Bone Grafting, Its Principle and Application: a Review
Total Page:16
File Type:pdf, Size:1020Kb

Load more
Recommended publications
-
Medical Policy
Medical Policy Joint Medical Policies are a source for BCBSM and BCN medical policy information only. These documents are not to be used to determine benefits or reimbursement. Please reference the appropriate certificate or contract for benefit information. This policy may be updated and is therefore subject to change. *Current Policy Effective Date: 5/1/21 (See policy history boxes for previous effective dates) Title: Composite Tissue Allotransplantation Description/Background Composite tissue allotransplantation refers to the transplantation of histologically different tissue that may include skin, connective tissue, blood vessels, muscle, bone, and nerve tissue. The procedure is also known as reconstructive transplantation. To date, primary applications of this type of transplantation have been of the hand and face (partial and full), although there are also reported cases of several other composite tissue allotransplantations, including that of the larynx, knee, and abdominal wall. The first successful partial face transplant was performed in France in 2005, and the first complete facial transplant was performed in Spain in 2010. In the United States, the first facial transplant was done in 2008 at the Cleveland Clinic; this was a near-total face transplant and included the midface, nose, and bone. The first hand transplant with short-term success occurred in 1998 in France. However, the patient failed to follow the immunosuppressive regimen, which led to graft failure and removal of the hand 29 months after transplantation. The -
Costal Cartilage Graft in Asian Rhinoplasty: Surgical Techniques Sarina Rajbhandari and Chuan-Hsiang Kao
Chapter Costal Cartilage Graft in Asian Rhinoplasty: Surgical Techniques Sarina Rajbhandari and Chuan-Hsiang Kao Abstract Asian rhinoplasty is one of the most difficult and challenging surgeries in facial plastic surgery. As many Asians desire a higher nasal bridge and a refined nasal tip, they undergo various augmentation procedures such as artificial implant grafting and filler injections. Autologous rib graft is a very versatile graft material that can be used to augment the nose, with lesser complications, if done precisely. In this chapter, we have discussed the steps of rib graft harvesting, carving and setting into the nose to form a new dorsal height. Keywords: rhinoplasty, costal cartilage, Asians, warping 1. Introduction Asian rhinoplasty is one of the most difficult and challenging surgeries in facial plastic surgery. In Asians, the most common complaints regarding appearance of the nose are a low dorsum and an unrefined tip. Thus, most Asian rhinoplasties include augmentation of the nasal dorsum using either autologous or artificial implant, and/or nasal tip surgery. Clients who have had augmentation rhinoplasty previously frequently opt for revision. Hence, when a client comes for augmenta- tion or Asian rhinoplasty, the surgeon has to confirm whether the client has had any rhinoplasty (or several rhinoplasties) earlier. Artificial nasal implants for augmentation are still in vogue, owing to their simplicity and efficiency, but they are accompanied by several major and minor complications. Revision surgeries for these complications include correcting nasal contour deformities and fix functional problems, and require a considerable amount of cartilage. Revision surgeries are more complex than primary Asian rhinoplasty as they require intricate reconstruc- tion and the framework might be deficient. -
3Rd Quarter 2001 Bulletin
