Pub Date : 2018-07-16DOI: 10.24983/scitemed.paciv.2018.00070
G. Pafitanis, R. Alamouti, D. Nikkhah, M. Shibu
The use of rubber gloves to assist surgical tasks in hand surgery has been reported previously [1]. Surgical rubber glove is a cheap tool that could be used as a T-ring tourniquet or as a retraction tool while performing sharp debridement or osteotomy. In trans-phalangeal finger replantation, osteotomy and bone osteosynthesis are crucial to achieve optimal possible functional outcomes. A 10 x 10 centimeters piece of rubber surgical glove with a small 2 millimeters puncture hole is cut with a No. 11 surgical blade. After periosteal elevation is performed, the amputated phalanx, distal or proximal, is passed through and a mosquito or babcock is used to provide stability during manipulation [2]. While draping the digital soft tissues under the rubber glove, the line of osteotomy is clearly visualised (Figure 1). The saw is then used to safely and effectively cut through with precision and without the interference of soft tissue during osteotomy. In finger replantation, tissue retraction is a key step in achieving optimal osteosynthesis without the intrusion of the surrounding soft tissues (Figure 2) [3]. It’s a simple and cheap technique and allows better grip with a regular glove to fully enclose all soft tissues to prevent iatrogenic injury during osteotomy [1,2].
{"title":"The Rubber Glove Osteotomy Method for Soft Tissue Retraction in Digital Replantation","authors":"G. Pafitanis, R. Alamouti, D. Nikkhah, M. Shibu","doi":"10.24983/scitemed.paciv.2018.00070","DOIUrl":"https://doi.org/10.24983/scitemed.paciv.2018.00070","url":null,"abstract":"The use of rubber gloves to assist surgical tasks in hand surgery has been reported previously [1]. Surgical rubber glove is a cheap tool that could be used as a T-ring tourniquet or as a retraction tool while performing sharp debridement or osteotomy. In trans-phalangeal finger replantation, osteotomy and bone osteosynthesis are crucial to achieve optimal possible functional outcomes. A 10 x 10 centimeters piece of rubber surgical glove with a small 2 millimeters puncture hole is cut with a No. 11 surgical blade. After periosteal elevation is performed, the amputated phalanx, distal or proximal, is passed through and a mosquito or babcock is used to provide stability during manipulation [2]. While draping the digital soft tissues under the rubber glove, the line of osteotomy is clearly visualised (Figure 1). The saw is then used to safely and effectively cut through with precision and without the interference of soft tissue during osteotomy. In finger replantation, tissue retraction is a key step in achieving optimal osteosynthesis without the intrusion of the surrounding soft tissues (Figure 2) [3]. It’s a simple and cheap technique and allows better grip with a regular glove to fully enclose all soft tissues to prevent iatrogenic injury during osteotomy [1,2].","PeriodicalId":188123,"journal":{"name":"Preprint Archives of Clinical Images & Videos","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134340877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-06-03DOI: 10.24983/SCITEMED.PACIV.2017.00016
C. Lien, C. Kuo
TTCR emphasizes the importance of preserving uninvolved, functional mastoid air cells, and anatomical reconstruction with cartilage, which may facilitate mastoid aeration and avoid cavity problems.
{"title":"Tailor-made Tympanomastoidectomy with Cartilage Reconstruction","authors":"C. Lien, C. Kuo","doi":"10.24983/SCITEMED.PACIV.2017.00016","DOIUrl":"https://doi.org/10.24983/SCITEMED.PACIV.2017.00016","url":null,"abstract":"TTCR emphasizes the importance of preserving uninvolved, functional mastoid air cells, and anatomical reconstruction with cartilage, which may facilitate mastoid aeration and avoid cavity problems.","PeriodicalId":188123,"journal":{"name":"Preprint Archives of Clinical Images & Videos","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122202816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-18DOI: 10.24983/SCITEMED.PACIV.2017.00013
Soo-Ha Kwon, Y. Hsieh, T. Chang
Venous anastomosis is the most challenging part of fingertip replantation, where vein-to-vein anastomosis should be considered as the first-line option for its restoration. If the sizable vein cannot be identified, arterial-venous shunting and two-staged subdermal pocket procedure shall be the alternative surgical options. Arterial anastomosis-only replantation technique is an option when the vein is unavailable.
