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  • Necrotizing Fasciitis

    Free tissue transfer (FTT) is an option for reconstruction in difficult cases.[] The standard treatment of this severe condition has long been early and aggressive surgical debridement and adequate antimicrobial therapy.[] INTRODUCTION: Necrotizing fasciitis is an uncommon soft-tissue infection that involves the superficial fascia, subcutaneous fat, and deep fascia.[] KEYWORDS: calcifications; necrotizing fasciitis; point of care ultrasound; posterior shadow; soft-tissue air; soft-tissue infection; ultrasound[] Early IVIG ( 2 days) did not alter this effect (P .99).[] Necrotizing fasciitis, which literally translated means "inflammation of the fascia (connective tissue) causing cell death," is the proper medical term for what is colloquially[] It is a rare and potentially fatal entity in the head and neck region.[] The presence of gas within the necrotized fasciae is characteristic, but may be lacking.[] Prevention Avoid swimming in open water, pools or hot tubs when you have an open wound. Treat your open wounds promptly, sanitizing and dressing them as needed.[] Pain often occurs at the time of the injection, but tissue necrosis typically becomes apparent a few days later.[]

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  • Compartment Syndrome

    The authors present the case of a 69-year-old woman who developed tissue necrosis and compartment syndrome secondary to an untreated hematoma infected by P mirabilis.[] The aim of this sudy was to determine the prevalence and factors associated with development of IAH/ACS among critically ill surgical patients.[] First of all, the release of the skin and subcutaneous tissues allows to decompress the compartments under direct control.[] Postoperatively, her symptoms recurred and she was found to have a deficient posterior tibial arterial system bilaterally, as confirmed on advanced imaging.[] Determining its presence, however, can be challenging in obtunded patients or those with an altered mental status.[] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[] BACKGROUND: Fusobacterium necrophorum is a common agent of disease in humans, but the occurrence of primary infections outside the head and neck area is extremely rare.[] The last incision of the deep lamina of the deep anterior fascia had no noticeable impact.[] BACKGROUND: The gold standard of quick and definitive treatment of Abdominal compartment syndrome (ACS) is surgical decompression by opening the abdomen and leaving it open[] […] compartment - deep posterior compartment - anterior compartment - foot compartment syndromes - Exam: - blood pressure (compartment syndrome is potentiated by hypotension)[]

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  • Spinal Trauma

    Recognition of soft tissue injuries impacts patient management and outcome. Back To Top[] Decompression fusion – This is a surgical procedure that includes both decompression and fusion.[] Subcutaneous hemorrhage may result.[] F or many years surgeons have been puzzled by the fact that some patients with injuries of the cervical spine have sustained severe neurological deficit without alteration[] However, simple fragility fractures of the thoracic and lumbar spine can be treated with a brace and/or pain medications.[] If a herniated disc presses on the spinal cord and/or nerve roots, the outcome often produces neurological dysfunction such as myelopathy (neck) or radiculopathy (neck, low[] This minimally invasive lateral approach to the thoracic spine offers a very good alternative to an open thoracotomy (opening up the thoracic cavity with a big incision).[] Spinal Trauma - 109-13 Rationale Traumatic spinal cord injuries may have life-altering effects on patient, family, and community.[] SCI is a medical emergency that needs medical attention right away.[] Beneficial for both less invasive as well as open approaches, the software continuously tracks surgical instruments in relation to patient anatomy, helping surgeons to avoid[]

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  • Rectocele

    The rate of de novo dyspareunia after native-tissue repair was 33.1 % (30.4-35.8), comparable with that after mesh repair.[] Abstract This study reports on the surgical anatomy and technique of perineal repair in a selected group of parous women with faecal incontinence and/or difficulty in evacuation[] Tech Coloproctol 9:87 PubMed CrossRef Google Scholar Stolfi VM, Micossi C, Sileri P et al (2009) Retroperitoneal sepsis with mediastinal and subcutaneous emphysema complicating[] Posterior vaginal prolapse (rectocele) care at Mayo Clinic Symptoms A small posterior vaginal prolapse (rectocele) may cause no signs or symptoms.[] […] stapler and TSTS in the rectopexy treatment of rectocele showed its short-term efficacy, producing an improvement of patient's clinical conditions, without inducing further alterations[] Pioneering care for pelvic and abdominal health: More than a decade ago, Rush became the first academic medical center in Chicago to create a pelvic health program focused[] […] recurrent lateral enterocele and rectocele after the patient had undergone multiple surgeries for pelvic organ prolapse (POP), including a vaginal hysterectomy, bladder-neck[] BACKGROUND: This article presents the anatomic and functional outcome of site-specific fascia repair for rectocele performed under local anesthesia. Methods.[] Abstract Authors operated on their Surgical departement 67 years old women with incomplete evacuation, and digital support during defecation, giant rectocele and massive vaginal[] The forces of labor may separate, tear, or distend the pelvic floor, altering the functional and anatomic position of the muscles, nerves, and connective tissues.[]

