1/3. Salvage of partial facial soft tissue avulsions with medicinal leeches.BACKGROUND: Medicinal leeches have been demonstrated to be extremely useful and safe in the salvage of venous outflow compromised tissue, particularly in digit replants and various forms of flaps. OBJECTIVE: To demonstrate the utility of medicinal leeches in the salvage of venous outflow-compromised traumatic soft tissue avulsions in key facial structures. methods: A retrospective review of 4 cases involving the external ear, nose, lip, and scalp in which apparent venous outflow compromise was present. Medicinal leeches were applied acutely in each of these 4 cases, salvaging each of the partially avulsed soft tissue segments. RESULTS: Complete or near complete salvage of each soft tissue segment after using medicinal leeches. CONCLUSIONS: Although it is unusual for a partial soft tissue avulsion of the face to require medicinal leech therapy, situations may occur in which there is adequate arterial inflow but inadequate venous outflow. In such cases, medicinal leeches may play a very important role in salvaging the soft tissue segment. This is particularly important in vital structures such as the ear, nose, lip, and eyelid in which acute or secondary reconstruction is complex. EBM RATING: C.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
2/3. Subcutaneous ossification of the legs examined by SPECT.The typical appearance of subcutaneous ossification on a single photon emission computed tomography (SPECT) bone image is reminiscent of the patterns discovered by radiographs and computerized tomography. A case demonstrates the advantage of SPECT imaging to clarify the actual location of soft tissue Tc-99m methylene diphosphonate in this condition.- - - - - - - - - - ranking = 0.11111111111111keywords = soft (Clic here for more details about this article) |
3/3. Epidural venous stasis in spinal stenosis. CT appearance.Computed tomography permits reliable demonstration of the spinal canal and its contents. Measurements of the sagittal diameter of the bony canal do not take into consideration size, shape and state of intraspinal soft tissue structures, i.e. the thecal sac and its own contents, epidural fat and blood circulation pattern. Three particularly illustrative cases were selected in which obvious epidural venous engorgement was visualized in association with spinal stenosis. The authors think that epidural venous stasis occurring in segmental spinal stenosis is a CT sign of clinically significant narrowing of the neural canal. Accurate recognition of the type of lumbar stenosis together with epidural blood flow alterations permits a better understanding of the existing lesions. Thus, a more precise and specific surgical approach is possible.- - - - - - - - - - ranking = 0.11111111111111keywords = soft (Clic here for more details about this article) |