scholarly journals Therapeutic Options of Chondrodermatitis Nodularis Helicis

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Lea Juul Nielsen ◽  
Caroline Holkmann Olsen ◽  
Jørgen Lock-Andersen
Keyword(s):  
Surgical Treatment ◽  
Surgical Procedures ◽  
Inflammatory Process ◽  
Literature Search ◽  
Therapeutic Options ◽  
Treatment Modalities ◽  
Conservative Approach ◽  
And Cartilage ◽  
Long Term Studies

Chondrodermatitis Nodularis Helicis is a benign inflammatory process affecting the skin and cartilage of the ear. It typically presents as a painful nodule surrounded by an area of erythema and often prevents the patient from sleeping on the affected side. Many treatments have been described in the literature, but the condition is prone to recurrence. A literature search was performed in order to identify the best possible treatment. Fifty-eight articles were included, describing and investigating nonsurgical as well as surgical treatment modalities. Large prospective, controlled, and randomised long-term studies are lacking, but based on the available literature, we recommend starting with a conservative approach using decompression devices. Simple surgical procedures should only be used if conservative measures fail.

scholarly journals Emancipators in oral sub mucous fibrosis: An update

2021 ◽  
Vol 6 (2) ◽  
pp. 59-64
Author(s):  
Subharina Mahapatra ◽  
◽  
Manjula Hebbale ◽  
Amit Mhapuskar ◽  
Richa Jain ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Literature Search ◽  
Oral Submucous Fibrosis ◽  
Mouth Opening ◽  
Treatment Modalities ◽  
Established Method ◽  
Pharmacological Agents ◽  
Cochrane Database ◽  
Submucous Fibrosis ◽  
Oral Sub Mucous Fibrosis

Oral submucous fibrosis is a chronic insidious oral mucosal condition causing trismus and reduced mouth opening and it is affecting predominantly Indian and other Asians. The treatment of trismus requires combination of pharmacological agents, surgical therapy and physiotherapy, the latter is essential for preventing relapse due to postoperative inactivity and scarring as well as for improvement of mouth opening. Computerized literature search was performed from 1993 till 2021 to select eligible articles from the following databases: PUBMED [MEDLINE], SCOPUS, SCIENCE DIRECT, and COCHRANE DATABASE using specific keywords. The search was limited to articles published as full text in English, which were screened by two reviewers for eligibility.This article describes in depth about various appliances, devices used in oral submucous fibrosis. The devices can be used along with pharmacological and surgical treatment modalities or can be used alone. Mouth exercise is also well-established method to improve mouth opening and also to prevent postsurgical relapse. This article is one of the rare article that describes all the appliances together either directly used or indirectly used for the case of microstomia due to oral sub mucous fibrosis.

scholarly journals SURGICAL TREATMENT OF TUMORS OF THE UPPER-THORACIC SPINE

2010 ◽  
Vol 16 (2) ◽  
pp. 143-145
Author(s):  
A. L. Heylo ◽  
A. G. Aganesov
Keyword(s):  
Spinal Cord ◽  
Surgical Treatment ◽  
Surgical Procedures ◽  
Thoracic Spine ◽  
Surgical Approach ◽  
Long Term Results ◽  
Upper Thoracic Spine ◽  
Short And Long Term ◽  
Upper Thoracic

The experience of surgical treatment of 19 patients with tumors of the upper-thoracic spine is analyzed. All the patients had undergone decompressive-stabilizing surgical procedures. Surgical approach, form of decompression and fixation were determined depending on the signs of compression of the spinal cord and neural structures, etiology and degree of the vertebral body destruction. Good and satisfactory short- and long-term results were achieved in all the patients. The case of surgical treatment of female patient with giant neurofibromas of Th2 vertebrae is also reported.