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  • Ludwig's Angina

    The diagnosis of this condition with bedside soft tissue ultrasound of the face is described.[] BACKGROUND: Ludwig's angina (LA) is a dangerous surgical condition that can cause severe airway compromise and death.[] A lateral neck radiograph may demonstrate soft tissue swelling, subcutaneous air, and occlusion of the airway.[] There is oedema of the floor of mouth and around the larynx with elevation and posterior displacement of the tongue. There may be signs of airway obstruction.[] Conclusions: Airway protection, aggressive antibiotic therapy and surgical decompression can significantly alter the mortality rates associated with odontogenic infection[] Lud·wig's angina \ ˈlüd-(ˌ)vigz- \ Medical Definition of Ludwig's angina : an acute streptococcal or sometimes staphylococcal infection of the deep tissues of the floor of[] Comprehensive coverage of head, neck, and orofacial infections addresses the diagnosis and management of pathology due to infections of the head and neck and orofacial complex[] Management should be aimed at maintaining an open airway by nasotracheal intubation or cricothyroidotomy, together with treatment of the infection by removal of the source[] […] of assessing surgical outcomes with particular reference to length of stay (LOS).[] Carious or infected mandibular molars, virulent microorganisms and altered / compromised immunity such as occurs in pregnancy and puerperium, are risk factors.[]

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  • Superior Semicircular Canal Dehiscence

    To describe the successful surgical treatment of 5 cases of superior semicircular canal dehiscence via a transmastoid middle fossa craniotomy using a soft tissue graft.[] A meta-analysis of 64 surgical procedures for SSCD syndrome indicated that capping and plugging had a significantly higher success rate when compared to resurfacing. 27 Final[] […] sulcus, while superior it curves posterior to the temporal hair tuft.[] […] is extremely important, since tests considered standard for the vestibular apparatus investigation (electronystagmography and rotatory chair) may fail to show significant alterations[] History Meanings of "superior semicircular canal dehiscence syndrome" in Turkish English Dictionary : 1 result(s) Category English Turkish Medical 1 Medical superior semicircular[] […] canal dehiscence syndrome by the superior petrosal sinus Ja-Won Koo 1 , 2 , Sung Kwang Hong 1 , Dong-Kyu Kim 1 , Ji Soo Kim 3 1 Department of Otorhinolaryngology—Head & Neck[] The theory is that pressure or trauma then causes the hole or opening in this already fragile bone.[] We hypothesize that the SCD acts as a 'third window' into the inner ear, shunting volume velocity away from the cochlea and through the dehiscent canal, altering cochlear[] Jacob and E&H @ CNS offers state-of-the-art medical and surgical care for patients with all types of ear and lateral skull base disorders.[] […] cartilage – bone pate – temporalis fascia.[]

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  • Hernia

    […] community in its clinical implementation of skeletal muscle-engineered tissue beyond laboratory research for diaphragmatic replacement.[] Abstract Due to the rarity of Grynfelt hernia, there is no standardized surgical technique.From April 2010 to September 2017, 12 cases of primary superior lumbar hernia (Grynfelt[] With cure by subcutaneous injections, together with sugcested (!) and improved methods for kelotomy.[] Anterior-posterior compression of the inguinal canal is lost due to the loose and adynamic posterior inguinal wall.[] CONCLUSION: Surgical correction of the inguinal hernia without the use of a prosthesis does not cause alterations in vascularization and testicular volume in the first six[] Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA.[] […] the properitoneum; the defect is closed transversely with interrupted sutures Spigelian hernia - A transverse incision over the hernia to the sac allows dissection to the neck[] However, it is still unclear whether laparoscopy is superior to open surgery in repairing MH.[] […] medial) femoral Nerve, Artery, Vein, Empty space ( femoral canal femoral hernia ), Lymphatics References: [4] [2] Clinical features Non-complicated femoral hernia A globular, subcutaneous[] All these symptoms frighten the patient and its lead to the development of his obsessive-compulsive disorder, seriously altering the psyche, and even social behavior.[]

