MyMedR

Fulltext Post pneumonectomy bronchopleural fistula: is it the closure technique or the operative side that really matters?

Sachithanandan A, Badmanaban B

Interact Cardiovasc Thorac Surg, 2011 Apr;12(4):562.

PMID: 21429878 DOI: 10.1510/icvts.2010.251157B

Matched MeSH terms: Bronchial Fistula/etiology; Bronchial Fistula/prevention & control*; Respiratory Tract Fistula/etiology; Respiratory Tract Fistula/prevention & control*

Fulltext A complicated urethrovaginal fistula following an inappropriate urethral diverticulum management

Lo TS, Jaili SB, Ibrahim R

Taiwan J Obstet Gynecol, 2017 Aug;56(4):534-537.

PMID: 28805613 DOI: 10.1016/j.tjog.2016.10.004

OBJECTIVE: Urethral diverticulum is uncommon, therefore appropriate evaluation, preoperative planning and counseling must be done in order to make correct diagnosis and prevent complications.

MATERIALS AND METHODS: A case of anterior vaginal wall mass was treated elsewhere by a gynecologist as periurethral cyst abscess; incision and drainage were done but a symptom of pus discharge was observed after 2 weeks. Therefore, exploration, cyst wall excision and primary closure were done though histopathological examination surprisingly confirmed the presence of urethral tissue suggestive of diverticulum.

RESULTS: Subsequently, she developed persistent urinary leakage along with urethrovaginal fistula for which they again performed pervaginal multilayer closure. Patient was later referred to us with recurrent urethrovaginal fistula. We performed posterior urethral fistulectomy with anterior vaginal wall flap and multilayer closure. Three years follow up reveals complete recovery.

CONCLUSION: Even urethral diverticulum is a rare condition, should be kept in mind as early diagnosis and management.

Matched MeSH terms: Urinary Fistula/etiology; Urinary Fistula/surgery*; Vaginal Fistula/etiology; Vaginal Fistula/surgery*

Fulltext Outpatient endoscopic removal of gutta-percha from the maxillary sinus using a sublabial antroscopy: a rare entity

Loh JC, Mansor M, Gendeh BS, Mangat PK

Singapore Dent J, 2010 Jun;31(1):20-5.

PMID: 23739253 DOI: 10.1016/S0377-5291(12)70005-6

Any foreign body in the paranasal sinuses can cause chronic complications. It is therefore important to remove these foreign bodies meticulously. Various approaches are available to accomplish this. This article is a case report of a patient who had gutta-percha as a foreign body in left maxillary sinus, after a gutta-percha point had been used to trace a sinus to confirm that it was an oroantral fistula. Traditional surgical approaches to the maxillary sinus require invasive techniques, such as radical antrostomy and the Caldwell-Luc approach. These may result in further complications and morbidity. The gutta-percha point in this case report was removed endoscopically in an otolaryngology clinic with local anaesthesia using a sublabial antroscopy. There is only one case reported in the dental literature regarding the endoscopically-assisted technique for removal of displaced gutta-percha using the sublabial antroscopy approach (Yura S, Ohga N, Ooi K, Izumiyama Y. Procedure of endoscopic removal of a gutta-percha point in maxillary sinus mucosa by ultrathin arthroscope.
Study site: ENT clinic, Pusat Perubatan Universiti Kebangsaan Malaysia (PPUKM), Kuala Lumpur, Malaysia

Matched MeSH terms: Oroantral Fistula/surgery

Magnetic resonance angiographic demonstration of carotid-cavernous fistula using elliptical centric time resolved imaging of contrast kinetics (EC-TRICKS)

Vattoth S, Cherian J, Pandey T

Magn Reson Imaging, 2007 Oct;25(8):1227-31.

PMID: 17442526

Magnetic resonance angiographic evaluation of the intracranial vasculature has been predominantly carried out using conventional angiographic techniques such as time of flight and phase contrast sequences. These techniques have good spatial resolution but lack temporal resolution. Newer faster angiographic techniques have been developed to circumvent this limitation. Elliptical centric time-resolved imaging of contrast kinetics (EC-TRICKS) is one such technique which has combined the use of elliptical centric ordering of the k-space with multiphase 3D digital subtraction MR angiogram (MRA) to achieve excellent temporal resolution of the arterial and venous circulations. Its applications have been mainly in the peripheral vasculature. We report the use of this technique in a case of a high-flow, direct carotid-cavernous fistula to demonstrate its potential in intracranial MR angiography.

