Modified technique of levator plication for the correction of Marcus Gunn jaw-winking ptosis: a case series

2015 ◽  
Vol 35 (4) ◽  
pp. 587-591 ◽  
Author(s):  
Mandeep Singh Bajaj ◽  
Dewang Angmo ◽  
Neelam Pushker ◽  
Maya Hada
Keyword(s):  
Case Series ◽  
Modified Technique

scholarly journals Pulsed Radiofrequency Application at Some Dorsal Root Ganglions Could Cause Drastic Neuromodulation throughout the Whole Body

2017 ◽  
pp. 223-229
Author(s):  
Young-Chang Arai
Keyword(s):  
Dorsal Root Ganglion ◽  
Analgesic Effect ◽  
Dorsal Root ◽  
Nervous Tissue ◽  
Case Series ◽  
Nerve Fibers ◽  
Whole Body ◽  
Intractable Pain ◽  
Pulsed Radiofrequency ◽  
Modified Technique

Background: The modified technique, pulsed radiofrequency (PRF) procedure, applied to nervous tissue has been providing anecdotal benefits for the management of chronic and intractable pain conditions. Although PRF has a neuromodulatory effect instead of thermally lesioning nervous tissue, the mechanism underlying the analgesic effect of PRF has not been fully clarified yet. Objectives: To see the changes of electricallyevoked responses of peripheral A-δ and A-β nerve fibers and the analgesic effect induced by PRF. Study Design: Case series. Setting: Inpatient. Methods: This study investigated how dorsal root ganglion (DRG) PRF influenced electricallyevoked responses of peripheral A-δ and A-β nerve fibers at the treated root ganglion dominating areas in five patients with intractable vertebral metastatic pain. Results: DRG PRF provided sound pain relief for patients with intractable vertebral metastatic pain. PRF application at DRGs had a different effect on electrically-evoked responses of peripheral A-δ and A-β nerve fibers at not only the treated root ganglion dominating areas but also the nontreated root ganglion dominating areas far from the treated root ganglion dominating areas in each patient. Limitation: This report is a case series. Conclusions: PRF application at some peripheral nerves could cause drastic neuromodulation throughout the whole body. Key words: Pulsed radiofrequency, dorsal root ganglion block, neuromodulation

Modified Technique for Nipple-Areolar Reconstruction: A Case Series

2003 ◽  
Vol 112 (5) ◽  
pp. 1274-1278 ◽  
Author(s):  
David Parker Bogue ◽  
Anil K. Mungara ◽  
Mike Thompson ◽  
Paul S. Cederna
Keyword(s):  
Case Series ◽  
Modified Technique

scholarly journals A modified technique for paravaginal repair for the treatment of anterior vaginal prolapse and cystocele: a retrospective study

2020 ◽  
Author(s):  
Shuai Huang ◽  
Qiubo Lv ◽  
Ye Li ◽  
Min Li ◽  
Sichen Zhang
Keyword(s):  
Case Series ◽  
Vaginal Prolapse ◽  
Cure Rate ◽  
Modified Technique ◽  
Sacrospinous Ligament Fixation ◽  
Paravaginal Repair ◽  
Grade Ii ◽  
Anterior Vaginal Prolapse ◽  
Objective Cure

Abstract Background We aimed to determine the efficacy and safety of a modified protocol for paravaginal repair for treating symptomatic paravaginal defect cystocele. Methods This study was an observational case series of 98 consecutive female patients, referred to our hospital between June 2014 and May 2018, with symptomatic grade II to IV paravaginal defects and cystocele. Our modified technique for paravaginal repair is based on the conventional protocol but incorporates reverse bridge repair and the cross-stitching of bilateral sutures. The curative effect of this new technique was evaluated subjectively and objectively during postoperative follow-up. Results All operations were successful. Patients were followed up for 12 to 48 months, until June 2019; the mean follow-up period was 32.4 months. Three months after surgery (98 cases), the subjective cure rate was 100%; in each case, the top of the vagina lay above the level of the sciatic spine. The objective cure rate was 100%. The objective cure rate was 94.9% (93 cases) twelve months after surgery (98 cases), 91.0% (61 cases) twenty-four months after surgery (71 cases), and 76.2% (16 cases) forty-eight months after surgery (21 cases). Four cases required a second round of surgery; three of these cases were treated with sacrocolpopexy, and one case was treated with sacrospinous ligament fixation. Conclusion Our modified technique for paravaginal repair was safe and effective for the treatment of anterior vaginal prolapse and cystocele, as confirmed by the results observed over a mean follow-up period of 32.4 months.

scholarly journals Modified osteotomy with elevation of the first metatarsal

2018 ◽  
Vol 12 (2) ◽  
pp. 140-144
Author(s):  
Daniel Kamura Bueno ◽  
Rafael Trevisan Ortiz ◽  
Tarsis Padula Dos Santos ◽  
Rafael Barban Sposeto ◽  
Rodrigo Sousa Macedo ◽  
...  
Keyword(s):  
Case Series ◽  
Technical Difficulty ◽  
Foot Deformities ◽  
Modified Technique ◽  
Level Of Evidence ◽  
Radiographic Findings ◽  
First Metatarsal ◽  
Screw Breakage ◽  
First Ray ◽  
And Gender