In This Issue... Promoting Colorectal Cancer Screening Important Information and Documentaion on Promoting the Prevention of Colorectal Cancer ....................................................................................................... 9 Intestinal and Multi-Visceral Transplantation Coverage Guidelines and Requirements for Approval of Transplantation Facilities12 Expanded Coverage of Positron Emission Tomography Scans New HCPCS Codes and Coverage Guidelines Effective July 1, 2001 ..................... 14 Skilled Nursing Facility Consolidated Billing Clarification on HCPCS Coding Update and Part B Fee Schedule Services .......... 22 Final Medical Review Policies 29540, 33282, 67221, 70450, 76090, 76092, 82947, 86353, 93922, C1300, C1305, J0207, and J9293 ......................................................................................... 31 Outpatient Prospective Payment System Bulletin Devices Eligible for Transitional Pass-Through Payments, New Categories and Crosswalk C-codes to Be Used in Coding Devices Eligible for Transitional Pass-Through Payments ............................................................................................ 68 Features From the Medical Director 3 he Medicare A Bulletin Administrative 4 Tshould be shared with all General Information 5 health care practitioners and managerial members of the General Coverage 12 provider/supplier staff. Hospital Services 17 Publications issued after End Stage Renal Disease 19 October 1, 1997, are available at no-cost from our provider Skilled Nursing Facility -
Exploring Vigilance Notification for Organs
NOTIFY - E xploring V igilanc E n otification for o rgans , t issu E s and c E lls NOTIFY Exploring VigilancE notification for organs, tissuEs and cElls A Global Consultation e 10,00 Organised by CNT with the co-sponsorship of WHO and the participation of the EU-funded SOHO V&S Project February 7-9, 2011 NOTIFY Exploring VigilancE notification for organs, tissuEs and cElls A Global Consultation Organised by CNT with the co-sponsorship of WHO and the participation of the EU-funded SOHO V&S Project February 7-9, 2011 Cover Bologna, piazza del Nettuno (photo © giulianax – Fotolia.com) © Testi Centro Nazionale Trapianti © 2011 EDITRICE COMPOSITORI Via Stalingrado 97/2 - 40128 Bologna Tel. 051/3540111 - Fax 051/327877 [email protected] www.editricecompositori.it ISBN 978-88-7794-758-1 Index Part A Bologna Consultation Report ............................................................................................................................................7 Part B Working Group Didactic Papers ......................................................................................................................................57 (i) The Transmission of Infections ..........................................................................................................................59 (ii) The Transmission of Malignancies ....................................................................................................................79 (iii) Adverse Outcomes Associated with Characteristics, Handling and Clinical Errors -
AMRITA HOSPITALS AMRITA AMRITA HOSPITALS HOSPITALS Kochi * Faridabad (Delhi NCR) Kochi * Faridabad (Delhi NCR)
AMRITA HOSPITALS HOSPITALS AMRITA AMRITA AMRITA HOSPITALS HOSPITALS Kochi * Faridabad (Delhi NCR) Kochi * Faridabad (Delhi NCR) A Comprehensive A Comprehensive Overview Overview A Comprehensive Overview AMRITA INSTITUTE OF MEDICAL SCIENCES AIMS Ponekkara P.O. Kochi, Kerala, India 682 041 Phone: (91) 484-2801234 Fax: (91) 484-2802020 email: [email protected] website: www.amritahospitals.org Copyright@2018 AMRITA HOSPITALS Kochi * Faridabad (Delhi-NCR) A COMPREHENSIVE OVERVIEW A Comprehensive Overview Copyright © 2018 by Amrita Institute of Medical Sciences All rights reserved. No portion of this book, except for brief review, may be reproduced, stored in a retrieval system, or transmitted in any form or by any means —electronic, mechanical, photocopying, recording, or otherwise without permission of the publisher. Published by: Amrita Vishwa Vidyapeetham Amrita Institute of Medical Sciences AIMS Ponekkara P.O. Kochi, Kerala 682041 India Phone: (91) 484-2801234 Fax: (91) 484-2802020 email: [email protected] website: www.amritahospitals.org June 2018 2018 ISBN 1-879410-38-9 Amrita Institute of Medical Sciences and Research Center Kochi, Kerala INDIA AMRITA HOSPITALS KOCHI * FARIDABAD (DELHI-NCR) A COMPREHENSIVE OVERVIEW 2018 Amrita Institute of Medical Sciences and Research Center Kochi, Kerala INDIA CONTENTS Mission Statement ......................................... 04 Message From The Director ......................... 05 Our Founder and Inspiration Sri Mata Amritanandamayi Devi .................. 06 Awards and Accreditations ......................... -
