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[Rectovaginal fistulas : Differentiated diagnostics and treatment].
Chirurgie (Heidelb)
December 2024
Abteilung für Proktologie, Krankenhaus Barmherzige Brüder Regensburg, Prüfeninger Str. 86, 93049, Regensburg, Deutschland.
Rectovaginal fistulas (RVF) represent less than 5% of anorectal fistulas. The classification of RVF is based on the localization (low vs. high) and the etiology.
View Article and Find Full Text PDFDynamic Repair Surgery for Late-Stage Facial Paralysis: Advances in Restoring Movement and Function.
J Clin Med
August 2024
Division of Maxillofacial Surgery, Department of Stomatology, Peking Union Medical College Hospital & Chinese Academy of Medical Science, Beijing 100730, China.
Article Synopsis
- Facial paralysis occurs due to damage to the facial nerve, significantly impacting both appearance and functionality, especially after surgeries for tumors in the face.
- This review focuses on innovative surgical techniques for late-stage facial paralysis, particularly dynamic repair methods involving the transplantation of nerves and muscles, highlighting various surgical options and their outcomes.
- Findings suggest that while different muscle flap techniques (like the masseter, temporalis, gracilis, latissimus dorsi, and serratus anterior) each have unique benefits and drawbacks, combined approaches may offer more effective and natural results for restoring facial movement.
Nerve-preserving gracilis transposition and onlay mesh for total abdominal wall functional reconstruction.
Br J Surg
January 2024
Department of Orthopaedic Surgery, APSS (Azienda Provinciale per i Servizi Sanitari Provincia Autonoma di Trento) St Maria Del Carmine Hospital, Rovereto, Italy.
Prolonged perineal wound healing following proctocolectomy in patients with inflammatory bowel disease (IBD) is a frustrating result for the medical team and patients who were hoping for improved quality of life. Prolonged healing, which lasts more than 6 months following proctocolectomy, is termed persistent perineal sinus (PPS) and typically necessitates further surgical management. Healing of the PPS is difficult due to the resulting "dead space" following proctocolectomy, necessitating the need to fill the void with viable tissue in an area with anatomic constraints.
View Article and Find Full Text PDFMuscle transposition and free muscle transfer in facial nerve reanimation.
Curr Opin Otolaryngol Head Neck Surg
October 2024
Department of Head and Neck, Plastic and Reconstructive Surgery, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Article Synopsis
- This review discusses recent advancements in facial reanimation surgery, focusing on techniques like muscle transposition and free functional muscle transfer (FFMT) to treat chronic facial paralysis.
- Key findings include comparisons between single and dual innervated FFMT, the reanimation of specific facial areas, and new donor sites for muscle transfer.
- The ongoing standard for dynamic facial reanimation remains Gracilis FFMT, while muscle transposition is suitable for older or medically unfit patients seeking quicker results, highlighting the need for standardized reporting in future research.
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