Objective: The main objective of this study is to describe the preliminary results of modified osteotomy with elevation of the first metatarsal to repair cavovarus foot deformities. Methods: In a five-case series, radiographic findings related to the modified osteotomy with elevation of the first ray were analysed.Results: Five patients who underwent a modified osteotomy with elevation were followed up for a minimum of six months. One hundred percent consolidation rates were observed, with no complications related to the materials, such as screw breakage, screw loosening and/or pseudoarthrosis (0% of the cases), regardless of age and gender. Conclusion: The modified technique generates an osteotomy plane that is more horizontal, reducing the technical difficulty and resulting in less risk of loss of fixation during passage of the screw. Using a single screw for fixation reduces the cost of the procedure and pseudarthrosis rates. Level of Evidence IV; Therapeutic Studies; Case series.

scholarly journals Outcome of a modified sympathicotomy for cardiac neuromodulation of untreatable ventricular tachycardia

EP Europace ◽  
2021 ◽  
Vol 23 (Supplement_3) ◽  
Author(s):  
FM Cauti ◽  
P Rossi ◽  
J Vannucci ◽  
M Polselli ◽  
C Rossi ◽  
...  
Keyword(s):  
Ventricular Tachycardia ◽  
Stellate Ganglion ◽  
Case Series ◽  
Structural Heart Disease ◽  
Early Recurrence ◽  
Modified Technique ◽  
Funding Sources ◽  
Surgical Data ◽  
Procedural Complications ◽  
The Right

Abstract Funding Acknowledgements Type of funding sources: None. OBJECTIVES This study aimed to describe the results of a modified sympathicotomy (uniportal VATs with stellate ganglion sparing) for cardiac sympathetic denervation (CSD) in the setting of untreatable ventricular tachycardia. BACKGROUND. CSD, in patients with refractory ventricular tachycardia (VT), is comprehensively recognized as an important treatment option for patients with structural heart disease as well as congenital inherited arrhythmia syndrome. A recent case series demostrated  the feasibility of the modified technique. METHODS We consecutively enrolled 8 patients with refractory VT. Baseline demographic, medical, and surgical data as well as arrhythmia outcomes and procedural complications were evaluated. RESULTS A total of 8 patients ( 7 pts NIDCM, 1 pt IDCM with mean age:68+-8 years) were enrolled for the treatment of refractory VT with a modified CSD technique. Mean sympathicotomy length were 7.3 (SD 3) min per side. 3/8 patients underwent monolateral (LCSD) sympathicotomy due to strong adesion in the right pleural cavity. Mean follow up was 13 months (SD 6). No complication occurred during the sympathicotomy. An overall reduction in VT burden and VT number was observed after the CSD despite an in-hospital early recurrence in 3 patients. CONCLUSIONS A modified CSD (sympathicotomy T2–T5) with stellate ganglion sparing and the use of unipolar radiofrequency is feasible, effective, and safe in the setting of untreatable VT. Abstract Figure. VT trend

scholarly journals Pulley Reconstruction for Symptomatic Instability of the Tendons of the First Extensor Compartment Following de Quervain's Release

2017 ◽  
Vol 07 (01) ◽  
pp. 031-037
Author(s):  
Daan Renson ◽  
Koen Mermuys ◽  
Bert Vanmierlo ◽  
Francis Bonte ◽  
Petrus Van Hoonacker ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Surgical Procedures ◽  
Case Series ◽  
Decompression Surgery ◽  
Modified Technique ◽  
Level Of Evidence ◽  
De Quervain’S Tenosynovitis ◽  
First Extensor Compartment ◽  
Excellent Functional Outcome ◽  
Extensor Compartment

Background Surgical management of de Quervain's tenosynovitis is based on decompression of the first extensor compartment. A simple release of the first compartment can cause instability of the extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons in zone seven of the extensors. The WHAT test (wrist hyperflexion and abduction of the thumb) is very effective in diagnosing this instability. Patients and Methods In this retrospective monocentric study, we analyzed a case series of 10 patients all of whom underwent a reconstruction of the first extensor compartment using a retinacular graft because of symptomatic instability after decompression surgery. The reconstruction was a modified technique of the sixth compartment. Functional outcome and characteristics of the newly reconstructed pulley were examined by physical examination with the aid of ultrasound and internationally validated questionnaires. Results Four patients had a good-to-excellent functional outcome, all of those had a maximum of two surgical procedures performed on the first extensor compartment. Six patients presented poor functional outcome. In four of them, more than two surgical procedures were performed. Minor residual instability was noted in six cases, found in both the groups. Conclusion The reconstruction procedures on the first compartment seemed to be satisfactory in treating instability of the EPB and APL tendons after primary surgical release for de Quervain's disease. Level of Evidence Level IV, observational study without controls.

