There are two classical surgical approaches in dealing with tumors of the accessory lobe of the parotid gland: cheek incision and standard parotidectomy or modified Blair's incision.[Rodino and Shaha, 1993] In cheek incision as in case 1, the tumors are approached through a limited incision over the tumor in the middle of the cheek. This approach is associated with a higher incidence of damage to facial nerve branches, because of the superficial location of the buccal and zygomatic branches of the facial nerve.[Fujimuro et al, 2004; Afify and Maynard, 1992] Johnson and Spiro[[Johnson and Spiro, 1979] reported a 40% incidence of facial nerve damage when the tumors are approached via a cheek incision directly over the tumors. The cheek incision
Mr. Jackson presents for above concerns. He was seen initially on 12/19/2016 for evaluation of facial irritation by nursing staff. He states he had been using a straight razor daily and had significant skin irritation along his neck, had been instructed to use warm compresses along with Calmoseptine and was instructed to not shave for three days and follow up thereafter. Skin lesions worsened and although he was instructed to shave on Monday, Wednesday, and Friday for a shaving profile. He was instructed to not shave his face until seen today. Additionally, he has had dry skin on his hands primarily with some cracking along the knuckles of the right hand. States he has been working at KP and has his hands in water for a good portion of the day. He had been using some hydrocortisone cream and has seen some improvement.
With the practice of surgery and open wounds the need of close them was imminent, and so the sutures appeared, suggesting that surgery and sutures are two inseparable terms. Since ancient times, sutures have been made out of a great diversity of materials, and using diverse techniques, and have been in continuously development until modern times.
The little round scar on the upper arm is the scar from being immunized for little pox. Before 1970s, this smallpox counter acting agent was ordinary. It used live Vaccinia disease as a piece of solicitation to trigger a sheltered response that would guarantee people against the perilous Variola contamination that brought on smallpox.
Chordomas of the skull base represent significant challenges due to their midline position and their ability to engulf critical neurovascular structures located around them. In addition to these location issues, their biology represents significant challenges, as notocordal rests located throughout the clivus, often remote from the visible lesion, have the propensity to grow and recur. Both of these features are critical for the skull base surgeon, the former in determining the surgical approach and trajectory and the latter in deciding on the surgical goals and intentions of treatment. For more than a decade, lateral and paramedian approaches have been traditionally the mainstay for surgical access and have provided valuable corridors. These have included transbasal (12), trans-septal trans-sphenoidal (13), transmaxillary (14), facial translocation, (15), transoral with or without mandible split (16), transcervical-transclival, and anterior cervical approaches. These anterior and lateral approaches toward a centrally located chordoma carry the potential morbidity of manipulating neurovascular structures in the way to lesion. The cited data report gross total resection rates that vary widely, ranging from 44 to 83%. The corresponding neurological morbidity rates are equally variable, ranging from 0 to 80%, and vascular injuries are reported at 9 to 12%. CSF leak rates are reported to range from 8.3 to 30% (17-19).
f you have extreme gingivitis or periodontal disease, then your dentist may suggest gum flap surgery in order to make the area easier to clean. Gum flap surgery involves lifting your gums in order to remove any tartar or plaque. Once this is done, your gums are placed back around your teeth so that they fit snuggly. This eliminates any pockets where bacteria and tartar can easily hide. Since this surgical procedure involves lifting the gums, you will experience some pain once the procedure is done. The pain will eventually go away on its own but it can be uncomfortable to deal with. Luckily, there are a few herbal teas that you can drink in order to reduce pain during this time.
