High-riding brachiocephalic (innominate) artery during surgical tracheostomy.

Two cases of a high-riding innominate artery, which were found during routine surgical tracheostomy. A cartilage flap was applied to cover the significant vessel to prevent the life-threatening complications. These two cases were followed up for 2 months without any adverse events.

Endoscopic cochlear implantation: Call for caution.

Objectives/hypothesis: To assess whether transcanal endoscopic access to the basal turn of the cochlea for cochlear implantation is appropriate.

Study Design: Case series study.

Methods: We reviewed 100 consecutive computed tomographic studies of the sinuses and temporal bone in our institution.

Common cavity and custom-made electrodes: speech perception and audiological performance of children with common cavity implanted with a custom-made MED-EL electrode.

Objective: Few studies exist on children with common cavity, fewer still on their long-term audiological development after having received a cochlear implant. Our goal was to observe and report the long-term audiological progress of children with common cavity who were implanted with a custom-made electrode.

Methods: In this longitudinal, multi-center study, 19 children were implanted with a MED-EL custom-made electrode via either single slit cochleostomy or double posterior labyrinthotomy.

Sentinel lymph node biopsy or nodal observation in melanoma: a prospective study of patient choices.

Background: There is no consensus regarding the therapeutic utility of sentinel lymph node biopsy (SLNB) versus that of nodal observation (NO) in melanoma.

Objective: To prospectively evaluate a standardized counseling procedure and its effect on patient choices to undergo SLNB or NO.

Methods: In four centers, patients with melanoma eligible for SLNB or NO received a complete counseling procedure that included verbal information from dermatologists and surgeons, a detailed information sheet, and a written consent form.

[Capitolunate arthrodesis with tension band wire in wrist arthritis: twenty cases with four year follow-up].

Purpose Of The Study: Treatment of degenerative osteoarthritis of the wrist is aimed at preserving wrist motion and force while reducing pain. Limitation of the degenerative processes to certain joints raises the possibility of intracarpal arthrodesis, e.g.

[Subcutaneous mastectomies. Apropos of 272 cases].

Subcutaneous mammectomy was performed in 272 patients with reconstruction in 256. This type of surgery lies midway between conservative surgery and mammectomy. The conditions of exeresis and prosthetic reconstruction, follow-up (recurrences and metastasis) were analyzed according to each histological type and were comparable with the usually reported results for breast cancer.