AI Article Synopsis
- Oculoplastic surgery faces unique challenges when reconstructing large defects from malignant lower lid tumors, and this case study focuses on the effective use of a step ladder V-Y advancement flap for reconstruction.
- Five patients underwent tumor removals and reconstructions from November 2018 to March 2023, successfully using this flap technique without any complications.
- The step ladder V-Y advancement flap is advantageous due to its minimal impact on healthy skin, small dissection area, and overall efficiency, making it a preferred choice for aesthetic reconstruction after tumor excision.
Article Abstract
Background: In oculoplastic surgery, reconstruction of a large defect after the removal of a massive malignant lower lid tumor still represents a unique challenge. We will report on this case, including a presentation of the case using step ladder V-Y advancement flap.
Methods: During November 2018 to March 2023, five patients of lower eyelid malignant tumor had wide resection with safety margin and reconstructed using step ladder V-Y advancement flap. The flap was used step ladder V-Y advancement flap.
Results: No complications, including ectropion deformity, occurred. This flap does not sacrifice healthy skin as seen with the cheek rotation flap, and the area of dissection is very small and can be performed in a short time.
Conclusions: Step ladder V-Y advancement flap is highly useful in cases that require a reconstruction of a large defect after the removal of a massive malignant lower lid tumor from viewpoints of operating time, ease of procedure, aesthetics, and complications.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217083 | PMC |
| http://dx.doi.org/10.1007/s10792-024-03203-9 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Role of Strong Opioids in an Effective Discharge for Lower-Limb Large Joint Arthroplasty Patients: A Patient-Based Analysis.
Cureus
November 2024
Orthopaedics and Trauma, Russells Hall Hospital, Dudley, GBR.
Background/objective: Adequate postoperative analgesics are an essential element in the recovery and rehabilitation of large joint lower-limb arthroplasty patients in their acute postoperative phase. In this study, we will establish that strong opioids like morphine should be included as postoperative analgesics to improve patient satisfaction. Material: This retrospective cross-sectional study was conducted in the Arthroplasty Ward, Trauma, and Orthopaedics Department in a district general hospital of the United Kingdom.
View Article and Find Full Text PDFBilateral femoral neck fractures in pregnancy suggestive of transient osteoporosis of the hip in a patient with hyperparathyroidism: a case report.
Osteoporos Int
December 2024
Department of Orthopaedics, West Virginia University, PO Box 9196, Morgantown, WV, 26506, USA.
Atraumatic bilateral femoral neck fractures are rare, especially in younger patients and those without significant comorbidities. However, pregnant individuals appear to be at increased risk due to normal physiological changes in calcium balance, leading to transient osteoporosis of the hip. In these individuals, calcium and bone mineral density are generally decreased, reflecting the calcium demands of the developing fetus.
View Article and Find Full Text PDFMilk ladder: Who? When? How? Where? with the lowest risk of reaction.
Front Allergy
December 2024
Division of Pediatric Allergy, Koc University School of Medicine, Istanbul, Türkiye.
The milk ladder (ML) approach, which is the gradual reintroduction of the milk allergen from the least allergenic forms to the most allergenic forms into the diet of the patients, has been utilized mostly in non-IgE-mediated but in some countries also in IgE-mediated-CMPA due to its possible benefits which include nutrition, quality of life and tolerance induction. Despite increasing interest, so far, there is no guideline on ML; thus, the use of this approach shows discrepancies among healthcare professionals as many factors such as dietary habits, patient history, test results, workload, and facilities of the hospitals, the anxiety of the parents/patients may affect the decision on how, when, where and whom to use ML. Here, we reviewed current data on implementing the ML, suggested a 4-step ML including receipts and amounts, and shared our experience on optimal patient selection, appropriate time and steps for initiating ML, and time intervals between the steps targeting the lowest risk of reaction.
View Article and Find Full Text PDFA genome-wide association study of European advanced cancer patients treated with opioids identifies regulatory variants on chromosome 20 associated with pain intensity.
Eur J Pain
January 2025
Institute for Biomedical Technologies, National Research Council, Segrate, Italy.
Background: Opioids in step III of the WHO analgesic ladder are the standard of care for treating cancer pain. However, a significant minority of patients do not benefit from therapy. Genetics might play a role in predisposing patients to a good or poor response to opioids.
View Article and Find Full Text PDFVibrational ladder climbing dissociation of LiH molecules excited by non-chirped pulses.
Spectrochim Acta A Mol Biomol Spectrosc
March 2025
School of Physics, Dalian University of Technology, Dalian 116000, China. Electronic address:
Vibrational ladder climbing (VLC) is one of the advanced methods for achieving molecular dissociation, usually requires the use of chirped laser pulses to adapt to the change of energy difference between molecular vibrational levels. In this work, a scheme is proposed for using non-chirped pulses to couple the vibrational rotational levels of excited state to realize VLC dissociation of LiH molecules in the excited state. The first pulse induces population excitation to the excited state AΣ, while the second pulse is used to drive the excited state vibrational levels population up step by step until dissociation occurs.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!