Symphyseal fracture in a three-month-old infant

2021 ◽  
Vol 14 (12) ◽  
pp. e245661
Author(s):  
Amir Labib ◽  
Amir Samir Elbarbary
Keyword(s):  
Conservative Management ◽  
Male Infant ◽  
Fracture Site ◽  
Mandibular Fractures ◽  
Management Options ◽  
Mandibular Growth ◽  
Long Term Follow Up ◽  
High Index Of Suspicion ◽  
Displaced Fracture

Mandibular fractures are rare in infants, and diagnosis can be easily missed due to the difficulty in obtaining an adequate history and the subtle signs. A high index of suspicion and detailed history taking from the caregiver are mandatory to pick up these cases.There are a plethora of management options that have been reported in dealing with such fractures. They range from conservative management to internal fixation by absorbable plates. While conservative management does not interfere with mandibular growth and teeth development, any surgical intervention can carry this risk. Nevertheless, a severely displaced fracture may need anatomical reduction and fixation to allow early nutrition.This study reports a 3-month-old male infant with a fracture in the mandibular symphysis who underwent reduction of the fracture and circummandibular fixation using immobilisation by an acrylic splint for 4 weeks. His long-term follow-up after 20 months showed adequate dentition with proper healing of the fracture site.

scholarly journals Management of appendicitis during COVID-19 pandemic; short-term outcomes

2020 ◽  
Vol 65 (4) ◽  
pp. 144-148
Author(s):  
Radhakrishnan Ganesh ◽  
James Lucocq ◽  
Neville Ogbonnia Ekpete ◽  
Noor Ul Ain ◽  
Su Kwan Lim ◽  
...  
Keyword(s):  
Conservative Management ◽  
Short Term ◽  
Mri Scan ◽  
Operative Outcomes ◽  
Uncomplicated Appendicitis ◽  
Significant Difference ◽  
Long Term Follow Up ◽  
Surgical Conditions

Background and aim COVID-19 pandemic has predisposed patients undergoing surgery to post-operative infection and resultant complications. Appendicitis is frequently managed by appendicectomy. After the onset of the pandemic, selected cases of appendicitis were managed with antibiotics which is a recognised treatment option. Our objective was to compare the management of appendicitis and post-operative outcomes between pre- and post-COVID-19. Methods Ninety-six patients were identified from before the onset of the pandemic (November 2019) to after the onset of the pandemic (May 2020). Data were collected retrospectively from electronic records including demographics, investigations, treatment, duration of inpatient stay, complications, readmissions and compared between pre- and post-COVID-19 groups. Results One hundred percent underwent surgical treatment before the onset of pandemic, compared with 56.3% from the onset of the pandemic. A greater percentage of patients were investigated with imaging post-COVID-19 (100% versus 60.9%; p < 0.00001). There was no significant difference in the outcomes between the two groups. Conclusion CT/MRI scan was preferred to laparoscopy in diagnosing appendicitis and conservative management of uncomplicated appendicitis was common practice after the onset of pandemic. Health boards can adapt their management of surgical conditions during pandemics without adverse short-term consequences. Long term follow-up of this cohort will identify patients suitable for conservative management.

Microcystic adnexal carcinoma: Management options based on long-term follow-up

1995 ◽  
Vol 105 (11) ◽  
pp. 1197-1201 ◽  
Author(s):  
Carol M. Bier-Laning ◽  
David B. Horn ◽  
Markus Gapany ◽  
Arndt J. Duvall ◽  
J. Carlos Manivel
Keyword(s):  
Management Options ◽  
Microcystic Adnexal Carcinoma ◽  
Long Term Follow Up

scholarly journals The efficacy of long term follow-up and CO2 laser conization as conservative management in patients with cervical cancer stage FIGO IA1

Gynecology ◽  
2013 ◽  
Vol 1 (1) ◽  
pp. 3
Author(s):  
Maria Grazia Fallani ◽  
Annalisa Pieralli ◽  
Virginia Lozza ◽  
Serena Tarani ◽  
Claudia Bianchi ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Co2 Laser ◽  
Conservative Management ◽  
Cancer Stage ◽  
Long Term Follow Up

scholarly journals Tumour like lesions and their management: a retrospective study

2017 ◽  
Vol 4 (1) ◽  
pp. 159
Author(s):  
Kuriakku Puthur Dominic ◽  
Davis Dijoe ◽  
Libin Thomas Manathara
Keyword(s):  
Retrospective Study ◽  
Operative Treatment ◽  
Conservative Management ◽  
Pathological Fracture ◽  
Long Term Follow Up ◽  
Radical Approach

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Tumour like lesions of the bone is a frequently used term but has not yet been clearly defined. There are no definite guidelines available for their management. The present study was aimed to evaluate the tumour like lesions and their management.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Cases of tumour like lesions managed in the Cancer Institute during the last two decades were systematically analyzed. By and large non aggressive and non-operative treatment was given in all conditions</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">One hundred and twenty seven cases of tumour like lesions managed. As they are not tumours, basics of tumour surgery need not be applied to them. Outcome of conservative management of tumour like lesions was very encouraging on long term follow-up. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Most of the cases with lesser interventions produced better results. They need to be treated only if they are symptomatic or likely to produce a pathological fracture. Even in such situations, one need not take a radical approach.</span></p><p class="abstract"> </p>

scholarly journals Conservative Management of Odontoid Peg Fractures, long term follow up

