Objective：To report surgical management and favorable outcome in a case with delayed repair of traumatic laser in situ keratomileusis（LASIK）flap dislocation with shrinkage and folds.Methods：A 30-year-old man with ...Objective：To report surgical management and favorable outcome in a case with delayed repair of traumatic laser in situ keratomileusis（LASIK）flap dislocation with shrinkage and folds.Methods：A 30-year-old man with a five-year history of bilateral LASIK experienced blunt trauma to his right eye followed by decreased vision for 5 weeks.The surgical management included initially softening the flap by irrigation with balanced salt solution（BSS）.The shrinkage folds were carefully and gently stretched by scraping with a 26-gauge cannula accompanied by BSS irrigation.All of the epithelial ingrowth on the flap inner surface and on the bed was thoroughly debrided by scraping and irrigation.After the flap was repositioned to match its original margin,a soft bandage contact lens was placed.Results：At his initial visit,slit-lamp microscopy and optical coherence tomography（OCT）showed shrinkage of the LASIK flap with an elevated margin approximately 3 mm above the original position.The flap covered half of the pupil and had multiple horizontal folds.Two months after surgery,the flap remained well positioned with only faint streaks in the anterior stroma.The uncorrected visual acuity of the right eye was 20/20 with a manifest refraction of Plano.Conclusions：For delayed repair of traumatically dislocated LASIK flaps,sufficient softening by BSS,stretching the shrinkage folds,and thorough debridement of ingrowth epithelium enable resetting the flap and provide satisfactory results.展开更多
BACKGROUND In general,atlantoaxial dislocation is rare due to the stability of the C1-C2 complex.Traumatic atlantoaxial dislocations are usually anterior and accompanied by odontoid fractures.Posterior atlantoaxial di...BACKGROUND In general,atlantoaxial dislocation is rare due to the stability of the C1-C2 complex.Traumatic atlantoaxial dislocations are usually anterior and accompanied by odontoid fractures.Posterior atlantoaxial dislocations are rare,and complete posterior dislocation without associated fracture is even more rare.A case of early recurrence of posterior atlantoaxial dislocation without fracture being in therapy of first closed reduction and then open reduction has not been previously reported.CASE SUMMARY A 45-year-old female presented with traumatic posterior atlantoaxial dislocation(TPAD)of C1-C2 without associated fractures,and Frankel Grade B spinal cord function.She was successfully managed by immediate closed reduction under skull traction.Unexpectedly,17 d later,re-dislocation was discovered.On day 28,closed reduction was performed as before but failed.Then,open reduction and posterior internal fixation with autologous iliac bone grafts was performed.By 6 mo after surgery,atlantoaxial joint fusion was achieved,and neurological function had recovered to Frankel Grade E.At 12 mo follow-up,she had lost only 15°of cervical rotation,and atlantoaxial complex instability in joint flexing and extending were no longer observed under fluoroscopy.CONCLUSION Early assessment of transverse ligament is critical for TPAD without fracture avoiding re-dislocation after closed reduction.展开更多
Dear Sir, I am Dr. Bei Xu, from Department of Ophthalmology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China. I want to present a rare case of the treatment of traumatic globe dislocated co...Dear Sir, I am Dr. Bei Xu, from Department of Ophthalmology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China. I want to present a rare case of the treatment of traumatic globe dislocated completely into the maxillary sinus. A 46-year-old female was admitted to emergency unit due to traffic accident, presenting disturbance of consciousness for nine hours.展开更多
Objective: to discuss the nursing effect of replantation of traumatic dislocated teeth with photocured resin splint. Methods:the clinical data of patients with traumatic dislocated teeth in our hospital were reviewed ...Objective: to discuss the nursing effect of replantation of traumatic dislocated teeth with photocured resin splint. Methods:the clinical data of patients with traumatic dislocated teeth in our hospital were reviewed and randomly divided into control group and study group. The control group was given treatment only, and the study group was given nursing at the same time. The rehabilitation quality of the two groups was compared. Results: all data in the study group were better than those in the control group, and the difference was statistically significant (P < 0.05). Conclusion: the nursing effect of replantation of traumatized and dislocated teeth fixed by light cured resin splint is remarkable and worthy of being widely popularized in clinic.展开更多
