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The Use of Reconstruction Plates and Add-on Condyles with an Alloplastic Unmatched Fossa, Following Partial Mandibulectomy with Disarticulation
Jameel Desai,
Coelette Smit
Issue:
Volume 7, Issue 2, April 2019
Pages:
31-34
Received:
22 January 2019
Accepted:
9 April 2019
Published:
6 May 2019
Abstract: The reconstruction of a mandible after ablative surgery poses many challenges. This is particularly true if the temporomandibular joint (TMJ) has been sacrificed, and the intention is to replace the mandibular defect and the joint with an alloplastic reconstruction plate and add-on condyle. A metal only condyle poses serious complication risk, and thus function against a prosthetic fossa is desirable. Currently, no stock matched prosthesis exists to fulfil this role. Aim: a series of cases are presented, whereby unmatched add-on condyles and alloplastic fossas were used safely and effectively. Materials and method: nine patients that received hemi-mandibulectomies and subsequent reconstruction with reconstruction plates, add-on condyles and alloplastic TMJ fossas, were retrospectively reviewed. The radiographs were reviewed for structural integrity of the prostheses, or the formation of heterotypic bone; and the patients were clinically evaluated for localised signs of sepsis or dehiscence. Results: all nine patients showed no sign of clinical or radiographic failure of the hybrid prostheses. Conclusion: it appears as though the use of unmatched TMJ fossas and reconstruction plates with add-on condyles, are an acceptable method of treating an ablated TMJ after hemi-mandibulectomy with disarticulation.
Abstract: The reconstruction of a mandible after ablative surgery poses many challenges. This is particularly true if the temporomandibular joint (TMJ) has been sacrificed, and the intention is to replace the mandibular defect and the joint with an alloplastic reconstruction plate and add-on condyle. A metal only condyle poses serious complication risk, and ...
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Invasive Lobular Carcinoma within a Fibroadenoma: A Case Report and Review of the Literature
Dimitrios Kokkonis,
Mohamed Razick Sait,
Anne Thorpe,
Ralia Bunza,
Rajiv Vashisht,
Musa Barkeji
Issue:
Volume 7, Issue 2, April 2019
Pages:
35-37
Received:
18 February 2019
Accepted:
9 April 2019
Published:
6 May 2019
Abstract: Fibroadenoma (FAD) is the most common type of breast lesion especially in young female individuals. Although malignant transformation in FAD is rare, several reports have described a higher risk of subsequent breast carcinoma amongst patients who have FAD with specific histologic features. The case of a 30-year-old female exhibiting invasive lobular carcinoma arising within an excised fibroadenoma is being presented. The literature was reviewed with regards to the increased likelihood of developing breast cancer in patients with FADs. The incidence of cancer found in an excised FAD is extremely low, but there are specific proliferative changes on the histology after a core needle biopsy, that they should warrant excision biopsy.
Abstract: Fibroadenoma (FAD) is the most common type of breast lesion especially in young female individuals. Although malignant transformation in FAD is rare, several reports have described a higher risk of subsequent breast carcinoma amongst patients who have FAD with specific histologic features. The case of a 30-year-old female exhibiting invasive lobula...
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Evaluation of Trauma in Children in Aba Nigeria
Samuel Chidi Ekpemo,
Nneka Okoronkwo
Issue:
Volume 7, Issue 2, April 2019
Pages:
38-40
Received:
4 March 2019
Accepted:
9 April 2019
Published:
6 May 2019
Abstract: Background: Trauma is a leading cause of morbidity and mortality in children. The incidence has been on the increase in our sub-region in recent years. The aim of this study is to present the clinical presentation, management and outcome of children involved in trauma in at the Abia State University Teaching Hospital. Methods: A prospective study of children managed for trauma in our centre from January 2018 to December 2018. A Proforma was designed to include demographic data, clinical presentation, investigation, treatment and outcome. These data was collated and analysed using SPSS version 17.0. Results: A total of 300 patients presented to our trauma centre during the study period. There were 200 boys and 100 girls. The median age was 6 years (range 1 month to 15 years). The median duration of presentation was 4 hours (40 minutes to 7 days). 100 patients presented between 12 am and 7pm while 200 patients were seen between 7pm and 12 midnight. At presentation 250 patients were in pain, 150 bleeding, 120 had a swelling of part of the body, 20 were unconscious, and 10 had polytrauma. The cause of the trauma were Tricycle accident 100, motor vehicle 80 patients, burns 40, fall from height 20, gunshot injuries 10and others 10. The investigations include X-rays, FAST, CT-scan, haematological and biochemical test. The diagnosis at presentation revealed; 40 head injury, 100 lacerations, 10chest injuries, 30 blunt abdominal injuries, 20 pelvic injuries, 40 burns, 40 limb fractures, 20 poly-traumatised patients. There were 30 (10%) mortalities. Conclusion: The result in this series shows good outcome in children managed for trauma in our centre. There may therefore be the need for training, procurement of equipment and the establishment of paediatric trauma centres in the various sub-regions in the country. This will help in reducing morbidity and mortality.