2017 ◽  
Vol 8 (2) ◽  
pp. 103-106 ◽  
Author(s):  
Aheed Osman ◽  
Nabil A. Alageli ◽  
D.J. Short ◽  
W.S. El Masri
Keyword(s):  
Conservative Management ◽  
Long Term Follow Up

scholarly journals Transverse maxillary and mandibular growth during and after Bionator therapy: study with metallic implants

2013 ◽  
Vol 18 (3) ◽  
pp. 72-79
Author(s):  
André da Costa Monini ◽  
Luiz Gonzaga Gandini Júnior ◽  
Luiz Guilherme Martins Maia ◽  
Ary dos Santos-Pinto
Keyword(s):  
Class Ii ◽  
Mandibular Growth ◽  
Metallic Implants ◽  
Division 1 ◽  
Before And After ◽  
Long Term Follow Up ◽  
Maxilla And Mandible ◽  
Class Ii Division 1

INTRODUCTION: This study evaluated posteroanterior cephalograms before and after treatment and long term follow-up of Class II division 1 patients treated with bionator. OBJECTIVE: The objective was to demonstrate the transverse growth of maxilla and mandible during and after bionator therapy. METHODS: Measurement of transverse dimensions between posterior maxillary and mandibular implants, as well as the distances between the buccal, gonial and antegonial points were recorded. Measurements were analyzed at three periods: T1 = before bionator therapy, T2 = after bionator therapy and T3 = 5.74 years after T2. RESULTS: There was statistically significant transverse increase due to growth and/or treatment for all variables, except for the distance between the anterior maxillary implants. CONCLUSIONS: During the study period only the anterior maxillary area did not show transverse growth.

Conservative Management of the Abnormal Smear During Pregnancy: A long-term follow-up

1987 ◽  
Vol 66 (3) ◽  
pp. 195-199 ◽  
Author(s):  
Dan Hellberg ◽  
Ove Axelsson ◽  
Adel Gad ◽  
Staffan Nilsson
Keyword(s):  
Conservative Management ◽  
Long Term Follow Up

scholarly journals Posterior reversible encephalopathy syndrome: a rare case with delayed reverse

2019 ◽  
Vol 9 (3) ◽  
pp. 248-250
Author(s):  
Ahmed Tanjimul Islam ◽  
Md Kafil Uddin ◽  
Md Ahmed Ali ◽  
Pijush Kumar Kundu ◽  
Md Munzur Alahi ◽  
...  
Keyword(s):  
Posterior Reversible Encephalopathy Syndrome ◽  
Post Partum ◽  
Hyperintense Lesion ◽  
Posterior Reversible Encephalopathy ◽  
Radiological Criteria ◽  
Long Term Follow Up ◽  
Delayed Recovery ◽  
High Index Of Suspicion ◽  
Reversible Encephalopathy

Posterior reversible encephalopathy syndrome (PRES) is a reversible phenomenon diagnosed with both clinical and radiological criteria. We present anatypical case of PRES with unusual delayed reversal. A 29-year-old female presented withseizure and altered consciousness during post-partum periods. The initial computed tomographyscan of brain was normal. But subsequent magnetic resonance imaging of brain showed hyperintense lesion in rightparieto-occipital region. After 7 weeks of multidisciplinary team effort, the patient recovered both clinically and radiologically. High index of suspicion with long term follow up is crucial for this curable and reversible syndrome. Because of rarity in delayed recovery, this case of PRES is reported. Birdem Med J 2019; 9(3): 248-250

scholarly journals SP4.1.13 Management of appendicitis during COVID-19 pandemic; short-term outcomes

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
James Lucocq ◽  
Ganesh Radhakishnan
Keyword(s):  
Conservative Management ◽  
Short Term ◽  
Mri Scan ◽  
Operative Outcomes ◽  
Uncomplicated Appendicitis ◽  
Significant Difference ◽  
Long Term Follow Up ◽  
Surgical Conditions

Abstract Aims COVID-19 pandemic has predisposed patients undergoing surgery to post-operative infection and resultant complications. Appendicitis is frequently managed by appendicectomy. After the onset of the pandemic, selected cases of appendicitis were managed with antibiotics which is a recognised treatment option. Our objective was to compare the management of appendicitis and post-operative outcomes between pre- and post-COVID-19. Methods Ninety-six patients were identified from before the onset of the pandemic (November 2019) to after the onset of the pandemic (May 2020). Data were collected retrospectively from electronic records including demographics, investigations, treatment, duration of inpatient stay, complications, readmissions and compared between pre- and post-COVID-19 groups. Results One hundred percent underwent surgical treatment before the onset of pandemic, compared with 56.3% from the onset of the pandemic. A greater percentage of patients were investigated with imaging post-COVID-19 (100% versus 60.9%; p &lt; 0.00001). There was no significant difference in the outcomes between the two groups. Conclusion CT/MRI scan was preferred to laparoscopy in diagnosing appendicitis and conservative management of uncomplicated appendicitis was common practice after the onset of pandemic. Health boards can adapt their management of surgical conditions during pandemics without adverse short-term consequences. Long term follow-up of this cohort will identify patients suitable for conservative management.

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