The posterior auricular muscle complex graft as a porous orbital implant wrap: long-term follow-up over a 31-year period.

Purpose: Orbital implant exposures, infections, and extrusions can occur many years following enucleation or evisceration. This study analyzes complication rates following porous orbital implant wrapped with a posterior auricular muscle complex graft (PAMCG).

Methods: This is a retrospective study of patients who underwent orbital implantation following enucleation using this technique between 1992 and 2013.

Computed Tomography Coronary Angiography on a Detector-Based Spectral Computed Tomography Platform: Evaluation of Patients With Coronary Artery Disease Reporting and Data System Score of 3 and Higher.

Purpose: Computed tomography (CT) coronary angiography performed on a detector-based spectral scanner helps more closely approximate severity of stenosis with nuclear medicine and cardiac catheterization tests compared with single-energy CT (SECT) in patients with an original CAD-RADS score of 3 and higher.

Methods: This retrospective trial was conducted between January 2017 and December 2019 and included 52 patients with a CAD-RADS score of 3 and higher. Two reading sessions were performed 6 weeks apart.

Comparison of Pterygium Recurrence Rates Between Attending Physicians and Supervised Trainee Residents.

Purpose: To compare the recurrence rates after pterygium surgery performed by supervised trainee residents and attending physicians.

Methods: This retrospective study included pterygium surgeries performed by trainee residents and attending physicians in an academic institution in South Texas in the years 2008 to 2019. All residents performed surgeries under direct supervision of an attending physician.

The infraclavicular approach to the brachial plexus.

The infraclavicular approach to the brachial plexus is commonly indicated in patients with traumatic injuries and tumors of the brachial plexus elements. We describe the anatomy and operative technique of this approach.

Anterior supraclavicular approach to the brachial plexus.

The anterior supraclavicular approach to the brachial plexus is commonly indicated in patients with traumatic injuries, tumors, or entrapment of the brachial plexus elements. We describe the anatomy and operative technique of this approach, which has been used by the senior author (DGK) for the past 30 years.

Association of clinical and laboratory variables with ultrasound findings in right upper quadrant abdominal pain.

Background: The purpose of this study was to determine how laboratory values and physical examination findings correlate with ultrasound findings in the setting of right upper quadrant pain.

Methods: Patients undergoing emergent ultrasound for the evaluation of biliary disease between November 1999 and April 2000 were included. Physical examination findings, laboratory data, and ultrasound results were variables.

Gilliatt-Sumner hand revisited: a 25-year experience.

Objective: Thirty-three patients with true neurogenic thoracic outlet syndrome, or Gilliatt-Sumner hand, underwent surgical treatment at Louisiana State University during a 25-year period. This study retrospectively evaluated the outcome referable to pain and motor function in these patients.

Methods: All patients had the typical Gilliatt-Sumner hand, secondary to compression of C8, T1, and/or lower trunk.

Prediction of intracranial injury in children aged five years and older with loss of consciousness after minor head injury due to nontrivial mechanisms.

Study Objective: Indications for computed tomography (CT) in children with minor head injury remain controversial. The objective of this preliminary study is to determine whether a clinical decision rule developed for adults could be used in children aged 5 years and older.

Methods: A prospective questionnaire was completed on all patients who were aged 5 to 17 years with major mechanisms of injury resulting in minor head injury (defined as normal Glasgow Coma Scale or modified coma scale in infants, plus normal brief neurologic examination) and loss of consciousness.

Vascularized temporalis muscle flap for the treatment of otorrhea. Technical note.

The surgical treatment for cerebral spinal fluid (CSF) fistulas provides closure of the bone and dural defects and prevents the recurrence of brain herniation and CSF fistula. The two main approaches used are the transmastoid and middle fossa ones. The authors review the results of performing a modified middle fossa approach with a vascularized temporalis muscle flap to create a barrier between the repaired dural and bone defects.

Endovascular treatment of complicated type-B aortic dissection with stent-grafts:: midterm results.

Purpose: To report the midterm results of the endovascular treatment of complicated type-B aortic dissection with use of stent-grafts.

Materials And Methods: Ten patients with acute (n = 4) or chronic (n = 6) complicated type-B dissection were treated with custom-made stent-grafts. Indications for treatment included uncontrollable hypertension with dissection extension (n = 3), renal ischemia (n = 1), and false lumen aneurysm (n = 6).

Accuracy of administrative and trauma registry databases.

Objective: Accurate data are needed to evaluate clinical outcomes, therapeutic modalities, and quality of care in trauma. Administrative data, usually used for billing, and trauma registries, have been used to perform these functions. This study compares data for trauma patients from administrative and trauma registry databases at a Level I trauma center.

Accuracy of administrative data in trauma: splenic injuries as an example.

Background: Accurate data are needed to evaluate clinical outcomes, therapeutic modalities, and quality of care in trauma. Administrative data, usually used for billing, have been used to evaluate performance and assess therapy in other medical specialties. This study was performed to determine whether administrative databases are accurate in the recording of information about trauma patients with splenic injuries.

Occupation-related burn injuries.

Unlike household burn injuries, the characteristics of burn injuries in the workplace have not been well described. In an effort to understand the causes and effects of occupation-related burn injuries and to aid in prevention, we sought to describe work-related burn injuries by frequency, burn type, age of the patients, body parts burned, and occupation of the patients. This was a statewide, cross-sectional study of all burns that occurred in the workplace during 1994.

Current role of scapulectomy.

Tumors of the scapula are an unusual clinical challenge. Partial or complete resection of the scapula, with its attached musculoaponeurotic tissue, is a seldom used technique for the treatment of primary bone and soft tissue tumors, as well as selected metastatic involvement of the scapula. Scapulectomy may allow wide margins of resection without amputation.

Accuracy of administrative data in trauma.

Background: Accurate data are needed to evaluate outcomes, therapeutics, and quality of care. This study assesses the accuracy of administrative databases in recording information about trauma patients.

Methods: Patients with thoracic aorta injury were identified with a state trauma registry, and the medical records were reviewed.

Desmoid tumor arising in a laparoscopic trocar site.

Desmoid tumors are fibrotic neoplasms of low metastatic potential. These tumors have long been associated with major laparotomy incisions. However, to the best of our knowledge, they have not been previously associated with laparoscopic trocar placement.

Duplicate gallbladder during laparoscopic cholecystectomy.

Congenital duplication of a gallbladder is a rare anatomic malformation. This malformation is rarely diagnosed preoperatively and usually is discovered during the course of cholecystectomy. Whether discovered preoperatively or intraoperatively, biliary anatomy should be assessed, then cholecystectomy should be performed on both gallbladders.

Successful resection of multifocal hepatic adenoma during pregnancy.

Hepatic adenoma is an unusual complication of pregnancy. Most of these lesions are solitary and associated with hormonal contraceptives. We believe ours is the first case of successful resection of multifocal hepatic adenoma during pregnancy in a patient with no history of oral contraceptive use.