Hair-Clip Type Piston Artificial Stapes and the Safety Auger

1982 ◽  
Vol 91 (3) ◽  
pp. 297-298
Author(s):  
Tung Min-Sheng
Keyword(s):  
Surgical Treatment ◽  
Prosthesis Design ◽  
Fistula Formation ◽  
Ischemic Necrosis ◽  
Perilymphatic Fistula ◽  
Stapes Prosthesis

A hair-clip artificial stapes prosthesis was used in the surgical treatment of otosclerosis in 22 ears. In nine patients followed an average of 15 months the air-bone gap stabilized at 6–7 dB. Further advantages of the prosthesis design and technique are that they minimize the risk of ischemic necrosis and perilymphatic fistula formation.

Surgery for vertigo: 10-year audit from a contemporary vertigo clinic

2015 ◽  
Vol 129 (12) ◽  
pp. 1182-1187 ◽  
Author(s):  
U Patnaik ◽  
A Srivastava ◽  
K Sikka ◽  
A Thakar
Keyword(s):  
Surgical Treatment ◽  
Neck Surgery ◽  
Vestibular Nerve ◽  
Fistula Repair ◽  
Long Term Outcomes ◽  
Nerve Section ◽  
Perilymphatic Fistula ◽  
Disease Modifying ◽  
Surgical Treatments

AbstractObjective:To present the profile of patients undergoing surgical treatment for vertigo at a contemporary institutional vertigo clinic.Study design:A retrospective analysis of clinical charts.Methods:The charts of 1060 patients, referred to an institutional vertigo clinic from January 2003 to December 2012, were studied. The clinical profile and long-term outcomes of patients who underwent surgery were analysed.Results:Of 1060 patients, 12 (1.13 per cent) were managed surgically. Of these, disease-modifying surgical procedures included perilymphatic fistula repair (n = 7) and microvascular decompression of the vestibular nerve (n = 1). Labyrinth destructive procedures included transmastoid labyrinthectomy (n = 2) and labyrinthectomy with vestibular nerve section (n = 1). One patient with vestibular schwannoma underwent both a disease-modifying and destructive procedure (translabyrinthine excision). All patients achieved excellent vertigo control, classified as per the American Academy of Otolaryngology – Head and Neck Surgery 1995 criteria.Conclusion:With the advent of intratympanic treatments, surgical treatments for vertigo have become further limited. However, surgery with directed intent, in select patients, can give excellent results.

Coagulase-negative staphylococcus endocarditis: staphylococcus lugdunensis

2011 ◽  
Vol 19 (6) ◽  
pp. 414-415 ◽  
Author(s):  
Amul K Sibal ◽  
Zaw Lin ◽  
Dilesh Jogia
Keyword(s):  
Surgical Treatment ◽  
Early Diagnosis ◽  
Fistula Formation ◽  
Coagulase Negative Staphylococcus ◽  
Staphylococcus Lugdunensis ◽  
Native Valve ◽  
Native Valve Endocarditis ◽  
Triple Valve

Staphylococcus lugdunensis is an infrequent cause of native valve endocarditis. A case of triple-valve involvement of Staphylococcus lugdunensis with intracardiac fistula formation in a 47-year-old woman was managed successfully with surgery. The importance of early diagnosis and prompt referral for surgical treatment is highlighted.

scholarly journals Bleeding Meckel’s Diverticulum in a 33-Year-Old Female Diagnosed with Video Capsule Endoscopy and a Technetium-99 m Pertechnetate Scan with a Favorable Response to H2 Blocker and PPI

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Gregor Krstevski ◽  
Urim Isahi ◽  
Vladimir Andreevski
Keyword(s):  
Surgical Treatment ◽  
Capsule Endoscopy ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Acid Suppression ◽  
Video Capsule Endoscopy ◽  
Fistula Formation ◽  
Definitive Treatment ◽  
Ectopic Gastric Mucosa ◽  
H2 Blocker

Meckel’s diverticulum is a true diverticulum consisting of all three layers of the small intestine resulting from incomplete regression of the vitelline duct. While it is often benign, it can present with serious complications such as intussusception, ulceration, torsion, hemorrhage, obstruction, inflammation, and fistula formation. Although it typically presents in infancy and early childhood, it can also manifest much later into adulthood. We report a case of Meckel’s diverticulum complicated by significant bleeding in a 33-year-old female patient. Diagnosis was accomplished with video capsule endoscopy and a technetium-99 m pertechnetate scan. The patient responded well to acid suppression, initially with an H2 blocker and later with a PPI (proton pump inhibitor), and remained asymptomatic for nearly four months in the interim to definitive surgical treatment. Microscopic examination of the resected diverticulum confirmed the presence of ectopic gastric mucosa. A PubMed literature search revealed several similar cases of Meckel’s diverticulum complicated by hemorrhage with a favorable response to H2 blockers and PPIs. While surgical resection remains the mainstay of definitive treatment, medications aimed at acid suppression can delay the need for urgent surgery, allow for diagnostic assessment, and optimize conditions for elective surgical treatment.

scholarly journals Condition of hearing sense and tinnitus before and after the treatment of otosclerosis

2010 ◽  
Vol 63 (9-10) ◽  
pp. 648-651
Author(s):  
Negra Terzic ◽  
Vladimir Jakovljevic ◽  
Nada Milanovic ◽  
Violeta Jacimovic ◽  
Ljubica Zivic
Keyword(s):  
Surgical Treatment ◽  
Subjective Assessment ◽  
Hearing Improvement ◽  
Functional Diagnostics ◽  
Bony Labyrinth ◽  
Military Medical Academy ◽  
Medical Academy ◽  
Before And After ◽  
Stapes Prosthesis ◽  
One Year

