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Diaphragmatic Nerve Paralysis After Redo Aortic Valve Replacement That Improved Over Time and Led to Successful Ventilator Weaning: A Case Report.
Cureus
November 2024
Cardiovascular Surgery, Sapporo Medical University, Sapporo, JPN.
We report a 75-year-old female with a history of two heart operations: aortic valve replacement (St. Jude Medical 21 mm) at the age of 44 years for severe rheumatic aortic stenosis and mitral valve replacement (Carbomedics 29 mm) at the age of 51 years for rheumatic mitral regurgitation. Decades later, she presented with exertional dyspnea.
View Article and Find Full Text PDFPseudoaneurysm of the Lingual Artery in a Patient With Facial Trauma From Gunshot Wounds.
J Craniofac Surg
October 2024
School of Medicine, Wayne State University.
A pseudoaneurysm is an abnormal dilatation within the wall of a blood vessel due to the formation of a hematoma in the vessel wall after vessel injury. Because of the protective nature of the facial skeleton and the deep location of the lingual artery, the lingual artery pseudoaneurysm is rare. The authors report a case of a 20-year-old male who suffered multiple gunshot wounds, including to the mouth, presenting with immediate life-threatening injuries.
View Article and Find Full Text PDFUnusual Airway Foreign Bodies in Children: Demographics and Management.
J Indian Assoc Pediatr Surg
August 2024
Department of Pediatric Surgery, St. Johns Medical College and Hospital, Bengaluru, Karnataka, India.
Article Synopsis
- The study aimed to analyze the demographics and management of unusual airway foreign bodies (UAFBs) in children over a 20-year period.
- Out of 531 children who underwent bronchoscopic removal, 74 had UAFBs like pen caps, whistles, and glass bangles, with most cases involving children under 5 and presenting symptoms like cough and respiratory distress.
- The findings indicated that UAFBs in children are relatively common, primarily affecting boys, with the left bronchus being the most frequent site of impaction and bronchoscopic retrieval showing a favorable outcome despite some challenges.
A Comprehensive Systematic Review on Functional Results, Speech and Swallowing Outcomes after Trans-Oral Robotic Surgery for Oropharyngeal Squamous Cell Cancer.
J Clin Med
October 2024
Otolaryngology Head and Neck Unit, "Santo Spirito" Hospital, 65124 Pescara, Italy.
Transoral robotic surgery (TORS) is nowadays considered a valuable minimally invasive approach to treat oropharyngeal squamous cell carcinoma (OPSCC). The aim of this technique is to improve functional preservation and reduce morbidity with excellent oncologic outcomes compared to the traditional transoral approach and chemoradiotherapy (CRT). The purpose of this systematic review is to assess an exhaustive overview of functional outcomes of TORS for OPSCC by evaluating several parameters reported in the available literature, such as the prevalence and dependence of tracheotomy, feeding tubes (FTs) and percutaneous endoscopic gastrostomy (PEG), the length of hospitalization, swallowing scores, speech tests and quality of life (QoL) questionnaires.
View Article and Find Full Text PDFReconstruction in early squamous cell carcinoma of the oral cavity-Do free flaps improve oncological outcome?
J Stomatol Oral Maxillofac Surg
October 2024
Saarland University Hospital, Department of Oral and Cranio-Maxillofacial Surgery, Kirrberger Straße, D-66424 Homburg, Germany.
Background: Oral squamous cell carcinoma (OSCC) ranks on position 14 in global cancer analysis and makes up to 38 % of all head and neck squamous cell carcinomas. While surgery is accepted as first-line treatment of early tumors, the reconstructive approach is not standardized. Therefore, we evaluated the concept of ablative tumor removal and microvascular reconstruction in terms of oncological safety and surgical morbidity for early OSCCs.
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