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Clinics and Practice, Volume 15, Issue 1

January 2025 - 22 articles

Cover Story: This case report describes a unique instance of intraoral reconstruction using a pedicled radial forearm flap due to an unexpectedly high origin of the radial artery. A 56-year-old woman with sublingual squamous cell carcinoma underwent surgical resection and planned reconstruction with a radial forearm free flap (RFFF). Preoperative assessments, including ultrasound and the Allen test, indicated normal vascular anatomy. However, during surgery, the radial artery was found to originate near the axillary region; hence, the RFFF was converted into a pedicled flap, tunneled subcutaneously to the cervical region and successfully used for reconstruction. This rare anatomical variation underscores the need for comprehensive preoperative imaging to identify vascular anomalies that may alter surgical planning and highlights the adaptability of the RFFF in challenging scenarios. View this paper
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Articles (22)

  • Case Report
  • Open Access
1 Citations
1,596 Views
9 Pages

A Newborn with Cleft Palate Associated with PTEN Hamartoma Tumor Syndrome

  • Ulf Nestler,
  • Daniel Gräfe,
  • Vincent Strehlow,
  • Robin-Tobias Jauss,
  • Andreas Merkenschlager,
  • Annika Schönfeld and
  • Florian Wilhelmy

Background: PTEN hamartoma tumor syndrome (PHTS) has evolved into an umbrella term for a range of syndromes, characterized by loss-of-function variants in the phosphatase and tensin homolog (PTEN) tumor suppressor gene on chromosome 10q23.31. This ca...

  • Article
  • Open Access
2,309 Views
15 Pages

Immunosuppression and Outcomes in Patients with Cutaneous Squamous Cell Carcinoma of the Head and Neck

  • Doriana Iancu,
  • Ana Fulga,
  • Doina Vesa,
  • Iuliu Fulga,
  • Dana Tutunaru,
  • Andrei Zenovia,
  • Alin Ionut Piraianu,
  • Elena Stamate,
  • Corina Sterian and
  • Florentin Dimofte
  • + 2 authors

Cutaneous squamous scell carcinoma (cSCC) is a frequent non-melanoma skin cancer that originates from keratinocytes with increased prevalence. cSCC can be either in situ, as in Bowen’s disease, or extended. Advanced age, accumulated sun exposur...

  • Article
  • Open Access
3 Citations
2,911 Views
8 Pages

Evaluating the Efficacy of Combined Intravaginal Estriol Therapy and Kegel Exercises in Managing Menopausal Atrophic Vulvovaginitis

  • Lucian Șerbănescu,
  • Vadym Rotar,
  • Dragoș Brezeanu,
  • Sebastian Mirea,
  • Elena-Valentina Ionescu and
  • Paris Ionescu

Background: This is a prospective study. Atrophic vulvovaginitis (VVA), a prevalent condition resulting from estrogen deficiency after the menopause, is characterized by symptoms such as vaginal dryness, itching, burning, dyspareunia, and urinary dis...

  • Article
  • Open Access
4 Citations
12,920 Views
17 Pages

Barriers and Factors Affecting Nursing Communication When Providing Patient Care in Jeddah

  • Ruba M. Alharazi,
  • Rahaf J. Abdulrahim,
  • Alhanouf H. Mazuzah,
  • Reem M. Almutairi,
  • Hayfa Almutary and
  • Aisha Alhofaian

Background/Objectives: Effective communication between nurses and patients plays a crucial role in the delivery of quality healthcare services, especially when caring for patients from diverse cultural backgrounds. It fosters trust, understanding, an...