Introduction. Otosclerosis is an osteodystrophy disease of the bony labyrinth of the ear which leads to stapes fixation and to bradyecoia of a conductive type. The microsurgical treatment by the use of a stapes prosthesis provides hearing improvement and a reduction or disappearing of tinnitus. The aim of our study was to determine the hearing condition and tinnitus before and after the treatment of otosclerosis. Material and methods. A hundred patients with otosclerosis, aged 20 to 70, were surgically treated at the Otorhinolaryngology Clinic and the Functional Diagnostics, Military Medical Academy, Belgrade. After the treatment, the audiometric examinations were performed in order to assess the hearing condition and tinnitus was assessed by a questionnaire. The subjective assessment of tinnitus was ranged as present, reduced or absent. Results. Before the treatment, hearing impairment was present in all the patients, while tinnitus was found in 91% of them. One year following the surgical treatment hearing improvement was found in 96% of the patients, and tinnitus cessation in 89% of them. Conclusion. The surgical treatment can result in hearing improvement and cessation or reduction of tinnitus.

Ruptured Aortic Aneurysm Esophageal Fistula

1995 ◽  
Vol 3 (3-4) ◽  
pp. 128-130 ◽  
Author(s):  
James WW Wong ◽  
Cumaraswamy Sivathasan ◽  
Ng Eng Hen ◽  
Wong Wai Keong
Keyword(s):  
Surgical Treatment ◽  
Aortic Aneurysm ◽  
Thoracic Aortic Aneurysm ◽  
Fistula Formation ◽  
Aortoesophageal Fistula ◽  
Thoracic Aneurysm ◽  
Esophageal Fistula ◽  
Esophageal Bleeding ◽  
Definitive Surgery ◽  
Prompt Diagnosis

It has been estimated that 10% of ruptures of thoracic aortic aneurysm present as aortoesophageal fistula. They can present with mild esophageal bleeding giving warning of a fistula formation or as torrential exsanguinating hemorrhage. It is during the window of mild esophageal bleeding where it is possible to salvage the situation with prompt diagnosis and emergency surgical treatment. Once exsanguinating hemorrhage occurs, most patients are beyond salvage. We describe a patient who has torrential hemorrhage from an aortoesophageal fistula from a ruptured thoracic aneurysm. The hemorrhage was controlled promptly by the Sengstaken-Blakemore balloon compression tube (Willy-Rusch Ag, Kernen, Germany), which allowed stabilization of the patient's condition before definitive surgery was undertaken.

Advanced forms of kidney tuberculosis with fistula formation: modern views

2020 ◽  
pp. 60-69
Author(s):  
Andrey Volkov ◽  
Oleg Zuban ◽  
Galina Saenko
Keyword(s):  
Surgical Treatment ◽  
Pathological Process ◽  
Long Term Results ◽  
Fistula Formation ◽  
Results Of Treatment ◽  
Internal Fistulas ◽  
Intestinal Fistulas ◽  
Kidney Lesions

The aim of the study is to evaluate results of surgical treatment in patients with tuberculous pyonephrosis. In 2004 - 2019 12 patients underwent nephroureterectomy. The disease was complicated by involvement of nearby organs in pathological process and appearance of spontaneous external and internal fistulas in 100% of cases, it manifested with symptoms mostly not associated with kidney lesions. Reno-intestinal fistulas were found intraoperatively in 5 patients. Good long-term results of treatment were achieved mainly due to surgical debridment.

Surgical treatment of otosclerosis using a unique stapes prosthesis without a hook

2020 ◽  
Vol 141 (1) ◽  
pp. 10-13
Author(s):  
Sho Kanzaki ◽  
J. Kanzaki ◽  
K. Ogawa
Keyword(s):  
Surgical Treatment ◽  
Stapes Prosthesis

Rates of anastomotic leak and fistula following surgical management of bowel endometriosis: a comparison of shaving, discoid excision, and segmental resection

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Jordan S. Klebanoff ◽  
Whitney A. Barnes ◽  
Katherine Denny ◽  
Marissa G. Mangini ◽  
Jamil Kazma ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Anastomotic Leak ◽  
Surgical Management ◽  
Bowel Resection ◽  
Segmental Resection ◽  
Fistula Formation ◽  
Bowel Endometriosis ◽  
Surgeon Experience ◽  
Segmental Bowel Resection

Abstract Endometriosis is a complex chronic inflammatory condition that can create a multitude of bothersome painful symptoms for women. Bowel endometriosis is often misdiagnosed or overlooked leading to years of suffering for many women. The surgical management of bowel endometriosis varies based on extent of disease as well as surgeon experience. Surgical treatment for bowel endometriosis is complex and a variety of intraoperative and postoperative complications must be considered. Two significant postoperative complications for bowel endometriosis include anastomotic leak and fistula formation. There is continued debate regarding the appropriate surgical treatment for bowel endometriosis. Aggressive surgery with segmental bowel resection is being utilized more cautiously, with an increase in less aggressive shaving or disc excision techniques. Historic beliefs regarding the limitations of shaving and disc excision are being challenged, and with a reduction in morbidity these less aggressive techniques are winning favor among gynecologic surgeons. Shaving, discoid excision, and segmental bowel resection are all feasible surgical management options for bowel endometriosis. Segmental resection is associated with the highest rates of both anastomotic leak and fistula formation, while shaving is associated with the lowest.

Sign in / Sign up

Export Citation Format

Share Document