Vesicular stomatitis.
Vet Rec. 2016 Jul 30;179(5):119-20
Authors: Timoney P
Abstract
More than 800 premises in eight states in the USA have recently reported cases of vesicular stomatitis in their horses. Here, Peter Timoney, of the Gluck Equine Research Center in Kentucky, discusses this zoonotic disease in more detail.
PMID: 27474058 [PubMed - in process]
Publication date: Available online 30 July 2016
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): Jonathan A. Dunne, Jessica Steele, Elizabeth Woods, Joy Odili
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Publication date: Available online 30 July 2016
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): Ian CC. King, Noor Obeid, Alex C. Woollard, Martin E. Jones
We present a photographic illustration of our approach to accessing and releasing the pedicle of the gracilis muscle with a view to maximizing safety and length in this key reconstructive option available to plastic surgeons. This approach requires creation of a window in the fascia on the lateral border of the adductor longus muscle, affording a direct visualization of the medial circumflex femoral artery coming off the profunda femoris. Small proximal branches can be dealt with under greater control and the pedicle released with maximal length and safety.
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Publication date: Available online 30 July 2016
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): Abolhasan Emami, Roohollah Sobhani
Aim of studyWomen with breast hypertrophy often experience a number of physical symptoms as well as psychological difficulty. The breasts are very important for the psychological well-being of women, which might be affected negatively through breast size and shape distortions. Self-body dissatisfaction and, in this background, the breasts can lead to low levels of self-confidence and self-esteem, which might affect sexuality.Materials and Methods35 women with macromastia and their partners were evaluated for their sexual function as well as surgery satisfaction before and 6 months following reduction mammaplasty. Physical status and sexual satisfaction was assessed using questionnaire. In addition, sexual function of the women and their partners were evaluated using the Index of Female Sexual Function (IFSF) and the International Index of Erectile Function (IIEF).ResultThere was a significant improvement in the mean IFSF and IIEF scores after surgery in both patients and their partners. In addition patients expressed high levels of satisfaction with results of surgery in physical and psychological scores.Conclusionreduction breast surgery has a positive impact on the health status and psychological functions as well as sexual activity of patients and their partners.
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Publication date: Available online 30 July 2016
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): Burhan Özalp, Mustafa Aydınol
BackgroundPerforator-based propeller flaps provide adequate soft tissue coverage for leg reconstruction. The aim of this study was to assess the versatility and reliability of the use of propeller flaps for leg reconstruction in pediatric patients.MethodSeven male pediatric patients ranging in age from 2–13 years with a mean age of 6.7 underwent perforator-based propeller flap surgery over a four-year period. The defects resulted from burn injuries (n = 4) and traffic accidents (n = 3). The injuries were located on the ankles of four patients and on the knee, anterior lower tibia, and foot dorsum of the other three patients, respectively.ResultsThe flap sizes ranged from 5 x 3 to 10 x 6 cm with a mean flap size of 7.6 x 4.3 cm. Flap harvesting time ranged from 38 to 56 m with a mean of 46 m. The rotation degree range of the flaps was from 90o to 180o. The propeller flaps were based on the posterior tibial artery (n = 4), anterior tibial artery (n = 2), and the descending branch of the lateral circumflex femoral artery (n = 1). All flaps survived completely without surgical complication; however, one patient developed disseminated intravascular coagulation syndrome two days post-surgery and died within four days.ConclusionPerforator-based propeller flap reconstruction is a safe, reliable, and versatile method for lower extremities in pediatric patients; however, it requires meticulous surgical dissection and extreme patience during the surgical procedure.
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Publication date: Available online 30 July 2016
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): A.C.D. Smith, D. Nikkhah, M.E. Jones
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Diagnosis of Gastroesophageal Reflux Disease Using Real-time Magnetic Resonance Imaging.
Sci Rep. 2015;5:12112
Authors: Zhang S, Joseph AA, Gross L, Ghadimi M, Frahm J, Beham AW
Abstract
A small angle (His angle) between the oesophagus and the fundus of the stomach is considered to act as flap valve and anti-reflux barrier. A wide angle results in dysfunction of the oesophagogastric junction and subsequently in gastroesophageal reflux disease (GERD). Here, we used real-time magnetic resonance imaging (MRI) at 50 ms resolution (20 frames per second) in 12 volunteers and 12 patients with GERD to assess transport of pineapple juice through the oesophagogastric junction and reflux during Valsalva. We found that the intra-abdominal part of the oesophagus was bended towards the left side resulting in an angle of 75.3 ± 17.4, which was significantly larger during Valsava (P = 0.017). Reflux and several underlying pathologies were detected in 11 out of 12 patients. Our data visualize oesophagogastric junction physiology and disprove the flap valve hypothesis. Further, non-invasive real-time MRI has considerable potential for the diagnosis of causative pathologies leading to GERD.
PMID: 26175205 [PubMed - indexed for MEDLINE]
| | Related Articles |
Diagnosis of Gastroesophageal Reflux Disease Using Real-time Magnetic Resonance Imaging.
Sci Rep. 2015;5:12112
Authors: Zhang S, Joseph AA, Gross L, Ghadimi M, Frahm J, Beham AW
Abstract
A small angle (His angle) between the oesophagus and the fundus of the stomach is considered to act as flap valve and anti-reflux barrier. A wide angle results in dysfunction of the oesophagogastric junction and subsequently in gastroesophageal reflux disease (GERD). Here, we used real-time magnetic resonance imaging (MRI) at 50 ms resolution (20 frames per second) in 12 volunteers and 12 patients with GERD to assess transport of pineapple juice through the oesophagogastric junction and reflux during Valsalva. We found that the intra-abdominal part of the oesophagus was bended towards the left side resulting in an angle of 75.3 ± 17.4, which was significantly larger during Valsava (P = 0.017). Reflux and several underlying pathologies were detected in 11 out of 12 patients. Our data visualize oesophagogastric junction physiology and disprove the flap valve hypothesis. Further, non-invasive real-time MRI has considerable potential for the diagnosis of causative pathologies leading to GERD.
