RESUMEN
INTRODUCTION: Lower extremity vascular injury can result in either temporary or permanent disability. METHODS: This is a clinical audit involving all patients admitted to our institution from January 2008 to June 2018 of those who had undergone revascularization surgery for lower limb trauma. RESULTS: Fifty-nine patients were in this study with a mean age of 28.1 years. Most of the patients were motorcyclist involved in road traffic accidents with cars (n=30, 50.8%). The popliteal artery was most commonly seen injury (n=41, 69.5%). The mean duration of ischaemia was 14.1 hours. The limb salvage rate was 89.8%. CONCLUSION: Lower extremity vascular injury caused by RTA treated in our institution predominantly involved young patients aged between 18-30 years associated with long bone fractures causing contusion and thrombosis of the popliteal artery.
Asunto(s)
Accidentes de Tránsito , Servicio de Urgencia en Hospital , Extremidad Inferior/irrigación sanguínea , Extremidad Inferior/cirugía , Lesiones del Sistema Vascular/cirugía , Adolescente , Adulto , Bases de Datos Factuales , Femenino , Humanos , Malasia , Masculino , Adulto JovenRESUMEN
High failure rate for recurrent palatal fistulas closure pose a great challenge to plastic surgeons. Tongue and facial artery musculomucosal (FAMM) flaps are the more commonly used flaps for closure of these recurrent fistulas. We report a case of a formerly inset FAMM flap to effectively close a previously repaired oronasal fistula.
Asunto(s)
Músculos Faciales/cirugía , Fístula/cirugía , Enfermedades Nasales/cirugía , Fístula Oral/cirugía , Colgajos Quirúrgicos/cirugía , Niño , Músculos Faciales/irrigación sanguínea , Humanos , Masculino , Recurrencia , Colgajos Quirúrgicos/irrigación sanguíneaRESUMEN
Craniosynostosis is a premature pathologic fusion of one or more cranial vault sutures leading to abnormally-shaped skull. It can occur in isolated event (non-syndromic), or it can occur in conjunction with other anomalies in welldefined patterns (syndromic). The diagnosis rests on clinical examination and confirmation is generally on the computed tomography scan. The need for surgery is both for cosmetic and functional reasons. Here we describe a case of nonsyndromic craniosynostosis that was treated with frontal orbital advancement (FOA). The potential benefits of FOA need to be carefully weighed against the potential complications when deciding for any surgical intervention.