Specialties – MediHelp

Surgical Excision of Madelung Disease Using Bilateral Cervical Lymphnode Dissection Technique—Its Effect and the Influence of Previous Injection Lipolysis

Erika Andou, MD,* Masakazu Komoto, MD,* Toshio Hasegawa, MD,† Hiroshi Mizuno, MD,* and Ayato Hayashi, MD CASE REPORT A 51-year-old man was presented to our facility with large subcutaneous tumors affecting the entire neck. Eight years earlier, he was diagnosed with Madelung disease based on the characteristic presentation of symmetrical subcutaneous tender masses throughout the […]

Forequarter Replantation

An 18-year-old man presented with a workplace-related injury, wherein his left shirt sleeve was caught in a cloth rolling machine and consequently his left upper limb was avulsed and amputated at his shoulder. He presented to our center 3 hours after the incident, with the amputated part brought without cooling. Initial examination showed pallor but […]

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 […]

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 […]

Reconstructive surgery of the nasal pyramid

Abstract The authors present their personal experience regarding the reconstruction of the nasal pyramid on 150 cases, encompassing both children and adults during the period 2000-2011. Reconstruction of the nasal pyramid, regardless of age, was performed in cases of dysmorphias due to congenital malformations, accidents and surgical treatments with great loss of substance (benign or […]

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 […]

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 […]

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 […]

Facial trauma caused by the tusk of a wild boar!

The patient sustained a deep cut across lateral side of the nose and right cheek after being attacked by a wild boar. The best therapy for wild animal inflicted wounds with special regard to optimal wound healing time, minimum complications and minimal residual functional and aesthetic impairment would be, in our opinion primary wound debridement […]

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 […]

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 […]

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 […]

Pulmonary arterial hypertension

Abstract Pulmonary arterial hypertension (PAH) is a chronic and progressive disease leading to right heart failure and ultimately death if untreated. The first classification of PH was proposed in 1973. In 2008, the fourth World Symposium on PH held in Dana Point (California, USA) revised previous classifications. Currently, PH is devided into five subgroups. Group […]

Motor vehicle accident

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 from the vehicle during the crash. He lost consciousness on impact but was alert and oriented on arrival at the hospital, and was able to move all four extremities during the initial […]

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

Abstract Temporomandibular joint (TMJ) reconstruction is a challenging clinical problem that has been revolutionized due to the development of total alloplastic TMJ replacement (TMJ-TJR); however, the costs are still very high. We used an alternative approach to treat comminuted mandibular condyle fracture with an unviable condyle head caused by gunshot wounds. Our surgical technique consisted […]

Asthma Is More Severe in Older Adults

Abstract Background Severe asthma occurs more often in older adult patients. We hypothesized that the greater risk for severe asthma in older individuals is due to aging, and is independent of asthma duration. Methods This is a cross-sectional study of prospectively collected data from adult participants (N=1130; 454 with severe asthma) enrolled from 2002 – […]

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 […]

Facial trauma caused by the tusk of a wild boar!

Physiologic and Pharmacologic Effects of Corticosteroids

Pulmonary arterial hypertension

Cognitive decline in Parkinson disease

Asthma Is More Severe in Older Adults

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