RESUMO
Congenital anomalies of the orbital roof are rare occurrences. The case of a 2-year-old child with vertical orbital dystopia and abnormalities of the right bony orbit is presented. The patient underwent right orbital reconstruction to restore facial symmetry. A coronal approach with a frontal craniotomy was used for intracranial exposure. The abnormal angulation of the roof was corrected, and the defect was reconstructed with a split-calvarial bone graft harvested from the parietal region. The bone graft was secured with resorbable plate fixation. To preserve vision, reconstruction of this type must be done at an early age, preferably before the age of 4 years. In this patient, there is good facial symmetry and normal globe positioning 5 years after surgery.
Assuntos
Órbita/anormalidades , Órbita/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Transplante Ósseo , Pré-Escolar , Anormalidades Craniofaciais/complicações , Anormalidades Craniofaciais/cirurgia , Craniotomia/métodos , Exoftalmia/etiologia , Exoftalmia/cirurgia , Humanos , MasculinoRESUMO
Embedded rings in the fingers may cause neurovascular, tendinous, or bony injury. These are very rare injuries usually found in patients with mental illness. To minimize the potentially serious complications, mentally-challenged individuals should have tight rings removed. We present a case of a 41-year-old gentleman with schizophrenia who had two partially embedded rings on his left index finger but consistently refused to have the rings removed. Following appointment of a guardian, the patient was returned for surgery to remove the rings. He recovered without further sequelae.
Assuntos
Traumatismos dos Dedos/etiologia , Corpos Estranhos/complicações , Esquizofrenia/complicações , Adulto , Doença Crônica , Edema/etiologia , Tratamento de Emergência/métodos , Tratamento de Emergência/psicologia , Traumatismos dos Dedos/terapia , Humanos , Masculino , Competência Mental , Amplitude de Movimento ArticularRESUMO
Intensivists frequently collaborate with plastic and reconstructive surgeons in treating patients with major wounds, following significant reconstructive procedures, and following free-tissue transfers. Pressure ulcers are a significant source of morbidity and mortality in the intensive care unit; prevention, early recognition, and multidisciplinary treatment are critical components for successful management. Necrotizing fasciitis is an aggressive, soft-tissue infection that requires rapid diagnosis, early surgical intervention frequent operative debridements, and soft-tissue reconstruction Catastrophic abdominal injuries and infections can be treated with an open abdominal approach and require the expertise of a plastic surgeon to reconstruct the abdominal wall. The success of free-tissue transfers and complex reconstructive procedures requires a thorough understanding of the factors that improve flap survival.