The use of nasal endoscopy to control profuse epistaxis from a fracture of the basi-sphenoid in a seven-year-old child

1999 ◽  
Vol 113 (6) ◽  
pp. 561-563 ◽  
Author(s):  
N. Bateman ◽  
N. S. Jones
Keyword(s):  
Fracture Site ◽  
Nasal Endoscopy ◽  
Oxidized Cellulose ◽  
Nasal Endoscope ◽  
Nasal Pack ◽  
Rigid Endoscopy ◽  
Life Threatening

AbstractA seven-year-old child sustained a fracture of her basisphenoid resulting in profuse, life-threatening haemorrhage which could not be controlled with a post-nasal pack. The fracture site was identified using rigid endoscopy and packed with oxidized cellulose, resulting in immediate control of the haemorrhage. The use of the nasal endoscope in the management of posterior epistaxis is discussed.

scholarly journals Comparison of marsupialization under nasal endoscopy versus lacrimal probing for treatment of congenital dacryocystoceles: a report of 40 cases

2020 ◽  
Author(s):  
Yan-Hui Cui ◽  
Peng Sun ◽  
Li-Xing Tang ◽  
Cheng-Yue Zhang ◽  
Qian Wu ◽  
...  
Keyword(s):  
Success Rate ◽  
Reoperation Rate ◽  
Nasal Endoscopy ◽  
Controlled Study ◽  
Lacrimal Duct ◽  
Nasal Endoscope ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Group A ◽  
Group B

Abstract Background: This study was performed to compare the efficacy of marsupialization under nasal endoscopy versus lacrimal probing for the treatment of congenital dacryocystocele. Methods: A prospective randomized controlled study. Forty neonates (43 eyes) diagnosed with congenital dacryocystoceles were divided into Group A (nasal endoscopic marsupialization) and Group B (lacrimal probing). The patients were followed up for 1 year after surgery. The efficacy, incidence of complications, and reoperation rate were compared between the two groups. Results: The male:female ratio was 25:15 patients (27:16 eyes). In Group A, the success rate was 100%, the incidence of complications was 5%, and the reoperation rate was 0%. In Group B, the success rate was 90%, the incidence of complications was 20%, and the reoperation rate was 30%. There was no significant difference in the success rate between the two groups, but the incidence of complications and the reoperation rate in the lacrimal probing group(Group B) were significantly higher than those in the nasal endoscopic marsupialization group(Group A). Conclusion: In the treatment of congenital dacryocystoceles, nasal endoscope marsupialization has the same success rate as lacrimal duct probing, but the former is more effective and safer in clinical practice.

Fish bones in the vallecula and tongue base: removal with the rigid nasal endoscope

2002 ◽  
Vol 116 (10) ◽  
pp. 842-843 ◽  
Author(s):  
Julian Savage ◽  
Natalie Brookes ◽  
Simon Lloyd ◽  
Ian Mackay
Keyword(s):  
Simple Procedure ◽  
Flexible Endoscopy ◽  
Tongue Base ◽  
General Anaesthetic ◽  
Nasal Endoscope ◽  
Rigid Endoscopy ◽  
Fish Bones ◽  
Visual Aid

The tongue base and vallecula are common anatomical sites for impaction of inadvertently swallowed fish bones. Many techniques for their removal have been described but this apparently simple procedure can still pose a surgical challenge. We describe a previously unreported technique using rigid endoscopy with the 4 mm 30 degree Hopkins’ rod as a visual aid for transoral removal of the impacted bone. The technique has proved to be very well tolerated by the patient and more acceptable in terms of morbidity, time and resources than either flexible endoscopy or rigid endoscopy under general anaesthetic.

scholarly journals Treatment of trochanteric femoral fractures with double dynamic internal fixation

2007 ◽  
Vol 60 (5-6) ◽  
pp. 267-271
Author(s):  
Zoran Golubovic ◽  
Milorad Mitkovic ◽  
Djordje Gajdobranski ◽  
Lana Macukanovic-Golubovic ◽  
Ivan Micic ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Femoral Fractures ◽  
The Elderly ◽  
Fracture Site ◽  
Activity Level ◽  
Internal Fixator ◽  
Trochanteric Fractures ◽  
Average Patient ◽  
Life Threatening ◽  
Male Patients

