Nasal sarcoidosis: a cause for a medical rhinoplasty?

AbstractObjective:We report the use of triamcinolone injections to correct severe nasal deformity due to sarcoidosis, as an alternative to formal surgical rhinoplasty.Case report:A 30-year-old woman with a long-standing history of sarcoidosis presented to a tertiary referral rhinology clinic complaining of breathing difficulty and nasal deformity. Flexible nasoendoscopy revealed red nasal plaques typical of nasal sarcoidosis, together with significant widening of the nasal bridge. Triamcinolone, a long-acting corticosteroid, was injected both intralesionally and subcutaneously over the nasal dorsum, at zero, three and eight months, resulting in long-lasting improvement of the nasal shape.Conclusion:Sarcoidosis is a non-caseating, granulomatous, epithelioid inflammation. Otorhinolaryngological manifestations occur in approximately 10 per cent of patients; however, there is little published experience of nasal reconstruction in such patients. We describe a quick, simple and relatively cost-effective technique, with little or no co-morbidity, with which to improve the aesthetic and symptomatic outcomes of nasal sarcoidosis.

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Role of Computed Tomography in evaluation of Proptosis

Nepal Journal of Medical Sciences ◽

10.3126/njms.v2i1.7649 ◽

2013 ◽

Vol 2 (1) ◽

pp. 34-37 ◽

Cited By ~ 1

Author(s):

P Sharma ◽

PK Tiwari ◽

PG Ghimire ◽

P Ghimire

Keyword(s):

Computed Tomography ◽

Cost Effective ◽

Final Diagnosis ◽

Medical Sciences ◽

Effective Technique ◽

Common Cause ◽

Cost Effective Technique ◽

History Of ◽

Operative Findings

Background: To analyze the role of Computed Tomography in the evaluation of proptosis. Methods: It is a retrospective review of 30 patients with the history of proptosis who were referred to the department of radiology and imaging for computed tomography of orbit. Computed tomography of orbits was evaluated to assess the nature and extension of the lesion. Final diagnosis was made based on the histopathology, operative findings and clinical outcome. Statistical analysis was carried out with the help of SPSS - 17 to find the accuracy of Computed Tomography. Results: Thirty patients ranging from three to 73 years were included in the study. Mean age was 35.4±19.6 years. Male:Female ratio was 2:1. Most common cause of proptosis was inflammation (47%) followed by tumor. Among the inflammatory causes pseudotumor was the most common type. Other causes of proptosis include tumor (37%), Vascular (10%), Infection (3%) and Trauma (3%). Accuracy of Computed Tomography in the diagnosis of etiology of proptosis was 86.6%. Conclusion: Computed tomography is the simple, cost effective technique in the evaluation of proptosis with the accuracy of 86.6%. Inflammation was the most common cause of proptosis. Nepal Journal of Medical Sciences | Volume 02 | Number 01 | Jan-Jun 2013 | Page 34-37 DOI: http://dx.doi.org/10.3126/njms.v2i1.7649

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PARAMEDIAN FOREHEAD FLAP FOR RECONSTRUCTION OF THE NOSE

Majalah Kedokteran Andalas ◽

10.22338/mka.v38.i2.p147-154.2015 ◽

2015 ◽

Vol 38 (2) ◽

pp. 147

Author(s):

Al Hafiz ◽

Effy Huriyati ◽

Bestari J. Budiman ◽

Jacky Munilson

Keyword(s):

Head And Neck ◽

Skin Flap ◽

Neck Surgery ◽

Nasal Reconstruction ◽

Forehead Flap ◽

Nasal Deformity ◽

Local Skin ◽

History Of ◽

The Aesthetic ◽

And Function

AbstrakPenutupan defek yang ditimbulkan akibat operasi di daerah kepala dan leher umumnya dapat dilakukan dengan penjahitan langsung. Untuk defek yang lebih luas, atau apabila metode penjahitan langsung tidak memungkinkan untuk dilakukan, maka dapat digunakan flap kulit. Laporan kasus ini bertujuan untuk mendemonstrasikan ke ahli THT-KL, bagaimana forehead flap dapat memperbaiki estetika dan fungsi hidung pada kasus deformitas hidung. Satu kasus deformitas pada hidung, seorang laki-laki berusia 69 tahun dengan riwayat basalioma di daerah hidung. Pada pasien dilakukan rekonstruksi hidung dengan menggunakan forehead flap. Rekonstruksi hidung menggunakan forehead flap dapat mengurangi defek pada deformitas hidung. Diperlukan analisis wajah terutama daerah hidung untuk menentukan jenis dan posisi dari flap kulit yang tepat.AbstractA Defect following head and neck surgery can often be closed using the technique of direct suture. For larger defects or in situations where direct suture is neither applicable, surgical defect in the head and neck especially at the nose, can be filled by local skin flaps. The case was reported in order to demonstrate to Otorhinolaryngology Head and Neck surgeons on how the forehead flap could restore the aesthetic and function of the nose in nasal deformity case. One case of the nasal deformity was reported in a 69 years old man with history of basal cell carcinoma on the nose. This patient was managed using the forehead flap for nasal reconstruction purpose. The employment of this technique could reduce the defects of nasal deformity. Facial analysis particularly nasal area is necessary to determine the exact kind and position of skin flap.

