Tissue expansion and heterologous mesh for abdominal wall reconstruction in the surgical separation of conjoined twins: A case series.

Introduction: Conjoined twin abdominal separation is a rare operation that requires complex closure techniques to ensure abdominal wall stability, visceral protection, and adequate skin closure. This study evaluates outcomes after the use of tissue expanders in abdominal wall reconstruction in omphalopagus twin pairs separation.

Methods: A retrospective study of all conjoined twin separations was analyzed between 1991-2020 at a tertiary medical center with two-staged tissue expander-based abdominal wall reconstruction performed by the senior surgeon (U.

Etiology and Diagnostic Challenges of Ulnar Wrist Pain in Pediatric and Adolescent Patients.

Purpose: Diagnosing the cause of ulnar-sided wrist pain can be difficult in the pediatric and adolescent age group. While frequently used, the diagnostic accuracy of magnetic resonance image (MRI), as compared with intraoperative arthroscopic findings, is not well-described in this population. This study aimed to determine concordance rates between magnetic resonance and arthroscopic findings depending on the specific ulnar wrist pathology.

Staged Intracranial Free Tissue Transfer and Cranioplasty for a Refractory Nasal-cranial Base Fistula.

After a transnasal endoscopic resection of a high-grade adenoid cystic carcinoma that underwent adjuvant chemoradiation, there was delayed recurrence managed by en bloc resection through an open craniofacial approach. Subsequently, the patient developed a chronic nasocranial fistula with secondary infection and bone flap resorption. This resulted in infectious episodes with secondary scalp incisional dehiscence and hardware exposure which required multiple bone debridement procedures, hardware removal, prolonged IV antibiotics, and hyperbaric oxygen treatment.