ABSTRACT
A 9-year study of the results of treatment of 143 acute and reconstructive cases involving thermal injury to the neck compares 2 periods of treatment, 1964-1968 and 1968-1971. Number of grafts as well as Z-plasties is documented. A decline in the number of operative procedures required per patient is demonstrated in the later period; for acute cases a mean of 3.2 dropped to 1.1, and for reconstructive cases from 2.4 to 1.1. The declining necessity for reconstructive procedures is related to the increasing use of transparent molded polyvinylchloride neck orthoses. In reconstructive cases improved postoperative positioning with a special cervical hypertension mattress has been useful.
Subject(s)
Burns/rehabilitation , Neck , Orthotic Devices , Child , Child, Preschool , Cicatrix/rehabilitation , Cicatrix/surgery , Female , Follow-Up Studies , Humans , Male , Surgery, PlasticSubject(s)
Kidney Neoplasms/diagnostic imaging , Humans , Hypertrophy , Kidney/abnormalities , Kidney/diagnostic imaging , Kidney/pathology , Kidney Cortex/diagnostic imaging , Kidney Neoplasms/classification , Lipomatosis/diagnostic imaging , Radiography , Radionuclide Imaging , Renal Artery/diagnostic imaging , Renal Veins/diagnostic imagingABSTRACT
The spermatic cord of five dogs were twisted 720 degrees. The animals then underwent both Doppler and isotope evaluations of their scrotums. Both modalities proved highly accurate in diagnosing acute testicular ischemia.
Subject(s)
Spermatic Cord Torsion/diagnosis , Ultrasonography , Animals , Disease Models, Animal , Dogs , Ischemia/diagnosis , Ischemia/diagnostic imaging , Male , Radionuclide Imaging , Scrotum/diagnostic imaging , Spermatic Cord Torsion/diagnostic imaging , Testis/blood supply , Testis/diagnostic imagingABSTRACT
We evaluated 30 patients who had acute scrotal swelling with the Doppler stethoscope. Every case of epididymitis and torsion of the appendix testis demonstrated an increased testicular blood flow. The cases of spermatic cord torsion had no blood flow on ultrasound examination.
Subject(s)
Auscultation/instrumentation , Scrotum , Testicular Diseases/diagnosis , Ultrasonography , Acute Disease , Diagnosis, Differential , Epididymitis/diagnosis , Humans , Male , Orchitis/diagnosis , Regional Blood Flow , Scrotum/blood supply , Spermatic Cord Torsion/diagnosis , Spermatic Cord Torsion/surgeryABSTRACT
A twelve-year-old male with a five-day history of scrotal swelling and pain had increased blood flow on ultrasonic examination. A testicular flow and scan indicated an ischemic testicle. Surgical exploration revealed complete torsion of the spermatic cord. In chronic cases of torsion, the Doppler stethoscope may give a false negative result because of reactive hyperemia.
Subject(s)
Spermatic Cord Torsion/diagnosis , Testis/pathology , Ultrasonography , Adolescent , Humans , Male , Necrosis/diagnosis , Regional Blood Flow , Testis/blood supplyABSTRACT
Filling defects of the renal pelvis not uncommonly present a difficult diagnostic challenge to the urologist and the radiologist. The precise etiology of the radiographic picture is not always evident, even after a battery of clinical tests. A pathologically proved case of an aberrant renal papilla is reported herein, and the significant differential diagnostic possibilities are considered and reviewed.