PMID: 26175205 [PubMed - indexed for MEDLINE]
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Two cases of prostheses for flap protection after buccal mucosal incision.
Bull Tokyo Dent Coll. 2014;55(1):49-54
Authors: Nomoto S, Sato T, Yoshida S, Saito S, Kamiyama I, Ito A, Tanaka J
Abstract
Here we describe two patients in whom prostheses were applied for flap protection after buccal mucosal incision. In the first case, the patient was a 65-year-old man with a diagnosis of buccal mucosa squamous cell carcinoma (T2N0M0). Left buccal mucosa squamous cell tumor resection and dermoplasty were performed, followed by alveolar ridge augmentation and buccal mucosal graft in the scar area. The carcinoma recurred, however, and left buccal mucosa carcinoma resection was performed, followed by reconstruction surgery using a free forearm flap. After a 12-week healing period, a molar support was constructed on the unaffected side and a protective prosthesis placed on the affected side. Training in ingestion and swallowing were given postoperatively. The patient in the second case was a 62-year-old woman with a diagnosis of buccal mucosa squamous cell carcinoma (T2N1M0). Right buccal mucosa carcinoma resection and supraomohyoid neck dissection were performed, followed by reconstruction surgery using a free forearm flap. A molar support was constructed on the unaffected side and a protective prosthesis placed on the affected side at 5 months postoperatively. Training was given in ingestion and swallowing postoperatively. The prostheses prevented bite wounds to the flaps in the affected areas due to jaw movement during swallowing or speaking. The postoperative courses were uneventful, and the average masticatory score was 92.5 (85, 100), not affecting daily life. The prostheses were placed after reconstruction surgery using free flaps after buccal mucosa squamous cell carcinoma resection. Dysphasia recovered to the preoperative level by dysphasia and pronunciation training in both cases. The postoperative prognosis was favorable, with the prosthesis preventing damage to the flap.
PMID: 24717930 [PubMed - indexed for MEDLINE]
10.1080/14992027.2016.1211765<br/>
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| Related Articles |
Two cases of prostheses for flap protection after buccal mucosal incision.
Bull Tokyo Dent Coll. 2014;55(1):49-54
Authors: Nomoto S, Sato T, Yoshida S, Saito S, Kamiyama I, Ito A, Tanaka J
Abstract
Here we describe two patients in whom prostheses were applied for flap protection after buccal mucosal incision. In the first case, the patient was a 65-year-old man with a diagnosis of buccal mucosa squamous cell carcinoma (T2N0M0). Left buccal mucosa squamous cell tumor resection and dermoplasty were performed, followed by alveolar ridge augmentation and buccal mucosal graft in the scar area. The carcinoma recurred, however, and left buccal mucosa carcinoma resection was performed, followed by reconstruction surgery using a free forearm flap. After a 12-week healing period, a molar support was constructed on the unaffected side and a protective prosthesis placed on the affected side. Training in ingestion and swallowing were given postoperatively. The patient in the second case was a 62-year-old woman with a diagnosis of buccal mucosa squamous cell carcinoma (T2N1M0). Right buccal mucosa carcinoma resection and supraomohyoid neck dissection were performed, followed by reconstruction surgery using a free forearm flap. A molar support was constructed on the unaffected side and a protective prosthesis placed on the affected side at 5 months postoperatively. Training was given in ingestion and swallowing postoperatively. The prostheses prevented bite wounds to the flaps in the affected areas due to jaw movement during swallowing or speaking. The postoperative courses were uneventful, and the average masticatory score was 92.5 (85, 100), not affecting daily life. The prostheses were placed after reconstruction surgery using free flaps after buccal mucosa squamous cell carcinoma resection. Dysphasia recovered to the preoperative level by dysphasia and pronunciation training in both cases. The postoperative prognosis was favorable, with the prosthesis preventing damage to the flap.
PMID: 24717930 [PubMed - indexed for MEDLINE]
10.1080/14992027.2016.1211765<br/>
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Preradiotherapy dental extractions often form a part of the management plan for patients treated with radiotherapy for head and neck cancers in order to prevent complications, such as osteoradionecrosis. There is contention about whether these extractions should be performed and the timing of such extractions. The purpose of this study was to determine if pre-RT extractions were associated with the development of osteoradionecrosis of the jaws.
Retrospective data on patients treated with RT for oropharyngeal cancer were pooled with a cross-sectional survey.
Pre-radiotherapy dental extractions were associated with a statistically significant increase in the risk of developing ORN.
Pre-radiotherapy dental extractions do not protect against the development of osteoradionecrosis. © 2016 Wiley Periodicals, Inc. Head Neck, 2016
Preradiotherapy dental extractions often form a part of the management plan for patients treated with radiotherapy for head and neck cancers in order to prevent complications, such as osteoradionecrosis. There is contention about whether these extractions should be performed and the timing of such extractions. The purpose of this study was to determine if pre-RT extractions were associated with the development of osteoradionecrosis of the jaws.
Retrospective data on patients treated with RT for oropharyngeal cancer were pooled with a cross-sectional survey.
Pre-radiotherapy dental extractions were associated with a statistically significant increase in the risk of developing ORN.
Pre-radiotherapy dental extractions do not protect against the development of osteoradionecrosis. © 2016 Wiley Periodicals, Inc. Head Neck, 2016
