Impalement head injury with serrated meat knife.

Abstract  An unsuspecting motorcycle passenger was ambushed and impaled on the right side of the head with a 30cm serrated meat carving knife during a sectarian crisis in the city of Jos, Plateau State, Nigeria. The patient escaped running with the knife in his head and was rescued to a military hospital from where he […]

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The Youngest Patient in United States to Receive Face Transplant

Katie Stubblefield’s wit shows through when she describes her face transplant surgery. “Longest nap of my entire life,” she says. Those unfamiliar with Katie’s still-developing speech pattern may not easily make out those words, but her parents are usually there to interpret. Robb and Alesia Stubblefield have been by her side – helping her “take […]

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Early Structural Deterioration of a Sutureless Bioprosthetic Aortic Valve

Abstract Sutureless bioprosthetic valves such as the Sorin Perceval S valve (SPV) have been used in patients with aortic stenosis that require surgical aortic valve replacement (SAVR). These prostheses have been marketed on the basis of their rapid implantation techniques with avoidance of sutures and reduced aortic cross-clamp times. We report a case of an […]

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Microsurgical breast reconstruction after severe burns

Abstract Breast deformity, in post-burn patients, is a common problem leading to lower self-esteem and reclusive behavior that impairs quality of life. The authors present the course of treatment of an 18-year-old immigrant girl who suffered second- to third-degree burns over approximately 20% of her total body surface area in her early childhood. The second- […]

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Umbilical Cord Knot

A 36-year-old woman (gravida 2, para 1) with a monochorionic, monoamniotic twin pregnancy was admitted to the hospital at 32 weeks of gestation for a planned cesarean section. The antenatal course had been unremarkable. Routine cardiotocography before the procedure showed severe variable decelerations of the fetal heart rate in one of the twins; the tracing […]

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Scalp burn that occurred during hair coloring

Abstract Full-thickness scalp burns secondary to hair coloring are rare; however, such defects can be large and complex reconstruction of hair-bearing tissue may be necessary. Many skin-stretching devices that use gradual traction have been applied to take advantage of the viscoelastic properties of the skin. A 21-year-old female patient was seen with a burn defect […]

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A Large Abdominal Mass

An 80-year-old man presented to the emergency department with abdominal bloating and constipation. He had no lower urinary tract symptoms or gross hematuria but had lost 5 kg during the previous 8 months. The physical examination was notable for a distended abdomen with a mass that extended from the epigastrium to the pelvis and was […]

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HOW WWI PLAYED A KEY ROLE SHAPING PLASTIC SURGERY AND MODERN ANAESTHESIA

In 1916, young ENT surgeon Harold Gillies set up Britain’s first plastic surgery unit, where he practised the ‘strange new art’ of facial reconstruction for those who had suffered severe injuries and burns. Gillies was given the go-ahead, and by January 1916 was setting up Britain’s first plastic surgery unit at the Cambridge Military Hospital in Aldershot. Gillies toured base hospitals […]

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China’s ‘folded man’ finds happiness and hope after life-changing surgery

Li has an autoimmune disease called ankylosing spondylitis that started when he was 18. It can cause bones to fuse, making the spine curve forward. His condition worsened over time until he was completely bent over, with three parts of his body “connected” – his chin to his chest, his breastbone to his pubic bone, […]

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Eye Inside Out After Getting Hit By a Bull Horn

Girish S. Mishra, MS1 and Sushen Harish Bhatt, MS1 Case History A 68-year-old female, member of low socioeconomic community, presented to the casualty with history of hit over the right eye by a bull horn during her daily agricultural activities. She complained of sudden and painful loss of vision in the right eye. She also had a […]

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Reconstruction of a Missing Midface

An 18-year-old Chinese girl was referred to us with a severe facial deformity that had been present since her birth. The deformity was associated with poor speech intelligibility and feeding disturbances. Clinical examination demonstrated a severe maxillary defect and bilateral zygoma hypoplasia accompanied by nose and mandible deformities. Her mouth opening was normal, and no […]

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Esthetic Reconstruction of Complex Facial Soft Tissue Trauma

All soft tissue injuries were treated with primary intention following debridement, irrigation, and primary surgical intervention by different methods depending on the defect size and location. They explained probable complications of primary intention to all patients and informed consents were obtained from all patients before surgical interventions. The medical ethics committee of their hospital approved […]

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Necrotizing fasciitis and meningitis due to Streptococcus pneumoniae

A 68-year-old Caucasian female was admitted to our clinic, with suspected deep venous thrombosis, presenting with pain in her left calf that had lasted for 3 weeks starting after a very painful nocturnal leg cramp, and worsened over the last few days. At the time of admission, she had also experienced 5 days of malaise […]

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First African American to receive a face transplant

Robert Chelsea suffered severe injuries after getting hit by a drunk driver in 2013. After months of waiting for the right donor, the first African American man to undergo a full face transplant is recovering from a successful procedure. Chelsea has led a difficult life the last few years — he was left severely disfigured […]

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Railway track injury

Case Report A 30-year-old male victim of railway track injury was brought to the emergency department by police. He had a lacerated/partly avulsed wound over face, involving forehead, nose and left cheek, with traumatic evisceration of left eye [Figure 1]. On arrival, the patient was found to have a threatened airway in view of extensive […]

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An impressive case of complete traumatic maxillofacial degloving.

A 30-year-old white woman was the victim of severe facial trauma stemming from a rollover automobile accident after the driver had lost control of the vehicle. It was a small automobile not equipped with airbags and was transporting five passengers. The patient was on the back seat and was not wearing a seatbelt. One of […]

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