The patient did not go home with any medications due to the fact that her appendix had not ruptured and she had stated that she did not want any prescription pain medication. She was instructed to take a NSAID such as Motrin if she still had pain. She was told to monitor her three incision sites, which should be dry and completely closed. If the edges of the incision started to come apart or if blood or pus were draining from the incisions, she was told to notify the doctor immediately. She said that she understood these
Salivary gland tumors are a morphologically diverse group of neoplasms, which may present considerable diagnostic and management challenges for the pathologist and surgeon. Salivary gland tumors are rare with an overall incidence in the western world of about 2.5 to 3.0 per 100,000 per year. About 80% of all lesions are benign; hence salivary malignancies are particularly rare, comprising less than 0.5% of all malignancies and about 5% of cancers in the head and neck. (1)
Use of antibiotics in the third molar surgery is highly disputed and by many considered to be controversial because of the development of resistant bacterial strains and possible systemic side effects, such as hypersensitivity and unnecessary destruction of host flora. The main debate was regarding the use of different antibiotics, the administration regimen (preoperatively and/or post operatively), administration routes (oral/ intravenous). A lot of studies have been conducted on the same and despite of the entire subject still remains controversial. Three different approaches have been compared with either placebo or with control groups. The first approach includes the pre operative administration of antibiotic as a single dose or multiple
The incidence of radiation injuries is small compared with the number of procedures performed. More than 700,000 interventional procedures are being performed each year (Koenig). Any report that has been made about a skin injury has been reported to the FDA and has been investigated. The reports, usually received contain minimal information regarding the circumstances of the injury. The types of interventional procedures that resulted in reports of skin injuries were: cardiac catheter ablation, catheter placement and shunt placement (Shope). The injuries ranged by erythema to moist desquamation in others and to skin necrosis that required skin grafting.
The first is that melanoma seems to be much more aggressive on the scalp region than the other head and neck areas. It is believed that the reason for this is because of the complex lymph vascular supply on the scalp. When it comes to the neck region, facial nerve injury is not usually a problem. However, when it comes to cheek or anterior scalp melanoma, this is not the case. There is, although, still a higher risk of injury without the dissection than with it. Another factor is that head and neck melanoma is generally more difficult than this disease in other areas of the body. These factors explain how detailed this particular disease can
Results: Records were obtained from all patients who underwent Maxillectomy for sinonasal tumour over a ( ) year period. During the period, () patients with maxillary tumour were seen and only () patients underwent different forms of Maxillectomy. Three (%) were males and (%) were females. Only ()
This morning I woke up and looked in the mirror and noticed that my teeth were not as white as I like them to be. I think to myself, I need to call and make an appointment to get my teeth whitened with my dentist. Teeth whitening is an example of Cosmetic Dentistry. Cosmetic Dentistry is different than regular dentistry in the sense that regular dentistry deals with oral hygiene and the prevention, diagnosing and treating of any oral diseases. Cosmetic dentistry however focuses on improving a person’s teeth, smile, and mouth. General dentistry deals with what needs to be done whereas Cosmetic dentistry is
Some of you who know me know that in the last three years I've accomplished what I never thought I would do and what many said I couldn't do. I've lost an excess of 160lbs total. I weighed 380lbs at the age of 21. Now that I have lost a majority of the weight there lies a new issue that has been a problem. Excess loose skin everywhere!! My whole childhood I was heavy set. Always picked on, teased about being fat and having man boobs. But the way I handled it made fun n cracked fat jokes on myself so others would laugh just to be accepted and putting put on my fake smile. I've been battling weight loss and weight gain since I was about 13. Which has caused allot of self confidence, severe anxiety issues and
Are you aware of the risks and disadvantages of cosmetic surgery? Cosmetic surgery can be very risky and dangerous if you are not aware of the outcomes. If you are thinking of going through a procedures you need to do a lot of research of what the pros and cons of the procedure you are about to undergo. Cosmetic surgeries are done all over the world and the pricing varies depending on the surgeons, and it can be very expensive. The outcome of the surgery won’t always come to what you wanted but still you have to pay the price. Not only that you have to leave with it and you will want another procedure which you’ll have to pay another amount of money. Why go through all that when? We should be happy with who we are and appreciate what you
It’s the day of your wedding and you are so excited. You can’t wait to promise vows to the man you love and stay with him for the rest of your lives. One of the main things you are excited for are the pictures. You love pictures and want to look your best so that you can hold onto these memories forever. You had booked a photographer, hair stylist, and most importantly a makeup artist. Then your phone starts ringing, and you hear your mom talk about what you are going to do. Your makeup artist has just gotten in a wreck and can’t make it to the wedding. You are flustered and stressed already and can’t think of what to do. One of your friends suggests that you all should do your own makeup.