Introduction: Trochanteric fractures are extracapsular fractures of the proximal femur. The increasing number of trochanteric fractures is a great sociomedical problem. These fractures usually occur in elderly people (older than 65 years) with osteoporosis. Lateral and frontal falls are the most frequent cause of trochanteric fractures in the elderly. The aim of this paper is to present our results of applying the Mitkovic selfdynamisable internal fixator (SIF). Material and methods: From January 2001 to December 2005, 238 patients with trochanteric femoral fractures were treated operatively using the Mitkovic selfdynamisable internal fixator at the Clinic of Orthopedics and Traumatology in Nis. The average patient age was 69,11 years (range 17 to 88). In the analyzed group there were 152 (64%) female and 86 (36%) male patients, whereas patients in the eighth 101 (43%) and seventh 65 (27%) decade of life prevailed. Results: Excellent results in the treatment of trochanteric femoral fractures with a Mitkovic dynamic internal fixator were achieved in 143 (60%) patients, good in 49 (21%) patients, poor in 41 (17%) and unsatisfactory in 5 (2%) patients. Discussion and conclusion: The treatment of trochanteric fractures may be operative and nonoperative. The aim of the operative treatment, considered to be the "gold standard" for these fractures, is to restore the patient's pretraumatic activity level and to reduce life-threatening complications. The operative stabilization is performed using various types of implants. Surgical treatment by using dynamic implants is a method of choice in the treatment of trochanteric fractures. Internal fixation using the Mitkovic selfdynamisable internal fixator is a method of choice in the treatment of trochanteric femoral fractures, providing dynamization and compression of the fracture site in two axes (axis of the femoral neck and femoral diaphyseal axis) and balanced biomehancal 3D.

scholarly journals Importance of nasal endoscopy for the evaluation of epistaxis

2012 ◽  
Vol 18 (1) ◽  
pp. 11-15
Author(s):  
Ritam Ray ◽  
Manoj Mukherjee ◽  
Manotosh Dutta ◽  
Mousumi Neogi ◽  
Ganesh Chandra Gayen
Keyword(s):  
Prospective Study ◽  
Nasal Endoscopy ◽  
Nasal Endoscope ◽  
Medical College ◽  
Guided Biopsy ◽  
Significant Pathology ◽  
Study Setting

Objective: To evaluate the effectiveness of nasal endoscopy in cases of epistaxis.Study design: Prospective study Setting: Department of ENT, Burdwan Medical College & Hospital, Burdwan, India.Method: 118 patients with epistaxis presented in the Department of ENT, Burdwan Medical College & Hospital, Burdwan were evaluated with the help of nasal endoscope to find out the hidden cause of epistaxis.Conclusion: Significant pathology was detected in 88 cases (69%) out of 118 cases of epistaxis. Moreover, endoscope guided biopsy was taken in suspected cases and managed according to histopathology report.DOI: http://dx.doi.org/10.3329/bjo.v18i1.10408Bangladesh J Otorhinolaryngol 2012; 18(1): 11-15

scholarly journals Endoscopic evaluation of bleeding points in epistaxis: a cross sectional study

2017 ◽  
Vol 3 (4) ◽  
pp. 923
Author(s):  
Baneesh A. B.
Keyword(s):  
Nasal Cavity ◽  
Middle Turbinate ◽  
Lateral Wall ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Nasal Endoscopy ◽  
Nasal Endoscope ◽  
Cross Sectional ◽  
Bleeding Point ◽  
The Common

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Epistaxis is one of the most common emergencies that come to casualty department and of which some are difficult to treat. Rigid nasal endoscopy plays a paramount role in managing epistaxis. The present study was done to map bleeding points with regard to its location, to identify the common areas and to discover the hidden areas. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">56 patients with epistaxis were examined using nasal endoscope under local anaesthesia. Only those patients in whom, the cause for epistaxis could not be made out on anterior and posterior rhinoscopy were included in the study.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">18 (32%) patients had bleeding point in right side and 24 (42.8%) patients it was in left side<strong>. </strong>51.7% patients had bleeding point located on medial wall of nasal cavity and 19.6% patients had bleeding points on lateral wall of nasal cavity. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Nasal endoscopy plays a vital role in management of epistaxis. Most common bleeding point locations are on septum, near middle turbinate area.</span></p>

scholarly journals Surgical Management of Cervical Vertebral Fractures in Two Dogs with Severe Concurrent Vertebral Venous Plexus Hemorrhage

VCOT Open ◽  
2018 ◽  
Vol 01 (01) ◽  
pp. e1-e7
Author(s):  
James Guthrie ◽  
Noel Fitzpatrick
Keyword(s):  
Cervical Vertebrae ◽  
Cervical Vertebra ◽  
Fracture Site ◽  
Fracture Repair ◽  
Venous Plexus ◽  
Fracture Fragment ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Severe Hemorrhage ◽  
Life Threatening

AbstractSurgical repair of fractures and luxations of the cranial cervical vertebrae can be complicated by vertebral venous plexus hemorrhage following fracture fragment manipulation and realignment. Severe hemorrhage is potentially life threatening and may preclude definitive surgical fixation if it cannot be acceptably controlled and interferes with fixation technique. This report describes this scenario and a surgical strategy in two dogs with fractures of the second cervical vertebra. The surgical technique to limit hemorrhage included the insertion of the pins into the vertebrae, placement of collagen fleece, and autogenous cancellous bone graft over the fracture site, and while the polymethylmethacrylate cement was still within the liquid phase, axial traction was employed. The long-term outcome was considered excellent with both dogs able to ambulate unassisted and free from signs of pain. Although it is uncommon, severe vertebral venous plexus hemorrhage can occur during cervical vertebrae fracture repair. This technique provides a means to achieve internal fixation while concurrently limiting hemorrhage.

scholarly journals Role of Nasal Endoscopy in Initial Management of Epistaxis.

