scholarly journals Acromiocervical Flap As One of the Modality To Reconstruct Post-Burn Neck Contracture: A Case Report

1970 ◽  
Vol 1 (4) ◽  
Author(s):  
Denny Irwansyah ◽  
Afriyanti Sandhi ◽  
Eko Heryadi ◽  
Gentur Sudjatmiko
Keyword(s):  
Case Report ◽  
Patient Compliance ◽  
Skin Graft ◽  
Functional Disability ◽  
Simple Procedure ◽  
Skin Grafting ◽  
Rehabilitation Program ◽  
Normal Function ◽  
Facial Deformity ◽  
Comprehensive Rehabilitation

Abstract: Postburn neck contractures are frequent and may cause gross facial deformity and severe functional disability. Reconstruction of these deformities is challenging, especially to plastic surgeon. Several methods have been published including skin graft, local flap and free flap. Patient and Method: The case presented in this paper is a postburn neck contracture which had been managed by two plastic surgeons in two different hospitals. This deformity limits the normal function of eating, speaking and appearance of this patient. Skin graft was used to correct this deformity but in the next few months neck contracture recurred. Result: It results in minimal disability and in overall improved functional and appearance outcome. We report our experience using the acromiocervical flap on a case for reconstruction of neck contracture with a goal to prevent recurrence.Summary: Skin Grafting is not an easy and simple procedure for reconstruction of the neck contracture. It requires comprehensive rehabilitation program including prolonged neck splinting and patient compliance. Considering those difFIculties acromiocervical flap can be one of the modality to reconstruct post burn neck contracture because it is relatively simple and reliable.

scholarly journals Squamous Cell Carcinoma Arising at a Skin Graft Donor Site: Case Report and Review of the Literature

2021 ◽  
Vol 7 ◽  
pp. 2513826X2110084
Author(s):  
Weston Thomas ◽  
Kevin Rezzadeh ◽  
Kristie Rossi ◽  
Ajul Shah
Keyword(s):  
Squamous Cell Carcinoma ◽  
Case Report ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Skin Graft ◽  
Donor Site ◽  
Skin Grafting ◽  
Excisional Biopsy ◽  
Graft Donor ◽  
The Right

Introduction: Skin graft reconstruction is a common method of providing wound coverage. Rarely, skin grafting can be associated with the development of squamous cell carcinoma (SCC) in the graft donor site. Case Report: The patient is a 72-year old male with a 15-year history of bilateral hip wounds. He underwent a multitude of treatments previously with failed reconstructive efforts. After presenting to us, he underwent multiple debridements and eventual skin grafting. Within 4 weeks of the final skin graft, a mass developed at the skin graft donor site at the right thigh. Excisional biopsy returned a well differentiated keratinizing SCC. Discussion/Conclusion: This case demonstrates the acute presentation of SCC in a patient following a skin graft without known risk factors. The purpose of this unique case report is to highlight a very rare occurrence of SCC at a skin graft donor site.

Full Thickness Skin Graft for Nail Unit Reconstruction

2005 ◽  
Vol 30 (2) ◽  
pp. 194-198 ◽  
Author(s):  
A. LAZAR ◽  
P. ABIMELEC ◽  
C. DUMONTIER
Keyword(s):  
Skin Graft ◽  
Simple Procedure ◽  
Donor Site ◽  
Skin Grafting ◽  
Malignant Tumour ◽  
Donor Site Morbidity ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Full Thickness Skin ◽  
Thickness Skin

A retrospective study of 13 patients assessed the use of a full thickness skin graft for nail unit reconstruction after total nail unit removal for nail bed malignancies. No failures of the graft were observed and no patient had recurrence of the malignant tumour at 4 year follow-up. Full thickness skin grafting is a simple procedure which provides a good cosmetic outcome and does not produce significant donor site morbidity.

scholarly journals Management of post burn contracture of neck

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Muhammad Afzal ◽  
Javaid Iqbal ◽  
Muhammad Sajid ◽  
Muhammad Rehman Gulzar ◽  
Mustehsan Bashir
Keyword(s):  
Skin Graft ◽  
Simple Procedure ◽  
Skin Grafting ◽  
Local Flap ◽  
Musculocutaneous Flap ◽  
Teaching Hospitals ◽  
General Surgeon ◽  
Split Skin Graft ◽  
Split Skin Grafting ◽  
Split Skin