Varicose veins: A critical review of the definition and the therapeutical options

VASA ◽  
2011 ◽  
Vol 40 (5) ◽  
pp. 344-358 ◽  
Author(s):  
Jeanneret ◽  
Karatolios
Keyword(s):  
Varicose Vein ◽  
Varicose Veins ◽  
Treatment Modalities ◽  
Therapeutic Approaches ◽  
New Techniques ◽  
Definition Of ◽  
Vein Disease ◽  
Therapeutical Options ◽  
Long Term Studies

This review intends to give an overview of the present therapeutic options for varicose vein disease. The definition of varicose vein disease and its recurrence are made and discussed with new aspects including duplexsonography assessment. All therapeutic approaches have developed and refined their treatment modalities, the open surgical as well as the endovenous techniques. In particular the “new” endovenous techniques are described with regard to safety and outcome, the published literature in this respect is summarized. The studies comparing the different techniques are listed, the prospective long term studies comparing the new techniques with the so called gold standard (open surgery) shall decide on the fate of the different techniques.

Valsalva retinopathy: Long-term results and management strategies

2020 ◽  
pp. 112067212093617
Author(s):  
Selda Celik Dulger ◽  
Pınar Cakar Ozdal ◽  
Mehmet Yasin Teke
Keyword(s):  
Visual Acuity ◽  
Nd:Yag Laser ◽  
Management Strategies ◽  
Argon Laser ◽  
Long Term Results ◽  
Treatment Modalities ◽  
Conservative Approach ◽  
Valsalva Retinopathy

Purpose: To investigate the long-term results and efficacy of the treatment modalities for preretinal hemorrhage due to valsalva retinopathy. Methods: Retrospective review was conducted on 24 eyes of 24 patients with valsalva retinopathy who were treated between 2004 and 2019. These patients were treated with Nd:YAG laser, argon laser and vitrectomy or were only observed. Nd:YAG laser hyaloidotomy was performed in 10 eyes, argon laser was applied to two of those following failed Nd:YAG laser, and vitrectomy was performed in one eye. A conservative approach was adopted in 13 eyes. Results: There were 15 females and nine males with mean age of 41.08 ± 12.72 (21–65) years. Mean follow-up period was 42.83 ± 23.78 (range: 12–116) months. Patients with hemorrhage size smaller than or equal to 4-disc diameter were observed for spontaneous resorption and achieved 20/20 visual acuity within 6 months. Visual acuity of all patients treated with Nd:YAG and/or argon laser, increased within the first week after the treatment. Vitrectomy was performed in only one patient with hemorrhage located away from macula. The good visual outcomes were achieved in all treatment modalities. Conclusions: Observation, Nd:YAG laser and argon laser seem to be safe and effective approaches for eyes with valsalva retinopathy. The size, volume and duration of hemorrhage are the most crucial factors for treatment choice, success and complications.

scholarly journals Peri-implantitis: risk factors and outcome of reconstructive therapy

2021 ◽  
Author(s):  
◽  
Ahmad Aghazadeh
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Alveolar Bone ◽  
Surgical Intervention ◽  
Treatment Modalities ◽  
High Likelihood ◽  
Radiographic Evidence ◽  
History Of ◽  
Bovine Xenograft

