Altered dental sensation following intranasal surgery

1993 ◽  
Vol 107 (11) ◽  
pp. 1011-1013 ◽  
Author(s):  
G. MacDougall ◽  
R. J. Sanderson

AbstractSome patients complain of altered sensation in the mouth following nasal surgery. A prospective study of 60 consecutive patients who underwent a total of 83 intranasal procedures revealed that this was a common complication, particularly following submucous resection (SMR) or intranasal antrostomies.The area affected by painlparasthesia appears to be anatomically related to the surgical procedure(s) performed.

Author(s):  
S. Hamad Sagheer ◽  
Brian M. Yan ◽  
Cory D. Bovenzi ◽  
Uche Nwagu ◽  
David Cognetti ◽  
...  

Author(s):  
Nikita Gandotra ◽  
Neha Mahajan ◽  
Aakriti Manhas

Background: Oligohydramnios is a severe and common complication of pregnancy and its incidence is reported to be around 1 to 5% of total pregnancies. The aim of this study was to perinatal outcome of oligohydramnios (AFI <5) at term.Methods: A prospective study was conducted in which 200 patients at term with oligohydramnios AFI <5 cm with intact membranes were analyzed for perinatal outcome.Results: There were increased chances of FHR decelerations, thick meconium, increased LSCS, low Apgar score at 5 minutes, birth weight <2.5 kg, admission to NICU in pregnancy with oligohydramnios.Conclusions: An amniotic fluid index (AFI) of <5 cm detected after 37 completed weeks of gestation is an indicator of poor perinatal outcome. Determination of AFI can be used as an adjunct to other fetal surveillance methods that helps to identify those infants at risk of poor perinatal outcome.


Author(s):  
Richard C. Echem ◽  
Phillip D. Eyimina ◽  
Vincent U. E. Adiela

Background: Ring entrapment is uncommon in our environment. It is necessary to remove entrapped rings and the removal techniques could be either destructive or non-destructive. The aim of this study is to present a non-destructive method of entrapped ring removal.Methods:   A prospective study of patients who presented to the University of Port Harcourt Teaching Hospital, Port Harcourt between 1st October 2007 and 30th September 2018, with entrapped finger ring(s). The authors developed a non-destructive technique of entrapped ring removal utilizing 1.5-2.5 mm electric cables. The cables are passed under the ring and looped over it. The surgeon and his first assistant applies traction towards the distal aspect of the finger through the cables while moving the cables from side to side around the finger, with the second assistant maintaining a counter-traction.  Data obtained was analyzed using IBM’s Statistical Package for Social Sciences (SPSS) version 23.Results:  During the period, there were 25 patients who had entrapped ring(s) in their fingers. Mean age was 22.92±9.33 years. There were 10 males and 15 females. Mean duration of ring entrapment was 5.72±4.57 days. Mean duration of ring removal was 63.6±46.58 seconds. Abrasion was the most common complication following initial removal attempts as well as this technique. The entrapped rings were all successfully removed.Conclusion: The electric cable technique is a simple, inexpensive and readily available method of entrapped ring removal. 


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ludwig Oberkircher ◽  
Julia Lenz ◽  
Benjamin Bücking ◽  
Daphne Eschbach ◽  
René Aigner ◽  
...  

Abstract Background The aim of the present study was to describe specific characteristics of patients suffering from pelvic fragility fractures and evaluate factors that might influence treatment decisions which may optimize treatment pathways and patient mobility in the future. Methods A prospective study with patients suffering from fractures of the pelvis and aged 60 years or above was performed between 2012 and 2016. Data acquisition took place at admission, every day during hospitalization and at discharge. Results One hundred thirty-four patients (mean age of 79.93 (± 7.67) years), predominantly female (84%), were included. Eighty-six patients were treated non-operatively. Forty-eight patients underwent a surgical procedure. The main fracture types were B2 fractures (52.24%) and FFP IIb fractures (39.55%). At the time of discharge, pain level (NRS) could be significantly reduced (p <  0.001). Patients who underwent a surgical procedure had a significantly higher pain level on day three and four compared to the non-operative group (p = 0.032 and p = 0.023, respectively). Significant differences were found in the mobility level: patients treated operatively on day four or later were not able to stand or walk on day three as compared to non-operatively treated patients. Regarding B2 fractures, a significantly higher mobility level difference between time of admission and discharge was found in patients treated with a surgical procedure compared to patients treated non-operatively (p = 0.035). Conclusions Fracture type, mobility level and pain level influence the decision to proceed with surgical treatment. Especially patients suffering from B2 fractures benefitted in terms of mobility level at discharge when treated operatively. Level of evidence II


