Subject(s)
Foot/innervation , Pain, Intractable/surgery , Peripheral Nerves/surgery , Toes/innervation , Adult , Humans , MaleABSTRACT
The authors present a literature review of porcine grafting and its application at Westside Veterans Administration Medical Center. Porcine xenografts allow wounds that would normally need skin grafting and are slow or nonhealing to close without additional trauma to the patient.
Subject(s)
Bandages , Biological Dressings , Foot Diseases/therapy , Skin Ulcer/therapy , Adult , Animals , Diabetes Complications , Humans , Male , Middle Aged , Wound HealingABSTRACT
A 22-month-old girl was found to have a pigmented mass of the ciliary body of the right eye. Five months later the globe was enucleated because of enlargement of the tumor and the appearance of brown pigment on the adjacent epibulbar surface. Histopathologic examination disclosed a lacrimal gland choristoma of the ciliary body with involvement of the limbal conjunctival surface and superficial sclera. Choristomas of the lacrimal gland are rare and only eight cases have been reported previously to occur intraocularly. Most of these cases showed extrascleral involvement which suggests that the anlage for these choristomas may be entrapped intraocularly during the development of the globe. We recommend conservative management, either by observation or local resection if possible.
Subject(s)
Choristoma/pathology , Ciliary Body/pathology , Harderian Gland , Lacrimal Apparatus , Uveal Neoplasms/pathology , Child, Preschool , Conjunctiva/pathology , Female , Humans , Sclera/pathology , Tears/metabolismABSTRACT
A 34-month-old girl was treated for anterior uveitis, a superiorly subluxated cataract, rubeosis iridis and secondary glaucoma of the right eye of 3 months duration. She was diagnosed as having medulloepithelioma only after a mass was subsequently identified on the anterior surface of the iris. A low grade malignant nonteratoid medulloepithelioma was found to involve the ciliary surface throughout the circumference of the enucleated right globe. These tumors are generally associated with a good prognosis for survival, but are potentially lethal when they extend extrasclerally.
Subject(s)
Ciliary Body , Neuroectodermal Tumors, Primitive, Peripheral/diagnosis , Uveal Neoplasms/diagnosis , Cataract/diagnosis , Child, Preschool , Ciliary Body/pathology , Diagnosis, Differential , Female , Glaucoma/diagnosis , Humans , Iris Diseases/diagnosis , Neuroectodermal Tumors, Primitive, Peripheral/pathology , Uveal Neoplasms/pathology , Uveitis/diagnosisABSTRACT
A 45-year-old man had bilateral complete ptosis attributed to damage to the central caudal nucleus in the nuclear complex of the third cranial nerve, the other subnuclei being spared. Many discrete inflammatory foci were found in the midbrain and brainstem, a picture resembling that seen in subacute encephalitis. The findings are related to Warwick's concept of the anatomy of the third nerve.