Clinical Considerations in Facial Transplantation
CLINICAL CONSIDERATIONS IN FACIAL TRANSPLANTATION by Anthony Renshaw A thesis submitted in fulfilment of the requirements of University College London for the degree of Doctor of Medicine January 2011 Department of Plastic and Reconstructive Surgery, Academic Division of Surgical & Interventional Sciences, University College London 1 Declaration I, Anthony Renshaw, confirm that the work presented in this thesis is my own. Where information has been derived from other sources, I confirm that this has been indicated in the thesis The copyright of this thesis rests with the author and no quotation from it or information derived from it may be published without the prior written consent of the author. …………………………………………………………. 2 Abstract Facial transplantation has emerged as the next step on the reconstructive ladder for severe facial disfigurement. Clinical issues surrounding facial tissue donation are examined, comprising pre-transplant facial vessel delineation; pre-operative aesthetic matching; and attitudes towards donation. An anatomical study of 200 consecutive facial and transverse facial vessels was performed using colour Doppler ultrasound. Facial vessels were measured at three landmarks and their branching pattern documented. The facial artery main branch was detected at the lower mandibular border in 99.5% of cases, the accompanying facial vein in 97.5%. The transverse facial artery was present in 75.5% of cases, the vein found in 58%. When the facial artery was undetectable, there was transverse facial artery dominance. When the facial vein was absent it was replaced with a transverse facial vein. This provides valuable pre-operative information regarding vessel status. A quantitative eleven- point skin tonal matching scheme is described using digital analysis of facial imagery. -
Consent for Bone Grafting
Consent for Bone Grafting Grafting Procedure: __________________________________________________________________________ I understand that bone grafting and barrier membrane procedures include inherent risks such as, but not limited to the following: 1. Pain. Some discomfort is inherent in any oral surgery procedure. Grafting with materials that do not have to be harvested from your body is less painful because they do not require a donor site surgery, but pos-toperative pain is still likely. It can be largely controlled with pain medications and applying a cold compression to the surgical site. 2. Infection. No matter how carefully surgical sterility is maintained, it is possible, because of the existing non-sterile oral environment, for infections to occur post-operatively. At times these may be a serious nature. Should severe swelling occur, particularly accompanied with fever or malaise, professional attention should be received as soon as possible. 3. Bleeding, bruising, and swelling. Some moderate bleeding may last several hours. If profuse, you must contact us as soon as possible. Some swelling is normal, but if severe, you should notify us. Swelling usually starts to subside after about 48 hours. Bruises may persist for a week or so. 4. Loss of all or part of the graft. Success with bone and membrane grafting is high. Nevertheless, it is possible that the graft could fail. Despite meticulous surgery, particulate bone graft materials can migrate out of the surgery site and be lost. A membrane graft could start to dislodge. If so, the doctor should be notified. You compliance is essential to assure success. 5. Types of graft material. -
78581/2020/Estt-Ne Hr
