scholarly journals “Gauze Technique” in the Treatment of the Fungus Ball of the Maxillary Sinus: A Technique as Simple as It Is Effective

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Pietro Garofalo ◽  
Alessandro Griffa ◽  
Georges Dumas ◽  
Flavio Perottino

Fungus ball of maxillary sinus generally affects immunocompetent and nonatopic subjects. Although endoscopic removal is the current gold standard treatment, removal is at times difficult due to an accumulation of fungal elements in the anterior ad inferior recesses. Aim. To present our experience of maxillary fungus ball treated by the “gauze technique” that avoids these removal difficulties. Materials and Methods. A retrospective, cross-sectional, and descriptive study of 25 patients affected by maxillary fungus ball was carried out: 19 were treated by the “gauze technique” and 6 were treated without “gauze technique.” Results. A comparison was made between the two groups for surgery procedure time, length of hospitalization, time from surgery to nasal unpacking, complications, and postsurgical patient satisfaction. The only statistically significant difference observed was a shorter surgical procedure time (p<0.05) for the “gauze technique.” Conclusions. The data obtained in this study demonstrated that the “gauze technique” is a safe, simple, and quick technique, able to reduce surgery procedure time whilst providing excellent functional outcomes and patient satisfaction.

2008 ◽  
Vol 33 (6) ◽  
pp. 771-778 ◽  
Author(s):  
A. HARTH ◽  
G. GERMANN ◽  
A. JESTER

This study evaluated the effectiveness of a patient-oriented, hand rehabilitation programme compared to a standard programme regarding functional outcomes, return to work, patient satisfaction and costs. Patients were recruited in two consecutive cohorts. One cohort received the standard treatment programme ( n = 75) and the other a programme based on principles of patient orientation ( n = 75). Data were collected at the beginning and end of rehabilitation and 6 months after discharge. Clinical variables included range of motion, grip and pinch strength. Self-reported measures included pain, upper extremity functioning, health status, satisfaction and job situation. Analysis of variance for repeated measurements was used to calculate the main effects. The patient-oriented group showed more favourable results with respect to DASH scores ( P <.05), pain ( P <.001) and patient satisfaction ( P <.0001). More patients returned to their former jobs and time off sick was reduced. We concluded that the patient-oriented approach was more effective and cost-saving.


2012 ◽  
Vol 146 (6) ◽  
pp. 997-1003 ◽  
Author(s):  
Alfredo Nuñez-Castruita ◽  
Norberto López-Serna ◽  
Santos Guzmán-López

Objective. To review the prenatal development of the maxillary sinus under the perspective of the sinus surgery. Study Design. Cross-sectional study. Setting. Basic embryology laboratory. Subjects and Methods. Morphometry and morphology of the maxillary sinus and its ostium were studied under stereomicroscopy in 100 human fetuses from the 9th to the 37th week. Fetuses were obtained from the Fetal Collection of the School of Medicine of the Universidad Autónoma de Nuevo León. Approval was granted by the Ethics Committee. Statistics were applied. Results. The maxillary sinus begins its development at the 10th week. On the 37th week, the anterior-posterior diameter has a mean of 4.36 mm; ossification of the medial wall was absent, and the floor was located below the attachment of the inferior turbinate. Septa and recesses were temporarily observed. Some variations in shape were observed; however, only the oval shape persisted. Maxillary sinus hypoplasia was not found, although asymmetry was present in 30% of cases. The ostium was located at the anterior third of the ethmoid infundibulum; its final dimensions were 1.96 mm in length and 0.44 mm in width. The mean length between the ostium to the lamina papyracea and nasolacrimal duct was 1 mm. One case of double maxillary sinus was observed. Significant difference between the variables, in accordance with the age, was found ( P = .02). Conclusion. Knowledge of prenatal development of the maxillary sinus improves the perspective of the sinus surgeon and helps the understanding of postnatal anatomy, especially in children.


2016 ◽  
Vol 34 (15) ◽  
pp. 1780-1786 ◽  
Author(s):  
Joanne F. Kelvin ◽  
Bridgette Thom ◽  
Catherine Benedict ◽  
Jeanne Carter ◽  
Stacie Corcoran ◽  
...  

