Nitroderm TTS bands effectively reduced anal resting pressure and relieved pain in patients with high preoperative anal resting pressure.

Finger pulp is a common site for hand injuries, and pulp reconstruction is significantly important for optimal handling and sensation. Ideal substitute must provide matching texture, tenacity, and slim subcutaneous fat. This article presents six cases in which fingertip and finger pulp reconstruction were performed via free dorsoulnar artery perforator (DUAP) flap. All flaps survived and all patients healed uneventfully without any complications by the end of at least 3 months follow-up. Free DUAP flap has proved to be a suitable substitute for pulp reconstruction with its thin structure, minimally morbid donor site which is also close to the trauma zone, and possibility for neurotization. It can be especially favorable when splitting the surgical team for a glabrous flap harvest from the foot is not possible.

BACKGROUND: Electrical burns are the third most common cause of burn injuries, after scald and flame burns. In spite of decreasing mortality rates as advancements are made in treatment modalities and medical equipment, significant complications and socioeconomic consequences still accompany electrical burns. Analyzed in the present study were data from patients hospitalized for electrical burns between 2008 and 2012 in the Samsun Training and Research Hospital, the only burn care center in the Black Sea region of Turkey.

Bilobed flaps were first introduced to close small nasal defects. We reconstructed a defect of the popliteal fossa using a random-pattern bilobed flap. We recommend the use of random-pattern bilobed flaps as a reliable technique for covering defects of the popliteal fossa.

Orbital emphysema and orbital floor fracture following a severe and prolonged sneezing attackWe present here a rare case of barotraumatic orbital blowout fracture. An 18-year-old man with sudden swelling of the right orbital region after severe and prolonged sneezing attack presented to our emergency department. Computed tomographic examination demonstrated a blowout fracture of the right orbital floor, which led to orbital emphysema and herniation of the orbital soft tissue. He was managed with nasal decongestants, steroids, anti-inflammatory drugs and an antibiotic. He developed no visual disturbance subsequently. (Hong Kong j.emerg.med. 2015;22:256-258) 我們在這裡報告一例罕見的氣壓傷性眼眶爆裂性骨折。一個 18 歲的男子到診我們急診科，在劇烈而持久 打噴嚏之後呈現右眼眶區域突然腫脹。電腦斷層檢查顯示右側眶底爆裂性骨折，導致眼眶氣腫和眶內軟 組織膨出。他接受鼻減充血劑、類固醇、消炎藥和抗生素的治療之後，沒有出現視力障礙。