Abstract: Background: Trauma is a leading cause of morbidity and mortality in children. The incidence has been on the increase in our sub-region in recent years. The aim of this study is to present the clinical presentation, management and outcome of children involved in trauma in at the Abia State University Teaching Hospital. Methods: A prospective study o...
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Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report
Gkekas Ioannis,
Fagerström Niklas,
Waldthaler Alexander,
Laustsen Jesper,
Arnelo Urban
Issue:
Volume 7, Issue 2, April 2019
Pages:
41-45
Received:
1 April 2019
Accepted:
23 April 2019
Published:
20 May 2019
Abstract: The primary therapy for biliary atresia is a surgical hepatic portoenterostomy, known as Kasai procedure, which has been shown to reduce mortality. Patients that undergo this procedure often develop complications such as ascending cholangitis and biliary cirrhosis. In case of recurrent cholangitis, surgical revision and percutaneous biliary drainage are the most used techniques, while in rare cases endoscopic retrograde cholangiopancreatography (ERCP) has been used. Here we report a case of a patient with intrahepatic lithiasis and secondary sclerosing cholangitis after Kasai procedure, successfully treated with percutaneous transhepatic cholangioscopy (PTCS)-assisted lithotripsy.
Abstract: The primary therapy for biliary atresia is a surgical hepatic portoenterostomy, known as Kasai procedure, which has been shown to reduce mortality. Patients that undergo this procedure often develop complications such as ascending cholangitis and biliary cirrhosis. In case of recurrent cholangitis, surgical revision and percutaneous biliary drainag...
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Anatomical Study of Nasal Septal Cartilage in Eastern Chinese
Kepeng Hu,
Haiting Xu,
Yean Zhang,
Zhouning Lin,
Yuanxia Chen
Issue:
Volume 7, Issue 2, April 2019
Pages:
46-49
Received:
3 March 2019
Accepted:
12 April 2019
Published:
23 May 2019
Abstract: Background: Asians tend to have foreshortened noses with more increased nostril show. In recent years, the nasal septal cartilage has been widely used in caudal septal advancement and nasal tip projection in East Asian. However, a relatively small quantity of less firm nasal cartilage was observed in East Asians compared with Caucasians and very few articles have been found dealing with septal cartilage anatomy of Chinese. Objective: The length, height, area, and thickness of nasal septal cartilage in 10 eastern Chinese were studied to provide anatomic data for the septorhinoplasty or harvesting of cartilage graft. Methods: The septal cartilages in 10 adult cadavers were anatomized and measured for their length, height, area, and thickness. Results: The average length and height of septal cartilage were respectively 2.83±0.47 cm and 2.41±0.39 cm. The average area was 4.94±1.26 cm^2. The average thickness is 0.97±0.15 mm, with the greatest thickness in region b 1.14±0.26 mm, the least thickness in region e (0.83±0.22) mm and region a (0.81±0.27) mm. Conclusion: The findings of this study reinforce the principle of key differences existing in the anatomic data of the septal cartilage between Asians and Caucasians.
Abstract: Background: Asians tend to have foreshortened noses with more increased nostril show. In recent years, the nasal septal cartilage has been widely used in caudal septal advancement and nasal tip projection in East Asian. However, a relatively small quantity of less firm nasal cartilage was observed in East Asians compared with Caucasians and very fe...
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