Multiple-level Replantation in Elderly Patient

CASE REPORT A 62-year-old, right-handed woman suffered a complete double-level amputation transversely across the left distal forearm and the wrist and a severe crush injury of the midhand in a tree-shredder ​(Fig.1). Cold ischemia time was less than 2 hours. The proximal amputation occurred at the forearm 3 cm proximal to the radiocarpal joint, the distal obliquely […]

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Massive ossifying fibroma of the mandible in a child

Minu Bajpai, P. Goel, O. Bhutia,1 Anand Gupta,1 A. Seth,2 A. K. Gupta,2 and D. K. Pawar3 CASE REPORT A 10-year-old boy with a known sickle-cell trait, had a four-years history of a painless, slowly enlarging tumor of the lower jaw [Figure 1] was referred from the department of dental surgery where incision biopsy and digital subtraction angiography (DSA) was done. The […]

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Reconstructive surgery of the nasal pyramid

*“Prain” Medical Center, Bucharest, Romania **“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania ***ENT Department, Colţea Clinical Hospital, Bucharest, Romania Correspondence to: Lăţcan Elena, MD “Prain” Medical Center, 57 13 Septembrie Avenue, District 5, Bucharest, Romania Phone: + 4021 411 00 63; Mobile: +40 723 237 430; E-mail: or.nactal@anele Abstract The authors present their personal experience […]

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Management of High-energy Avulsive Ballistic Facial Injury

Elbert E. Vaca, MD,*Justin L. Bellamy, MD,†Sammy Sinno, MD,‡ and Eduardo D. Rodriguez, MD, DDS† Case 1 Delayed Reconstruction A 36-year-old male was referred for consideration for facial transplant 7 months after a self-inflicted ballistic injury resulting in composite tissue defects of the midface and lower face (Fig. ​6A). Note the contracted soft-tissue envelope with midface widening and […]

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Surgical correction of residual facial deformity following conservative excision of a giant maxillary ossifying fibroma

Zhuoxia Wu, MD,a Yunlong Xing, MD,a Xin Liu, PhD,b Wanying Chen, MD,a Jiao Kong, MD,a Ronghui Wu, MD,a and Lianbo Zhang, PhDa,∗ 2. Case report A 44-year-old female patient presented to our department in November 2013 with a chief complaint of a giant swelling on the right side of her face that had gradually increased in […]

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Carbamzepine-induced toxic epidermal necrolysis

Nithyananda K. Chowta, Mukta N. Chowta,1 John Ramapuram, Pramod Kumar,2 and Abul Fazil Case Report A 38-year-old Asian Indian male patient presented with a rapidly progressive generalized eruption with fever. Patient was diagnosed as having secondarily generalized complex partial seizures 3 weeks prior to the current illness and was prescribed carbamazepine at the dose of […]

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Facial circulation

A beautiful and detailed presentation of the facial circulation.To isolate the vessels, red plasticizer is pumped through the the external carotid artery, spreading to all its numerous facial branches. After it sets up, acid is used to dissolve away the tissue to reveal an isolated system of astonishing capillaries and vessels. Credit: medicaltalks

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Physiologic and Pharmacologic Effects of Corticosteroids

Corticosteroids are key regulators of whole-body homeostasis that provide an organism with the capacity to resist environmental changes and invasion of foreign substances. The effects of corticosteroids are widespread, including profound alterations in carbohydrate, protein, and lipid metabolism, and the modulation of electrolyte and water balance. Corticosteroids affect all of the major systems of the […]

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Auricular Necrotizing Wound From Brown Recluse Spider Bite

A 5-year-old white boy presented with soft-tissue cellulitis involving the soft tissue of the lower ear auricle and adjacent neck (Figs ​1a and ​1b) as a result of a brown recluse spider bite. Wound cultures gave negative results upon initial debridement. The involved area progressed from cellulitis to necrosis of the skin of the lateral neck and lower […]

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Extraordinary Large Giant Congenital Melanocytic Nevus Treated with Integra Dermal Regeneration Template

Kim A. Tønseth, MD, PhD,*†‡Charles Filip, MD, PhD,*†Robert Hermann, MD,*Harald Vindenes, MD,* and Hans Erik Høgevold, MD, PhD*† CASE REPORT The patient was born abroad after a normal pregnancy. Immediately after delivery, a very large voluminous GCMN of the back covering about 16% of the total body surface area and additional multiple smaller nevi on the body […]

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Pulmonary arterial hypertension

1Univ. Paris-Sud, Faculté de Médecine, Kremlin-Bicêtre F-94270, France 2AP-HP, DHU TORINO, Centre de Référence de l’Hypertension Pulmonaire Sévère, Service de Pneumologie et Réanimation Respiratoire, Hôpital Bicêtre, Le Kremlin-Bicêtre F-94270, France 3INSERM U999, Labex LERMIT, Hypertension Artérielle Pulmonaire: Physiopathologie et Innovation Thérapeutique, Centre Chirurgical Marie Lannelongue, Le Plessis-Robinson F-92350, France 4Pulmonary Hypertension Service, Royal Brompton Hospital, […]

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Motor vehicle accident

1Emory School of Medicine, Atlanta, Georgia, USA 2Department of Neurosurgery, Emory School of Medicine, Atlanta, Georgia, USA 3Department of Surgery, Emory School of Medicine, Atlanta, Georgia, USA Correspondence to Dr Faiz U Ahmad, ude.yrome@damha.ziaf Case presentation A 29-year-old man was brought to our level one trauma hospital after a motor vehicle accident, during which he was ejected […]

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An Alternative Approach for Treating Severe Injured Temporomandibular Joints by Gunshot Wounds

Department of Oral and Maxillofacial Surgery, School of Dentistry, University Centre of Para – CESUPA, Belem, PA, Brazil 1Department of Periodontology, School of Dentistry, University Centre of Para – CESUPA, Belem, PA, Brazil 2Cell Culture Laboratory, Faculty of Dentistry, Federal University of Pará, Belem, PA, BrazilAddress for correspondence: Dr. André Luis Ribeiro Ribeiro, Cell Culture Laboratory, […]

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Cognitive decline in Parkinson disease

1KCL-PARCOG group, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, De Crespigny Park, London SE5 8AF, UK 2Department of Old Age Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, De Crespigny Park, London SE5 8AF, UK 3University of Exeter Medical School, University of Exeter, Exeter EX1 2LU, UK 4Neurodegeneration Imaging Group, Maurice […]

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Asthma Is More Severe in Older Adults

1 Respiratory Institute, Cleveland Clinic, Cleveland, Ohio, United States of America, 2 Department of Pathobiology, Cleveland Clinic, Cleveland, Ohio, United States of America, 3 Center for Genomics and Personalized Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States of America, 4 Department of Medicine, The University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin, […]

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Ballistic Trauma

Combat and domestic improvised explosive devices (IEDs) deserve special consideration and mention as they result in additional trauma to the soft and hard tissues that extend far beyond that of typical ballistic patterns of permanent and temporary cavitation effects seen with handguns, shotguns, or even high-powered rifles. In addition to direct tissue damage from blast […]

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Dietary total fat, fatty acids intake, and risk of cardiovascular disease: a dose-response meta-analysis of cohort studies

Abstract Background Several epidemiological studies have investigated the association between dietary fat intake and cardiovascular disease. However, dietary recommendations based on systematic review and meta-analysis might be more credible. Methods and results Pubmed, Embase and Cochrane library were searched up to July 1st 2018 for cohort studies reporting associations of dietary fat intake and risk […]

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