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  • Dermatofibrosarcoma Protuberans

    Epidemiology Rare soft tissue tumor, accounts for up to 1% of all soft tissue sarcomas.[] INTRODUCTION: The surgical management of dermatofibrosarcoma protuberans has historically been a challenge, particularly in the head and neck and other aesthetic areas.[] BACKGROUND: Dermatofibrosarcoma protuberans (DFSP) typically affects the dermis and subcutaneous tissue. The subcutaneous variant is rare.[] Physical examination revealed a shiny purplish-red plaque on the right neck and a thin pink plaque on the posterior neck.[] […] an imatinib-resistant human cell line, was established from a fibrosarcomatous DFSP (FS-DFSP), and was studied by SNP arrays and sequencing to identify targetable genomic alterations[] Oncology, who has provided us with immense support to carry out research at the All India Institute of Medical Sciences, New Delhi, and has been supportive for sarcoma medical[] ., type of subcutaneous invasion, histologic pattern, cell type, areas of fibrosarcoma) and the presence and absence of muscle fascia involvement.[] From Wikibooks, open books for an open world Jump to navigation Jump to search Dermatofibrosarcoma Protuberans Epidemiology [ edit ] Cutaneous, locally aggressive, primarily[] They were categorized into two treatment groups: MMS and surgical excision.[] Tracking various genomic alterations, namely somatic mutations, copy number variations, and chromosomal rearrangements, we observed a dramatic change in tumor cell population[]

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  • Subcutaneous Emphysema

    […] wounds in the web space skin may result in a transport of air across the defect, acting like a ball valve mechanism to trap and then force the air into the subcutaneous tissue[] 998.81 Complications surgical procedures 998.9 accidental puncture or laceration 998.2 amputation stump (late) 997.60 anastomosis - see Complications, anastomosis burst stitches[] Subcutaneous emphysema is a medical condition where accumulation of air occurs in the subcutaneous layer of skin.[] Diagnostic evaluation revealed a mucosal tear in the posterior pharyngeal wall and an abscessed retropharyngeal lymph node, but she had no known history of trauma to account[] Case Summary An 82-year-old woman presented at the emergency department of a suburban hospital with alteration of consciousness, which was proved later to be due to cerebrovascular[] Certain medical procedures that insert a tube into the body.[] […] alveolar pressure sufficient to cause rupture of the alveolar wall and dissection of air along interstitial spaces to the mediastinum and thence along fascial planes to the neck[] Subcutaneous emphysema manifests as painless tissue swelling secondary to air tracking along fascia into areas of least resistance. 1 Chest and gastrointestinal trauma and[] This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.[] It is hypothesised that this minor skin wound has acted like a ball-valve mechanism leading to air being trapped in the soft tissue.[]

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  • Lipoma

    The VEGF expression of soft tissue lipoma can be understood in the same context.[] This report describes a minimally invasive surgical strategy that we have introduced for FTL sectioning.[] We report a case of an intramuscular lipoma occurring as a subcutaneous midline nasal mass in a 3-month-old infant.[] INTRODUCTION: Laminectomy is the traditional approach for posterior exposure of the spinal canal for tumor resection.[] Approximately 60% of solitary cutaneous lipomas display clonal alterations. The most common alteration involves a breakpoint on bands 12q13-15.[] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[] The patient experienced troublesome pain in the neck and occipital area, and surgical treatment was therefore suggested.[] DIAGNOSES: Imaging studies and open biopsy confirmed that it was a finger lipoma. INTERVENTIONS: An excisional biopsy was performed.[] Favorite Table Print Neoplasms of Subcutaneous Fat at a Glance Adipocyte tumors are the most frequently encountered group of mesenchymal neoplasms.[] Abstract A 71-year-old man visited our hospital for examination of a soft neck mass.[]

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