ABSTRACT
Soft tissue sarcomas are investigated by magnetic resonance imaging (MRI) both for initial staging and follow-up. We describe the presence of increased signal on T2-weighted images caused by a neurotized muscle flap following reconstructive surgery. This raised concern about possible sarcoma recurrence that was not clinically evident. On post-operative imaging of sarcomas the presence of recurrent tumour is indicated by a mass and high signal intensity on T2-weighted images. However, high signal changes in skeletal muscle on T2-weighted images are not specific. In this case, the free functioning muscle transfer with neurotization of the flap mimicked recurrence on MR scan. High signal intensity on T2-weighted images in muscle is an indication of either a physiological change or a pathological condition and must be taken in context of the clinical picture.
ABSTRACT
Koken nasal splints have been found effective postoperatively in treating cleft-lip nose deformity. In our experience, their retention has been poor, so reducing the molding effect. This paper presents a modification designed to overcome the problem of retention.
Subject(s)
Cleft Lip/surgery , Nose/abnormalities , Rhinoplasty/instrumentation , Splints , Cleft Lip/complications , Humans , Infant , Nose/surgery , Rhinoplasty/methodsABSTRACT
We lengthened the stump of a traumatically amputated little finger by osseodistraction in a young musician, who required a widened span to enable him to reach the octave on the piano. A mini external distraction device was used. No major complications occurred. The bone lengthening gave a good functional and cosmetic result.
Subject(s)
Amputation, Traumatic/surgery , Bone Lengthening/methods , Finger Injuries/surgery , Metacarpophalangeal Joint/physiopathology , Osteotomy/methods , Accidents, Home , Amputation, Traumatic/etiology , Child , Finger Injuries/etiology , Follow-Up Studies , Humans , Male , Range of Motion, Articular , Replantation/methods , Treatment OutcomeABSTRACT
A case is presented of a woman who sustained a 35% body surface area mixed depth cutaneous burn, together with a significant inhalational injury. The patient required emergency resuscitation with endotracheal intubation and subsequently tracheostomy. This resulted in an unfortunate complication of a total adhesion between the vocal cords which extended into the subglottic area, causing complete occlusion of the airway.
Subject(s)
Burns, Inhalation/complications , Intubation, Intratracheal/adverse effects , Laryngeal Diseases/etiology , Tracheostomy/adverse effects , Vocal Cords/pathology , Adult , Body Surface Area , Burns/complications , Female , Fibrosis , Glottis/pathology , Humans , Laryngeal Diseases/surgery , Laryngoscopy , Resuscitation , Stents , Tissue Adhesions/etiology , Tissue Adhesions/surgery , Vocal Cords/surgeryABSTRACT
The authors describe a case in which an elderly patient, who had previously been treated for trigeminal neuralgia, developed a subsequent fracture of the mandible at the site of a further trigger point. This presented difficulty in management of the case, and the necessary treatment is reviewed.
