capsular contraction is a frequent complication following breast augmentation. on the other hand, capsular weakness, a not widely recognized complication, may occur around the implant. a weak capsule allows the migration of the prosthesis to the lateral region of the thoracic region or inferiorly, towards the abdomen, due to gravitational forces. the cause of capsular weakness remains unresolve...

IMPORTANCE Thin or cephalically malpositioned lateral crura cause nasal obstruction by depressing nasal valves and decrease patient satisfaction with rhinoplasty as a result of nostril asymmetry and alar collapse. OBJECTIVE To demonstrate the aesthetic and functional efficacy of lateral crural repositioning with lateral strut grafting in patients with cephalic malposition of the lateral crura...

E nteral feeding is a common and necessary practice in critical care. Clinical practice for verification of smalland large-bore feeding tubes is variable. Although radiographic confirmation is the reference standard for blindly inserted small-bore tubes, it is not consistently performed to verify large-bore tubes before administration of formula or medication. These practices raise concerns; bo...

BACKGROUND Traditional facelift techniques have some limitations: superficial musculo-aponeurotic system (SMAS) dissection may be incomplete in the superior medial orbitomalar region, and the centrofacial approach does not incorporate SMAS elevation. OBJECTIVES Orbitomalar suspension (OMS) during high SMAS facelift combines the best of other techniques and may enhance aesthetic results and im...

This study compared the modified BronchoCath double-lumen endotracheal tube with the Univent bronchial blocker to determine whether there were objective advantages of one over the other during anesthesia with one-lung ventilation (OLV). Forty patients having either thoracic or esophageal procedures were randomly assigned to one of two groups. Twenty patients received a left-side modified Bronch...

A 29-year-old patient with patent foramen ovale (PFO) and arteriovenous-malformation developed Eisenmenger’s syndrome with subsequent multiorgan failure. Percutaneous veno-arterial extracorporal life support was established via the groin (Fig. 1). Transoesophageal echocardiography revealed a malposition of the venous cannula in the PFO (Fig. 2). The position of the cannula was corrected immedia...

Larsen syndrome is a rare condition that causes multiple large joint dislocations and characteristic flattened facies. We present a case of a patient with Larsen syndrome with a conductive hearing loss due to ossicular malposition/dislocation. We discuss the aetiopathogenesis of hearing loss in Larsen syndrome.

etal malposition due to persistent hyperextension of the lumbar spine (hyperlordosis) has only very rarely been reported.1 A literature research (key words: hyperlordosis, hyperextension, lumbar spine, opisthotonus, and prenatal) revealed only 1 published case with prenatal diagnosis.2 We describe a case detected by routine prenatal screening, review the literature, and discuss possible etiolog...

The unusual finding of dislocation of the electrode of a pacemaker in a patient caused repetitive twitching of the right leg. Initial confusion with focal motor seizure resulted in the administration of antiepileptic medication. Malposition of the electrode was confirmed by appropriate roentgenographic studies, and subsequent repositioning terminated the episode.

In the literature, there is a confusing classification among congenital floppy eyelid, eyelid eversion and ectropion. They are described as malposition with laxity out-turning of eyelids in newborns, usually associated conjunctival prolapse chemosis. Although underlying pathophysiology these rare conditions obscure, they share anatomic characteristics. Thus, instead plethora denominations, spec...