105 78581/2020/ESTT-NE_HR 1| T a r i f f - AIMS 106 78581/2020/ESTT-NE_HR INDEX 1. General Information ( Section A) 3 i. Out Patient Department ii. Ambulance Charges 2. General Information ( Section B) 5 i. Bed charges ii. In patient Consultation fees iii. Billing Of Surgery Anesthesia and OT Charges iv. Billing Of Surgery /Procedure/ others 3. LAB 9 4. Outsouce Lab 16 5. Blood Bank 64 6. Imaging & Radiodiagnosis 65 7. Non – Invasive Lab 80 8. Anesthesia 82 9. Cardiology and Cardiac Surgery 84 10. Critical Care Services 89 11. Baby Care 91 12. Common Procedure 94 13 Dental 94 14 Dermatology 101 15 E N T 105 16 Gastroenterology 110 17 Maxillo Facial Surgery 113 18 Nephrology 116 19 Neuro Diagnostic Lab 118 20 Oncology 112 21 Ophthalmology 136 22 Orthopedies 142 23 OBS & Gynaecology 149 24 Physiotherapy 154 25 Respiratory Medicine 156 26 Surgery & Major Procedures i. General Surgery 158 ii. Pediatric Surgery 165 iii. PlasticSurgery 170 iv. Neuro Surgery 182 27 Urology 185 28 Interventional Radiology 192 29 Interventional Pain Management 194 30 Paediatric Cardiac Surgery 197 31 Bed Side Service Charges200 2| T a r i f f - AIMS 107 78581/2020/ESTT-NE_HRSection – A GENERAL INFORMATION OUT PATIENT DEPARTMENT OPD Consultations: Superspeciality OPD Consultation * Rs. 700 Specialty OPD Consultation** Rs. 400 to 800 Note: OPD Timing Monday- Saturday ( 8:00AM – 7:00PM) *Super specialty Departments – Cardiac Surgery, Cardiology, Neurology, Neurosurgery, Oncology, Respiratory Medicine, Urology, Plastic Surgery, Gastroenterology, Endocrinology, Paediatric -
Informed Consent for Bone Grafting Surgery
INFORMED CONSENT FOR BONE GRAFTING SURGERY BONE GRAFTING The bone grafting procedure involves opening the gums in the area to expose the existing bone. This is then followed by placing bone material in such a manner so as to augment the existing bone horizontally or vertically. A protective barrier or membrane may then placed over the grafted bone for protection. The gums are then closed over and sutured (stitched) in place to completely cover the bone grafted area. A healing time of 4-6 months is then typically allowed for the bone graft to “take”, mature, and integrate with the surrounding native bone. As discussed, the bone graft material and membrane we’ll be using is derived from a donor source (animal or human) or synthetic. The materials I use have been documented to be safe and reliable. Expected Benefits The purpose of bone grafting in your case would be to increase the width of the existing bone to allow for proper implant placement. It may also help to harmonize the esthetics of the region. The amount of volume achieved is influenced by a number of factors. As such, some cases require multiple grafts to achieve the necessary volume in order to place an implant of a specific size. Principal Risks and Complications Although bone grafting of localized areas to increase the width of existing bone has been shown in clinical studies to be a predictable procedure, in some cases, patients do not respond successfully to the procedure and may require revision procedures to attain the desired result. Because each patient's condition is unique, the procedure may not be successful in preserving function or appearance for the long- term. -
Journal of Vaccines, Immunology and Immunopathology Rijkers GT
Journal of Vaccines, Immunology and Immunopathology Rijkers GT. J Vaccines Immunol 5: 148. Review Article DOI: 10.29011/2575-789X.000148 The Arrest of Christ: Autotransplantation from Miracle to Medical Procedure Ger T. Rijkers1,2* 1Department of Science, University College Roosevelt, Lange Noordstraat, CB Middelburg, The Netherlands 2Laboratory for Medical Microbiology and Immunology, St. Elisabeth Hospital, Tilburg, The Netherlands *Corresponding author: GT Rijkers, Department of Science, University College Roosevelt, Lange Noordstraat 1, CB Middelburg, The Netherlands Citation: Rijkers GT (2020) The Arrest of Christ: Autotransplantation from Miracle to Medical Procedure. J Vaccines Immunol 5: 148. DOI: 10.29011/2575-789X.000148 Received Date: 01 January, 2020; Accepted Date: 13 January, 2020; Published Date: 20 January, 2020 Abstract During the arrest of Christ, one of his disciples, Simon Peter, cut off the ear of a servant of Caiaphas. Christ put the ear back, a miracle and the first recorded autotransplantation. Currently, autotransplantation is an established procedure in reconstructive dental and bone surgery. Autotransplantation of splenic fragments can retain spleen function after splenectomy. Following pancreatectomy for chronic pancreatitis or benign or malignant diseases of the pancreas, islet autotransplantation