External ear abnormalities are common. These may affect ear shape, size, prominence and degree of development. They may also be associated with hearing loss. The early identification and management of hearing loss is essential. There are several options for reconstruction of the external ear using both autologous and non‐autologous techniques. The aim of this article is to outline the different reconstructive options.
Background
Dog bite injuries are largely preventable yet present the most common animal related cause of hospitalisation. This study examines the demographics and clinical cost of patients with dog bite related injuries who presented to Sydney Children's Hospital (SCH) from 2010 to 2020. The results from our study will be used to raise awareness regarding the impact of dog bite injuries in our community.
Methods
Data was obtained from the SCH database using ICD‐10‐AM code W54.0, which captures all patients presenting to SCH with dog bite injuries from 2010 to 2020. A chart review was then performed to retrieve demographic data for analysis. Data analysis was performed using SAS® software version 9.4 and cost for each patient retrieved from the SCH clinical costing department.
Results
A total of 628 patients presented to SCH with dog bites during the study period. 273 (43.5%) patients received treatment in ED only with the remaining 355 (56.5%) patients admitted for treatment. The average age was 5.69 years old. There were 321 males (51.1%) and 307 females (48.9%). Facial and other head & neck injuries were most common (64.4%). Pitbull, Labrador and Rottweiler were the most commonly documented offending breeds (25%) with the family dog most likely to offend (49%). The mean clinical cost for per dog bite injury was $2968.
Conclusion
As part of the largest single centre study exploring dog bite injuries, we expect that this study will stimulate potential public health campaigns targeted at educating parents and children on interacting with dogs to minimise these injuries.
Background: Ectopic pregnancy rarely occurs in the uterine cornu. When it does, it exposes the affected patient to the risk of death from rupture with intra-abdominal bleeding. Its surgical management is difficult. The primary modalities for treating this condition are surgery in the form of laparotomy and methotrexate administration. They both have advantages and potential shortcomings. An alternative option is operative laparoscopy, which may be preferable to these other approaches under certain circumstances. Cases: Three cases of women with unruptured cornual ectopic pregnancies that were managed by operative laparoscopy, are reported. All pregnancies were advanced, with large cornual masses and high beta-subunit hCG levels. The operative procedure involved use of an endo-GIA (Tyco U.S. Surgical, Norwalk, CT), cautery, endoclips, and Surgicel ( Johnson & Johnson Medical, Inc, Arlington, TX). It was completed without complications. Blood loss was not excessive. Operative time was somewhat prolonged, probably reflecting a long learning curve for this technique. Conclusions: Operative laparoscopy was found to be feasible and safe as a potentially utilitarian alternative to laparotomy or conservative medical management for advanced unruptured cornual pregnancies. It may benefit selected patients whose cardiovascular status is stable and whose advanced cornual pregnancy has not yet ruptured. ( J GYNECOL SURG 27:155)
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.