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Clinics and Practice, Volume 15, Issue 1

2025 January - 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
1,657 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
2,531 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
  • Alin Laurentiu Tatu
  • + 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
3,160 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
5 Citations
14,403 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
3,860 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
18 Citations
7,894 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
  • Efstratios Koletsis
  • + 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
7 Citations
5,795 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
  • Giustino Varrassi
  • + 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
2,244 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
5 Citations
2,493 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
5,476 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...

  • Article
  • Open Access
2 Citations
1,818 Views
13 Pages

Objective: This study evaluated the characteristics, outcomes, and mortality-associated factors in patients who underwent tracheostomy after traumatic injury to optimize clinical decision-making and patient care in critical trauma settings. Materials...

  • Article
  • Open Access
2,963 Views
13 Pages

Comparing International Guidelines for the Remission of Hypertension After Bariatric Surgery

  • Carina Vieira Dias,
  • Ana Lúcia Silva,
  • Joana Dias,
  • Paulo Cardoso,
  • Rute Castanheira,
  • Andreia Fernandes,
  • Filipa Nunes,
  • Tina Sanai,
  • Mercedes Sanchez and
  • Ana Luísa De Sousa-Coelho
  • + 1 author

Background/Objectives: Obesity remains a global health concern and is associated with increased risk of type 2 diabetes, hypertension, and cardiovascular disease overall. Dissimilar hypertension guidelines are available for clinicians, namely those p...

  • Article
  • Open Access
1 Citations
1,760 Views
11 Pages

Distribution of Major HLA-A, -B, -DR, and -DQ Loci Potentially Associated with Multiple Sclerosis in a Healthy Population from Southern Morocco

  • Abir Fguirouche,
  • Fatimazahra Ouahmani,
  • Ikram Brahim,
  • Raja Hazime,
  • Nissrine Louhab,
  • Najib Kissani,
  • Mohamed Chraa and
  • Brahim Admou

Background: Many factors contribute to the development and the progression of Multiple Sclerosis (MS), including Human Leukocyte Antigen (HLA) molecules. Some of them are considered as predisposing, like DRB1*15, DRB1*13, DRB1*03, DRB1*04, DQB1*06, D...

  • Article
  • Open Access
4,512 Views
15 Pages

Guidelines for the Management of Complications of Diabetes in Saudi Arabia Using Delphi Technique for Consensus Among National Experts

  • Raed Aldahash,
  • Mohammed A. Batais,
  • Ashraf El-Metwally,
  • Saja Alhosan,
  • Mohammed Alharbi,
  • Mohammed Almutairi,
  • Abdulghani Alsaeed,
  • Mohammed Alsofiani,
  • Mohammed AlMehthel and
  • Sulieman Alshehri
  • + 2 authors

(1) Background: Saudi Arabia has one of the leading cases of diabetes globally, with approximately 27.8% of adults suffering from the disease. Given the negative consequences of diabetes mellitus (DM), it is critical to develop guidelines for its man...

  • Article
  • Open Access
4 Citations
2,033 Views
11 Pages

ChatGPT, Google, or PINK? Who Provides the Most Reliable Information on Side Effects of Systemic Therapy for Early Breast Cancer?

  • Stefan Lukac,
  • Sebastian Griewing,
  • Elena Leinert,
  • Davut Dayan,
  • Benedikt Heitmeir,
  • Markus Wallwiener,
  • Wolfgang Janni,
  • Visnja Fink and
  • Florian Ebner

Introduction: The survival in early breast cancer (BC) has been significantly improved thanks to numerous new drugs. Nevertheless, the information about the need for systemic therapy, especially chemotherapy, represents an additional stress factor fo...

  • Article
  • Open Access
1 Citations
1,262 Views
10 Pages

Background: Diabetes has become one of the most challenging public health problems due to the alarming increase in prevalence and the morbidity and mortality attributed to its acute and chronic complications. Objective: This study aimed to investigat...

  • Case Report
  • Open Access
2,180 Views
7 Pages

Pedicled Radial Forearm “Free” Flap for Intraoral Reconstruction Based on an Unexpectedly High Origin of the Radial Artery—Case Report

  • Marino Lupi-Ferandin,
  • Dinko Martinovic,
  • Ante Pojatina,
  • Ante Mihovilovic,
  • Ema Puizina,
  • Sasa Ercegovic,
  • Ivana Stula,
  • Josko Bozic and
  • Slaven Lupi-Ferandin

Background: Radial forearm free flap (RFFF) is considered one of the workhorses in modern head and neck reconstruction surgery due to its technical simplicity, versatility and less time-consuming harvest. Methods: In this report, we present the case...

  • Case Report
  • Open Access
1,538 Views
12 Pages

Cerebrovascular Accidents After Orthotopic Liver Transplantation in Patients with Hepatopulmonary Syndrome: A Case Series

  • Steffi K. Chan,
  • Manuel M. Buitrago Blanco,
  • Nicholas J. Feduska,
  • Vatche G. Agopian,
  • Samer S. Ebaid,
  • Tisha Wang,
  • Ami Tamhaney and
  • Igor Barjaktarevic

Background: Hepatopulmonary syndrome (HPS), defined by the presence of pulmonary vascular dilatations that cause right-to-left transpulmonary shunting of venous blood with a consequential increase in the alveolar–arterial oxygen gradient, is a...

  • Review
  • Open Access
1 Citations
2,743 Views
13 Pages

Magnetic Resonance Imaging Techniques for Post-Treatment Evaluation After External Beam Radiation Therapy of Prostate Cancer: Narrative Review

  • Eleni Bekou,
  • Admir Mulita,
  • Ioannis Seimenis,
  • Athanasia Kotini,
  • Nikolaos Courcoutsakis,
  • Michael I. Koukourakis,
  • Francesk Mulita and
  • Efstratios Karavasilis

Background/Objectives: This study aimed to investigate the prognostic value of advanced techniques of magnetic resonance imaging (MRI) biochemical recurrence (BCR) after radiotherapy in patients with prostate cancer (PCa). Methods: A comprehensive li...

  • Article
  • Open Access
1 Citations
4,123 Views
17 Pages

Innovative Damage Assessment of Endodontic Instruments Based on Digital Image Stacking

  • Raúl Argüello-Sánchez,
  • Ivette Alejandra Calderón-Alday,
  • Antonio Hernández-Morales,
  • Benjamín Gonzalo Rodríguez-Méndez,
  • Diego Medina-Castro,
  • Régulo López-Callejas and
  • Carlo Eduardo Medina-Solís

Background/Objectives: The damage assessment of dental instruments, such as endodontic files, is crucial to ensure patient safety and treatment quality. Conventional scanning electron microscopy (SEM) has been the gold standard for this purpose; howe...

  • Review
  • Open Access
1 Citations
7,788 Views
12 Pages

Spinal cord injury (SCI) is defined as physical damage that alters the function and structure of the spinal cord. Traumatic causes, such as vehicle accidents, falls, and violence, account for 90% of SCI cases. Recent evidence suggests that early inte...

  • Case Report
  • Open Access
1,391 Views
12 Pages

Purpose: Multi-ligament reconstruction in adolescent patients affected by congenital femoral deficiency is an extremely rare and delicate surgical procedure. There are very few reported cases of complete anterior and posterior cruciate ligament agene...

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Clin. Pract. - ISSN 2039-7283