To achieve the desired nasoseptal refinements in septorhinoplasty, sufficient septal cartilage is needed. There are many cases in which septal cartilage is insufficient, especially in revision surgery. To obtain an optimal outcome, a bony cartilaginous unit is proposed as a versatile graft for various parts of the nose. This bony cartilaginous unit is extracted using the open septorhinoplasty approach in which the bilateral septal flaps are elevated over the entire cartilaginous and bony part; however, the cartilaginous septum and posterior bony part are not separated and are removed as an integrated unit.
Eagle syndrome was first described by Eagle in 1937. It is associated with an elongated styloid process and/or calcification of the stylohyoid ligament, mainly resulting in pain in the orofacial region. The treatment of Eagle syndrome includes conservative treatment with physical therapy supported by medication, or surgical removal of the styloid process. Two different surgical approaches are described in the literature: the transoral and transcervical approaches. Both have their limitations and specific intraoperative risks.
The American College of Surgeons National Surgery Quality Improvement Program (ACS NSQIP) Surgical Risk Calculator is an open access online tool that estimates the risk of adverse post-operative events for a wide range of surgical procedures. This study evaluates the predictive value of the ACS NSQIP calculator in patients undergoing microvascular breast reconstruction.
Fillet flaps are traditionally harvested from nonsalvagable extremities to reconstruct complex soft tissue defects. This method results in minimal donor site morbidity, and can be effective in reconstructing large pelvic wounds requiring significant soft tissue coverage.Here, we present their application in three young patients with extensive pelvic wounds secondary to trauma and its sequelae. In each case, neurologic injury limited limb function, and fillet flaps were used to fill soft tissue defects and pad bony prominences.
Reduction mammaplasties are increasingly performed as outpatient procedures. Cost savings are assumed, but published data on the subject are scarce. Our aim was to retrospectively determine the possible cost savings achieved by performing reduction mammaplasties as outpatient procedures.
The reproducible measurement of aesthetic outcomes after cleft lip and palate (CLP) surgery remains elusive and there is no internationally recognised system. The aim of this pilot study was to better understand how humans rate post-operative aesthetic outcome after UCLP repair using a novel web-based rating platform with an extended panel of surgeon-raters.
PC-FACS (Fast Article Critical Summaries for Clinicians in Palliative Care) provides hospice and palliative care clinicians with concise summaries of the most important findings from more than 100 medical and scientific journals. If you have colleagues who would benefit from receiving PC-FACS, please encourage them to join the AAHPM at aahpm.org. Comments from readers are welcomed at firstname.lastname@example.org. (Source: Journal of Pain and Symptom Management)
Intention guides action. The importance of intention can be recognized in nearly all human endeavors, from daily family interactions to the most spiritual practices of prayer. The challenge with the practice of intention is that it involves not only the conscious thinking level of the mind, but also the deeper levels of the heart and spirit. For example, in the Jewish tradition, intention is referred to as “kavanah,” which also can be translated as mindset or “direction of the heart.” Kavanah is holistic; the whole person all at one time. (Source: Journal of Pain and Symptom Management)