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Kim Alexander Tønseth

Publications and source records attributed to Kim Alexander Tønseth.

10 recordsLinked to original sources
PubMed2006

Evaluation of patients after treatment of arterial priapism with selective micro-embolization.

OBJECTIVE: Arterial (high-flow) priapism is characterized by a prolonged non-painful erection without sexual arousal as a result of unregulated inflow of blood to the corpus cavernosum. Treatment is based on decreasing this elevated inflow, primarily by means of selective arteriography and embolization. The aim of this study was to evaluate the treatment of patients with arterial priapism. MATERIAL AND METHODS: In the period between 1990 and 2004, 10 patients with arterial priapism were admitted to our department. The mean age when priapism developed was 32 years (range 11-62 years). Eight patients were treated with selective embolization, one was operated on and one refused treatment. Nine patients completed a standardized questionnaire which included the International Index of Erectile Function (IIEF-5). The mean follow-up time after treatment was 70 months. RESULTS: All patients treated with selective embolization achieved reduced tumescence. Six out of eight patients had an improved IIEF-5 score after treatment. In nine men, the etiology of the arterial priapism was perineal trauma. In one case, an anomaly with an accessory artery to the corpus cavernosum was diagnosed, which required surgery, and in one case recurrence of the priapism necessitated a second embolization. CONCLUSIONS: Selective embolization results in reduced tumescence and an improvement in erectile function in patients with arterial priapism. Trauma to the perineum was the main etiology in this study.

Adolescent↗
PubMed2005

[Treatment of erectile dysfunction with penile implants].

BACKGROUND: Penile implants are the final step in the treatment of erectile dysfunction. The aim of this study was to evaluate patients treated with penile implants in our department. MATERIAL AND METHODS: From 1990 to 2002, 37 men with erectile dysfunction were treated with a three-component penile implant (AMS 700). In 2 patients the implant was removed; 2 patients were dead at the time of the study. The remaining group (n = 33) received a questionnaire concerning their penile implants, of whom 27 (82 %) responded. Mean observation time after surgery was 6 years. Mean age at surgery was 50 (27 - 68 years). RESULTS: Diabetes mellitus, trauma and venous insufficiency were the main reasons (68 %) for dysfunction in this patient group. Five patients had perioperative or early postoperative complications. Nineteen (51 %) were re-operated mainly because of dislocation (n = 5), perforation (n = 4) or mechanical failure (n = 4) of the implant. Twenty (74 %) patients were satisfied after surgery. There was no significant improvement in libido or in the relationship with partners. INTERPRETATION: Three out of four patients were pleased to have the penile implantation done despite the high reoperation rate.

Adult↗
PubMed2005

[A six-year-old girl with dyspnea following tracheocutaneous repair].

BACKGROUND: A few patients develop prominent scars combined with persistent fistula after the removal of a long-standing tracheostomy tube. The procedure needed to correct the condition is generally considered minor surgery, normally without any significant complications. We describe, however, a patient who developed a particularly complicated postoperative course. MATERIAL AND METHODS: The patient was a six-year-old girl who underwent surgery because of significant scar formation and a persistent small tracheocutaneous fistula eight months after removal of the tube. Postoperatively she had a cough attack and developed spontaneously subcutaneous emphysema, pneumomediastinum and bilateral pneumothorax. She required intensive care, thoracic drainage and antibiotic prophylaxis. Over the next days her situation improved and she was discharged on the sixth day. INTERPRETATION: Operative treatment of scarring after tracheostomy in which the surgeon also confronts a tracheocutaneous fistula or an opening into the tracheal lumen requires postoperative observation so that any severe complications can be managed.

Child↗
PubMed2005

[40 years of silicone breast implants].

BACKGROUND: It is estimated that approximately 50,000 Norwegian women have silicone breast implants following breast augmentation or breast reconstruction. Their numbers are growing and doctors will more often be confronted with the health problems related to these implants. MATERIAL AND METHODS: This review is based on information retrieved from Medline and our clinical experience. RESULTS AND INTERPRETATION: The modern silicone breast implant is the product of four decades of development. The ongoing debate on health problems associated with the implants has been a vibrant stimulator for research, but a causal relationship between implants and the development of breast cancer and autoimmune defects has not been found. The implants are not, however, without complications; more research is required in order to improve the implants and for quality assurance of treatment and follow up.

