15 research outputs found
Mandibular Reconstruction Using the Free Vascularized Fibula Graft: An Overview of Different Modifications
The reconstruction of the mandible is a complex procedure because various cosmetic as well as functional challenges must be addressed, including mastication and oral competence. Many surgical techniques have been described to address these challenges, including non-vascularized bone grafts, vascularized bone grafts, and approaches related to tissue engineering. This review summarizes different modifications of the free vascularized fibula graft, which, since its introduction by Hidalgo in 1989, has become the first option for mandibular reconstruction. The fibula free flap can undergo various modifications according to the individual requirements of a particular reconstruction. Osteocutaneous flaps can be harvested for reconstruction of composite defects. 'Double-barreling' of the fibula can, for instance, enable enhanced aesthetic and functional results, as well as immediate one-stage osseointegrated dental implantation. Recently described preoperative virtual surgery planning to facilitate neomandible remodeling could guarantee good results. To conclude, the free fibula bone graft can currently be regarded as the "gold standard" for mandibular reconstruction in case of composite (inside and outside) oral cavity defects as well as a way of enabling the performance of one-stage dental implantation
Abstract QS59: Resident Needs Assessment And Development Of A High Fidelity Porcine Model For Autologous Breast Reconstruction
D104. Use Of SPY-QP To Predict Mastectomy Skin Flap Wound Complications in Immediate Breast Reconstruction
Abstract QS44: Characteristics of International Medical Graduates Who Successfully Matched in a U.S. Plastic Surgery Program. A National Survey
Abstract 56: Construction of Ear Frameworks For Microtia Repair Using AuryzoN™, A Novel Investigational Medical Device.
Acute carpal tunnel syndrome secondary to iatrogenic hemorrhage. A case report
Carpal tunnel syndrome is a common compression neuropathy of the median nerve. Acute carpal tunnel syndrome (aCTS) is rare, associated with a variety of conditions. In this case report we present a patient who developed aCTS and volar forearm compartment syndrome after a radial artery line placement, while receiving intravenous heparin. The patient underwent immediate forearm fasciotomy and surgical release for restoration of nerve function, which resulted in improved hand function and mild residual median nerve neuropathy. There is controversy whether to discontinue or not anticoagulation in a patient with aCTS. In our patient, heparin therapy was restarted on the second postoperative day