scholarly journals A Prospective Study of Efficacy of Small Fenestra Stapedotomy at a South Asian Center

2018 ◽  
Vol 01 (01) ◽  
pp. 011-017
Author(s):  
Laya Sriraam ◽  
Sunita Shukla ◽  
Ravi Ramalingam ◽  
K. Ramalingam
Keyword(s):  
Facial Nerve ◽  
Prospective Study ◽  
Local Anesthesia ◽  
Anatomical Variation ◽  
Bone Conduction ◽  
Complication Rates ◽  
Hearing Improvement ◽  
History Of ◽  
The Mean ◽  
A Prospective Study

Abstract Introduction The best surgical treatment for otosclerosis is stapedotomy. Various methods are used for creating fenestra, including manual pick, laser, and Skeeter drill. In India, despite several studies on the hearing outcomes of otosclerosis surgery, there exist few studies on small fenestra stapedotomy performed using a microdrill. Hence, we designed this study with the objectives of examining the demographic profile, hearing improvement after surgery, anatomical variations encountered at surgery, effect of microdrill use on bone conduction (BC), and postoperative complications of small fenestra stapedotomy. Methods A prospective study was conducted for 63 patients of otosclerosis. Stapedotomy was performed by the same surgeon on all patients by a transcanal approach under local anesthesia. Small fenestra stapedotomy was performed using Skeeter microdrill. The study proforma included sociodemographic profile, clinical history, examination, audiometry, surgical details, and postoperative findings. Descriptive statistics was used to analyze the data. Results Our study demonstrated a male preponderance (58.7%) over females (41.3%). Of the study population, 31.7% reported a family history of otosclerosis, whereas nine (14.28%) individuals had a history of measles. All four different types of footplates were identified. Most of them were either type 1 (52.4%) or 2 (34.9%). In most cases, the diameter was 0.4 mm (96.8%), a majority of the cases having either 4.25 (22.2%) or 4.5 mm (63.5%) long piston. After stapes surgery, the mean ABG reduced from 39.48 (±9.17) to 13.89 (±7.99) dB. The mean worsening in postoperative BC was only 3.035 dB. Use of microdrill caused only a slight and statistically insignificant decline in BC. Anatomical variation of a narrow oval window niche may require drilling of the bone. In practice, this drilling does not adversely affect the BC of the patient. Some facial nerve variation (partially overhanging facial nerve and exposed facial nerve) may be encountered, but it does not affect the facial nerve function or hearing improvement. On rare occasions, facial paresis may occur on the fifth to sixth postoperative day, even without facial nerve handling. This can be managed conservatively with oral steroids with favorable results. Taste alterations are seen even when the chorda handling is minimal. Complaints are most common in the first few weeks after surgery. Over a 6-month period, only 5% of the patients who underwent surgery were found to have altered taste sensation. Conclusion Microdrill-assisted small fenestra stapedotomy, performed under local anesthesia, with placement of a 0.4-mm Teflon piston for patients with otosclerosis produces excellent results. The complication rates are low, and the surgery has a positive impact on the patient's hearing.

A Prospective Study of Dietary Calcium and Other Nutrients and the Risk of Symptomatic Kidney Stones

2021 ◽  
pp. 189-192
Author(s):  
Michael S. Borofsky ◽  
Vincent G. Bird
Keyword(s):  
Observational Study ◽  
Prospective Study ◽  
Kidney Stones ◽  
Calcium Intake ◽  
Dietary Calcium ◽  
Stone Disease ◽  
Dietary Calcium Intake ◽  
History Of ◽  
The Mean ◽  
A Prospective Study

This chapter reviews the results of an important observational study seeking to establish how, in individuals without a history of nephrolithiasis, dietary calcium intake is associated with the risk of symptomatic stone disease. The study found that the mean daily dietary calcium intake was lower in the group who formed stones compared to those who did not and that, after adjusting for covariates, high daily dietary calcium intake was strongly associated with decreased risk of stones.

scholarly journals Intraoperative Distance Between the Main Trunk of the Facial Nerve and Surgical Landmarks Used in Parotidectomy: A Prospective Study

2014 ◽  
Vol 29 (1) ◽  
pp. 16-19
Author(s):  
Daniel Jose C. Mendoza ◽  
Samantha S. Castañeda ◽  
Antonio H. Chua
Keyword(s):  
Standard Deviation ◽  
Facial Nerve ◽  
Prospective Study ◽  
Facial Paralysis ◽  
Descriptive Study ◽  
Suture Line ◽  
Anatomic Landmarks ◽  
Main Trunk ◽  
The Mean ◽  
A Prospective Study

