RESUMO
Infantile digital fibromatosis (recurrent digital fibromatosis) is a rare, benign fibrous growth of childhood. The authors present a case of a 16-year-old child with an infantile digital fibromatosis on the volar surface of the right little finger at the distal interphalangeal joint level. After excision of the tumor, histopathologic diagnosis was shown to be infantile digital fibromatosis. The patient has been free of recurrence for 3 years after surgery.
Assuntos
Fibroma/patologia , Dedos , Neoplasias de Tecidos Moles/patologia , Adolescente , Fibroma/cirurgia , Humanos , Masculino , Neoplasias de Tecidos Moles/cirurgiaRESUMO
Temporomandibular joint ankylosis frequently occurs succeeding untreated or not adequately treated mandible fractures. Treatment of this condition with combined condylectomy and silicon sheet/block application was investigated in the literature. Thirty-eight patients with temporomandibular joint ankylosis were included in this study, and postoperative results were presented. Mean preoperative and postoperative sixth-month interincisor opening values were 5.8 and 28.8 mm, respectively. In two patients (5.2%), another operation to remove silicon material was needed because of infection and exposure of the silicon. One patient (2.6%) was operated on again for limited mouth opening. It was concluded that interpositional arthroplasty with silicon was proved to be a low-cost, easy approach with satisfactory long-term results.
Assuntos
Anquilose/cirurgia , Artroplastia/métodos , Silício , Transtornos da Articulação Temporomandibular/cirurgia , Adolescente , Adulto , Anquilose/fisiopatologia , Criança , Terapia por Exercício , Feminino , Seguimentos , Humanos , Masculino , Mandíbula/fisiopatologia , Côndilo Mandibular/cirurgia , Pessoa de Meia-Idade , Osteotomia/métodos , Amplitude de Movimento Articular/fisiologia , Recidiva , Reoperação , Infecção da Ferida Cirúrgica/cirurgia , Articulação Temporomandibular/fisiopatologia , Transtornos da Articulação Temporomandibular/fisiopatologia , Resultado do TratamentoRESUMO
The purpose of this study was to modify the classic bilateral V-Y advancement flap procedure to decrease the tension in its closure and to break the midline vertical scar by interdigitating the flaps. After debridement of a pressure sore, the V-Y flaps were marked on both sides of the wound. Skin incisions were carried down to the muscle fascia along the sides of the flaps. The upper and lower limbs of the V-shaped flaps were elevated as triangular flaps but remained attached to the main flap. The tip of the upper limb of one of the flaps was transposed into the defect and sutured to the contralateral V-Y flap at the midpoint of its concave side facing the defect. The lower limb of the contralateral flap was then transposed into the defect and sutured to the first V-Y flap. To complete the interdigitated closure, the lower limb of the first flap was sutured below the contralateral flap, and the upper limb of the contralateral flap was sutured above the first flap. The final view of the flaps was similar to "Pac Man," so the authors decided to call this flap the Pac Man flap. The flaps healed well in all patients, and wound breakdown or recurrence of the pressure sore was not observed during the 3 to 14-month follow-up.