RESUMO
Methylmethacrylate bone cement (MM-BC) is one of the reconstructive methods: during cranioplasty to correct cranial defects following trauma or cranial surgery. Perfect intraoperative immobilization of the MM-BC is crucial to ensure correct subsequent shaping to best improve contour defects. Current immobilization techniques reported are time-consuming and involve complex metalwork. The authors hereby present a technique that may simplify the immobilization process by using histoacryl glue to secure the MM-BC. This provides a quick, inexpensive, and readily available option providing fixation strong enough to withstand final shaping of the MM-BC.
Assuntos
Cimentos Ósseos , Embucrilato , Metilmetacrilato , Procedimentos de Cirurgia Plástica/métodos , Crânio/cirurgia , Adesivos Teciduais , Cimentos Dentários , HumanosRESUMO
Packing of the nasal cavity following routine nasal surgery is a common but controversial practice. We aimed to evaluate nasal packing practices among UK ENT consultants for common nasal operations. A questionnaire was sent to 648 consultant ENT surgeons regarding their packing practice in patients undergoing nasal surgery. Data were collected regarding rhinology subspecialty interest, number of nasal operations performed per year, likelihood of packing for six common nasal procedures, and types of pack used. In all, 282 (43.5%) replies were received. Fifty-four (78.3%) rhinologists claimed to perform >100 nasal operations per year versus 64 (31.8%) non-rhinologists (P < 0.005). For specific operations, there was a universal trend towards less routine packing (>70% frequency) in the rhinologist group (P < 0.005). Surgeons who specified a subspecialty interest in rhinology packed significantly less often than the non-rhinologists for common nasal operations. There was great variation in the type of pack favoured by different surgeons.
Assuntos
Cuidados Pós-Operatórios/estatística & dados numéricos , Complicações Pós-Operatórias/prevenção & controle , Rinoplastia/estatística & dados numéricos , Tampões Cirúrgicos/estatística & dados numéricos , Alginatos/administração & dosagem , Bandagens , Bismuto/administração & dosagem , Coleta de Dados , Combinação de Medicamentos , Formaldeído/administração & dosagem , Ácido Glucurônico/administração & dosagem , Hematoma/prevenção & controle , Hemostáticos/administração & dosagem , Ácidos Hexurônicos/administração & dosagem , Humanos , Hidrocarbonetos Iodados/administração & dosagem , Septo Nasal/cirurgia , Vaselina/administração & dosagem , Álcool de Polivinil/administração & dosagem , Hemorragia Pós-Operatória/prevenção & controle , Inquéritos e Questionários , Aderências Teciduais/prevenção & controle , Reino Unido , Revisão da Utilização de Recursos de Saúde/estatística & dados numéricosRESUMO
BACKGROUND: A lack of information on the overall characteristics of work-related injuries in Iran holds back the development of effective injury prevention strategies. AIM: To evaluate characteristics of work-related injuries in a synthetic fibre factory in Iran. METHODS: This study reports a 16-year (1991-2007) experience of ongoing surveillance of work-related injuries in a large synthetic fibre factory. Descriptive statistics were used to show the overall characteristics of work-related injuries. Associations between external causes of injury and the odds of an accident occurring that led to hospital referral were examined using logistic regression analyses. RESULTS: In total, 836 injury events were reported. Almost half of these (46%) involved injury to hand/wrist, while about a quarter (24%) of injuries were to the head and 10% to ankle/foot. Hospital referral after an injury was related mainly to falls [odds ratio (OR) 3.24, 95% confidence interval (CI) 1.72-6.12, P < 0.001] and to work involving moving machinery (OR 1.99, 95% CI 1.12-3.55, P = 0.01). CONCLUSIONS: This study demonstrates that falls are a serious safety concern in the workplace. The results also show that 80% of injury events affected hand/wrist, ankle/foot or head; a finding which could be used in injury prevention efforts.
Assuntos
Acidentes de Trabalho/estatística & dados numéricos , Indústria Têxtil , Ferimentos e Lesões/etiologia , Humanos , Irã (Geográfico) , Estudos RetrospectivosRESUMO
Technical steps to avoid incomplete proximal release of the carpal tunnel are described. Local anaesthesia is infiltrated as a subcutaneous bleb over the distal wrist crease and extending 2-3 cm over the forearm fascia. Tumescence of local anaesthesia into the subcutaneous plane helps create a pocket between the forearm fascia and subcutaneous tissues. Intraoperatively a subcutaneous pocket is made above the transverse carpal ligament and antebrachial fascia with blunt dissection. A retractor is placed under the pocket, which facilitates optimal visualization to allow reliable complete proximal release of compression.The authors have found that this technique is reproducible and reliable across their collective experience.
Assuntos
Síndrome do Túnel Carpal/cirurgia , Descompressão Cirúrgica/métodos , Ligamentos Articulares/cirurgia , Articulação do Punho/cirurgia , HumanosAssuntos
Excisão de Linfonodo , Melanoma/cirurgia , Neoplasias Cutâneas/cirurgia , Axila , Virilha , Humanos , Excisão de Linfonodo/estatística & dados numéricos , Melanoma/patologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Estudos Retrospectivos , Neoplasias Cutâneas/patologia , Centros de Atenção TerciáriaAssuntos
Pontos de Referência Anatômicos/diagnóstico por imagem , Fios Ortopédicos , Falanges dos Dedos da Mão/lesões , Fixação Interna de Fraturas/instrumentação , Fraturas Ósseas/cirurgia , Falanges dos Dedos da Mão/diagnóstico por imagem , Falanges dos Dedos da Mão/cirurgia , Fraturas Ósseas/diagnóstico por imagem , Humanos , RadiografiaRESUMO
Isolated venous aneurysms of the foot are rare. We report a case of venous aneurysm of the dorsal venous arch of the foot with an unusual traumatic etiology. This is a case report of a female patient with a gradually enlarging swelling on the dorsum of her foot located over the pressure area of her sandal straps. A clinical diagnosis of venous aneurysm was made, and she was treated with surgery. Most cases of superficial venous aneurysms only arouse medical interest, with few cosmetic complaints and no complications. This case is unique because it describes a traumatic venous aneurysm associated with repeated trauma caused by inappropriate footwear. All clinicians and allied health-care professionals involved in podiatric medicine should be aware of this clinical condition in the differential diagnosis of soft-tissue swellings in the feet.