  • Review
  • Open Access
2 Citations
3,399 Views
18 Pages

The Relevance of the Virchow Node and Virchow Triad in Renal Cancer Diagnosis

  • Luiza-Roxana Dorobantu-Lungu,
  • Viviana Dinca,
  • Andrei Gegiu,
  • Dan Spataru,
  • Andreea Toma,
  • Luminita Welt,
  • Mihaela Florentina Badea,
  • Constantin Caruntu,
  • Cristian Scheau and
  • Ilinca Savulescu-Fiedler

Background: The purpose of this article is to overview the clinical significance of left supraclavicular adenopathy and review the etiology of inferior vena cava (IVC) thrombosis, starting from a presentation of a rare case of renal cell carcinoma (R...

  • Review
  • Open Access
13 Citations
7,286 Views
25 Pages

Artificial Intelligence in Cardiac Surgery: Transforming Outcomes and Shaping the Future

  • Vasileios Leivaditis,
  • Eleftherios Beltsios,
  • Athanasios Papatriantafyllou,
  • Konstantinos Grapatsas,
  • Francesk Mulita,
  • Nikolaos Kontodimopoulos,
  • Nikolaos G. Baikoussis,
  • Levan Tchabashvili,
  • Konstantinos Tasios and
  • Ioannis Maroulis
  • + 2 authors

Background: Artificial intelligence (AI) has emerged as a transformative technology in healthcare, with its integration into cardiac surgery offering significant advancements in precision, efficiency, and patient outcomes. However, a comprehensive un...

  • Review
  • Open Access
4 Citations
5,429 Views
16 Pages

Role of Cannabis in the Management of Chronic Non-Cancer Pain: A Narrative Review

  • Lou’i Al-Husinat,
  • Shrouq Obeidat,
  • Saif Azzam,
  • Yara Al-Gwairy,
  • Fatima Obeidat,
  • Sarah Al Sharie,
  • Deema Haddad,
  • Fadi Haddad,
  • Martina Rekatsina and
  • Matteo Luigi Giuseppe Leoni
  • + 1 author

Chronic non-cancer pain, defined by the Center for Disease Control and Prevention (CDC) as lasting beyond three months, significantly affects individuals’ quality of life and is often linked to various medical conditions or injuries. Its manage...

  • Article
  • Open Access
2,019 Views
16 Pages

Impact of Comorbidities on Prognosis and Treatment Outcomes in Elderly Patients with Hodgkin Lymphoma

  • Dávid Tóthfalusi,
  • Boglárka Dobó,
  • Fanni Borics,
  • László Imre Pinczés,
  • Árpád Illés and
  • Zsófia Miltényi

Background/Objectives: Hodgkin lymphoma (HL) primarily affects young adults, but about 20% of cases occur in patients over the age of 60 years. Older individuals often have comorbidities and poorer functional status, which can affect treatment choice...

  • Article
  • Open Access
4 Citations
2,290 Views
12 Pages

Decoding Urinary Tract Infection Trends: A 5-Year Snapshot from Central Portugal

  • Francisco Rodrigues,
  • Patrícia Coelho,
  • Sónia Mateus,
  • Armando Caseiro,
  • Hatem Eideh,
  • Teresa Gonçalves and
  • Miguel Castelo Branco

Introduction: This study analyzes urinary tract infections (UTIs) in a hospital in Central Portugal over a five-year period, focusing on bacterial prevalence, patient demographics, and antibiotic resistance patterns. This investigation aims to provid...

  • Review
  • Open Access
5 Citations
5,039 Views
15 Pages

Emergency Airway Management: A Systematic Review on the Effectiveness of Cognitive Aids in Improving Outcomes and Provider Performance

  • Raisa Chowdhury,
  • Ostap Orishchak,
  • Marco A. Mascarella,
  • Bshair Aldriweesh,
  • Mohammed K. Alnoury,
  • Guillaume Bousquet-Dion,
  • Jeffrey Yeung and
  • Lily Ha-Nam P. Nguyen

Background/Objectives: Emergency airway management is a critical skill for healthcare professionals, particularly in life-threatening situations like “cannot intubate, cannot oxygenate” (CICO) scenarios. Errors and delays in airway manage...

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Clin. Pract. - ISSN 2039-7283