Austin journal of surgery最新文献_第5页

Retroperitoneal Teratoma in a Child with Clinical and Operative Photos 儿童腹膜后畸胎瘤1例，附临床及手术照片

Austin journal of surgery Pub Date : 2019-02-08 DOI: 10.26420/austinjsurg.2019.1165

Pradyumna Pan

引用次数: 1

Spontaneous-Regeneration of the Reconstructed Mandible in a Segmental Mandibulectomized Young Girl 年轻女孩局部下颌骨切除后重建下颌骨的自然再生

Austin journal of surgery Pub Date : 2019-01-29 DOI: 10.26420/austinjsurg.2018.1164

Y. Shigeta

{"title":"Spontaneous-Regeneration of the Reconstructed Mandible in a Segmental Mandibulectomized Young Girl","authors":"Y. Shigeta","doi":"10.26420/austinjsurg.2018.1164","DOIUrl":"https://doi.org/10.26420/austinjsurg.2018.1164","url":null,"abstract":"Spontaneous bone regeneration of the reconstructed mandible in children is rarely reported. Most of previous reports discussed the role of periosteum in regeneration of bone. Alternatively, other factors such as mechanical stress and muscle attachment have also been implicated in spontaneous bone regeneration. This paper presents spontaneous-regeneration of the reconstructed mandible in a young girl, undergone a segmental mandibulectomy, and discusses the factors associated with regeneration based on the results of image examinations and Finite Element Analysis (FEA). The patient was an 11 year-old girl diagnosed as ossifying fibroma in the mandible. A segmental mandibulectomy and immediate mandibular reconstruction using a Ti-mesh tray and particulate cancellous bone and marrow was planned. The spontaneous-regeneration of the coronoid process was observed on the reconstructed mandible. On the CT slabs, the reattachment of the masseter and temporal muscle was confirmed. Before treatment, the transversal growth of her maxilla was asymmetrical. After the mandibular reconstruction and prosthodontic treatment, her maxilla grew back with bilateral symmetry. The occlusal loading on her mandible appeared symmetrically via an FEA. In addition, the stress was concentrated in the external oblique ridge, and the graft bone remodeled into the anatomical configuration. Through this case, it is suggested that the reattachment, the healthy growth of masticatory muscles, and the rehabilitation of oral function contributed to spontaneous bone regeneration and remodeling in the mandible, as well as the preservation of periosteum.","PeriodicalId":91056,"journal":{"name":"Austin journal of surgery","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77594710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preoperative Evaluation of Paranasal Computed Tomography Reports of Patients Requesting Rhinoplasty for the Presence of Septal Deviation and Inferior Turbinate Hypertrophy: Retrospective Clinical Case Series Study 鼻中隔偏曲和下鼻甲肥大要求鼻成形术患者的鼻旁计算机断层报告的术前评价:回顾性临床病例系列研究

Austin journal of surgery Pub Date : 2019-01-29 DOI: 10.26420/AUSTINJSURG.2018.1163