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A Cost-Effective Technique for Spinal Instrumentation in the Treatment of Adolescent Idiopathic Scoliosis

Journal of Long-Term Effects of Medical Implants ◽

10.1615/jlongtermeffmedimplants.2016010150 ◽

2016 ◽

Vol 26 (2) ◽

pp. 143-149

Author(s):

Michael A. Clark ◽

Steven J. Cowart ◽

Jonathan Pellet ◽

David M. Cearley ◽

Styles L. Bertrand

Keyword(s):

Adolescent Idiopathic Scoliosis ◽

Idiopathic Scoliosis ◽

Spinal Instrumentation ◽

Cost Effective ◽

Effective Technique ◽

Cost Effective Technique

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Bucket handle meniscus tears in low-resource settings can be successfully treated with a cost-effective technique

International Orthopaedics ◽

10.1007/s00264-021-05090-6 ◽

2021 ◽

Author(s):

Allicia Ostoposides Imada ◽

James J. O’Hara ◽

Ignacio L. Proumen ◽

Pablo S. Molinari ◽

Daniel C. Wascher ◽

...

Keyword(s):

Cost Effective ◽

Effective Technique ◽

Low Resource Settings ◽

Low Resource ◽

Meniscus Tears ◽

Cost Effective Technique ◽

Bucket Handle

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Simple, cost-effective technique for portable digital eletrocorticography

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2000000300005 ◽

2000 ◽

Vol 58 (2B) ◽

pp. 424-427 ◽

Cited By ~ 1

Author(s):

PAULO R. M. DE BITTENCOURT ◽

MARCOS C. SANDMANN ◽

MARLUS S. MORO ◽

JOÃO C. DE ARAÚJO

Keyword(s):

Real Time ◽

Epilepsy Surgery ◽

Vascular Malformations ◽

Cost Effective ◽

New Method ◽

Cortical Lesions ◽

Effective Technique ◽

Seizure Disorders ◽

Operational Costs ◽

Cost Effective Technique

We revised 16 patients submitted to epilepsy surgery using a new method of digital, real-time, portable electrocorticography. Patients were operated upon over a period of 28 months. There were no complications. The exam was useful in 13 cases. The low installation and operational costs, the reliability and simplicity of the method, indicate it may be useful for defining the epileptogenic regions in a variety of circumnstances, including surgery for tumors, vascular malformations, and other cortical lesions associated with seizure disorders.

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Formation of Periodical Sub-Micron Sized Structures on Silicon by Interfered Nanosecond Laser Pulses

Advanced Materials Research ◽

10.4028/www.scientific.net/amr.97-101.3803 ◽

2010 ◽

Vol 97-101 ◽

pp. 3803-3806

Author(s):

Yong Xiang Hu ◽

Heng Zhang ◽

Zheng Qiang Yao

Keyword(s):

Cost Effective ◽

Laser Pulses ◽

Laser Beams ◽

Nanosecond Laser ◽

Effective Technique ◽

First Order ◽

Direct Fabrication ◽

Cost Effective Technique ◽

Nanosecond Laser Pulses ◽

Micro Structuring

Laser interference micro-structuring is a relatively efficient and cost-effective technique for fabricating periodical micro-nano-structuring surfaces. The direct fabrication of sub-micron sized dot array on silicon was performed by four interfering nanosecond laser beams with a diffractive beam splitter. The mechanism to form the dot array was analyzed and it was found that the obtained conical dot array had a negative shape of the interference pattern of four laser beams. A second-order peak between two first-order peaks also occurred due to the liquid-solid expansion.

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Telemedicine in the control of intra-ocular pressure

Journal of Telemedicine and Telecare ◽

10.1258/1357633001934410 ◽

2000 ◽

Vol 6 (1_suppl) ◽

pp. 126-128 ◽

Cited By ~ 9

Author(s):

G Michelson ◽

W Striebel ◽

W Prihoda ◽

Volker Schmidt

Keyword(s):

Cost Effective ◽

Western World ◽

Pressure Curve ◽

Effective Technique ◽

Intra Ocular Pressure ◽

Continuous Evaluation ◽

Common Causes ◽

Cost Effective Technique ◽

Email Message ◽

Ocular Pressure

Glaucoma is one of the most common causes of blindness in the Western world and a major risk factor is increased intra-ocular pressure. We therefore used telemedicine in its control. Patients measured their intra-ocular pressure several times a day with a portable instrument and the values were then entered into a portable digital assistant. These data were transmitted by a modem to a central server. If the intra-ocular pressure was pathologically high, an email message was automatically sent to the ophthalmologist. The pressure curve, including a statistical analysis, was displayed in an easily readable chart format. Ten patients with glaucoma participated in a trial. Self-tonometry with telemedicine enabled continuous evaluation of the patient by the ophthalmologist. This approach offered the advantage of controlling the treatment remotely. Advantages for the patient were that the measurements were easily done at home under normal conditions, and the patient could control when the measurement and data transmission would be performed. Telemedicine is a cost-effective technique enabling the early diagnosis of pathologically increased intra-ocular pressure.

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