Cleft Palate Repair with Orbicularis Oris Plus Buccal Mucosal Flap: A New Double Layered-Technique

Recurrent oronasal fistula closure is a challenging phenomenon that has been managed with many surgical or flap techniques, such as local, regional, and distant flaps, with various modifications. Despite these options, the ideal method to repair this kind of chronic fistula has not yet been established. It is difficult to repair because recurrent surgical repairs or interventions cause this region to become more fibrotic with less vascular tissue, which considerably reduces the likelihood of closing this kind of fistula. For this reason, surgeons and researchers continue to work to overcome these obstacles by using more regional, vascular, and neighboring tissue. Classic cleft palate repair techniques use double-layered, nasal, and oral side closure and even a three-layered technique (e.g. plus levator veli palatini and tensor veli palatini muscular repair) in the soft palate region. Hence, we used partial orbicularis oris muscle with enough vascular supply to repair the nasal side and cheek mucosal flap to repair the oral side as a double-layered repair technique. Two years later, during routine patient follow-up, no complications were identified, and the patient’s satisfaction with this treatment was acceptable

Intersecting S-Brane Solutions of D=11 Supergravity

We construct all possible orthogonally intersecting S-brane solutions in 11-dimensions corresponding to standard supersymmetric M-brane intersections. It is found that the solutions can be obtained by multiplying the brane and the transverse directions with appropriate powers of two hyperbolic functions of time. This is the S-brane analog of the ``harmonic function rule''. The transverse directions can be hyperbolic, flat or spherical. We also discuss some properties of these solutions.Comment: 12 pages, Latex, a reference adde

Non-Standard Intersections of S-Branes in D=11 Supergravity

We construct new intersecting S-brane solutions in 11-dimensional supergravity which do not have supersymmetric analogs. They are obtained by letting brane charges to be proportional to each other. Solutions fall into two categories with respect to whether there is a non-diagonal term to be cancelled in the field equations or not. In each case we show that they can be constructed by using a simple set of rules which is similar to the harmonic function rule of the usual static p-branes. Furthermore, we study an intersection where the Chern-Simons term makes a non-zero contribution to the field equations. We show that this configuration has a singularity like other S-branes.Comment: 13 pages, 2 figures;v2 Section 2.2 is improved with new examples, references added;v3 typos correcte

Extremely Rare Cardiac Involvement: Recurrent Pericardial Hydatid Cyst

WOS: 000301293300009PubMed: 22333375Echinococcus granulosus is a common infestation in sheep and cattle raising countries. Although it is typically encountered in liver and lung, rare cardiac involvement of this infestation has very important clinical complications such as heart failure, valve regurgitation, pericardial effusion-tamponade and arrhythmia. In addition, pericardial infestation is an extremely rare condition of Echinococcus granulosus. Here, we report a case of recurrent pericardial hydatid cyst presenting exertional dyspnea, palpitation and presyncope attacks in a 72-year-old man. The diagnosis of recurrent pericardial hydatid cyst was made by transthoracic echocardiography, computed tomography and surgical histor

Is hemoglobin A1c level effective in predicting the prognosis of Fournier gangrene?

Objectives: To evaluate the effect of immune failure and/or diabetes mellitus (DM) association on the mortality and morbidity of the Fournier's Gangrene (FG), and interrelatedly, the usability of HbA1c level in the prediction of prognosis. Materials and Methods: The data of 38 patients with the diagnosis of FG were investigated retrospectively. The patients were divided into two groups as patients with DM (Group 1, n = 18) and non-diabetics (Group 2, n = 20). The patients in group 1 were also divided into two subgroups as patients with HbA1c value ≥7 (Group 1a) and HbA1c value <7 (Group 1b). Results: The mean age of all 38 male patients was 66.3 ± 6.4 years. The initial symptoms were scrotal rash and swelling (n = 20, 52.6%), high fever (>38°C) (n = 22, 57.8%), purulent discharge from genital or perineal areas (n = 13, 34.2%), skin bruises (n = 11, 28.9%) and general state disorder in five patients that were admitted from day care center (13.1%). DM, as the most often comorbid disease, was detected in 18 patients (47.3%). Six patients (15.7%) were deceased during the follow-up period. Conclusion: In the present study, the researchers determined that diabetic patients with HbA1c level of 7 or higher had worse prognosis, and increased mortality

Effect of amifostine on sperm DNA fragmentation and testes after radioiodine treatment

Introduction: Radioactive iodine (RAI) is commonly used for the treatment of hyperthyroidism caused by Graves’ disease or thyroid nodules. However, information available on the impact of RAI therapy on male gonadal function is scarce. This study aimed to determine any possible damage to testicular tissue and sperm quality caused by RAI therapy, and the radioprotective effect of amifostine against such damage