Study Design: It is a prospective analytical study. Place and durations: Subjects & methods: 43 patients admitted during JAN 2001 to DEC 2002 who presented with severe functional (25 patients) of cosmetic impairment (27 patients). We selected 4 different options to manage the patients. (1) Release of/or excision + thigh grafts (2) Release of/or excision + wolfm (3)Thick therish + local flap (4) Musculocutaneous flap. Results: Out of 43 patients 27 were females and 16 were male and the age varies from 4-45 years. Out of 28 patients a (1) 25 given satisfactory and excellent results, and 5 out of Six patients a (2) and 4 out of 5 with (3) gave excellent results. To evaluate the outcome of different options for the management of PBNC we are presenting our 2 years experience of PBNC Neck in 43 patients from January 2001 to December 2002 who were admitted through surgical outdoor of Teaching Hospitals of PMC, Faisalabad. In our set up most of the patients presented with severe functional (25 patients) and cosmetic impairments (27 patients out of 43) because of late presentation, delayed treatment, poverty and lack of proper medical facilities. We selected 4 different options to manage these patients accordingly i.e. (1) release or and excision of contracture and thick split skin graft, (2) release or and excision of contracture and full thickness skin graft, (3) thick split skin graft and local flap, (4) musculocutaneous flap, giving satisfactory to excellent results in 25 out of 28 patients, 5 out of 6 patients and 4 out of 5 patients respectively. Thick split skin grafting after release or/and excision of contracture with strict advice of wearing cervical neck collar remained our mainstay of treatment because it was one of the best practical options to deal with severe PBC Neck while other options being reserved for difficult and recurrent cases. Conclusion: Thick split skin grafting is an easy, cost effective, reliable and compliant to the patient. Furthermore thick split skin grafting is a simple procedure whi ch may be carried out by any general surgeon with reserve for referred for the difficult cases.

Rehabilitation in Devica’s Syndrome. Case Report

2021 ◽  
Vol 63 (1) ◽  
pp. 78-83
Author(s):  
Agnieszka Maruszewska ◽  
Lech Panasiuk ◽  
Katarzyna Bryzek-Michalak
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Treatment Process ◽  
Rehabilitation Program ◽  
Lower Limbs ◽  
Functional Tests ◽  
Beneficial Effects ◽  
Devic’S Syndrome ◽  
Strengthening Exercise ◽  
Comprehensive Rehabilitation

Introduction: Devic’s syndrome also known as neuromyelitis optica is an autoimmune disease of central nervous system (CNS).It has an inflammatory, demyelizatory, chronic and relapsing nature, where ones own immune system attacks the spinal cord and optic nerves. Material and Methods: The authors presented a case report of a 54-year-old woman diagnosed with Devic’s syndrome 2 years ago. The physiotherapeutic examination revealed: visual and balance disturbances, decrease in muscle strength of upper and lower limbs, unsteady and shaky gait with a need to use a zimmer frame. At the start and at the end of a therapy, to objectively monitor the progress of rehabilitation treatment, a number of functional tests were used that included: Barthel Index, Brunnstrom’s test, Rankin Scale, Ashworth’s scale, Lovett’s test and a timed 20m walk. In physiotherapeutic treatment process patterns and techniques of PNF (prioprioceptive neuromuscular facilitation) ware used as well as exercise to correct muscles tone and strengthening exercise of trunk and lower limbs. Results: As a result of applying a comprehensive rehabilitation approach an increase of muscles strength of upper and lower limbs was obtained (Lovett’s scale R/L: shoulder 5/5, elbow 5/5, hand 5/5, hip 4+/4+, knee 4+/4+, foot 4+/4+). In addition all postural muscles gained in strength and an improvement in hands dexterity, body coordination and balance was noticed. Conclusion: Multidisciplinary approach and an individually selected rehabilitation program proves to show beneficial effects in a treatment process of patients with Devic’s syndrome.

Replacement of Congenitally Missing Bilateral Maxillary Canines with Dental Implants: A Rare Case Report and Mini Review

2019 ◽  
Vol 13 (1) ◽  
pp. 371-376
Author(s):  
Abduljabbar Mohammed Alsameai ◽  
Basema Abdullah Khabaz ◽  
Mohammed Abdo Alraawi ◽  
Mohammed M Al Moaleem
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Young Female ◽  
Normal Function ◽  
Short Term Result ◽  
Osseointegrated Implants ◽  
All Ceramic ◽  
Rare Case Report ◽  
Ceramic Crowns ◽  
Congenitally Missing

Introduction: Maxillary canines play strategic roles in maintaining the normal function and visibility of teeth. However, rare cases of bilateral permanent congenitally missing maxillary canines were occurring. Replacing these missing canines with dental implant prostheses is an optimal treatment plan for aesthetics and functions. Case Report: In this case report, we described the replacement of bilateral maxillary canines with osseointegrated implants to support all-ceramic prostheses for a young female patient. This treatment avoids the conventional preparation of adjacent teeth as a part of prosthetic reconstructions. In addition to that, all-ceramic crowns are biocompatible with oral cavity structures. Conclusion: The stable short-term result has been achieved with the replacement of the bilateral congenitally missed canines with an implant and cemented all-ceramic crowns, with 3-years cumulative success rate.

scholarly journals Occupational Rehabilitation Following Open Mesh Surgical Repair of an Inguinal Hernia