Purpose A cancer and fertility program was established at a large cancer center to support clinicians in discussing treatment-related fertility risks and fertility preservation (FP) options with patients and in referring patients to reproductive specialists. The program provides resources, clinician education, and fertility clinical nurse specialist consultation. This study evaluated the program’s impact on patient satisfaction with information received. Patients and Methods Retrospective cross-sectional surveys assessed satisfaction before (cohort 1 [C1]) and after (cohort 2 [C2]) program initiation. Questionnaires were investigator-designed, gender-specific, and anonymous. Results Most C1 (150 males, 271 females) and C2 (120 males, 320 females) respondents were 2 years postdiagnosis; the most frequently reported cancers were testicular, breast, and lymphoma. A significant difference in satisfaction with the amount of information received was seen between C1 and C2. For males, satisfaction with information on fertility risks was high in both cohorts but significantly greater in C2 for information on sperm banking (χ2 = 9.3, P = .01) and finding a sperm bank (χ2 = 13.3, P = .001). For females, satisfaction with information was significantly greater in C2 for information on fertility risks (χ2 = 62.1, P < .001), FP options (χ2 = 71.9, P < .001), help with decision making (χ2 = 80.2, P < .001), and finding a reproductive endocrinologist (χ2 = 60.5, P < .001). Among patients who received and read information materials, 96% of males and 99% of females found them helpful. Among C2 females, fertility clinical nurse specialist consultation was associated with significantly greater satisfaction with information on FP options (χ2 = 11.2, P = .004), help with decision making (χ2 = 10.4, P = .006), and finding a reproductive endocrinologist (χ2 = 22.6, P < .001), with 10% reporting lack of knowledge as a reason for not pursuing FP. Conclusion Improvements in patient satisfaction with information received demonstrate the potential for fertility programs in cancer care settings to improve the quality of clinician-patient discussions about fertility.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Iñigo Romon ◽  
Juan J. Dominguez-Garcia ◽  
Jose L. Arroyo ◽  
Borja Suberviola ◽  
Itxasne Cabezón ◽  
...  

Abstract Background Older patients, frequently with multiple comorbidities, have a high mortality from COVID-19 infection. Convalescent plasma (CP) is a therapeutic option for these patients. Our objective is to retrospectively evaluate the efficacy and adverse events of CP treatment in this population group. Methods Forty one patients over 80 years old with COVID-19 pneumonia received CP added to standard treatment, 51.2% with high anti-SARS-CoV-2 IgG titers and 48.8% with low titers. Median time between the onset of symptoms and the infusion of plasma was 7 days (IQR 4–10). A similar group of 82 patients who received only standard treatment, during a period in which CP was not available, were selected as a control group. Results In-hospital mortality was 26.8% for controls and 14.6% for CP patients (P = 0.131) and ICU admission was 8.5% for controls and 4.9% for CP patients (P = 0.467). Mortality tended to be lower in the high-titer group (9.5%) than in the low-titer group (20%), and in patients transfused within the first 7 days of symptom onset (10%) than in patients transfused later (19.1%), although the differences were not statistically significant (P = 0.307 and P = 0.355 respectively). There was no difference in the length of hospitalization. No significant adverse events were associated with CP treatment. Conclusions Convalescent plasma treatment in patients over 80 years old with COVID-19 pneumonia was well tolerated but did not present a statistically significant difference in hospital mortality, ICU admission, or length of hospitalization. The results should be interpreted with caution as only half the patients received high-titer CP and the small number of patients included in the study limits the statistical power to detect significant differences. Trial registration CEIm Cantabria # 2020.127.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 521.1-521
Author(s):  
R. Fakhfakh ◽  
N. El Amri ◽  
K. Baccouche ◽  
H. Zeglaoui ◽  
E. Bouajina