Aksoy Mh

{"title":"Preoperative Evaluation of Paranasal Computed Tomography Reports of Patients Requesting Rhinoplasty for the Presence of Septal Deviation and Inferior Turbinate Hypertrophy: Retrospective Clinical Case Series Study","authors":"Aksoy Mh","doi":"10.26420/AUSTINJSURG.2018.1163","DOIUrl":"https://doi.org/10.26420/AUSTINJSURG.2018.1163","url":null,"abstract":"Background: A successful outcome in rhinoplasty should improve not only the aesthetic appearance of the nose but also the physiologic function of the nasal cavity. Nasal obstruction in many patients is caused by a deviated nasal septum and/or inferior turbinate hypertrophy. Preoperative proper diagnosis of these conditions is very important in planning cosmetic nasal surgery. Methods: Paranasal computed tomography reports of 119 patients requesting cosmetic nasal surgery were evaluated for the presence of septal deviation and inferior turbinate hypertrophy. Results: In 62 patients (52.10%) there was septal deviation with concave side facing the left nasal cavity and in 46 patients (38.65%) there was septal deviation with concave side facing the right nasal cavity. In only 11 patients (9.24%) there was no finding suggesting septal deviation. In 113 patients (94.96%) there was inferior turbinate hypertrophy. In only 6 patients (5.04%) there was no sign of inferior turbinate hypertrophy on paranasal computed tomography scan. Conclusion: Despite the fact that radiologic imaging is usually not a standard part of the workup in patients who are candidates for rhinoplasty, preoperative paranasal computed tomography is essential to detect the presence of concomitant pathologies like septal deformities, inferior turbinate enlargement, bullous middle turbinate and chronic sinusitis. Preoperative paranasal computed tomography is a very valuable method to assess internal nasal structures especially for plastic surgeons who do not have endoscopic instruments to examine nasal cavities.","PeriodicalId":91056,"journal":{"name":"Austin journal of surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88842536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Critical Case Report-Cloacal Malformation: Prenatal Diagnosis and Autopsy Findings 一个严重的病例报告-肛管畸形:产前诊断和尸检结果

Austin journal of surgery Pub Date : 2019-01-18 DOI: 10.26420/AUSTINJSURG.2019.1162

Vishal Chavda

{"title":"A Critical Case Report-Cloacal Malformation: Prenatal Diagnosis and Autopsy Findings","authors":"Vishal Chavda","doi":"10.26420/AUSTINJSURG.2019.1162","DOIUrl":"https://doi.org/10.26420/AUSTINJSURG.2019.1162","url":null,"abstract":"Objective: Cloacal anomalies comprising rare pathological conditions which are observed in female fetuses and must be diagnosed at an early stage of pregnancy. Case Report: An antenatal patient, 23 years old, G3P2L2 was referred to our obstetric service with an ultrasound report of singleton pregnancy of 37 weeks with a septated cystic pelvic mass (7.4cm×7.3cm×8.3cm) in the fetal abdomen at the region of the bladder, atrioventricular septal defect and bilateral renal agenesis with severe oligohydramnios. The patient gave a normal birth with 1.6 kg baby body weight. The newborn had abdominal distension, ambiguous genitalia, and rectal Artesia with a single opening at the perineum. The newborn was placed in the neonatal intensive care unit where further diagnostic investigations were conducted. The neonate died on the 1 st day after 5 hours of life due to respiratory distress. Autopsy and karyotyping were done with proper verbal and written consent of the guardian. Conclusion: In our case, we reported a patient with a cloacal malformation with a cystic pelvic mass, fluid debris was seen on prenatal ultrasound which septate representing hydrocolpos of duplicating vagina. Thus, meconium and vaginal secretions accumulate in the compliant structure of vagina causing hydrocolpos which are rare condition rather than fetal ascites. Ultrasound with differential diagnosis at the early gestational stage can make a huge difference in decreasing such anomalies and early stage fetal mortalities.","PeriodicalId":91056,"journal":{"name":"Austin journal of surgery","volume":"89 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83548571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Pre-Operative Fasting in Patients with Primary Liver Cancer: A Best Practice Implementation Project 原发性肝癌患者术前禁食:最佳实践实施项目

Austin journal of surgery Pub Date : 2019-01-18 DOI: 10.26420/austinjsurg.2019.1161

Yuan Jx

引用次数: 0

Needs-based Assessment of Trauma Systems: A Survey of the Membership of the Western Trauma Association 创伤系统的需求评估:西方创伤协会成员调查

Austin journal of surgery Pub Date : 2019-01-14 DOI: 10.26420/austinjsurg.2018.1158

Smith Rs

引用次数: 6

Acute Lung Injury Associated Milieus Regulate the Plasticity of Type I Alveolar Cells via KLF2 急性肺损伤相关环境通过KLF2调控I型肺泡细胞的可塑性

Austin journal of surgery Pub Date : 2019-01-14 DOI: 10.26420/austinjsurg.2019.1159

