Study Design. Three experienced observers independently evaluated the angiograms of 185 patients. The Staurosporine status of all 3 vessels of the lower extremities (anterior tibial artery, posterior tibial artery,
and peroneal artery) was evaluated. The patients’ gender, age, drinking and smoking habits, and medical conditions were documented.
Results. We found a significant correlation between pathology of the arteries of the lower extremity and blood cholesterol level, blood pressure, coronary heart disease, diabetes mellitus, and age.
Conclusions. We suggest that preoperative vascular imaging be carried out in patients with comorbidities to reduce the potential for flap failure and to minimize donor site complications.”
“Purpose Following long-term tracheostomy, reconstruction of the suprasternal notch and coverage of tracheocutaneous selleck chemicals llc fistulas can be challenging.
Often, aesthetic results are secondary to functional outcome. In this article, we propose a defect classification and a treatment algorithm using the tunneled supraclavicular artery island flap for functional and aesthetic reconstruction.
Methods Twelve patients requiring complete or partial closure of a tracheocutaneous fistula or soft tissue deficit reconstruction were treated with this pedicled flap. Support for the anterior tracheal wall was achieved by including fascia or bone into the flap.
Results Functional outcome was excellent, and suprasternal notch correction was achieved with good texture match. Donor sites could be closed primarily in every case. All flaps healed uneventfully, Long-term follow-up computed tomography scans demonstrated vital bone chips.
Conclusions The proposed classification and treatment algorithm provides a structured approach to a successful surgical treatment of this complex condition.”
“Background: True lambdoid synostosis
(TLS) produces a consistent morphology that includes occipital flattening, an ipsilateral occipitomastoid prominence, and a mild contralateral hemifacial deficiency that minimally improves with surgery. Prior studies have demonstrated that dysmorphic middle and posterior cranial fossae contribute to the craniofacial scoliosis characteristic of TLS. We hypothesize that these endocranial features remain after surgery, causing the persistent hemifacial deficiency selleck compound seen in these patients.
Methods: Three-dimensional anthropometric measurements were made on preoperative and postoperative CT scans of patients with TLS (n = 5). Quantitative analysis was performed on the middle cranial fossa area (MCF), anterior cranial fossa area (ACF), posterior fossa deflection angle (PFA), petrous ridge angle (PRA), temperomandibular joint (TMJ) angle, and external auditory meatus angle. The results were analyzed using a 2-tailed t test.
Results: Preoperative CT scans were obtained at a mean age of 1.05 years. Patients underwent posterior vault remodeling at a mean age of 1.33 years.