Custom PMMA implant and DBX Cranioplasty for large cranial calavarial defects

Following a post-traumatic head injury from a gun shot wound in a seven year old African American female, a 3D CT was performed to assess for correction of a large cranial calavarial defect using a custom PMMA implant. A trilaminar Cranioplasty was planned using an absorbable plate underlay, demineralized bone graft in between and an onlay of absorbable plate. A post-operative CT was obtained showing the implant in a good position.

Breast Reduction Mammoplasty: Inferior Pedicle Technique

Patient X is a  20-year-old Caucasian woman who suffers from symptomatic macromastia. A Wise pattern skin resection was drawn, beginning by marking a point 20.5cm from the suprasternal notch on each breast along the breast meridian, indicating the apex of the skin resection and position of the future nipple placement.  A triangle was then drawn with sides of 8cm each and a base of 7cm, with the apex again at the point noted above. The base of the inferior pedicle was drawn by marks 5.5cm to either side of this intersection, giving a pedicle with a 11cm base.  Additional anatomic landmarks were also marked, including the suprasternal notch, and the sternal midline.

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