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 […]

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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 […]

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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

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 […]

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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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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

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 […]

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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 […]

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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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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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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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Full facial and total scalp burn injury

The FT recipient was a 41-year-old male firefighter who sustained a full facial and total scalp burn injury in 2001 while in the line of duty. Following his initial injury, the patient had undergone >70 reconstructive procedures without improvement in functional or esthetic outcomes ​(Fig. 1). August 2015, the patient underwent a total face, eyelids, ears, […]

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