Repair of proboscis lateralis

We report an 8-year-old girl presented with a proboscis on the right nasal nostril, right heminasal hypoplasia, hypertelorism, and cleft lip and palate on the other side. After repair of the cleft lip and palate and the hypertelorism, we succesfully reconstructed the heminose with a V-Y advancement flap containing the proboscis tube.     

Proboscis lateralis: report of two cases.

Proboscis lateralis is a rare congenital anomaly and heminasal aplasia is the most common associated anomaly. The proboscis is an ideal donor structure that has good colour and texture match to reconstruct the heminose and should not be sacrified. We present the staged reconstruction of two patients using a subcutaneous tunnel method. An individualised approach to the patient determines the ideal method of reconstruction.     

Die Epicondylitis humeri lateralis

Ohne ZusammenfassungMit 4 Textabbildungen.Als Vortrag gehalten auf der Medizinischen Gesellschaft Freiburg i. Br. am 15. 12. 1953.     

III. Beitrag zur Kenntnis zystischer Halstumoren. Struma papillomatosa cystica lateralis

Ohne Zusammenfassung     

Zur Frage der Gastroduodenostomia lateralis

Ohne Zusammenfassung 2 Abbildungen.     

Repair of paraesophageal hernias.

BACKGROUND: Three years ago we proposed the use of laparoscopy and systematic addition of an antireflux procedure to repair paraesophageal hernias. We now present an analysis of the outcome on patients and the evolution of the technique proposed. METHODS: Symptoms and esophageal function were prospectively collected and followed in 41 consecutive patients treated over a 4-year period. Indications for repair included chronic anemia in 15 patients, and previous incarceration in 8. Twenty-two patients had symptoms of reflux. RESULTS: All operations were started laparoscopically, two were converted. Mean operating time was 210 minutes, and mean hospital stay was 4 days. Mean follow-up was 3 years. The operation was effective; all symptoms had improved significantly at last follow-up. CONCLUSIONS: Laparoscopic repair of paraesophageal hernia with the addition of an antireflux procedure, although difficult, lengthy, and not totally without risk, improves symptoms substantially, resolves anemia, and prevents incarceration in nearly all patients.     

Symptomatic and functional outcome of stereotactic ventralis lateralis thalamotomy for intention tremor.

In the past, intention tremor has responded well to selected neuroablative procedures; however, objective symptomatic and functional outcomes of ventralis lateralis (VL) thalamotomy specifically for intention tremor in the post-computerized tomography era has rarely been reported. This series explored the symptomatic and functional impact of VL thalamotomy on 14 patients presenting at the Mayo Clinic with severe, refractory intention tremor due to multiple sclerosis (five patients), trauma (four patients), or stroke (five patients). General neurological examinations, psychometric evaluations, speech pathology assessments, and neuroradiological scans were performed. Pre- and postoperative disability were graded according to a modified form of an established rating scale for tremor. All patients received VL radiofrequency thalamotomies utilizing neurophysiological recording and stimulation control. Contralateral targeted upper-extremity tremor remained symptomatically absent or markedly reduced in 81.8% of cases (mean follow-up period 23.4 months). The median disability score was reduced by 12 points (0.02 less than p less than 0.05). Persistent surgical morbidity was limited to two patients with mild, nondisabling dysarthrias. One elderly patient died of pulmonary complications 2 weeks postoperatively. There were no reported surgically induced exacerbations in multiple sclerosis; however, some of these patients exhibited difficulties with electrophysiological localization. These results compare favorably with those reported in the literature and confirm that stereotactic VL thalamotomy for debilitating intention tremor carries a low surgical risk and can be an effective treatment option for properly selected patients.     

Primary hydatid cyst of vastus lateralis muscle

Musculoskeletal system is rarely involved by hydatid cyst,the larval form of Echinococcus Granulosus. A 37-year old man was diagnosed as having a cystic mass within his left thigh musculature. Preoperative computerized tomography suggested an unusual location of echinococcus although serology could not confirm the diagnosis. During surgery, a white coloured cyst within left vastus lateralis muscle was enucleated. Pathological examination after removal of the mass revealed hydatid cyst of vastus lateralis muscle. This case emphasizes that hydatidosis should be included in differential diagnosis of any soft tissue mass especially in regions where it is endemic.     

Repair of a pharyngo-cutaneous fistula.

A method for closure of a midline pharyngo-cutaneous fistula by providing lining from an epidermal island on a cervical skin flap and outer cover from a split skin graft has been described. It can be useful in selected cases.     

Repair of mild umbilical hernia.

A mild, persistent umbilical hernia that does not cause any functional problem is often ignored. The authors have devised a new technique to treat the mild, protrusive deformity of the umbilicus without associated complications. In this report, the new operative procedure is introduced. The authors have treated 72 patients with this method and have obtained good results.     

Repair of epigastric incisional hernia.

A 4-18 year follow-up of a series of epigastric incisional hernia repairs by a method using lateral relieving incisions of the anterior sheath of the rectus is presented. The practicality of operating through the repaired abdomen is shown. The possibility of performing this method of repair at the end of an operation through an existing incisional hernia is mentioned. The recurrence rate was less than 20 per cent.     

对耳轮过度前突畸形的整复

对耳轮过度前突为对耳轮的角度过锐,致使耳轮的位置相应后移,表现为与招风耳完全相反的畸形。畸形虽不十分明显,但影响美观。自1992年4月开始应用患侧耳廓软骨和耳后皮瓣对5例患者8只外耳进行治疗得到满意效果。认为文中所述方法是矫正对耳轮过度前突畸形的良好方法。