scholarly journals 782 Evaluation of Ketamine Sedation as An Alternative to General Anaesthetic for The Management of Paediatric Soft Tissue Facial Injuries During the Covid-19 Pandemic

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Nijamudeen ◽  
Z Cole-Healy ◽  
Stuart Clark
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Waiting Times ◽  
Soft Tissue Injuries ◽  
Control Group ◽  
General Anaesthetic ◽  
Suitable Alternative ◽  
Facial Injuries ◽  
Patient Demographics ◽  
Department Evaluation

Abstract Introduction Standard surgical practice of paediatric soft tissue facial injuries requires general anaesthetic (GA) if treatment with local anaesthetic is not tolerated. However, the Covid-19 pandemic has increased the risk of hospital admission for GA to patients and pre-operative Covid-19 testing can delay surgical treatment. In response, a service was established to facilitate short surgical procedures by the Oral and Maxillofacial surgical (OMFS) team with ketamine sedation (KS) at a tertiary level paediatric emergency department. Evaluation of this service demonstrates that KS is a suitable alternative to GA with reduced waiting times, low complications and equivalent surgical outcomes. Method 20 patients treated under KS from May- September 2020 were identified and compared to a control group of 20 patients treated under GA during the same time period. Data including patient demographics, surgical treatment and the KS/GA procedure was collected from the medical records and was analysed using Microsoft excel. Results The KS patients had shorter waits for treatment with 85% of patients waiting 1 day or less, compared with 55% for the GA group. Using the local KS protocol 1 or 2 doses of ketamine was sufficient in 79% of cases and adverse effects were minimal with 21% of KS patients suffering mild nausea and vomiting. Conclusions KS is an acceptable alternative to GA for the management of paediatric soft tissue injuries. KS reduces inpatient admission for GA which is of increased importance during the Covid-19 pandemic. Other OMFS units would benefit from access to a similar service.

1239 Postoperative Complication Rate of Facial Injury Repairs Treated by Maxillofacial On-Call Team: Surgical Audit

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
G Dhanjal ◽  
M Ghouri ◽  
S Crank
Keyword(s):  
Soft Tissue ◽  
Postoperative Complications ◽  
Postoperative Complication ◽  
Complication Rate ◽  
Maxillofacial Surgery ◽  
General Anaesthetic ◽  
Facial Injury ◽  
Postoperative Complication Rate ◽  
Female Ratio ◽  
Facial Injuries

Abstract Introduction A significant aspect of Oral and Maxillofacial Surgery workload relates to trauma, particularly soft-tissue injuries. Contingent on the aetiology of injury, facial wounds require debridement and rapid closure to reduce risk of infection and degree of scarring. The aim was to identify possible risks and frequency of postoperative complications, including problems identified by patients following treatment of facial injuries by the Maxillofacial on-call team. Method Data was retrospectively collected from patients who sustained soft-tissue facial injuries treated by the Maxillofacial team and provided with follow-up appointments from January to August 2020. Computerised clinical notes were accessed to determine patient demographics, mechanism and site of injury, location and time of repair, operator grade and postoperative complications (if any). Results 153 patients required debridement and suturing of a facial injury under local or general anaesthetic. Among these, the male to female ratio was 65:35. 47% of facial injuries resulted from mechanical fall. Lips were found to be the most common site (31%) of injury. Postoperative complication rate was 8% within the 8-month period, with reports of infection, wound dehiscence and haematoma requiring further treatment. 58% of complications resulted from treatment carried out between 5pm-5am with a sole operator (DCT/SHO). 83% of complications followed treatment carried out within the Emergency Department rather than Maxillofacial clinical setting. Conclusion Following facial injury repair, just less than 8% of patients experienced complications, which required corrective treatment. Although facial injuries require immediate care, careful planning and performing treatment in a specialised setup may improve perioperative care, thus clinical outcomes.

Surgical treatment and functional outcomes of multicomponent soft tissue injuries of the wrist

2018 ◽  
Vol 37 (3) ◽  
pp. 160-166
Author(s):  
C. Demirdover ◽  
F.A. Ozturk ◽  
H.S. Yazgan ◽  
N. Yogurtcu ◽  
M. Sevindik ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Functional Outcomes ◽  
Soft Tissue Injuries ◽  
Tissue Injuries

Efficacy of Spine Segments Radiofrequency Denervation

2013 ◽  
Vol 20 (2) ◽  
pp. 26-31
Author(s):  
G. I Nazarenko ◽  
A. M Cherkashov ◽  
V. I Kuzmin ◽  
A. G Nazarenko ◽  
M. A Gorokhov ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Conservative Treatment ◽  
Pain Syndrome ◽  
Soft Tissue Injuries ◽  
Long Term Results ◽  
Control Group ◽  
Treatment Results ◽  
Radiofrequency Denervation ◽  
One Year

Early and long-term results of radiofrequency facet destruction for 245 patients with cervical, thoracic and lumbar spondyloarthrosis were presented. One hundred six patients (control group) were treated conservatively. Treatment results were assessed by pain syndrome intensity using pain audit. One year after operation good result was observed in 62 (32%) out of 195 patients and satisfactory results — in 117 (60%) patients. That method enabled to eliminate considerably vertebrogenic pain localized in one dermatome when conservative treatment failed. Our experience showed that radiofrequency facet nerves destruction was safe and did not result in soft tissue injuries. All that enabled patients to return to work at maximum short terms.