Matched MeSH terms: Carotid-Cavernous Sinus Fistula/diagnosis*

Fulltext Use of combined contralateral deltopectoral skin flap and ipsilateral island latissimus dorsi myocutaneous flap for massive cervico-thoracic oesophagus defect repair

Yap CM

Med J Malaysia, 2005 Aug;60(3):364-6.

PMID: 16379194

Restoring the intestinal continuity of an acquired massive cervico-thoracic oesophagus defect is a reconstructive challenge. A case requiring such defect restoration following a failed pedicled colonic interposition bypass graft between the cervical oesophagus and stomach for an intra-thoracic oesophageal perforation is presented. The defect between the oesophagostome at the lower left neck and the stoma of the colonic stump at the lower left chest measured about 20 cm. An ante-thoracic skin-tube neo-esophagus was constructed in two stages using a pedicled contralateral right deltopectoral skin flap and a pedicled ipsilateral island left latissimus dorsi myocutaneous flap (LD MC flap). A normal swallowing mechanism was re-established.

Matched MeSH terms: Esophageal Fistula/surgery*

Closure of oroantral fistula

Awang MN

Int J Oral Maxillofac Surg, 1988 Apr;17(2):110-5.

PMID: 3133418

Oroantral fistula is an uncommon complication in oral surgery. Although smaller fistulas of less than 5 mm in diameter may close spontaneously, larger fistulas always require surgical closures. The literature review revealed various procedures for the closure of oroantral fistulas. These procedures may be subdivided into local flap, distant flap and grafting. Procedures involving local flaps are usually adequate to close minor to moderate size defects. Those procedures utilizing the buccal mucoperiosteal flap as the tissue closure include straight-advancement, rotated, sliding and transversal flap procedures; while those involving the palatal mucoperiosteum are straight advancement, rotational-advancement, hinged and island flap procedures. The combinations of various local flaps to strengthen the tissue closure are also being advocated. The advantages and the limitations of these procedures are discussed. Distant flaps and bone grafts are usually indicated in the closure of larger defects in view of their greater tissue bulks. Tongue flaps have superseded extra-oral flaps from extremities and forehead for aesthetic reasons and also in view of their similar tissue replacement. Various tongue flap procedures are described. At present, various alloplastic materials such as gold, tantalum and polymethylmethacrylate are infrequently reported in the closure of oroantral fistulas. However, in the light of successful reports over the use of biological materials, collagen and fibrin, in the closure of oroantral fistulas, there seems to be another simple alternative technique for treating oroantral fistulas.

Matched MeSH terms: Oroantral Fistula/surgery*

Fulltext Arteriovenous fistula of the superior thyroid artery: post thyroid operation

Abdul Ghani S, Hashim R

Med J Malaysia, 1984 Dec;39(4):314-6.

PMID: 6544941

A case of A. V. fistula of the superior thyroid vessels following thyroidectomy is reported. Though the standard treatment of such a fistula is ligation and excision, a more simple Iigation and division of the superior thyroid artery is adequate for reasons mention. The demonstration of the feeding vessel by angiogram has to be accurate.

Matched MeSH terms: Arteriovenous Fistula/etiology*

A case of pneumoperitoneum in a new-born child

Radhamanalan D, Isaac T

Med J Malaysia, 1979 Mar;33(3):272-3.

PMID: 522735

Matched MeSH terms: Tracheoesophageal Fistula/complications*

Fulltext High-flow priapism in a 12-year-old boy: Treatment with superselective embolization

Mossadeq AR, Sasikumar R, Nazli MZ, Shafie AM, Ashraf MD

Indian J Urol, 2009 Oct-Dec;25(4):539-40.

PMID: 19955685 DOI: 10.4103/0970-1591.57918

Priapism is caused by an imbalance between penile blood inflow and outflow. There are two types of priapism: low-flow priapism due to venous occlusion and high-flow priapism due to uncontrolled arterial flow to the veins. High-flow priapism most frequently occurs as a result of penile trauma in which the intercavernosal artery disruption causes an arteriocavernosal fistula. It is rarely encountered in the pediatric and prepubertal population. Clinically, it manifests as a painless, prolonged erection after perineal trauma. Treatment ranges from expectant management to open surgical exploration with vessel ligation. We report the successful treatment of high-flow priapism in a 12-year-old prepubertal boy with superselective embolization.

