OBJECTIVE To describe and quantify growth patterns of cholesteatomas within the middle ear using a scaled rating system that characterizes patterns of ossicular erosion. STUDY DESIGN Retrospective case review. SETTING Tertiary referral center. PATIENTS Patients undergoing first-time surgery for primary and secondary acquired cholesteatomas. INTERVENTIONS Intraoperative assessments of os...

Gastric and colon interposition are the commonly used in esophageal operations. In this report, Two jejunal esophageal interposition cases are presented. In the first patient, a free jejunal interposition graft was used to re-establish swallowing route in a patient who suffered severe esophageal and gastric chemical burn, and failure of colon interposition graft. The second patient had a leak o...

BACKGROUND The surgical treatment for obesity promotes massive weight loss and early improvement in co-morbid conditions such as type-2 diabetes. Because surgically mediated glycemic improvements are immediate, the mechanisms involved appear to be weight loss independent. Ileal interposition has been used to gain understanding of the relative role that the lower intestine plays in mediating met...

In this study, 50 patients are included to analyze the incidence of incus erosion in chronic Suppurative otitis media with cholesteatoma. Of these patients 64% were male and 36% were female. Young patients most commonly reported to E.N.T Out Patient Department. The majority of these patients were in between 10 to 30 years and 2% beyond 50 years. Most common presentation was hearing loss, ear di...

INTRODUCTION Different types of titanium prostheses are used for different types of ossicular chain reconstruction (OCR). However, various ossicular chain problems require different types of reconstruction (incus or prosthesis). Recently, Vincent et al. published a new type of ossiculoplasty with a malleus replacement prosthesis (MRP). The details of this new prosthesis are described in their a...

A three-dimensional (3D) finite element (FE) model was developed to simulate the motion modes of the human middle ear structures. The model was based entirely on 3D reconstruction obtained from micro Computed Tomography (microCT) imaging. We solve the acoustics-structure interaction problem using COMSOL Multiphysics. Our results show that at low frequencies, the classical hinging motion is domi...

Colon interposition is an established technique for esophageal reconstruction. We describe the case of primary adenocarcinoma arising in a colonic interposition graft that was performed after total esophagectomy for recurrence adenocarcinoma derived from the Barrett esophagus.

To the Editor—We have read with great interest the article by Zmora et al. concerning gracilis muscle interposition for surgical repair of a rectovaginal or rectourethral fistula. In the past, several techniques have been described for the treatment of these fistulas, often with rather disappointing results. It has been suggested that interposition of healthy, well-vascularized tissue may be th...