1994 ◽  
Vol 108 (7) ◽  
pp. 564-566 ◽  
Author(s):  
R. J. N. Garth ◽  
A. P. Brightwell

AbstractA prospective study was performed to compare Telfa,® paraffin gauze, Merocel® and BIPP used postoperatively following septal or turbinate surgery. Packs were assessed in terms of patient comfort, control of bleeding and ease of removal. There was little to choose between the packs while they were in situ and there was no significant difference in ease of removal. On removal the Telfa® and paraffin gauze were associated with less discomfort and less bleeding than BIPP or Merocel® (p<0.05).


Author(s):  
Kesava Reddy ◽  
Michael West ◽  
Brian Anderson

Abstract:Although carotid endarterectomy is a common surgical procedure in North America, controversies exist regarding the type of anesthesia, the use of indwelling shunts and the need for intraoperative cerebral monitoring. We present a prospective study of 100 carotid endarterectomies performed over a three year period by a single surgeon without the use of indwelling shunts, patch grafts, or EEG monitoring. The combined stroke and mortality rate was 1%. Our results confirm those of other authors; that indwelling shunts and EEG monitoring are not absolutely essential for a satisfactory outcome in carotid endarterectomies.


2013 ◽  
Vol 25 (2) ◽  
pp. 65-70
Author(s):  
Sharmeen Mahmood ◽  
Sadia Afrin ◽  
Farhana Dewan

Objectives: The objective of the study was to find out the efficacy and safety of misoprostol in termination of missed abortion.Materials and Methods: This was a prospective study carried out during the time from August 2009 to April2010 in Dhaka Medical College Hospital.Results: A total 50 cases of missed abortion (12-28weeks) were included in the study. Tab.misoprostol(2oo?gm) was used pervaginally 4hourly for termination of pregnancy. Maximum 4tab.were used. Outcome variables were doses of misoprostol, expulsion times need for use of oxytocin and D and C and side effect of misoprostol. In the present study, 58% percent (29 out of 50 ) experienced complete expulsion (20% after 1st dose, 24% after 2nd dose 24% after 3rd dose and, 31% after 4th dose).24% cases needed oxytocin drip as an adjunct and 18% needed surgical evacuation when 4 doses of misoprostol (tab cytomis)and oxytocin fail to expel the product of conception. Mean (±SD) time required for expulsion of product of conception was 11.44 ± 4.43 hours in 29 (58%) women who were given tab misoprostol only. The results showed that 5(out of 25) has a complete expulsion after first dose, 13 after second 4 after 3rd  and Mean induction expulsion time was 6.1 hours The most common complication was temperature 6%, vomiting 4%, and diarrhoea 2%.Conclusion: Vaginal application of misoprostol can be used to women with missed abortion   for complete expulsion of the product of conception and may reduce the need for surgical   intervention. DOI: http://dx.doi.org/10.3329/bjog.v25i2.13742 Bangladesh J Obstet Gynaecol, 2010; Vol. 25(2) : 65-70  


1987 ◽  
Vol 2 (3) ◽  
pp. 181-188 ◽  
Author(s):  
A. Lechter ◽  
A. Alvarez ◽  
G. Lopez

A prospective study of 50 cases of pelvic varices is described. Clinical history, symptoms and signs are shown emphasizing the multiple pregnancies that enlarge the gonadal veins where a high pressure escape and retrograde flow explain the vulvar and inner and posterior thigh and leg varicosities. A surgical procedure comprising resection of the gonadal veins and ligation of communicating veins to the uterine veins combined with vulvar and leg varicectomy have given excellent and encouraging early results.


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