This thesis is focused on (I) the outcome of reconstructive treatment of peri-implant defects and (II) risk factors for the development of peri-implantitis. Background An increasing number of individuals have dental implant-supported reconstructions. The long-time survival rate of dental implants is good, but complications do occur. Accumulation of bacteria on oral implants and the development of a pathogenic biofilm at the mucosal margin will result in inflammatory responses diagnosed as peri-implant mucositis(PiM). Furthermore, PiM may progress to peri-implantitis (Pi) involving the implant-supporting bone and potentially result in a severe inflammatory process resulting in alveolar bone destruction and consequently implantloss. Currently, Pi is a common clinical complication following implant therapy.The prevalence of peri-implantitis has been reported to be around 20 %. Susceptibility to infections and a history of periodontitis are considered as important risk indicators for peri-implantitis. It seems logical that a past history of periodontitis is linked to an increased risk of peri-implantitis. It is possible that other patient-associated factors such as a smoking habit, and presence of general diseases may also be linked to a higher risk for developing peri-implantitis.Treatment of peri-implantitis is difficult. Non-surgical treatment modalities may not be sufficient to resolve the inflammatory process to obtain healthy conditions.Surgical treatment of peri-implantitis has commonly been employed in clinical practice to obtain access to the implant surface thereby increasing the possibility to effectively decontaminate the implant surfaces.The effectiveness and long-term outcomes of reconstructive surgical treatments of peri-implantitis has been debated. The scientific evidence suggests that regular supportive care is an essential component in order to maintain and secure long-term results following treatment of peri-implantitis. Aims 1. To assess the short-term efficacy of reconstructive surgical treatmentof peri-implantitis (Study I). 2. To analyse risk factors related to the occurrence of peri-implantitis(Study II). 3. To assess the importance of defect configuration on the healing response after reconstructive surgical therapy of peri-implantitis (Study III). 4. To assess the long-term efficacy of reconstructive surgical treatmentof peri-implantitis (Study IV). MethodsFour studies were designed to fulfil the aims: - A single-blinded prospective randomised controlled longitudinal human clinical trial evaluating the clinical and radiographic results of reconstructive surgical treatment of peri-implantitis defects usingeither AB or BDX. - A retrospective analysis of individuals with either peri-implantitis, or presenting with either peri-implant health, or peri-implant mucositis assessing the likelihood that peri-implantitis was associated with a history of systemic disease, a history of periodontitis, and smoking. - A prospective study evaluating if the alveolar bone defect configuration at dental implants diagnosed with peri-implantitisis related to clinical parameters at the time of surgical intervention and if the short- and long-term outcome of surgical intervention of peri-implantitis is dependent on defect configuration at the time of treatment. - A prospective 5-year follow-up of patients treated either with AB or BDX. Results - The success for both surgical reconstructive procedures was limited. Nevertheless, bovine xenograft provided evidence of more radiographic bone fill than AB. Improvements in PD, BOP, and SUP were observed for both treatment modalities -In relation to a diagnosis of peri-implantitis, a high likelihood of comorbidity was expressed in the presence of a history of periodontitis and a medical history of cardiovascular disease - The buccal-lingual width of the alveolar bone crest was explanatory to defect configuration - 4-wall defects and deeper defects demonstrated more radiographic evidence of defect fill - Reconstructive surgical treatment of peri-implant defects may result in successful clinical outcomes, that can be maintained over at least five years - The use of BDX is more predictable than use of harvested bone from the patient (AB) Conclusions The study results suggest that a bovine xenograft provides better radiographic evidence of defect fill than the use of autogenous bone harvested from cortical autologous bone grafts.Treatment with bone grafts to obtain radiographic evidence of defect fill is more predictable at 3- and 4-wall defects than at peri-implantitis bone defects with fewer bone walls.In relation to a diagnosis of peri-implantitis, a high likelihood of comorbidity was found for a history of periodontitis and a history of cardiovascular disease.

scholarly journals Surgical treatment of bronchiectasis: Our 23 years of experience

2020 ◽  
Vol 28 (4) ◽  
pp. 629-637
Author(s):  
Selim Şakir Erkmen Gülhan
Keyword(s):  
Surgical Treatment ◽  
Surgical Procedures ◽  
Pulmonary Resection ◽  
Mortality Rates ◽  
Symptomatic Improvement ◽  
Complete Resection ◽  
Surgical Experience ◽  
Long Term Follow Up

Background: In this study, we aimed to evaluate the success of surgery and a complete resection for bronchiectasis treatment and to present our 23 years of surgical experience. Methods: Between January 1991 and December 2013, a total of 1,357 patients (667 males, 690 females; mean age 30.5±14.3 years; range, 3 to 73 years) with the diagnosis of bronchiectasis who underwent pulmonary resection in our clinic were retrospectively analyzed. Demographic and clinical characteristics of the patients, etiologies, symptoms, localizations, surgical procedures, and long-term follow-up results were evaluated. Results: There were 1,394 surgeries, as 37 (2.7%) patients had bilateral disease. The surgical procedures included lobectomy (n=702, 50.3%), pneumonectomy (n=183, 13.1%), segmental resections (n=114, 8.2%), bilobectomy (n=83, 6.0%), and lobectomy + segmentectomy (n=312, 22.4%). During the postoperative period, 1,269 (93.5%) patients were followed at a mean duration of 51.6 (range, 1 to 120) months. After surgery, 774 (61%) patients were asymptomatic, 456 (35.9%) showed an improvement, and 39 (3.1%) had no response or deterioration. Conclusion: The surgical treatment plays an important role in the clinical and symptomatic improvement of patients with bronchiectasis. Surgery reduces the morbidity and mortality rates with careful preoperative preparation and appropriately selected cases.