{"title":"Fingertip (Tamai Zone I) Replantation under Local Anesthesia","authors":"Soo-Ha Kwon, Y. Hsieh, T. Chang","doi":"10.24983/SCITEMED.PACIV.2017.00013","DOIUrl":"https://doi.org/10.24983/SCITEMED.PACIV.2017.00013","url":null,"abstract":"Venous anastomosis is the most challenging part of fingertip replantation, where vein-to-vein anastomosis should be considered as the first-line option for its restoration. If the sizable vein cannot be identified, arterial-venous shunting and two-staged subdermal pocket procedure shall be the alternative surgical options. Arterial anastomosis-only replantation technique is an option when the vein is unavailable.","PeriodicalId":188123,"journal":{"name":"Preprint Archives of Clinical Images & Videos","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121638479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-09DOI: 10.24983/scitemed.paciv.2017.00009
Cheng-I Yen, Pang-Yun Chou, A. Hsu, M. Shafarenko, G. Kolios, Chieh-Tsai Wu, Soo-Ha Kwon, Chien‐Tzung Chen, Tommy Nai-Jen Chang
3D bio-model can assist surgeons to evaluate the size of the defect, design osteotomies tailored to the defect, and shaping of the titanium plate to fit the mandible pre-operatively, which shortens the operative time.
{"title":"Mandible Reconstruction by the Assistant of Stereolithographic Three-Dimensional Printing Model Technique","authors":"Cheng-I Yen, Pang-Yun Chou, A. Hsu, M. Shafarenko, G. Kolios, Chieh-Tsai Wu, Soo-Ha Kwon, Chien‐Tzung Chen, Tommy Nai-Jen Chang","doi":"10.24983/scitemed.paciv.2017.00009","DOIUrl":"https://doi.org/10.24983/scitemed.paciv.2017.00009","url":null,"abstract":"3D bio-model can assist surgeons to evaluate the size of the defect, design osteotomies tailored to the defect, and shaping of the titanium plate to fit the mandible pre-operatively, which shortens the operative time.","PeriodicalId":188123,"journal":{"name":"Preprint Archives of Clinical Images & Videos","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129262907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-09DOI: 10.24983/scitemed.paciv.2017.00008
Soo-Ha Kwon, Y. Hsieh, T. Chang
Reconstruction with a pedicled anterolateral thigh flap and a pedicled groin flap (sandwich style inset) constitutes a sandwich flap for a degloving hand injury.
带蒂大腿前外侧皮瓣和带蒂腹股沟皮瓣重建(夹心式插入)构成了用于手部脱手套损伤的夹心皮瓣。
{"title":"Sandwich Flap Reconstruction for a Degloving Hand Injury","authors":"Soo-Ha Kwon, Y. Hsieh, T. Chang","doi":"10.24983/scitemed.paciv.2017.00008","DOIUrl":"https://doi.org/10.24983/scitemed.paciv.2017.00008","url":null,"abstract":"Reconstruction with a pedicled anterolateral thigh flap and a pedicled groin flap (sandwich style inset) constitutes a sandwich flap for a degloving hand injury.","PeriodicalId":188123,"journal":{"name":"Preprint Archives of Clinical Images & Videos","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115660476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-06DOI: 10.24983/SCITEMED.PACIV.2017.00006
G. Pafitanis, G. Pahal, P. Sadigh
Only a few cases of self- or auto-cannibalism (autosarcophagy) have previously been reported in the literature. This case of autosarcophagy demonstrates the most severe self-cannibalistic physical abuse triggered by concurrence of psychotic depression and hypothyroidism induced personal crisis psychopathology without the use of psychoactive substances, which requires full reconstruction.