2019 ◽  
Vol 3 (3) ◽  
pp. 158
Author(s):  
Irfan Ul Shamas
Keyword(s):  
Health Sciences ◽  
Nasal Endoscopy ◽  
Collateral Damage ◽  
Nasal Endoscope ◽  
Initial Management ◽  
Healthy Mucosa ◽  
Group A ◽  
Group B ◽  
Assisted Management

Aim: To compare the precision,efficacy and complication of nasal endoscopic assisted management of epistaxis with headlight assisted nasal packing.Materials and Methods: Two groups of twenty patients each were placed randomly in Group A and Group B. Patients in Group A were managed with headlight assisted nasal packing and Group B patients were managed with nasal endoscopic assisted control of epistaxis.Results: Exact site of bleeding was located in 90% patients of Group B. All patients in Group A complained of dry mouth(100%), halitosis in 6 (30%) patients, 12 (60%) patients had headache and discomfort,7(35%) patients had epiphora. There was no complication in Group B.Conclusions: Epistaxis is a common ENT emergency and routine blind hasty nasal packs should be avoided. Nasal endoscopes should be routinely used to identify site of bleeding and cauterisation of the targeted area should be done gently with least collateral damage to healthy mucosa. Good and easy control with less complications and no admissions are all possible with the wonder tool called “ nasal endoscope”.International Journal of Human and Health Sciences Vol. 03 No. 03 July’19. Page: 158-161

Assembly of VP26 in herpes simplex virus-1 capsid implicated by 3-D structure of recombinant capsid

1995 ◽  
Vol 53 ◽  
pp. 840-841
Author(s):  
Z. Hong Zhou ◽  
Jing He ◽  
Joanita Jakana ◽  
J. D. Tatman ◽  
Frazer J. Rixon ◽  
...  
Keyword(s):  
Herpes Simplex Virus ◽  
Herpes Simplex ◽  
3D Structure ◽  
Structure Study ◽  
Herpes Simplex Virus 1 ◽  
Shell Proteins ◽  
Life Threatening ◽  
Infected Cells ◽  
Simplex Virus ◽  
Hsv 1

Herpes simplex virus-1 (HSV-1) is a ubiquitous virus which is implicated in diseases ranging from self-curing cold sores to life-threatening infections. The 2500 Å diameter herpes virion is composed of a glycoprotein spike containing, lipid envelope, enclosing a protein layer (the tegument) in which is embedded the capsid (which contains the dsDNA genome). The B-, and A- and C-capsids, representing different morphogenetic stages in HSV-1 infected cells, are composed of 7, and 5 structural proteins respectively. The three capsid types are organized in similar T=16 icosahedral shells with 12 pentons, 150 hexons, and 320 connecting triplexes. Our previous 3D structure study at 26 Å revealed domain features of all these structural components and suggested probable locations for the outer shell proteins, VP5, VP26, VP19c and VP23. VP5 makes up most of both pentons and hexons. VP26 appeared to bind to the VP5 subunit in hexon but not to that in penton.

An Overview of Dementias

2012 ◽  
Vol 21 (3) ◽  
pp. 75-84
Author(s):  
Venkata Vijaya K. Dalai ◽  
Jason E. Childress ◽  
Paul E Schulz
Keyword(s):  
Clinical Presentation ◽  
Treatment Options ◽  
Current Treatment ◽  
Great Variability ◽  
Health Concern ◽  
Public Health Concern ◽  
Life Threatening ◽  
The Common ◽  
Neurodegenerative Dementias ◽  
Made In

Dementia is a major public health concern that afflicts an estimated 24.3 million people worldwide. Great strides are being made in order to better diagnose, prevent, and treat these disorders. Dementia is associated with multiple complications, some of which can be life-threatening, such as dysphagia. There is great variability between dementias in terms of when dysphagia and other swallowing disorders occur. In order to prepare the reader for the other articles in this publication discussing swallowing issues in depth, the authors of this article will provide a brief overview of the prevalence, risk factors, pathogenesis, clinical presentation, diagnosis, current treatment options, and implications for eating for the common forms of neurodegenerative dementias.

1743: Risk Count Assessment: A New Concept for Detection of Life Threatening Prostate Cancer During a Window of Curability

2007 ◽  
Vol 177 (4S) ◽  
pp. 579-580 ◽  
Author(s):  
H. Ballentine Carter ◽  
Anna E. Kettermann ◽  
Luigi Ferrucci ◽  
Patricia Landis ◽  
E. Jeffrey Metter
Keyword(s):  
Prostate Cancer ◽  
Life Threatening
Sign in / Sign up

Export Citation Format

Share Document