Breast Implantation↗
PubMed2005

[Brace treatment of idiopathic scoliosis].

BACKGROUND: Idiopathic scoliosis is a complex three-dimensional deformity of the spine. In order to prevent a progressive course of the disorder, brace treatment is started in selected patients. The aim of this study was to evaluate the effect of brace treatment on the structural components in patients with idiopathic scoliosis. MATERIAL AND METHODS: We selected 54 patients and analysed standing radiographs at different stages. Cobb angle, lateral deviation, wedge angle and axial rotation were calculated. The patients were divided into two groups: group A, characterised by an initial correction with a following increase, and group B, in which the patients' disorder took a progressive course. RESULTS: 43 out of the 54 patients (79.6 %) had an initial correction followed by a gradual increase of the analysed variables. Cobb angle and the lateral deviation demonstrated a maximum significant correction of 23.8 % and 23.2 % respectively. After treatment the Cobb angle was 93.4 % and the lateral deviation was 106.1 % compared to the values measured before treatment. Axial rotation and wedge angle did not show any significant differences during follow up. Despite brace treatment, the disorder took a progressive course in the 11 patients (20.4 %) in group B. INTERPRETATION: This study indicates that brace treatment gives an initial correction of the analysed structural components of the scoliotic spine in four out of five patients. This is followed by a slow increase in the variables. This effect is most pronounced on Cobb angle and lateral deviation. In one out of five patients the disorder took a progressive course in spite of the brace treatment.

Adolescent↗
PubMed2005

Ultrasonographic evaluation of the rectus abdominis muscle after breast reconstruction with the DIEP flap.

The aim of this study was to evaluate whether the dissection of the vascular pedicle of the deep inferior epigastric perforator (DIEP) flap could induce secondary muscle atrophy. Evaluation of the rectus abdominis muscle was performed using ultrasonography, and the muscle thickness was measured as an expression of muscle substance. This was performed at 4 levels: below the xiphoid process, at the umbilicus level, above the symphysis, and between the 2 last mentioned (central zone). The results were expressed as the ratio of the muscle thickness on the operated side where dissection of the vascular pedicle was performed to the thickness of the contralateral not operated muscle. Thirteen patients were included with a mean follow up of 20 months (range, 7-42 months). The combined measurements showed that the thickness of the muscle as a whole was significantly reduced on the operated side compared with the opposite side. Broken down to the specific levels, the greatest reduction in thickness, approximately 10%, was found at the xiphoid process and above the symphysis. We conclude that performing the dissection of the vascular pedicle of the DIEP flap gives a small but significant degree of muscular atrophy.

Atrophy↗
PubMed2004

[Breast reconstruction following mastectomy].

BACKGROUND: Breast cancer is the most common cancer in women, many of whom feel less feminine after the loss of a breast. Breast reconstruction can strengthen their self image, hence it is an excellent treatment option for those who have had a mastectomy. MATERIAL AND METHODS: This review is based on information retrieved from Medline and on clinical experience. We have also asked all departments of plastic surgery in Norway which methods of breast reconstruction they are using. RESULTS AND INTERPRETATION: Breast reconstruction following mastectomy is performed by plastic surgeons and if necessary in cooperation with breast surgeons. The missing breast can be reconstructed with an implant, autologous tissue or by combining the two methods. Many years of experience have resulted in high standards within reconstructive breast surgery. In Norway breast reconstruction is performed in every department of plastic surgery.

Breast Implants↗
PubMed2003

[Keloid and hypertrophic scars].

BACKGROUND: Keloid and hypertrophic scars develop most frequently in wounds with high skin tension and especially on the upper truncus. Both are characterized by an excessive dysfunctional collagen metabolism. MATERIAL AND METHODS: The article presents data from research in current literature and discuss the treatment of keloid and hypertrophic scars. RESULTS AND INTERPRETATION: Patients that are undergoing elective surgery should be handled with surgical techniques that reduce wound closing tension. Patients who are at high-risk or show excessive scar development should follow standard treatment. First-line therapy is silicone sheeting and/or pressure. In case of minimal response, steroid injections should be started after two months. The patient must be re-evaluated for a surgical approach combined with conservative treatment if the result is unsatisfactory after 12 months.

Cicatrix, Hypertrophic↗
PubMed2003

[Stress ulcer].

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Aged↗