Accidental finding on bone scan: isolated upper sternal cleft in an adult.

Cleft sternum is an extremely rare anomaly of development. It results from failure of fusion of midline structures that contribute to the formation of the sternum. The defect may affect the upper sternum, the lower sternum, or the whole sternum.

Tracheostomy home care: in a resource-limited setting.

Introduction: Home tracheostomy care for children in South Africa dates back to 1989.

Objective: This study aimed to describe the tracheostomy home programme at Tygerberg Children's Hospital (TCH), situated in a resource-limited setting in Cape Town, South Africa.

Design: Retrospective descriptive study.

Home-based treatment of childhood neurotuberculosis.

Introduction: In-hospital treatment is widely recognized as the gold standard of treatment for children with neurotuberculosis due to the complexity of care and serious consequences of non-compliance. The continuous rise in the incidence of tuberculosis (TB), fuelled by an HIV-pandemic, has resulted in severe bed shortages in tertiary, secondary and TB hospitals in the Western Cape.

Objective: To evaluate the feasibility of home-based directly observed therapy (DOT) in TBM.

Treatment of large oro-nasal fistulae using a triple-layer technique: 38 cases.

A one stage, triple-layer technique for the closure of large oro-nasal defects is described. This technique has been used successfully in 37 out of 38 cases.

Magnetic resonance imaging of the cerebral malformation in Miller-Dieker syndrome. A case report.

Absent or defective cortical gyri (lissencephaly) combined with a characteristic phenotypic appearance was first reported by Miller and Dieker in 1963 and the clinical, computed tomographic and pathological features of this syndrome have been extensively reviewed. We report on magnetic resonance imaging of the brain in a sporadic case of this syndrome.