scholarly journals Beveled Osteotomies in Lateral Orbitotomy Using a Customized Rotating Bone Saw for Orbital Neoplasms

2015 ◽  
Vol 8 (2) ◽  
pp. 141-149
Author(s):  
Maria Donna Damo Santiago ◽  
ProsperoMaria Tuano
Keyword(s):  
Stainless Steel ◽  
Cosmetic Surgery ◽  
Case Series ◽  
Successful Outcome ◽  
Excision Biopsy ◽  
Modified Technique ◽  
Orbital Neoplasms ◽  
Lateral Orbitotomy ◽  
Orbital Wall ◽  
Primary Service

This study aims to develop a novel method of beveled osteotomy for lateral orbitotomy using a customized 21-mm stainless steel rotating saw in lateral orbitotomy and to evaluate the outcome of a novel beveled osteotomy in lateral orbitotomy. This article presents a case series (19 orbits from 18 patients) of lateral orbitotomies for excision biopsy of orbital neoplasms, over a 10-year period (from September 2001 to October 2011). It is a retrospective observational study. The surgeries were performed under the primary service of one surgeon (M. D. D. S.), the author of this study. All patients were treated via beveled osteotomies in lateral orbitotomy using a stainless steel, 21 mm diameter, customized rotating bone saw. Preoperative and postoperative measurements were tabulated and statistically analyzed. The case series demonstrated that beveled osteotomies in lateral orbitotomy using a stainless steel, 21 mm diameter, customized rotating bone saw was technically possible and provided access to lateral subperiorbital, peripheral, and central surgical spaces. The exposure was ample for excision biopsy of all neoplasms in this study. No patient needed the use of miniplate hardware in repositioning the lateral orbital wall nor complained of a palpable deformity of the lateral orbital wall. The wound healing was rapid, with minimal tissue distortion or scars. There were two patients who developed skin burns, but neither required a cosmetic surgery to correct scarring from the burn. It was concluded that the modified technique of beveled osteotomies in lateral orbitotomy provides excellent access to the lateral subperiorbital, peripheral and central surgical spaces. The exposure was adequate for excision biopsy of all neoplasms in this study. The technique promotes osseous union without the use of miniplate hardware. The use of a stainless steel 21 mm diameter customized rotating bone saw facilitated the successful outcome of the beveled technique.

scholarly journals Ahmad’s modified trabeculectomy technique

2019 ◽  
Vol 16 (4) ◽  
pp. 231-240
Author(s):  
Syed Shoeb Ahmad
Keyword(s):  
Intraocular Pressure ◽  
Case Series ◽  
Interquartile Range ◽  
Modified Technique ◽  
Filtering Bleb ◽  
Significant Difference

Aim or purpose: To present a modified technique of trabeculectomy. Design: Ahmad’s modified trabeculectomy technique aims to utilize subtle modifications to the classical trabeculectomy technique in order to achieve a better filtering bleb leading to lesser complications. Methods: Retrospective interventional case series. Results: Thirty-four patients underwent this surgery. There was a significant difference in the preoperative and postoperative median intraocular pressure (IOP; z = 3.928; p < 0.001). The postoperative IOP (median = 12) was significantly lower than the preoperative IOP (median = 28; interquartile range = 9). Conclusion: This modification can prove to be an effective method to reduce IOP with minimal complications.

scholarly journals Conjunctival Sparing Ptosis Correction by White-Line Advancement Technique

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Fatima A. Habroosh ◽  
Habibullah Eatamadi
Keyword(s):  
Success Rate ◽  
Recovery Period ◽  
Young Patients ◽  
Case Series ◽  
Late Recurrence ◽  
Modified Technique ◽  
Retrospective Case ◽  
White Line ◽  
Eyelid Skin

Purpose. To describe a modified technique of white line advancement posterior ptosis surgery and to report the success rate of the procedure. Methods. A retrospective case series of 60 patients who presented with ptosis with good levator function. The success rate was defined as an MRD1 of greater than or equal to 3.5 mm, symmetrical eyelid position with an intereyelid height asymmetry of ≤1 mm, and a satisfactory eyelid contour at 3 months follow-up. Results. Sixty patients (91 eyelids) met the inclusion criteria. Mild postoperative complications occurred in 11 patients that resolved without surgical intervention. Seven patients had recurrence of ptosis: four patients had early recurrence and 3 had late recurrence. The success rate was 88.33% with an average follow-up of 9 months. Conclusion. This procedure is a promising technique in cosmetic and functional ptosis correction. The advantage of this posterior approach procedure is that there is no conjunctival resection; it is suitable for young patients who do not have excess eyelid skin. The procedure is quick with a short recovery period. Additionally, it can be combined with another procedure and in different pathology.

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