A5103013687- Reconstructive Surgery and Microvascular Techniques
- Reconstructive Facial Surgery Techniques
- Lymphatic System and Diseases
- Facial Trauma and Fracture Management
- Diagnosis and Treatment of Venous Diseases
- Vascular Malformations and Hemangiomas
- Traumatic Ocular and Foreign Body Injuries
- Pressure Ulcer Prevention and Management
- Metastasis and carcinoma case studies
- Lymphatic Disorders and Treatments
- Orthopedic Surgery and Rehabilitation
- Facial Nerve Paralysis Treatment and Research
- Trauma Management and Diagnosis
- Meningioma and schwannoma management
- Colorectal and Anal Carcinomas
- Metallurgy and Cultural Artifacts
- Foreign Body Medical Cases
- Esophageal and GI Pathology
- Cardiac and Coronary Surgery Techniques
- Parasitic Diseases Research and Treatment
- Tracheal and airway disorders
- Hedgehog Signaling Pathway Studies
- Gastric Cancer Management and Outcomes
- Soft tissue tumors and treatment
- Helicobacter pylori-related gastroenterology studies
Tan Tock Seng Hospital
2014-2020
China Medical University Hospital
2014-2019
China Medical University
2013-2019
National University of Singapore
2008-2016
National University Health System
2016
National University Hospital
2008-2012
Background Lymph node flap transfer popularity for treatment of extremity lymphedema is increasing quickly. Multiple donor sites were described in search the optimal one. We describe technique and outcomes a laparoscopically harvested right gastroepiploic lymph lymphedema. Methods From January 2012 to 2013, 10 consecutive female patients, average age 54.8 years, with International Society Lymphology stage II–III refractory conservative management included. Five patients had upper limb breast...
Microvascular surgery is becoming a prevalent surgical practice. Replantation surgeries, hand reconstruction, orthopedic and free tissue transfer procedures all rely on microvascular for the repair of venous arterial defects at millimeter sub-millimeter levels. Often, vascular graft required procedure as means to bridge gap between native arteries. While autologous vessels are desired their bioactivity non-thrombogenicity, tedious harvest process, lack availability caliber or mechanical...
Background Orbital exenteration (OE) is a disfiguring procedure, which typically includes the removal of entire eyeball including globe, extraocular muscles, and periorbital soft tissues after malignancies excision or trauma. Several methods orbital reconstruction have been attempted with varying success. In this report, we analyze results use gracilis muscle free flap for OE defects its feasibility prosthetic rehabilitation. Methods Nine consecutive patients treated at China Medical...
Background: Lymphatic filariasis (LF) in advanced stage is a clinically challenging disability resulting poor quality of life. In filariasis, medical management seldom effective and few surgical procedures are beneficial. this study, we assessed clinical efficacy technique combining vascularized lymph node transfer (VLNT) serial excision for patients affected by LF. Patients Methods: A total 17 with grades 2 3 lower limb lymphedema after three consecutive humanitarian missions India between...
Mandible fractures commonly occur in patients who have sustained blunt facial trauma, and the subcondylar region is most frequently fractured due to its intrinsic biomechanical weakness. The maxillary artery lies close relation medial cortex of subcondyle vulnerable injury by sharp edges fracture fragments during initial trauma or operative reduction. Maxillary injuries may be an underdiagnosed phenomenon. Yet, this clinical significance as caliber usually significant lead substantial...
Vascularized lymph node (VLN) transfer has been of high interest in the past decade for treatment lymphedema, since it shown to be effective reducing limb volumes, decreasing infectious episodes and improving quality life. Multiple donor sites have described quest optimal one. Herein, we describe a novel flap option based on ileocolic artery vein. The ileocecal vascularized (IC‐VLN) was used management 33‐year‐old male patient with lower extremity lymphedema secondary left inguinal trauma....
Objective: This pilot study tested the reliability, validity and sensitivity of an innovative prototype iPad app, WoundAide, developed to measure wound dimension (length, width surface area) using image analysis. Method: A prospective evaluation was conducted comparing WoundAide (WA) with two gold standard instruments, Wound Zoom (WZ) Visitrak (VT). The in a tertiary hospital Singapore. Patients were recruited after obtaining local ethics approval. Results: We six patients 10 venous wounds....
Schwannomas of the head and neck are uncommon tumors that arise from nerve sheath may afflict peripheral, autonomic, or cranial nerves. It is important to consider possible differential diagnoses a nasolabial lump in child because its appropriate treatment varies widely.The authors describe case 12-year-old boy who presented with 2.5-cm right subcutaneous 3 months duration. Computed tomographic scan showed homogeneously attenuated lesion.An intraoral incision was used for complete...
This study aims to evaluate the outcome and safety of deep inferior epigastric perforator (DIEP) flap for breast reconstruction in a group Southeast Asian women treated our unit identify risk factors using DIEP this population.This is prospective on 50 consecutive reconstructions by single surgeon an academic institution between July 1999 2006. Data patient demographics, diagnosis, procedure type, adjuvant neoadjuvant treatments, complications were prospectively collected registered clinical...
Orbital floor fractures are the most commonly encountered traumatic in facial skeleton. Mydriasis that is detected during orbital fracture reconstruction may cause significant distress to surgeons, as it be associated with sinister events such visual loss. It not an uncommon problem; previous studies have shown incidence of mydriasis 2.1%. The combination careful preoperative evaluation and planning, well specific intraoperative investigations when encountered, can immensely valuable...
There is currently no examination technique that allows direct measurement of supraorbital nerve conduction velocity and amplitude. Therefore, in this study we describe a novel the sensory action potential (SNAP) distal to foramen. Supraorbital SNAPs were recorded bilaterally from 17 healthy volunteers using an antidromic technique. The consistently recordable over site 6 cm lateral midline point was marked 10 above nasion. Measured parameters included peak latency (mean 2.3 ms, SD 0.3),...
Oral incontinence is a common complication after free flap reconstruction ablation of oral cancers. The postoperative was corrected with strong suspension to the temporalis muscle in cases major or total defect lower lip muscles.Eight patients cancer previous skin flaps for had because loss muscle. A tendon graft used as sling sutured anterior third bilateral muscle.Oral continence without drooling achieved by movement lip.This good option correcting muscles cancer.
The fibular free flap is the gold standard for mandibular reconstruction. Accurate 3-dimensional contouring and precise alignment of fibula critical reestablishing native occlusion facial symmetry. Following segmental mandibulectomy, remaining fragments become freely mobile. Various stabilization methods including external fixation, intermaxillary preplating with reconstruction plate have been used. We describe a modification to technique. After wide resection buccal squamous cell carcinoma,...