽  
Kyu Sang Song
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Inflammatory Myofibroblastic Tumor
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