From 1974 to 1988, six children with fistula recurrence following primary tracheoesophageal fistula (TEF) repair have been managed at our hospital. Reclosure of the fistula with pleural flap interposition was used as the initial corrective procedure in five patients, with an 80% incidence of second TEF recurrences. Due to these discouraging results, we have abandoned this technique and instead ...

BACKGROUND Conventional wisdom suggests that vascular interposition flaps are helpful in the treatment of all patients with vesicovaginal fistulas. Complicated fistulas are often treated with interposition omental flaps; however, failed omental flap repairs have not been described without the use of another interposition flap. CASE A 52-year-old woman with a history of cystotomy repair at the...

introduction: the use of ossicular graft material in ossicular chain reconstruction has significantly improved hearing results hearing after tympanoplasty and tympanomastoid surgery for chronic otitis media. today, otologists have a wide array of tools from which to choose, but may find it difficult to know which middle ear implant works best.   materials and methods: a prospective study of 80 ...

The middle ear apparatus is composed of three endochondrial ossicles (the stapes, incus and malleus) and two membranous bones, the tympanic ring and the gonium, which act as structural components to anchor the ossicles to the skull. Except for the stapes, these skeletal elements are unique to mammals and are derived from the first and second branchial arches. We show that, in combination with g...

IT ^generally held that the incus has a poor blood supply although it would appear that, in health, it is adequate. In disease, it has been observed that the long process of the incus is frequently necrosed and, as the result of the clinical examination of a recent case, it is interesting to consider the nutrition of this ossicle. A boy, now aged n , had a bicycle accident at the age of 5, was ...

Stomach is considered the “gold standard” as an esophageal substitute after esophagectomy. Reflux disease is considered an unavoidable consequence of esophageal resection followed gastric interposition. Reflux esophagitis shows a progression from inflammation to erosions and to the development of columnar lined metaplasia. With the use of a gastric interposition, the most popular option to reco...

Enclaves, such as those enabled by Intel SGX, offer a hardware primitive for shielding user-level applications from the OS. While enclaves are useful starting point, code running in enclave requires additional checks whenever control or data is transferred to/from untrusted The enclave-OS interface on however, can be extremely large if we wish to run existing unmodified binaries inside enclaves...

OBJECTIVE In an attempt to estimate the incidence and severity of the functional and mechanical problems associated with colon interposition for benign oesophageal disease, a retrospective analysis of a single centre experience was undertaken. METHODS Between 1961 and 1990, a total of 365 patients who survived the postoperative stay in hospital were followed up over 7-38 years and form the ba...

INTRODUCTION Stapes fixation combined with disorders of the incudo-malleolar complex disorders requires a sound transmission reconstruction that often is difficult to solve. This circumstance can turn up in several pathologies and also in revision surgery for otosclerosis. PATIENTS AND METHODS We present our experience with four patients that underwent to malleostapedotomy with removal of the...