RESUMO
BACKGROUND: Cyanoacrylate monomers have been developed for use as skin adhesives. So far, little is known about long-term results concerning functional and aesthetic results of wound closure with octylcyanoacrylate in head and neck region. METHODS: In a prospective, non-randomized study we examined in 59 patients who had undergone surgery in the face and the neck in between 04/99 and 05/00 at the ENT-Department, University of Aachen, Germany. The aesthetic and functional outcome of a cutanous wound closure by use of octylcyanoacrylate was evaluated. Patients were seen preoperatively, postoperatively and in a long-term follow-up (average 7.2 months) for wound control, photographs, and evaluation with a standardized questionnary. RESULTS: In 40 cases a complete follow-up was possible. There were 33 patients (82.5 %) satisfied with the aesthetic and the functional results of wound closure. In four patients (10 %) early complications developed but did not have an impact on the cosmetic result. Three patients showed alterations as hypertrophic scar or persisting redness of the scar in the long-term follow-up. CONCLUSION: Octylcyanoacrylate tissue adhesive was found to be an effective method of skin closure in clean head and neck incisions. It is a fast and simple method of wound closure, providing good cosmetic results with a low infection rate.
Assuntos
Cianoacrilatos/administração & dosagem , Otorrinolaringopatias/cirurgia , Técnicas de Sutura , Adesivos Teciduais , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Estética , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Estudos Prospectivos , Cicatrização/efeitos dos fármacosRESUMO
Acute osteomyelitis following a closed fracture is very rare. A case following a closed epiphyseal (type II) injury of the distal end of the radius is reported and the role of injury as a contributing factor in acute haematogenous osteomyelitis is discussed.
Assuntos
Fraturas Ósseas/complicações , Fraturas Fechadas/complicações , Osteomielite/etiologia , Fraturas do Rádio/complicações , Doença Aguda , Pré-Escolar , Epífises/lesões , Humanos , MasculinoRESUMO
Spondylolisthesis of the fourth cervical vertebra is reported in a thirty-four-year-old woman. Only one other case at this level has been found in the literature, but others have been recorded of the sixth cervical vertebra.
Assuntos
Vértebras Cervicais/diagnóstico por imagem , Espondilolistese/diagnóstico por imagem , Adulto , Feminino , Humanos , RadiografiaRESUMO
Two identical and unusual cases of congenital bifid femur are described. Both cases were successfully rehabilitated after simple surgery and the fitting of a suitable prosthesis. The patients are now able to walk without any form of external support.
Assuntos
Fêmur/anormalidades , Anormalidades Múltiplas/diagnóstico por imagem , Anormalidades Múltiplas/cirurgia , Adolescente , Criança , Fêmur/diagnóstico por imagem , Fêmur/cirurgia , Deformidades Congênitas do Pé , Deformidades Congênitas da Mão , Humanos , Masculino , RadiografiaAssuntos
Hemangioma/complicações , Paraplegia/etiologia , Neoplasias da Coluna Vertebral/complicações , Vértebras Torácicas , Adulto , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Humanos , Masculino , Radiografia , Neoplasias da Coluna Vertebral/diagnóstico por imagem , Neoplasias da Coluna Vertebral/cirurgiaRESUMO
Removal of a Küntscher nail is usually a simple procedure. However, this can sometimes be very difficult if there is no eye in the proximal end of the nail, either due to sawing off the end of the rod during its insertion or due to breakdown of the eye when attempting removal. This brief report describes a technique used to remove a nail when previous attempts at removal had resulted in the loss of the eye of the nail and in its burial in the greater trochanter.