Background:Joint destruction is a strong predictive factor for residual synovitis among rheumatoid arthritis (RA) patients in clinical remission. Both of them were associated with functional impairment.Objectives:To assess the ultrasound findings and functional outcomes of RA patients in remission according to the site of joint destruction.Methods:A Cross-sectional study including RA patients in remission DAS28 ESR≤ 2.6 for at least 6 months. A B-mode and power doppler (PD) ultrasound of 42 joints was performed. Synovitis was defined and scored using the combined OMERACT-PDUS (gray scale and power doppler (PD)) scoring system graded from 0 to 3. The health assessment questionnaire (HAQ) and the radiological Sharp score of the wrists, hands and feet were calculated.Results:Thirty-seven patients were included. The sex ratio was 0.37 and the mean age was 54.2 years ± 12.7. The mean disease duration was 8.1 years±5.1. The mean remission duration was 36.5 months ± 32.7. The mean DAS28vs was 2.1 ± 0.5. Rheumatoid factor and anti-citrullinated peptide antibodies were found in 62% and 75% of patients, respectively. The mean HAQ was 0.35 ± 0.38. Bone erosion was found in 81% of patients. In patients with hands and feet erosions (54%), synovitis was found in 90% of cases associated with PD in 70% of cases. The mean total score of synovitis was 7.8 ± 5.4. The mean HAQ was 0.37 ± 0.44. In patients with only erosions in the hands or wrists (18.9%), synovitis was found in 100% of cases associated with PD in 57% of cases. The mean total score of synovitis was 4.5±4.7. The mean HAQ was 0.48 ± 0.34. In patients with only feet erosions (8.1%), synovitis was found in 100% of cases associated with PD in 66.7% of cases. The mean total score of synovitis was 4.6±3.5. The mean HAQ was 0.31 ± 0.26. RA was not erosive in 18.9% of patients. In these patients, synovitis was found in 100% of cases associated with PD in 28.6% of cases. The mean total score of synovitis was 5.6±4.3. The mean HAQ was 0.21 ± 0.23. There is no significant difference between these groups(p>0.05).Conclusion:In RA in remission, PD synovitis and functional incapacity were less frequent in the absence of erosion. PD synovitis was more frequently found in patients with erosions, especially, in the feet. The HAQ was higher in patients with hands erosions.References:[1]Hamamoto Y, Ito H, Furu M, Hashimoto M, Fujii T, Ishikawa M, et al. Serological and Progression Differences of Joint Destruction in the Wrist and the Feet in Rheumatoid Arthritis - A Cross-Sectional Cohort Study. PLoS One. 2015;10(8):e0136611.Disclosure of Interests:None declared


2017 ◽  
Vol 1 (3) ◽  
pp. 209
Author(s):  
Susila Rusdiana Dewi ◽  
Merryana Adriani

Background : Patient satisfaction is one of expected outputs of food provision. Food service system selection, especially in the hospital, will influence food and foodservice quality, which can influence patient’s acceptance and food intake. Objectives: The Purpose of this study was to analyze the difference between food satisfaction on foodservice as outsouching and self operated based on food quality and foodservice quality which had been held in RS Islam Jemursari Surabaya. Method : The study was a description research with cross sectional design. The study used two kinds of data, which were secondary data (to know the patient satisfaction of food by outsourcing system) and primaly data (to know the patient satisfaction of food by self operated system). Measures of food and foodservice quality by outsourcing system was same by self operated system. Population of the study were all of patient which in 2 and 3 class at Azzahra 1’room, Azzahra 2’room, and Mawar’room so that sampels of the study in each food service system were 43 patients. Analysis test used was Mann Whitney test.Results : The result of the statistical analysis showed that there was no significant difference in food quality (p<0.100) and total food satisfaction (p>0.100), but there was significant difference in foodservice quality (p<0.100).Conclusion : Patient satisfaction of food by outsourcing system was no difference from the patient satisfaction of food by self operated system.ABSTRAK Latar belakang : Kepuasan makan pasien merupakan salah satu output yang diharapkan oleh suatu penyelenggara makanan. Pemilihan dalam sistem penyelenggaraan makanan khususnya di rumah sakit akan mempengaruhi kualitas dan pelayanan makanan yang nantinya juga akan berpengaruh pada daya terima dan asupan makan pasien.Tujuan : Penelitian ini bertujuan untuk melihat perbedaan kepuasan makanan pasien pada penyelenggaraan makanan secara outsourcing dan swakelola berdasarkan kualitas makanan dan kualitas pelayanan makanan yang telah dilaksanakan di RS Islam Jemursari Surabaya.Metode : Penelitian ini merupakan penelitian deskriptif dengan desain penelitian cross sectional. Penelitian ini menggunakan dua jenis data yakni data sekunder (untuk mengetahui kepuasan pasien terhadap makanan pada saat sistem outsourcing) dan data primer (untuk mengetahui kepuasan pasien terhadap makanan pada sistem swakelola). Ukuran kualitas makanan dan kualitas pelayanan makanan yang digunakan pada saat survey outsourcing sama dengan yang digunakan saat swakelola. Populasi pada penelitian ini adalah semua pasien kelas 2 dan 3 yang ada di Ruang Azzahra 1, Azzahra 2, dan Mawar dengan sampel penelitian masing-masing sistem penyelenggaraan sebanyak 43 pasien. Uji analisis yang digunakan adalah uji Mann Whitney.Hasil : Hasil analisis statistik dari penelitian ini menunjukkan bahwa tidak ada perbedaan bermakna pada kualitas makanan (p>0,100) dan kepuasan makanna total (p>0,100), namun ada perbedaan bermakna pada kualitas pelayanan makanan (p<0,100).Kesimpulan : Kepuasan makan pasien pada penyelenggaraan makanan sistem outsourcing tidak berbeda dengan kepuasan makan pada penyelenggaraan sistem swakelola.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yousef Al Najam ◽  
Ali Tahmaseb ◽  
Dorothee Wiryasaputra ◽  
Eppo Wolvius ◽  
Brunilda Dhamo