Matched MeSH terms: Fistula

Robotic-assisted laparoscopic ureteral reimplantation with psoas hitch: a multi-institutional, multinational evaluation

Patil NN, Mottrie A, Sundaram B, Patel VR

Urology, 2008 Jul;72(1):47-50; discussion 50.

PMID: 18384858 DOI: 10.1016/j.urology.2007.12.097

To report the collective experience of three multinational institutions with the use of robotics to evaluate and treat complex distal ureteral obstruction.

Matched MeSH terms: Urinary Fistula/surgery; Vaginal Fistula/surgery

Fulltext Adult and Pediatric Lateral Lamella Cribriform Plate Height: In Need for a Comparative Study

Sakandar G, Haron J, Mohamad A, Mohamad I, Ramli RR

Allergy Rhinol (Providence), 2019 09 09;10:2152656719874775.

PMID: 31534825 DOI: 10.1177/2152656719874775

Surgery for sinuses has evolved with the advancement of instruments and modification in techniques. Endoscopes have expanded the surgical roles for lesions in the nose and para-nasal sinuses with reduced rate of complications and cosmetic side effects. Nevertheless sinus surgery in pediatrics patients has its own challenges. Pre-operative imaging is of paramount important especially when embarking on skull base procedures. The differences between adult and pediatric anatomy need to be further studied.

Matched MeSH terms: Fistula

Fulltext Caldwell-Luc Approach For Surgical Removal Of The Root From Maxillary Sinus With Closure Of Oro-Antral Fistula

Ong, A.H.

Ann Dent, 1997;4(1):-.

MyJurnal

The palatal root of the first permanent molar is the most commonly deflected root into the maxillary sinus during extraction. A rational approach to the surgical removal of a root from the antrum is important. Some surgeons prefer the alveolar approach while others prefer the Caldwell-Luc operation. A case is presented where the palatal root tip of the left upper first molar was removed from the maxillary sinus by the Caldwell-Luc approach with simultaneous closure of the oro-antral fistula resulting from dental extraction. A fibreoptic light probe was used. The advantages and disadvantages as well as how to avoid the common complications of this surgical technique are discussed. A good result was achieved with successful removal of the root and no loss of sensibility of the teeth and/or gum for this case.

Matched MeSH terms: Fistula

Fulltext What expert says … periodontal abscess

Norhidayah, Khamiza

Malaysian Dental Journal, 2008;29(2):154-157.

MyJurnal

Abscess of the periodontium is a localized purulent inflammation of the periodontal tissues1. It has been classified into three categories which are gingival abscess, periodontal abscess and pericoronal abscess. A periodontal abscess can be defined as a localized purulent infection affecting the tissues surrounding a periodontal pocket that can lead to the destruction of supporting structures4 including tortuous periodontal pockets, furcation involvement, and intrabony defects. The lesion may be acute or chronic abscess. A localized acute abscess may progress to a chronic abscess if the pus drains through a fistula into the outer gingival surface or into the periodontal pocket. (Copied from article).

Matched MeSH terms: Fistula

Fulltext Collaural fistula: a case report

Subha, S.T., Janakiram, T.N., Goel, A., Susheen, H.K.

Malaysian Journal of Medicine and Health Sciences, 2013;9(2):73-75.

MyJurnal

Cervico-aural [collaural fistula] fistula is rare and it accounts for less than 5% of branchial cleft anomalies. In this paper, we report one such case of a 9 year old girl who was presented to us with two discharging cutaneous openings on the right side; one in the floor of the external auditory canal and another in the neck at the junction of the upper 2/3rd and lower third of the sternomastoid muscle along its anterior border.

Matched MeSH terms: Fistula

Fulltext Post-traumatic Carotico-cavernous fistula: A report of two cases

Primuharsa Putra. S.H.A., Nurliza, I., Roszalina, R., Saim, L., Zahiah, M.

International Medical Journal Malaysia, 2007;6(2):1-8.

MyJurnal

We present two cases of direct traumatic carotico-cavernous fistula following motor vehicle accident. Their main symptoms include loss of vision, progressive proptosis and recurrent epistaxis. Angiogram confirmed presence of carotico-cavernous fistula in both cases. One was successfully treated by open surgery and the other by embolization with Guglielmi detachable coils (GDC). In both cases, proptosis and epistaxis resolved completely.

