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 11,717 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A new brachioplasty technique is proposed, designed to correct ptosis without excision. It is based on rolling a de-epithelialised flap around from behind and sliding it underneath the anterior margin of the incision of the arm, recreating the roundness of the arm and a firmer consistency. This technique has been used in 12 patients so far, with a follow-up ranging from 8 months to 4 years. No cases of postoperative edema have been observed, but one case of hyperesthesia appeared for a period of 2 months. The main preoccupation is scar sequelae, which must limit the operation to patients clearly aware of the possibility of healing complications.
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PMID:[Brachioplasty. New technique]. 170 75

A new technique for brachioplasty is proposed, aiming at correction of ptosis without excision. It is based on rolling a deepithelialized flap around from the rear and sliding it underneath the inside frontal skin of the arm, recreating the roundness of the arm and a firmer consistency. This technique has been utilized in 12 patients so far, with a follow-up ranging from 8 months to 4 years. No postoperative edema were observed, but one case of hyperesthesia appeared for a period of 2 months. The main preoccupation is scar sequelae, which must limit the intervention to patients clearly aware of the possibility of healing complications.
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PMID:A new technique for brachioplasty. 273 8

The case records of 20 horses with tetanus referred to the Ontario Veterinary College-Veterinary Teaching Hospital between 1970 and 1990 were reviewed. The fatality rate was 75%. There was a strong association with previous vaccination and survival (P = .03). Most of the animals had been injured an average of 9 days (range 2 to 21 days) prior to development of clinical signs. Hyperesthesia and prolapse of the third eyelid were the most common clinical signs. Treatment regimens varied during hospitalization; however, all horses received parenteral penicillin, tranquilizers, tetanus toxoid, and antitoxin. Five of the nonsurviving animals were given intrathecal tetanus antitoxin. One animal had seizures as a complication of intrathecal treatment. The prognosis was best for horses that (1) had been vaccinated prior to the injury, (2) responded to the phenothiazine tranquilizers, and (3) did not rapidly (over 24 to 48 hours) become recumbent. Considering the species susceptibility, potential for contaminated wounds, and the increased survival of vaccinated horses, yearly revaccination is recommended.
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PMID:Tetanus in the horse: a review of 20 cases (1970 to 1990). 804 76

A 42-year-old man noted pain on the left side of his forehead and left ptosis. On examination, he showed conjunctival hyperemia, ptosis and miosis in the left side, as well as hyperesthesia in the first branch of left trigeminal nerve. An MRI of his brain showed a retension cyst in the left ethmoid sinus. There was neither abnormalities in the parasellar lesion nor in the neck. We diagnosed him with pericarotid syndrome rather than cluster headache or Raeder syndrome. Five cases who had paranasal sinus lesions as a cause of cluster headache or Raeder syndrome have been reported. More cases are needed to clarify the association of retension cyst in ethmoid sinus and pericarotid syndrome.
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PMID:[A case of pericarotid syndrome with retention cyst in ethmoid sinus]. 1082 99

Phacomatosis pigmentokeratotica (PP) is a mosaic disorder that represents a distinct epidermal naevus syndrome. Its defining features are an epidermal naevus that is usually of the sebaceous type and a speckled lentiginous naevus arranged in a chequerboard pattern. In addition, there are neurological, ophthalmological and skeletal abnormalities, including limb hemiatrophy with muscular weakness, ptosis, seizures and ipsilateral segmental hyperaesthesia and hyperhidrosis. We report a 44-year-old man with an extensive epidermal naevus and an ipsilateral speckled lentiginous naevus. He also had ipsilateral right leg hypertrophy and a suprasellar dermoid cyst with associated neurological abnormalities. We propose that this case represents an unusual example of PP.
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PMID:Phacomatosis pigmentokeratotica associated with a suprasellar dermoid cyst and leg hypertrophy. 1786 92

Endocrine orbitopathy is a systemic complex disease that involves the orbital contents. The symptoms are exophthalmos and correlated. The surgical techniques used to correct this condition can be fat decompression by the Olivari technique, 3-wall bony decompression, or the combination of these 2 surgical strategies, the ancillary procedure. Fat decompression is indicated when the intraconal and extraconal fat tissue is increased, whereas bony decompression is used in the presence of extraocular muscle involvement, associated with a normal quantity of intraconal-extraconal fat. Surgical techniques include the transconjunctival approach and ostectomy of the medial wall (when possible through endoscopy), orbital floor, and lateral wall of the orbit.Complications of this type of intervention are often represented by sensitivity disorders of the second branch of the trigeminal nerve, compressed by the intraorbital contents when they prolapse into the sinus. Possible sensitivity disorders are paresthesia, anesthesia, hypoaesthesia, dysesthesia, and hyperesthesia.The innovation introduced by the first author in 2007 consists of a mini ostectomy around the infraorbital foramen with removal of bone fragment. This determines relaxation of the nerve and makes easier the descent toward the sinus, allowing a larger expansion of the orbit contents. The absence of compression significantly reduces the sensitive complications. After treatment of the basic disease, surgical indications should be given according to the Werner classification. Fat decompression with the coronal approach is almost entirely abandoned for the transconjunctival approach, which allows adequate exposure of the lower orbit.The use of mini ostectomy of the infraorbital foramen combined with a 3-wall bony expansion showed a significant reduction of sensitive complications that often cause patient discomfort.
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PMID:New mini-osteotomy of the infraorbital nerve in bony decompression for endocrine orbitopathy. 2007 6