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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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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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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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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Case of billateral necrotizing fasciitis post debridement surgery showing muscle exposure

Necrotizing fasciitis (NF), also known as flesh-eating disease, is an infection that results in the death of parts of the body’s soft tissue. It is a severe disease of sudden onset that spreads rapidly. Symptoms usually include red or purple skin in the affected area, severe pain, fever, and vomiting. The most commonly affected areas are the limbs and perineum. ypically, the infection enters the body through a […]

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Laparoscopic retrieval of an unusual foreign body

Binay Kumar Shukla, Rajesh Khullar, Anil Sharma, Vandana Soni, Manish Baijal, and Pradeep Chowbey Author information Article notesCopyright and License information Disclaimer INTRODUCTION Foreign body ingestion is a common cause of accidental death. Although approximately 90% of them pass spontaneously, they can result in perforation or obstruction in the gastrointestinal (GI) tract. Toddlers aged 2-3 years are most commonly affected; as […]

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Jellyfish injuries

Lakkana Thaikruea & Potjaman Siriariyaporn  It is widely known that box jellyfish are one of the most venomous marine animals in the world [1]. Envenomation involves the physical discharge of venom into tissues. The venom is a complex mixture of polypeptides and proteins, including hemolytic, cardiotoxic and dermatonecrotic toxins The islands of Samui and Pha-ngan have the […]

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Extensive Frontoparietal Abscess: Complication of Frontal Sinusitis (Pott’s Puffy Tumor)

Raquel Andrade Lauria,* Fernando Laffitte Fernandes, Thiago Pires Brito, Pablo Soares Gomes Pereira, and Carlos Takahiro Chone Case Report A 14-year-old male adolescent, with no significant past medical history, presented at an otorhinolaryngology department of a tertiary teaching hospital with a 7-day history of a common cold that progressively evolved with frontal headache, vomiting, fever, purulent rhinorrhea, and frontal and […]

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Facial Transplantation

Patient 3 is a 25-year-old man who had sustained extensive ballistic facial injury in June 2016, requiring multiple procedures including maxillary, mandibular, zygomatic, and right orbital floor open reduction and internal fixation with debilitating functional deficits and exposed hardware. In preparation for FT, the patient underwent hardware removal, bilateral naso-orbito-ethmoid osteotomies, medial canthal tendons repositioning, […]

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Earthquake injuries

Lei Liu, Gang Tan, Fujun Luan, Xin Tang, Pengde Kang, Chongqi Tu, and Fuxing Pei The Wenchuan earthquake (May 12, 2008; 2:28 p.m. local time) was a disaster for China. Orthopedic surgeons faced major challenges in controlling fractures quickly and effectively, repairing tissue defects, closing the wounds, promoting wound healing, preventing infection, and minimising complications. […]

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