Matched MeSH terms: Fistula

Fulltext Alveolar Bone Grafting Without Closure Of Oronasal Fistula In Cleft And Palate Patient

Abdul Rahman, Z.A.

Ann Dent, 2004;11(1):-.

MyJurnal

The standard procedure for alveolar cleft closure in cleft lip and palate patients is by alveolar bone grafting (ABG) where the residual opening of oronasal fistula in the palate is also closed simultaneously. Occasionally there is a situation of soft tissue inadequacy and attempt to close the fistula at the same procedure as ABG may compromise the result of the bone graft itself. An unforeseen leakage at the closure may cause graft infection leading to failure. This article reports on a technique where alveolar bone grafting was done without closure of residual palatal fistula to provide adequate soft tissue coverage for the grafted bone. This may reduce the risk of leakage at the oral mucosal coverage of the graft . The residual palatal fistula will be closed at later stage by muco-palatal flap or tongue flap. We reported on a case of a failed ABG which was reconstructed using this technique. Various other techniques to ensure success of ABG were also discussed. Conclusion: The alveolar bone grafting without closure of oro-nasal fistula reduced the risk of failure of ABG in a wide alveolar cleft.

Matched MeSH terms: Oral Fistula

Reply to Lei Kang, Lugang Huang and Jingti Zhang's Letter to the Editor re: Omar Fahmy, Mohd Ghani Khairul-Asri, Christian Schwentner, et al. Algorithm for Optimal Urethral Coverage in Hypospadias and Fistula Repair: A Systematic Review. Eur Urol 2016;70:293-8

Gakis G, Fahmy O

Eur Urol, 2017 05;71(5):e155-e156.

PMID: 27916203 DOI: 10.1016/j.eururo.2016.11.021

Matched MeSH terms: Fistula

Fulltext Healing of venous ulcers secondary to an ankle arteriovenous fistula

Liew NC, Lee L, Gee T, Jabar MF

J Vasc Surg Cases, 2015 Dec;1(4):229-231.

PMID: 31724592 DOI: 10.1016/j.jvsc.2015.07.007

Venous ulcer as a complication of ankle arteriovenous fistula for hemodialysis is rarely reported. It poses a challenge between ulcer healing and fistula preservation. We report our experience in the management of venous ulcers secondary to an ankle arteriovenous fistula in a hemodialysis patient.

Matched MeSH terms: Arteriovenous Fistula

Fulltext Complete congenital third branchial fistula: does the theoretical course apply?

Aneeza WH, Mazita A, Marina MB, Razif MY

Singapore Med J, 2010 Jul;51(7):e122-5.

PMID: 20730387

The course of a third branchial fistula is derived from its embryological origin, in accordance with the branchial apparatus theory. Treatment of this condition requires complete removal of the tract in order to avoid recurrence; however, this can pose a risk to the surrounding structures. We report the case of a complete third branchial fistula as well as a literature review on its theoretical course and management.

Matched MeSH terms: Cutaneous Fistula/congenital*; Cutaneous Fistula/radiography; Cutaneous Fistula/surgery*

Congenital arteriovenous communication in the arm: a cadaveric study

Das S, Othman F, Suhaimi FH, Latiff AA

Rom J Morphol Embryol, 2008;49(3):421-3.

PMID: 18758652

An abnormal communication between an artery and a vein is known as arteriovenous malformation (AVM) or arteriovenous fistula (AVF). The AVM or the AVF might be congenital in origin or even acquired. The arteriovenous communications are usually surgically made in patients undergoing repeated hemodialysis, while suffering from any chronic renal disease. The abnormal arteriovenous communications may be asymptomatic in nature. The arteriovenous communications might be an incidental finding during any anatomical dissections or medico-legal autopsies. The present study reports the presence of BBC on both sides of a 54-year-old male cadaver who died of road traffic accident. There was a communication between the brachial artery and the brachial vein, 11.5 cm above the medial epicondyle. The oblique communicating channel measured 1.5 cm in length and connected the brachial artery to the brachial vein. A detailed histological study of the communication showed the presence of thick tunica media. Knowledge of arteriovenous communications may be beneficial for any academic studies and equally important for vascular surgeons and radiologists performing angiographic studies.

Matched MeSH terms: Arteriovenous Fistula/diagnosis*; Arteriovenous Fistula/pathology

Displaying publications 41 - 60 of 132 in total