Objective To review the results of a series patients with glottic insufficiency caused by scarred vocal folds who underwent injection laryngoplasty centrifuged and emulsified autologous fat. Study Design Prospective cohort. Setting Single center, tertiary institution. Subjects Methods Examination medical records 21 operated on through fat grafts for treatment dysphonia was performed. All were between January 2015 September 2019. The voice variables measured GRABS (Grade, Roughness,...

In this study, absorption capacity of the most commonly used types wound dressings was measured with an objective, quantifiable, and easily reproducible method. The use objective measurements allowed us to perform comparison different dressings. An experimental study performed, in which absorptive polyurethane foams, alginate, hidrofiber, hydrocolloid by using a methodology designed researchers. Polyurethane foams showed higher than hidrofibers, alginates, hydrocolloids when similar surface...

Abstract Facial paralysis is a condition caused by wide variety of etiologies, including neurologic, congenital, infectious, neoplastic, systemic, and iatrogenic causes. A patient suffering from long-term facial paralysis, with minimal innervation detected through electroneurography, who was successfully reanimated performing masseter-to-facial nerve transfer, presented in this study. had been after resection an acquired middle ear cholesteatoma more than 5 years before.

Abstract Background Injections are associated with a certain amount of pain, the tolerance which can vary between individuals. With regard to noninvasive pain control techniques in subcutaneous injections, few studies adequate levels evidence and design quality exist support any specific analgesic method. Objectives In this study, we evaluated efficacy 3 (cold, anesthetic cream, vibration) during forehead injections 100 healthy volunteers. Methods This randomized, single-blind, controlled...

Despite the advances achieved in reconstructive surgery, amputation is still only option after some severe traumas. Preservation of knee joint considered a significant functional advantage. We present case 39-year-old man with comminuted Gustilo type IIIC open tibia fracture massive bone loss. To achieve well-fashioned stump and preserve joint, free osteocutaneous fillet flap was performed, including distal fibula, talus, calcaneus bones. As result, sensate long covered thick skin from sole...

In this article, we describe the case of a 59-year-old patient suffering from squamous cell carcinoma affecting upper third esophagus, treated with cervical exenteration extended resection posterior wall trachea, which was reconstructed gastric tube transposition and myocutaneous pectoralis major flap for coverage gastropharyngeal anastomosis stabilization tracheal wall. Also, review literature regarding reconstruction is performed.

Nexobrid is a new resource for debridement that has emerged in recent years and gaining relevance the treatment of all kinds thermal injuries. This product an ointment (formed with mixture pineapple-derived enzymes enriched bromelain) directly applied over burn. With single application, it performs burned tissue-specific less than 4 hr, leaving vital completely debrided wound bed. In this article, we describe our experience product, through representative case, explain management these...

Traditional mechanical meshing methods have generally been the first-choice treatment of patients with extensive burns (>20% total body surface area). The limited availability donor areas has sparked development resources such as Meek micrografting technique. We present case a 43-year-old male patient an 85% area third-degree flame burn. After initial stabilization, there was need for rapid and effective coverage much burned possible. Thus, chosen. Its results in this are presented...

INTRODUCTION Ring avulsion injuries are quite uncommon, despite the small forces needed to produce a complete amputation.1 According our experience, replantation is particularly challenging in this type of due extent damage sustained by skin, nerves, and vessels, but recommended because good expected functional results. Several bone fixation methods have been described digital replantation, such as single or double K-wire fixation, intraosseus wire, obtaining variable results terms surgical...

On March 11, 2020, the World Health Organization declared COVID-19 to be a pandemic, challenging health care systems all over world. National have reorganized cope with disease. Surgical services departments around world been affected and elective surgical procedures postponed conserve medical resources. When patient requires an urgent microsurgical free flap due trauma or tumor, personnel from facility must protocol in place follow for patient's follow-up. In this article, we present our...

Abstract Background and Objectives Extended vertical rectus abdominis myocutaneous (eVRAM) flap has been proposed for reconstruction of large pelviperineal defects where traditional VRAM is insufficient. We present our experience with eVRAM following oncologic resection. Methods A retrospective study was conducted, including all the patients who underwent after complex pelvic resection, between 2012 2020. EVRAM indicated when considered deficient to cover or reach skin defect fill dead...

The upper limb is involved in burns a high percentage of cases and its reconstruction extremely important, given the functional impact this anatomical region. Among choices for severe large structural defects, pedicled anterolateral thigh flap an available option. This case study discusses utilization complex full-thickness hand burn, when adequate arterial perforators were not available. Complex can often present challenges reconstructive coverage, because anatomy extremity need to preserve...

Enzymatic debridement with Nexobrid® is a recently appeared resource, which allows selective elimination of burned tissues one single application, becoming new resource in the therapeutic arsenal burn surgeon. In this article, we expose our experience product, and through representative case, explain management these patients performed burns unit, consonance national international consensus.

Given their high rate of complications, radical surgical procedures anorectal and gynecological tumors require a reliable individualized reconstruction. The latter is influenced by the frequent indication adjuvant chemo/radiotherapy that they present. We describe case patient with medical history vulvar carcinoma required surgery bilateral inguinal lymphadenectomy. Because stage tumor, application postoperative radiotherapy was clinically indicated; however, after surgery, developed ulcers...

Vicente-Pardo, Andrea MD; García-Vilariño, Elena Sánchez-García, Alberto Salmerón-González, Enrique MD, PhD; Pérez-García, MD Author Information

In this article, we describe the case of a patient suffering from middle-third helical rim avulsion after bicycle accident, which was reconstructed with two-stage procedure: (1) performing postauricular pedicled flap and (2) reconstruction using costal graft. The article also includes brief summary recommendations in scientific literature about auricular defects.

Hand and digit soft tissue defects are quite common frequently require specialized reconstruction. When local flaps cannot be used to reconstruct a defect, free must utilized. To overcome volume discrepancies in vessel diameter, arterialized venous from the forearm may provide an acceptable alternative. using flaps, surgeons should implement shunt restriction procedures enhance flap viability.

In this article, we describe the case of a patient suffering from labial avulsion after human bite, initially treated with direct closure and reconstructed surgically later on. Also, brief summary existent recommendations in scientific literature about management bite wounds is provided.