Objective: to determine the mean distance of the main trunk of the facial nerve from two commonly employed surgical landmarks (tragal pointer and tympanomastoid suture line) among a sample of Filipino adults undergoing parotidectomy.   Methods Study Design:            Prospective Descriptive Study Setting:                       Tertiary Government Training Hospital Subjects:                    22 patients without facial paralysis undergoing surgery for parotid neoplasms were evaluated intraoperatively.   Results: The main trunk of the facial nerve was found to be 9.0mm (standard deviation of 2.8mm) from the tragal pointer and 6.1mm (standard deviation of 2.0mm) from the tympanomastoid suture line.   Conclusion:  The mean distance from the main trunk of the facial nerve to two of the most commonly utilized landmarks in identification of the nerve during parotidectomy was 9.0mm (standard deviation of 2.8mm) from the tragal pointer and 6.1mm (standard deviation of 2.0mm) from the tympanomastoid suture line. These may serve as reference values for surgeons in safer identification and preservation of the facial nerve during parotidectomy.   Keywords: facial nerve, parotidectomy, tragal pointer, tympanomastoid suture line, anatomic landmarks

scholarly journals Chronic urticaria in dermatology in Lomé: study of 129 cases

2021 ◽  
Vol 12 (Supp 1) ◽  
pp. 11-5
Author(s):  
Julienne Noude Teclessou ◽  
Koufouyema Atsou ◽  
Koussaké Kombate
Keyword(s):  
Sex Ratio ◽  
Prospective Study ◽  
Chronic Urticaria ◽  
Second Generation ◽  
History Of ◽  
The Mean ◽  
A Prospective Study

Objective: The aim of this study was to document the epidemiological, clinical, therapeutic and progressive profile of chronic urticaria in dermatology in Lomé (Togo). Patients and Method: We carried out a prospective study in the three public dermatology departments of Lomé from November 2017 to April 2019. All patients with chronic urticaria diagnostic were included. Results: In total, 129 (1.1%) of the 11,355 patients seen during the study period had chronic urticaria. The mean age of the patients was 34.5 ± 13 years and the sex ratio (M / F) was 0.49. A history of personal (65.1%) or familial (47.6%) atopy was found. Typical fleeting edematous papular lesions were present in 100% of patients and angioedema in 52 (40.3%) patients. Treatment was based on antihistamines antis H1 (100% of patients); mainly second generation (86% of patients). Remission was noted in 69.9% of patients. Conclusion: Chronic urticaria is a rare pathology in dermatological consultation in Lomé. The superficial forms are the most observed.

scholarly journals Transmasseteric antero-parotid approach through modified preauricular lazy ‘S’ incision for management of mandible condylar fractures: a prospective study

2018 ◽  
Vol 1 (1) ◽  
pp. 85-89
Author(s):  
Kusuma Duda ◽  
Gaddipati R ◽  
Ramsetti S ◽  
Suvvada B
Keyword(s):  
Facial Nerve ◽  
Prospective Study ◽  
Closed Reduction ◽  
Open Reduction ◽  
Condylar Fracture ◽  
Anatomic Reduction ◽  
Operative Complications ◽  
Preauricular Approach ◽  
A Prospective Study ◽  
Condylar Fractures

To report the surgical details and results of our technique of Transmasseteric antero-parotid approach (TMAP) through modified preauricular lazy ‘S’ incision for management of mandibular condylar fractures. This was an observational analysis of 65 patients where 25 patients were treated with conventional preauricular approach, 25 patients with closed reduction and 15 patients with a mean age of 29.4 years with condylar fractures were treated by TMAP technique between September 2016 to June 2018. Aim of the study was to evaluate the proficiency of TMAP approach for open reduction and internal fixation (ORIF) of condylar fracture. The only complication which was noticed was sialocele formation and managed by drainage. TMAP is versatile since it avoids facial nerve damage as it involves identification and preservation of facial nerve and   has less chances of post-operative complications related to facial nerve injury. The accessibility achieved by this approach is fair enough to facilitate anatomic reduction and fixation of condyle.

scholarly journals Acute benign myositis of childhood: Results of a prospective study performed in a pediatric emergency department

2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Vanuza Rosa ◽  
Gabriela Kuzma ◽  
Luana Hornung ◽  
Márcia Bandeira
Keyword(s):  
Emergency Department ◽  
Prospective Study ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Care Providers ◽  
Study Objective ◽  
Gait Abnormality ◽  
The Mean ◽  
A Prospective Study ◽  
Musculoskeletal Involvement

