Niger J Clin Pract
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Desmoid tumours are rare and locally invasive neoplasms that originate from the muscles and their aponeurosis. Incomplete excision causes recurrences; therefore, patients require aggressive resection that essentially entails tumour excision with a clear surgical margin. After radical resection, the resultant wide defect may lead to difficulty in closure of the anterior abdominal wall. Here, we report a case having surgery for large desmoid tumour of the anterior abdominal wall through an abdominoplasty incision followed by an abdominal wall reconstruction with a dual-sided composite mesh.
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Case Reports
Tibia gap nonunion following sequestrectomy treated with a nonvascularized fibula strut graft.
Chronic osteomyelitis of the tibia is a common sequela of acute osteomyelitis which may present with a bone defect following sequestrectomy. Treatment of the gap nonunion can be done with the ipsilateral fibula as a strut graft when harvested subperiosteally and this leads to good outcome. A 7-year-old girl presented to our facility with a 25 cm defect of her right tibia following sequestrectomy for chronic osteomyelitis in another facility. ⋯ Management of bone gap following sequestrectomy for chronic osteomyelitis remains a challenge to the orthopedic surgeon. The subperiosteal fibular harvest and use as a strut graft is a viable option with good outcomes. Our experience with this case may serve as a way out of this usual challenge.
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Fat accumulation in the visceral and subcutaneous regions can trigger fat necrosis during acute pancreatitis (AP). ⋯ Visceral fat analysis showed a contradiction according to subcutaneous fat that AP was strongly associated with subcutaneous one. The result supports that visceral and subcutaneous fat tissues should have different path of inflammation affecting the AP.
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Orff Music Therapy improves auditory processing, language, and cognitive functions in children who have Intellectual Disability (ID). ⋯ Auditory processing skills are essential for children who have ID. If a child who has ID has been identified as having auditory processing disorder (APD), there is a need for a proven therapeutic approach, like Orff Music Therapy. It has been considered that ID and APD can be linked in the same category of neurodevelopmental disorders.
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To measure dental implant stability by two noninvasive methods which are vibration characteristics of the periodontium Periotest® and resonance frequency analysis Osstell. The objective of this comparative study was to assess the correlation of these 2 techniques in clinic. Materials and Methods: Implant stability of 54 clinically stable unloaded implants in 10 males and females (mean age: 52.05 ± 8.42) was measured in triplicate by Osstell and Periotest®. The measurements were taken first in the same day of the surgery and the second was 4 weeks later. Statistical analysis was performed with SPSS 22.0 (P < 0.05). Results: The mean values were 75.90 ± 5.13 ISQ for the resonance frequency analysis and - 4.31 ± 1.43 PTVs for Periotest. There was no significant difference in first and the second measurements accordance with gender. However, a significant difference was shown in ratio of percentage change for both PTV and ISQ values in female patients. There was a positive strong correlation between mean percentage changes of PTV and ISQ values (P = 0.811, P = 0.001). The only significant difference between ISQ values and implant length was observed at 4 weeks (P = 0.037). ⋯ Although Periotest® values appear to be more susceptible to clinical conditions, both measuring techniques are applicable in the assessment of implant stability.