2003 ◽  
Vol 83 (1) ◽  
pp. 58-66 ◽  
Author(s):  
Kelly E Pesanelli ◽  
Joseph A Cigna ◽  
Shantanu G Basu ◽  
Andrew R Morin
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Surgical Repair ◽  
Occupational Rehabilitation ◽  
Rehabilitation Program ◽  
Full Time ◽  
Ability To Work ◽  
Postoperative Rehabilitation ◽  
Work Related ◽  
Open Mesh

Abstract Background and Purpose. The purpose of this case report is to describe an occupational rehabilitation program for a person whose work-related inguinal hernia was surgically repaired. Case Description. A 35-year-old baggage service attendant acquired an inguinal hernia while lifting at work. Postoperatively, the patient had discomfort in the groin, weakness of the lower extremities and trunk, limited ability to walk, and a decreased ability to work due to impaired tolerance.Outcomes. Following postoperative rehabilitation, the patient was able to return to full-time, full-duty work. Discussion. This case report describes occupational rehabilitation as a method to treat patients with work-related inguinal hernias following surgical repair.

scholarly journals Bilateral Congenital Humeroradial Synostostis Presenting with Bilateral Proximal Radius Fractures: A Case Report

2021 ◽  
pp. 29-32
Author(s):  
Elsiddig E. Mahmoud
Keyword(s):  
Case Report ◽  
Elbow Joint ◽  
Parental Education ◽  
Functional Disability ◽  
Congenital Abnormalities ◽  
Rare Condition ◽  
Radius Fractures ◽  
Proximal Radius ◽  
History Of ◽  
Uncommon Condition

Congenital bilateral humeroradial synostosis (HRS) is a rare condition. It is generally divided into 2 categories. In the first group, which is mainly sporadic, additional upper limb hypoplasia typically coexists. In the second group, which is classically familial, HRS is commonly an isolated upper extremity anomaly. HRS can lead to variable degrees of functional disability. The clinical case reported here illustrates a possibly avoidable presentation of this uncommon condition. In this case report, we present a 6-week-old male who presented with bilateral radius fractures. Radiography revealed congenital HRS at both elbows. No other associated congenital abnormalities were detected, and there was no family history of similar conditions in any first-degree relatives. In cases of congenital HRS, movement at the elbow joint is not possible. Parents who are unaware of this information might try to straighten their infant’s elbows, which in turn may result in fractures of the proximal radius. Hence, early diagnosis and proper parental education could prevent fractures as a sequela of HRS.

Morphometric assessment of hip dysplasia in a cat treated by juvenile pubic symphysiodesis

2016 ◽  
Vol 29 (05) ◽  
pp. 433-438
Author(s):  
John Culvenor ◽  
Craig Bailey ◽  
Alen Lai
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Hip Dysplasia ◽  
Simple Procedure ◽  
Promising Treatment ◽  
Design Case ◽  
Sector Angle ◽  
Morphometric Assessment ◽  
Acetabular Rim

SummaryObjective: To quantitatively evaluate the change of the coxofemoral joints using computed tomography and distraction index in a cat with hip dysplasia treated by juvenile pubic symphysiodesis.Study Design: Case report.Animal: Eighteen-week-old female entire Maine Coon cat.Results: Juvenile pubic symphysiodesis resulted in changes in the distraction index, acetabular angle, dorsal acetabular rim angle, dorsal acetabular sector angle, and clinical improvement at the six month follow-up. No intra-operative or postoperative complications were recorded.Conclusions: Juvenile pubic symphysiodesis performed at 18 weeks of age resulted in improvement in hip joint conformation and hip laxity in a dysplastic cat.Clinical relevance: Juvenile pubic symphysiodesis may be a promising treatment for feline hip dysplasia and is a safe and technically simple procedure to perform. Further investigations are warranted.

scholarly journals Reconstruction of Total Lower Eyelid Defects with the Temporoparietal Fascial Flap

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Simon R. Bababeygy ◽  
Anne R. Kao ◽  
Niels C. Kokot ◽  
Eli L. Chang
Keyword(s):  
Case Report ◽  
Visual System ◽  
Skin Graft ◽  
Lower Eyelid ◽  
Good Option ◽  
System Function ◽  
Nasal Cartilage ◽  
Surgical Case ◽  
Fascial Flap

Purpose.To describe the use of the temporoparietal fascial flap (TPF) in the reconstruction of extensive lower eyelid defects in a functioning eye.Methods.We present a surgical case report of a 73-year-old female with melanoma of the left lower eyelid. The lower eyelid was resected, and a composite nasal cartilage-mucosa graft, a skin graft, and a TPF were used to reconstruct the lower eyelid.Results.This achieved reconstruction of the lower eyelid with the protection of the eye and preservation of the visual system function.Conclusion.The TPF serves as a good option for reconstruction of the lower eyelid in a viable functioning globe.

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