Traumatic hip dislocations occur in children below 15 years old. Just as in adults, posterior hip dislocations are 10 times more common than anterior hip dislocations. Traumatic hip dislocation in pediatric
基金supported by the Zhejiang Provincial Department of Education(No.Y201533941),China
文摘Objective：To report surgical management and favorable outcome in a case with delayed repair of traumatic laser in situ keratomileusis（LASIK）flap dislocation with shrinkage and folds.Methods：A 30-year-old man with a five-year history of bilateral LASIK experienced blunt trauma to his right eye followed by decreased vision for 5 weeks.The surgical management included initially softening the flap by irrigation with balanced salt solution（BSS）.The shrinkage folds were carefully and gently stretched by scraping with a 26-gauge cannula accompanied by BSS irrigation.All of the epithelial ingrowth on the flap inner surface and on the bed was thoroughly debrided by scraping and irrigation.After the flap was repositioned to match its original margin,a soft bandage contact lens was placed.Results：At his initial visit,slit-lamp microscopy and optical coherence tomography（OCT）showed shrinkage of the LASIK flap with an elevated margin approximately 3 mm above the original position.The flap covered half of the pupil and had multiple horizontal folds.Two months after surgery,the flap remained well positioned with only faint streaks in the anterior stroma.The uncorrected visual acuity of the right eye was 20/20 with a manifest refraction of Plano.Conclusions：For delayed repair of traumatically dislocated LASIK flaps,sufficient softening by BSS,stretching the shrinkage folds,and thorough debridement of ingrowth epithelium enable resetting the flap and provide satisfactory results.
文摘BACKGROUND In general,atlantoaxial dislocation is rare due to the stability of the C1-C2 complex.Traumatic atlantoaxial dislocations are usually anterior and accompanied by odontoid fractures.Posterior atlantoaxial dislocations are rare,and complete posterior dislocation without associated fracture is even more rare.A case of early recurrence of posterior atlantoaxial dislocation without fracture being in therapy of first closed reduction and then open reduction has not been previously reported.CASE SUMMARY A 45-year-old female presented with traumatic posterior atlantoaxial dislocation(TPAD)of C1-C2 without associated fractures,and Frankel Grade B spinal cord function.She was successfully managed by immediate closed reduction under skull traction.Unexpectedly,17 d later,re-dislocation was discovered.On day 28,closed reduction was performed as before but failed.Then,open reduction and posterior internal fixation with autologous iliac bone grafts was performed.By 6 mo after surgery,atlantoaxial joint fusion was achieved,and neurological function had recovered to Frankel Grade E.At 12 mo follow-up,she had lost only 15°of cervical rotation,and atlantoaxial complex instability in joint flexing and extending were no longer observed under fluoroscopy.CONCLUSION Early assessment of transverse ligament is critical for TPAD without fracture avoiding re-dislocation after closed reduction.
文摘Dear Sir, I am Dr. Bei Xu, from Department of Ophthalmology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China. I want to present a rare case of the treatment of traumatic globe dislocated completely into the maxillary sinus. A 46-year-old female was admitted to emergency unit due to traffic accident, presenting disturbance of consciousness for nine hours.
文摘Objective: to discuss the nursing effect of replantation of traumatic dislocated teeth with photocured resin splint. Methods:the clinical data of patients with traumatic dislocated teeth in our hospital were reviewed and randomly divided into control group and study group. The control group was given treatment only, and the study group was given nursing at the same time. The rehabilitation quality of the two groups was compared. Results: all data in the study group were better than those in the control group, and the difference was statistically significant (P < 0.05). Conclusion: the nursing effect of replantation of traumatized and dislocated teeth fixed by light cured resin splint is remarkable and worthy of being widely popularized in clinic.
文摘Traumatic hip dislocations occur in children below 15 years old. Just as in adults, posterior hip dislocations are 10 times more common than anterior hip dislocations. Traumatic hip dislocation in pediatric