Abstract Objective This cross-sectional study aims to investigate the effect of the cause of missing teeth on the survival and subjective success of dental implant treatment (DIT) in young patients with missing teeth due to non-congenital causes (tooth loss) in comparison to patients with missing teeth because of congenital causes (hypodontia and oligodontia). Material and methods All patients were asked 7 questions to extract information about the survival and subjective success of DIT. Implant survival function was designed using the Kaplan-Meier analysis. Differences in implant success outcomes were studied using binary logistic regression analysis. Results One hundred ten patients aged 18 to 40 years old were included, whereof 32 patients with tooth loss, 25 patients with hypodontia and 53 patients with oligodontia. In the tooth loss group, implant survival reached 96.9%; in the hypodontia group 96.0%; and in the oligodontia group 88.7%. Regarding subjective implant success, patient satisfaction was significantly higher (p < 0.040) among patients with congenital missing teeth in comparison to patients with tooth loss. Other implant success components showed no statistically significant difference (p > 0.050) between the groups. Conclusion The cause of missing teeth does not influence implant survival. However, the cause of missing teeth does have a significant impact on patient satisfaction (implant success), ascertaining young patients with congenital missing teeth as more satisfied of DIT than young patients with tooth loss. Clinical relevance Young patients with tooth agenesis and with an increased number of missing teeth are more content about the treatment with dental implants than patients with tooth loss. Furthermore, a consensus regarding the assessment of implant success is an essential concern for clarification.


2020 ◽  
Vol 40 (4) ◽  
pp. 330-337
Author(s):  
Maha S. Al Amri ◽  
Hanadi M. Sabban ◽  
Doaa H. Alsaggaf ◽  
Fahad F. Alsulaimani ◽  
Ghassan A. Al-Turki ◽  
...  

ABSTRACT BACKGROUND: Orthodontic miniscrews are commonly used as temporary anchorage devices. Bone thickness and bone depth are important factors when placing miniscrews. There are no studies to assess the maxillary bone thickness for optimum miniscrew placement in a Saudi population. OBJECTIVE: Assess the proximity of the maxillary sinus and nasal cavity in areas where miniscrews are usually inserted using cone beam computed tomography (CBCT). DESIGN: Retrospective, cross-sectional. SETTING: Department of maxillofacial radiology in a Saudi dental school. PATIENTS AND METHODS: Using CBCT images, we measured the distance between the maxillary sinus and nasal cavity to the palatal bone, buccal intra-radicular and infrazygomatic crest areas. Mean values (SD) were compared at various locations, including by gender, and correlation with age was calculated. MAIN OUTCOME MEASURE: Mean bone thickness at commonly used sites for orthodontic miniscrew placements in the maxilla. Secondary outcome was the insertion angle in the infrazygomatic crest area. SAMPLE SIZE: CBCT images of 100 patients (50 males and 50 females). RESULTS: The mean (standard deviation) age for the sample was 25.4 (6.5) years with no significant difference between males and females. In the palate, the distance to the nasal cavity and maxillary sinus was greater anteriorly and decreased significantly posteriorly ( P <.001). Buccally, the interdental bone depth was significantly greater between the second premolar and first molar (11.96 mm) compared to between the central and lateral incisors (7.53 mm, P <.001). The mean bone thickness of the infrazygomatic crest area at a 45° insertion angle was 4.94 mm compared to 3.90 at a 70° insertion angle ( P <.001). No correlation was found between age and bone thickness. CONCLUSION: The distance to the nasal cavity and maxillary sinus was greater in the anterior than posterior areas. There is minimal risk of injuring the maxillary sinus or nasal cavity using the buccal approach. Caution is needed when placing miniscrews in the infrazygomatic crest area. LIMITATIONS: Cross-sectional study from one center; hence, findings cannot be generalized to other populations. CONFLICT OF INTEREST: None.


