BACKGROUND Vertebral artery variations are common in thoracic aortic patients. If patients have the aberrant left vertebral artery, the more difficult to determine the treatment modality. CASE PRESENTATION We report the case of a 63-year-old man with an aberrant left vertebral artery originating from an aneurysmal aortic arch. The patient underwent a successful hybrid thoracic endovascular ao...

BACKGROUND Internal jugular vein thrombosis is a rare vascular event with a potentially fatal outcome. Of the known etiologies, internal malignancies, either known or occult, are well described. Even though malignancies are known to present with internal jugular vein thrombosis, it rarely occurs due to prostate carcinoma. Many cases of jugular vein and superior vena cava thrombosis secondary to...

As we know breast cancer is the second death reason in Iran. One step of treatment process is radiotherapy, which needs careful consideration of contouring and therapeutic techniques Lung, thyroid, spinal cord, trachea and humerus are sensitive organs in breast cancer radiation therapy.  The most clinical studies recommended two ways for delivering 95 percent of dose to supraclavicular and ...

i ntroduction: our study was designed to assess the effect of the submucosal injection of dexamethasone on postoperative discomfort after surgical removal of impacted mandibular third molars. m at erials and methods : twenty six patients with bilaterally bony impacted mandibular third molars were recruited to this split mouth study. on the study side, prior to surgery, 8 mg of dexamethasone was...

Background: The supraclavicular approach to brachialplexus block (SCB) is indicated for operations of upper extremity distal the shoulder; infraclavicular (ICB) arm, elbow, wrist, and hand. Objective study was compare brachial plexus with in limb surgeries using peripheral nerve stimulator.Methods: This prospective conducted among 78 patients, 39 each group block, posted various on elective or ...

Head and neck surgery has witnessed an increase in microvascular reconstructive procedures with free flaps over the last 20 years as they offer efficient functional recovery. Nevertheless, under certain circumstances they may be contraindicated or cannot be used. We present the use of supraclavicular pedicled flap in three patients with different recipient sites. All patients had acceptable fun...

We report a case of a 70-year-old man who presented with abdominal pain and weight loss, with initial imaging showing simultaneous mass lesions in the pancreas and lungs along with extensive lymphadenopathy in the thorax up to the left supraclavicular region. Core biopsies of the left supraclavicular lymph node showed squamous cell carcinoma, which required differentiation between secondary and...

A 20-year-old white man sought medical attention after noting the development of nontender masses in the left supraclavicular and left flank regions. There was no history of trauma, recent illness, prior similar masses, fever, chills, weight loss, or other symptoms. Past medical history was notable only for the excision of a “rib cyst” at age 12. He did not smoke, use alcohol or take any medica...

Cystic lymphangiomas are a congenital malformation of the lymphatic system resulting from sequestration of the lymphatic tissue, which no longer interacts normally with the surrounding lymphatic system [1]. Lymphangioma commonly occur in the neck (70%), axilla (30%) or abdomen (10%) [2] and are rare in the breast. A 45 year old female presented in the surgery outpatient department with complain...

A Doppler ultrasound bloodflow detector was used to localize the third division of the subclavian artery, rendering the supraclavicular approach to the brachial plexus safer and highly successful.