Abstract Background Animal bites are typically harmless, but in rare cases infections introduced by such can be fatal. Capnocytophaga canimorsus , found the normal oral flora of dogs, has potential to cause conditions ranging from minor cellulitis fatal sepsis. The tendency C . present with varied symptoms, organism’s fastidious nature, and difficulty culturing make this a challenging diagnosis. Rarely, bacterial cytotoxins as those produced may act causative agents TTP, further complicating...

Summary: Closed reduction and percutaneous pinning (CRPP) of hand fractures can be a deceptively challenging procedure that requires significant hands-on time to teach learn. We created realistic three-dimensional simulator used for teaching junior residents the CRPP. Computer-aided design computer-aided manufacturing (CAD/CAM) software was create model incorporating several common fractures: Bennett’s fracture, transverse fifth metacarpal neck, second proximal phalanx. Three-dimensional...

We describe an approach to reanimation of complete, prolonged facial paralysis using minimally invasive temporalis tendon transfer (MIT3) by the melolabial or transoral approach. Objective outcome measures are evaluated based on symmetry, and grading preoperative/post-operative results scar at fold.Retrospective cohort study.Twenty-five patients undergoing MIT3 technique were studied. Photographic analysis was used determine percentage difference between 2 sides (symmetry). Using Delphi...

The authors describe a case of congenital calvarial hemangioma successfully managed using propranolol therapy. Presenting symptoms, radiological and pathological features, differential diagnosis, management this rare mass are described.A 2-year-old boy presented with 1-year history growing right parietal skull mass. No obvious etiology was apparent. focal neurological deficits or associated craniofacial anomalies were identified. Plain film imaging demonstrated thickening the bone internal...

Learning Objectives: After studying this article, the participant should be able to: 1. Define and classify different types of cranial defects 2. Compare both autologous alloplastic options for reconstruction 3. Develop an optimal approach vault in various clinical scenarios. Summary: Defects cranium result from causes, including traumatic loss, neurosurgical intervention, skull tumors, infection. Cranial aims to restore structural integrity surface morphology skull. To ensure a successful...

A 44-year-old pathologist presented to the emergency department after sustaining a scalpel injury during postmortem examination 16 hours previously. He had stabbed dorsum of his left thumb overlying interphalangeal joint and immediately irrigated wound with water. At time

Synkinetic facial movement after nerve regeneration is a well-documented phenomenon. Rarely, patients recovering from injury report feelings of auditory ringing, fullness, and sensation ear tightness as result stapedial muscle involvement. It exceedingly rare for such synkinesis to produce perceivable changes in hearing threshold. We unique case causing pure-tone threshold with activation the musculature.A single patient presented who developed suboccipital resection unilateral acoustic...

This study evaluates a novel limited submuscular direct-to-implant technique utilizing AlloMax where only the upper few centimeters of implant is covered by pectoralis, whereas majority including middle and lower poles are acellular dermal matrix.The pectoralis muscle released off its inferior inferior-medial origins allowed to retract superiorly. Two sheets (6 × 16 cm) sutured together secured inframammary fold, serratus fascia, superiorly retracted pectoralis. Thirty-seven breasts in 19...

Cleft lip (CL) repair at 3 months is chosen mostly out of convention and offers minimal functional benefit. Potentially, a better cosmetic outcome possible by delaying repair. This study examines parental perceptions around to determine if current guidelines are appropriate.Retrospective cross-sectional survey.Tertiary-care institution.Parents children with CL ± P under age 6 years who underwent from 2004 2011 our center were surveyed (n = 64). Response rate was 61% 37).Open-ended survey...

Acellular dermal matrix (ADM) in direct-to-implant breast cancer reconstruction is the standard of care due to superior cosmetic results and decreased capsular contracture, but can be cost prohibitive. Although more economical, using patient's own dermis ("Autoderm") instead ADM has undescribed sterility. Sterility essential, as bacterial contamination may cause infection contraction. This study aimed determine sterility optimal decontamination protocol Autoderm.A prospective controlled 140...

INTRODUCTION: Surgical simulation provides resident physicians the opportunity to improve their operative skills in a safe environment. Placement of Kirschner wires for hand fractures is deceptively difficult technique which requires significant experience master. A simulator aid visualizing anatomy would help trainees more rapidly advance skills. We describe design, creation, and preliminary validation 3D-printed wire placement. METHODS: Computer aided design (CAD) software was used create...