Present status of the prevention of neural tube defects

PEDIATRICS ◽  
1975 ◽  
Vol 55 (6) ◽  
pp. 751-753
Author(s):  
Henry L. Nadler
Keyword(s):  
Urinary Incontinence ◽  
Neural Tube ◽  
Treatment Modalities ◽  
Aggressive Treatment ◽  
Selective Treatment ◽  
Treatment Regimes ◽  
The Past ◽  
Recent Developments ◽  
Long Term Studies

During the past two decades, a number of dramatic changes have taken place in the treatment of infants born with myelomenmgocele. Since the development in the 1950's and early 1960's of more effective methods for treating hydrocephalus, urinary incontinence, and paraplegia, aggressive treatment regimes have been initiated. Numerous articles and editorials have questioned these various treatment modalities based on the lack of objective long-term studies documenting their effectiveness. More recently, dissatisfaction with the results of current surgical prodecures for children with myelomeningocele has led to the development of selective criteria for early treatment.1,2 The purpose of this commentary, however, is not to discuss the merits of selective treatment for myelomeningocele but rather to discuss some of the recent developments for the prevention of this disorder.

Rib-Based Anchors are Associated with Proximal Translational Deformity in Early Onset Spinal Deformity Patients undergoing Growth-Friendly Surgical Treatment

2020 ◽  
Vol 4 (2) ◽  
pp. 1-5
Author(s):  
Robert F Murphy
Keyword(s):  
Surgical Treatment ◽  
Vertebral Body ◽  
Surgical Procedures ◽  
Spinal Deformity ◽  
Early Onset ◽  
Thoracic Kyphosis ◽  
Tertiary Level ◽  
Level Institution

Objective/Background: No studies to date have evaluated the the effect of rib-based anchors on the translational relationship between the rib and spine. We hypothesized that there would be an increase in the translational distance between the rib anchor and anterior vertebral body in early onset spinal deformity patients managed with long-term rib-based anchors. Methods: All patients with EOSD from a single tertiary level institution treated with a growth-friendly technique surgery utilizing proximal rib-based anchors from 2006-2015 with a minimum of 2-year follow-up were included. Thoracic kyphosis and the translational distance from the rib anchor to the corresponding anterior vertebral body were measured. Results: Twenty-seven patients (13 female, 14 male) qualified for inclusion. Mean age at implantation of the index proximal rib-based construct was 5±1.9 years (range, 1-9). EOSD etiology was congenital: 3, neuromuscular: 17, syndromic: 3, and idiopathic: 4. Mean kyphosis improved from 31±33° preoperatively to 25±20° immediately post-operatively. No significant changes in kyphosis were noted over 1 and 2 year follow-up (p=0.3). Twenty-one (78%) patients demonstrated an increase in translational distance from the rib anchors to the adjacent anterior vertebral body. Immediately post-operatively, mean distance was 25±1 mm and increased at 1-year (26±1 mm) and significantly at 2-year (29±1 mm) follow-up (p=0.005). Conclusion: The use of long term rib-based anchors may lead to an increase in the distance between the rib utilized for proximal fixation and the associated vertebral body, generating what appears to be increased anterior translation of the spine. This translation, in conjunction with increased or increasing overall thoracic kyphosis, may be the source of unexpected obstacles at the time of future surgical procedures for revision or final fusion.

scholarly journals Treatment of Childhood Psoriasis with Phototherapy and Photochemotherapy

2013 ◽  
Vol 7 ◽  
pp. CMPed.S8045 ◽  
Author(s):  
Irene Lara Corrales ◽  
Sabrina Ramnahne ◽  
Perla Lansang
Keyword(s):  
Literature Search ◽  
Pediatric Patients ◽  
Safety Data ◽  
Treatment Modalities ◽  
Pediatric Populations ◽  
Good Improvement

Phototherapy and photochemotherapy are well-described treatment modalities for psoriasis in adults. Like many other treatments, the experience and long-term safety of their use in children is limited. We conducted a literature search and identified publications reporting the use of phototherapy and photochemotherapy in pediatric populations. This article summarizes the existing literature on this topic. Although many studies report good improvement with these treatment modalities, long-term safety data on their use is lacking for pediatric patients.

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