Adriamycin extravasation: Surgical treatment and possible prevention of skin and soft-tissue injuries

1983 ◽  
Vol 23 (4) ◽  
pp. 259-262 ◽  
Author(s):  
Jaakko Pitkänen ◽  
Sirpa Asko-Seljavaara ◽  
Pentti Gröhn ◽  
Börje Sundell ◽  
Erkki Heinonen ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
Tissue Injuries

scholarly journals Pearls of plastics in ENT practice that Conceals & Camouflages the Camber, Contour & Cosmesis in Facial Trauma

2022 ◽  
Vol 4 (1) ◽  
pp. 01-04
Author(s):  
Sphoorthi Basavannaiah
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
Facial Trauma ◽  
Facial Bones ◽  
Facial Injuries ◽  
Eye Symptoms ◽  
Tissue Injuries ◽  
Type Of Injury ◽  
Nasal Fractures

Facial trauma can involve soft tissue injuries such as burns, lacerations, bruises and even fractures of the facial bones such as nasal fractures and fractures of the jaw as well as injury to the eye. Symptoms are specific to the type of injury that can be either signs of inflammation or changes in facial definition. Facial injuries have the potential to cause temporary deviations in facial delineation to permanent disfigurement of facial structures.

scholarly journals Wound Complications After Multimodal Treatment of Soft Tissue Sarcomas

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 218s-218s
Author(s):  
M. Khanevich ◽  
A. Khazov
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Radical Surgery ◽  
Soft Tissue Sarcomas ◽  
Endovascular Embolization ◽  
Main Group ◽  
Long Term Results ◽  
Wound Complications ◽  
Control Group ◽  
Quick Freezing

Background: Surgical removal of the tumor remains the only 1 radical treatment of patients with soft tissue sarcomas of the extremities. However, the parameters of total and disease-free survival after this type of treatment cannot be considered satisfactory. Currently the active search and introduction into clinical practice of additional impact methods that can improve the immediate and long-term results of treatment of such patients is being conducted. Aim: To evaluate the risk of the wound process complications after surgical treatment of soft tissue sarcomas using endovascular embolization and cryosurgery. Methods: We have assessed the quantity and quality of postoperative complications of wound process in 199 patients with soft tissue sarcomas and their recurrences. The study group consisted of 53 patients, who underwent radical surgery with selective preoperative endovascular embolization and intraoperative cryosurgery. The control group consisted of 146 patients who had radical surgery without any additional methods. Preoperative embolization and cryosurgery on the wound bed after tumor removal was used to prevent local recurrence of soft tissue sarcomas. Preoperative angiography with selective embolization of vessels feeding the tumor was performed 1-1.5 hours before the main surgical treatment. Cryosurgery was carried out by the method of “Olympic rings” with 3 minutes duration. The temperature of exposure was −186°C. In the course of cryosurgery we adhere to the principle of “quick freezing - an independent slow thawing”. All postoperative wounds tightly sutured with silicone drains by Redon, if necessary. Results: Complications of wound healing have been diagnosed in 15 (28.3%) patients of the main group and in 34 (23.3%) control group patients. Inflammatory-suppurative complications were observed in the remaining 8 (15.1%) patients of the main group and in 18 (12.3%) control group patients ( P > 0.05). Long lymphorrhea was observed in 6 (11.3%) patients of the main group and 11 (7.5%) control group patients. Bleeding in the postoperative period was observed in 1 (1.9%) case of main group patients and in 5 (3.4%) cases of control group. Conclusion: The additional using of selective preoperative endovascular embolization and cryosurgery is safe and does not worsen immediate results of surgical treatment of soft tissue sarcomas.

Effectiveness of pre-surgical neuromuscular electrical stimulation on the recovery time of diaphyseal femoral fractures

2020 ◽  
Vol 27 (8) ◽  
pp. 1-15
Author(s):  
María C Bustos ◽  
María S Lo Presti
Keyword(s):  
Electrical Stimulation ◽  
Surgical Treatment ◽  
Recovery Time ◽  
Treatment Time ◽  
Waiting Times ◽  
Intervention Group ◽  
Neuromuscular Electrical Stimulation ◽  
Femoral Fractures ◽  
Control Group ◽  
Men And Women

Background/aims: Quadriceps pathology is common in patients who have suffered diaphyseal femoral fractures because of the long waiting times before surgery, during which they remain immobilised. The aim of this study was to evaluate the effectiveness of neuromuscular electrical stimulation applied in the pre-surgical period on the recovery time of the patients. Methods Before surgical treatment, patients with closed diaphyseal femoral fractures were systematically distributed alternatively into an intervention group and a control group. The intervention group (n=22) received pre-surgical neuromuscular electrical stimulation and the control group (n=25) received conventional physiokinetic treatment. Results Age, gender proportions and time between admission and surgery were similar in both groups. Average treatment time was 14.14 ± 9.7 days. Recovery time (from surgery to medical discharge) was 111 ± 15.65 days for participants in the intervention group, and 139.36 ± 23.05 days for participants in the control group (P<0.0001). No differences were found between men and women nor between the fractured femur (right vs left). Conclusions The results highlight the value of neuromuscular electrical stimulation in the pre-surgical period for patients with diaphyseal femoral fractures, optimising their rehabilitation and facilitating a quicker return to their everyday lives.

Adriamycin Extravasation: Surgical Treatment and Possible Prevention of Skin and Soft-Tissue Injuries

1984 ◽  
Vol 131 (2) ◽  
pp. 414-415
Author(s):  
J. Pitkänen ◽  
S. Asko-Seljavaara ◽  
P. Gröhn ◽  
B. Sundell ◽  
E. Heinoen ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
Tissue Injuries
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