Early Surgical Correction of the Nasal Deformity in Laurin-Sandrow Syndrome.

Laurin-Sandrow syndrome (LSS) is a rare autosomal disorder characterized by polysyndactyly of the hands and feet in a mirror fashion, absence of the radius and tibia with duplicated ulna and fibula, and nasal anomalies. Nasal defects are varied, and range from hypoplastic nasal skeleton to redundant nasal tissue, along with abnormalities of nasal subunits. Only 14 patients of LSS have been described in the literature. The authors present a unique case of a newborn with LSS and anterior nasal stenosis, resulting in respiratory failure. Early surgical intervention to relieve the bony and soft tissue overgrowth of the anterior nasal vault was required to allow for successful extubation.

Trapeziectomy Arthroplasty With Suture Suspension: Short- to Medium-Term Outcomes From a Single-Surgeon Experience.

PURPOSE: To describe the technique and a single-surgeon experience with a suture suspension and first dorsal compartment release treatment for thumb trapeziometacarpal (TMC) osteoarthritis. METHODS: We performed 19 procedures on 18 patients using this technique and compared results with preoperative assessment. At an average of 20 months (range, 8-45 months) after surgery, standard measures after TMC joint arthroplasty were performed. RESULTS: All patients had advanced Eaton stage III or IV osteoarthritis. Grip strength, key pinch, and thumb abduction showed statistically significant increases of 7 kg, 0.7 kg, and 4°, respectively. Seventeen of 18 patients no longer had reports of TMC joint pain on follow-up. There was one reoperation for pain because of osteophytes at the ulnar surface of the thumb metacarpal base, which resolved with proximal metacarpal excision. One case of index metacarpal fracture was treated with an orthosis. CONCLUSIONS: This surgical technique for the treatment of thumb TMC joint arthritis achieved pain relief and recreated support of the base of the metacarpal to resist proximal migration or radial deviation. This technique also provided an increase in grip strength and key pinch with return of range of motion early in the postoperative period. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

Repositioning of a traumatically displaced globe with maxillary antrostomy: review of the literature and treatment recommendations.

Complete dislocation of the globe, inferiorly into the maxillary sinus, medially into the ethmoid sinus, or superiorly into the anterior cranial fossa, can occur with significant blunt facial trauma. The degree of injury to the globe, its adnexal structures, and the optic nerve is dependent on the extent of the dislocation. Complete traumatic subluxation of the globe into the maxillary sinus is associated with severe injury to the periocular structures and represents a challenging and unique reconstructive process rarely encountered in published studies. The present case report represents only the 15th reported case of complete orbital prolapse into the maxillary sinus. Controversy exists regarding the definitive treatment of traumatic globe dislocations, the risk of sympathetic ophthalmia (SO), the sequela of postenucleation socket syndrome, and prophylactic steroid treatment to decrease the incidence of SO and traumatic optic neuropathy.