can prevent diabetes. Autotransplantation of hematopoietic stem cells enables reconstitution of hematopoiesis after intense chemo and/or radiotherapy for leukemia and lymphoma. The development of biomedical technology to generate induced pluripotent stem cells, gene editing with CRISPR Cas, and in vitro organoid cultures opens the possibility to treat a wide array of inborn and acquired diseases by autotransplantation. Introduction The Temptation of St. Anthony (1500-1510) is an altarpiece by Jheronimus Bosch. Colorful altarpieces were closed during the Lenten period, the 40 days’ penitential preparation for Eastern, or just during the final week before Eastern, the Holy Week. -
Donor Handbook
DONOR Together against HANDBOOK blood cancer Charity No: 1150056 / SC046917 THERE ARE SURVIVORS BECAUSE THERE ARE LIFESAVERS DEAR POTENTIAL DONOR If you are reading this handbook you have very likely been asked to donate some of your FOREWORD 2 blood stem cells to someone in desperate need. Or maybe you are reading this because you are considering registering as a potential blood stem cell donor and want to find out more. WHY YOU ARE BEING CONTACTED 3 Whatever stage you are at, this handbook will help you to understand the process of blood How you are matched 4 stem cell donation and outline the support offered to you by the team at DKMS. Confirming you are a match 5 The DKMS organisation started in Germany in 1991 around one family’s search for a donor. Confirmatory Typing process at a glance 7 This search for potential donors still goes on today for every patient in need of a blood stem You have been selected 8 cell donation. DKMS has grown to become the largest international organisation to recruit donors. TWO WAYS TO DONATE BLOOD STEM CELLS 9 Today over 10 million potential donors have registered with DKMS and over 82,000 1. Peripheral Blood Stem Cell Collection 11 donations have taken place, to give people a second chance at life. New hope opens up for 2. Bone Marrow Collection 13 patients worldwide, as our international registry of donors expands both in size and ethnic diversity, meaning that currently 20 people per day get that second chance at life. FREQUENTLY ASKED QUESTIONS 15 Thank you for making the commitment to saving lives. -
Horizontal Bone Augmentation and Simultaneous Implant
www.nature.com/scientificreports OPEN Horizontal bone augmentation and simultaneous implant placement using xenogeneic bone rings technique: a retrospective clinical study Yude Ding1, Lianfei Wang2, Kuiwei Su2, Jinxing Gao1, Xiao Li2 & Gang Cheng1* This study evaluated the use of bone ring technique with xenogeneic bone grafts in treating horizontal alveolar bone defects. In total, 11 patients in need of horizontal bone augmentation treatment before implant placement were included in this retrospective study. All patients received simultaneous bone augmentation surgery and implant placement with xenogeneic bone ring grafts. We evaluated the postoperative efcacy of the bone ring technique with xenogeneic bone grafts using radiographical and clinical parameters. Survival rates of implants were 100%. Cone-beam computed tomography revealed that the xenogeneic bone ring graft had signifcantly sufcient horizontal bone augmentation below the implant neck platform to 0 mm, 1 mm, 2 mm, and 3 mm. It could also provide an excellent peri-implant tissue condition during the 1-year follow-up after loading. The bone ring technique with xenogeneic bone ring graft could increase and maintain horizontal bone mass in the region of the implant neck platforms in serious horizontal bone defects. Over the years, implants have been utilized as the frst-choice treatment to repair dental defects. Several fac- tors critical to the long-term survival of implants and implant support for reconstruction have been identifed. A prerequisite is a sufcient bone receptor site that allows for osseointegration on the surface of the implant especially in the esthetic area1,2. Reports indicate that with implant placement, bone augmentation is ofen required before implantation in the site within 3 mm bone thickness or with a horizontal bone defciency in the class III–IV defects 3,4.