2021 ◽  
Vol 71 (1) ◽  
pp. 255-60
Author(s):  
Novaira Waseem ◽  
Muhammad Adil Asim ◽  
Ayesha Maqsood ◽  
Muhammad Wajahat Ghafoor ◽  
Noor-Ul-Ain Mirza ◽  
...  

Objective: To assess the patterns of impacted 3rd molars and their proximity with adjacent vital structures. Study Design: Comparative cross-sectional study. Place and Duration of Study: Oral & maxillofacial department of Rawalpindi Dental Hospital, from Oct 2016 toFeb 2018. Methodology: Patient sample size was 956. Orthopantomograms (OPGs) were assessed to determine the presence, patterns of impacted third molars and their relation to maxillary sinus and inferior alveolar canal (IAC) in maxilla and mandible respectively. Results: Out of 956 Orthopantomograms with 3499 3rd molars examined, 808 (23.09%) were impacted. Frequency of impaction was much higher in mandible than maxilla. Out of 527 impacted mandibular 3rd molars 238 (45.16%) were mesio-angular, 370 (70.21%) had class 1 relation to mandibular ramus & 266 (50.47%) had level B depth, while among 281 impacted maxillary third molars 134 (47.69%) had vertical angulation and 162 (57.65%) had level B depth. Two hundred and eighty four (53.89%) impacted mandibular 3rd molars showed relationship with the inferior alveolar canal, out of which 187 (35.48%) impacted mandibular 3rd molars showed interruption of white line as the most common radiographic finding. Conclusion: Frequency of impacted third molars was more common in mandible and among females whereasthere is significant difference in patterns of impaction among mandible and maxilla. While most impacted teethhave approximation with IAC and maxillary sinus.


Author(s):  
Momina Anis Motiwala ◽  
Aysha Arif ◽  
Robia Ghafoor

Abstract Objectives: To evaluate the vertical relationship of the roots of maxillary posterior teeth with maxillary sinus floorand its association with age, gender and bilateral jaw symmetry. Method: The cross-sectional study was conducted at a tertiary care hospital in Karachi from June to December 2018, and comprised patients who visited the dental clinics and underwent cone-beam computed tomography scans. The scans were evaluated in the axial, coronal and sagittal planes and roots were classified using Jungs classification for proximity to maxillary sinus floor. The distance between the sinus floor and the apices of maxillary posterior teeth was measured.  Data was analysed using SPSS 23. Results: There were 60 scans with 1066 roots. The most common maxillary tooth root in Type III group of Jung classification was the mesio-buccal root of the 2nd molar with the shortest mean distance of 0.44±3.05mm, followed by palatal roots of the 1st molar with the shortest mean distance of 1.58±4.01mm. The maxillary tooth root most frequent in Type I group was buccal root of 1st premolar with a mean distance of 8.15±6.65mm, and the 2nd premolar with a mean distance of 7.38±6.60mm. No significant difference was found in terms of gender and sides (p ?0.05). Conclusion: The most common root protruding in the sinus was found to be the mesio-buccal root of the 2nd molar, followed by palatal roots of the 1st molar. The most distant maxillary tooth root from the sinus was the buccal root of 1st and 2nd premolars. Continuous...


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