{"title":"Autosarcophagy: An Extremely Rare Catastrophic Self-harm Case Report","authors":"G. Pafitanis, G. Pahal, P. Sadigh","doi":"10.24983/SCITEMED.PACIV.2017.00006","DOIUrl":"https://doi.org/10.24983/SCITEMED.PACIV.2017.00006","url":null,"abstract":"Only a few cases of self- or auto-cannibalism (autosarcophagy) have previously been reported in the literature. This case of autosarcophagy demonstrates the most severe self-cannibalistic physical abuse triggered by concurrence of psychotic depression and hypothyroidism induced personal crisis psychopathology without the use of psychoactive substances, which requires full reconstruction.","PeriodicalId":188123,"journal":{"name":"Preprint Archives of Clinical Images & Videos","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121959664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-05DOI: 10.24983/scitemed.paciv.2017.00005
Evelyn Ting-Hsuan Tang, M. Shafarenko, Tommy Nai-Jen Chang
Double Pacman flap is an ideal option for small defects. The harvest technique is simple. The flap design is straightforward and easy to manipulate with avoidance of tension suture.
双吃豆皮瓣是小缺陷的理想选择。收割技术很简单。皮瓣设计简单，易于操作，避免了张力缝合。
{"title":"Double-Pacman Flap for a Small Sacral Defect","authors":"Evelyn Ting-Hsuan Tang, M. Shafarenko, Tommy Nai-Jen Chang","doi":"10.24983/scitemed.paciv.2017.00005","DOIUrl":"https://doi.org/10.24983/scitemed.paciv.2017.00005","url":null,"abstract":"Double Pacman flap is an ideal option for small defects. The harvest technique is simple. The flap design is straightforward and easy to manipulate with avoidance of tension suture.","PeriodicalId":188123,"journal":{"name":"Preprint Archives of Clinical Images & Videos","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128118581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-02DOI: 10.24983/scitemed.paciv.2017.00003
C. Kuo, C. Lien
Surgeons should be aware of the fact that tympanic retraction pockets are not necessarily safe, even if they have clean and clear bottoms.
外科医生应该意识到鼓室回缩袋不一定是安全的，即使它们有干净的底部。
{"title":"A Safe Tympanic Retraction with an Unsafe Disease Entity","authors":"C. Kuo, C. Lien","doi":"10.24983/scitemed.paciv.2017.00003","DOIUrl":"https://doi.org/10.24983/scitemed.paciv.2017.00003","url":null,"abstract":"Surgeons should be aware of the fact that tympanic retraction pockets are not necessarily safe, even if they have clean and clear bottoms.","PeriodicalId":188123,"journal":{"name":"Preprint Archives of Clinical Images & Videos","volume":"303 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123451712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-02DOI: 10.24983/SCITEMED.PACIV.2017.00004
C. Kuo, A. Shiao
Persistent CSF leakage was identified during an extensive mastoidectomy. The complication was rectified by grafting a collagen matrix graft over the leak.
持续性脑脊液漏是在广泛的乳突切除术中发现的。通过在渗漏处移植胶原基质来矫正并发症。
{"title":"Huge Mastoid Cholesteatoma with Skull Base Erosion and CSF Leak","authors":"C. Kuo, A. Shiao","doi":"10.24983/SCITEMED.PACIV.2017.00004","DOIUrl":"https://doi.org/10.24983/SCITEMED.PACIV.2017.00004","url":null,"abstract":"Persistent CSF leakage was identified during an extensive mastoidectomy. The complication was rectified by grafting a collagen matrix graft over the leak.","PeriodicalId":188123,"journal":{"name":"Preprint Archives of Clinical Images & Videos","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126127089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：