Jian-xin Jiang, L. Zeng

引用次数: 0

Extensive Subcutaneous Emphysema after Laparoscopic Cholecystectomy, Two Cases Reports 腹腔镜胆囊切除术后广泛皮下肺气肿2例报告

Austin journal of surgery Pub Date : 2018-12-26 DOI: 10.26420/austinjsurg.2018.1156

A. Elsaady

{"title":"Extensive Subcutaneous Emphysema after Laparoscopic Cholecystectomy, Two Cases Reports","authors":"A. Elsaady","doi":"10.26420/austinjsurg.2018.1156","DOIUrl":"https://doi.org/10.26420/austinjsurg.2018.1156","url":null,"abstract":"Laparoscopic surgery has expanded its horizon tremendously. It has been the preferred approach in many operations. Massive subcutaneous emphysema is a rare unique complication of laparoscopic surgery. Here, we report two cases that developed progressive extensive subcutaneous emphysema after laparoscopic cholecystectomy. On reviewing the literature, we found that the incidence ranges from 0.43% to 2.34%. There are many risk factors that have been implicated for its development including; pneumo-peritoneum of more than 200 minutes, and insufflation of CO2 at pressure more than 15mm Hg, & PETCO2 more than 50 mmHg. Clinically, subcutaneous emphysema produces an unusual crackling sensation on palpation and graded into four grades according to the severity. The patients should be monitored closely for any cardio-respiratory changes and positive pressure ventilation should be continued until normocarbia is established and signs of respiratory distress & upper airway obstruction are absent. Although conservative supportive measures and close follow up are the only needed strategy in most of cases, however surgical drainage may be beneficial in some case. This achieved either incisions (infraclavicular or submandibular) or tube drainage through different techniques.","PeriodicalId":91056,"journal":{"name":"Austin journal of surgery","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77391098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Uncommon Infection of an Epidermoid Cyst in the Face with Peptoniphilus harei - A Systematic Review of the Literature Regarding Treatment Strategy 罕见的面部表皮样囊肿感染哈里氏胃杆菌——有关治疗策略的文献系统综述

Austin journal of surgery Pub Date : 2018-12-20 DOI: 10.26420/austinjsurg.2018.1155

A. M.

{"title":"Uncommon Infection of an Epidermoid Cyst in the Face with Peptoniphilus harei - A Systematic Review of the Literature Regarding Treatment Strategy","authors":"A. M.","doi":"10.26420/austinjsurg.2018.1155","DOIUrl":"https://doi.org/10.26420/austinjsurg.2018.1155","url":null,"abstract":"Purpose: Infections with Peptoniphilus harei are rare and no consens about treatment exists. Based on a case report, we report on our approach and make a review of the literature. To our knowledge, we are the first to be confronted with an infected epidermoid cyst in the facial area due to Peptoniphilus harei in its pure form. Material and Methods: A smear test for microbiological examination and for culture determination was taken intraoperative. Peptoniphilus harei could be detected by using the matrix-assisted laser desorption ionization time-off light mass spectrometry (MOLDI-TOF) method. A literature research showed only few documentations of an infection with this microorganism. Results: The post-operative course was uneventful. No antibiotics were needed. The microbiological examination detected Peptoniphilus harei as the only microorganism. Conclusion: The clinical impact of Peptinophilus harei is not clearly clarified due to poor data. Resistance cannot currently be considered as a problem. In our case report compared to the other case reports, no antibiotic therapy was initiated. For the detection of the causative microorganism, a microbiological sample is recommended.","PeriodicalId":91056,"journal":{"name":"Austin journal of surgery","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79359795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Spontaneous Splenic Rupture 48 Hours after Laparoscopic Sleeve Gastrectomy 腹腔镜袖胃切除术后48小时自发性脾破裂

Austin journal of surgery Pub Date : 2018-11-13 DOI: 10.26420/austinjsurg.2018.1154

Trotta Manuela

引用次数: 1