OBJECTIVE: Benign acute childhood myositis is characterized by acute musculoskeletal involvement leading to transient limitations on deambulation followed by a viral illness. Our study objective to evaluate clinical and laboratory features of patients in a pediatric emergency department. METHODOS: We conducted a prospective study in patients with symptoms and laboratory findings compatible with viral myositis in the period of August 2017 to August 2018. RESULTS: We assessed 20 patients in the period of twelve months. The mean age was 8,25 years. Of these, 83,3% had infectious symptoms in the week before the musculoskeletal involvement. By the time of the diagnosis, the symptoms were: calf pain, reluctance to walk, gait abnormality, diffuse myalgia and calf weakness. The most relevant laboratory finding was the elevation of CPK (mean 3359,556U/L) level, followed by AST (mean 131U/L) and ALT (mean 64,66U/L) elevation. The mean time for symptom relief was 3 days and in 7 days all exams were normal. CONCLUSION: Though the exact incidence of this condition remains undetermined, the lower extremity pain and the gait abnormality is of concern of both parents and health care providers. We emphasize the importance of knowing this condition to avoid unnecessary exams and the delay in the diagnosis of severe conditions.

Clinical and urodynamic parameters associated with history of urinary tract infections in women: a prospective study

2007 ◽  
Vol 86 (9) ◽  
pp. 1130-1135 ◽  
Author(s):  
Stavros Athanasiou ◽  
Aris Antsaklis ◽  
Gregoria I. Betsi ◽  
Myrtia Sotiropoulou ◽  
Matthew E. Falagas
Keyword(s):  
Urinary Tract ◽  
Prospective Study ◽  
Urinary Tract Infections ◽  
History Of ◽  
Tract Infections ◽  
A Prospective Study ◽  
Urodynamic Parameters

COVID-19 WITH RHINO-ORBITO-CEREBRAL MUCORMYCOSIS : A SUDDEN SURGE

2021 ◽  
pp. 130-133
Author(s):  
Seema Patel ◽  
A. Z. Nitnaware ◽  
R. T. Pawar ◽  
Ashish Keche ◽  
Tanvi Rekhade
Keyword(s):  
Diabetes Mellitus ◽  
Early Diagnosis ◽  
Prospective Study ◽  
Previous History ◽  
Diagnosis And Treatment ◽  
Temporal Association ◽  
Concomitant Infection ◽  
History Of ◽  
A Prospective Study

Recently an increase in the incidence of mucormycosis is noticed in COVID-19 cases. The main aim of this study is to present our experience of rhino-orbito-cerebral mucormycosis in COVID-19 patients and thereby aid its early diagnosis and treatment. This is a prospective study of 12 cases diagnosed as Rhino-orbito-cerebral mucormycosis . Presentation of mucormycosis in COVID-19, their temporal association and outcome of treatment was studied. Pre-existing comorbidities were seen in 91.67% patients, Diabetes Mellitus (83.33%). Previous history of COVID-19 infection and treatment for the same in 41.67% cases, concomitant infection in 16.67% and asymptomatic undiagnosed covid (antibodies positive) was detected in 41.67%. All patients showed improvement in general and nasal condition (100%). Early diagnosis is must.

Comparison of Self-Hypnosis and Propranolol in the Treatment of Juvenile Classic Migraine

PEDIATRICS ◽  
1987 ◽  
Vol 79 (4) ◽  
pp. 593-597
Author(s):  
Karen Olness ◽  
John T. MacDonald ◽  
Donald L. Uden
Keyword(s):  
Statistical Analysis ◽  
Prospective Study ◽  
Specific Treatment ◽  
The Self ◽  
Objective Measures ◽  
Headache Frequency ◽  
Entire Study ◽  
Headache Severity ◽  
The Mean ◽  
A Prospective Study

In a prospective study we compared propranolol, placebo, and self-hypnosis in the treatment of juvenile classic migraine. Children aged 6 to 12 years with classic migraine who had no previous specific treatment were randomized into propranolol (at 3 mg/kg/d) or placebo groups for a 3-month period and then crossed over for 3 months. After this 6-month period, each child was taught self-hypnosis and used it for 3 months. Twenty-eight patients completed the entire study. The mean number of headaches per child for 3 months during the placebo period was 13.3 compared with 14.9 during the propranolol period and 5.8 during the self-hypnosis period. Statistical analysis showed a significant association between decrease in headache frequency and self-hypnosis training (P = .045). There was no significant change in subjective or objective measures of headache severity with either therapy.

Sign in / Sign up

Export Citation Format

Share Document