Spontaneous Healing in Nomas of the Eyelid

1988 ◽  
Vol 18 (4) ◽  
pp. 171-173
Author(s):  
R Sihota ◽  
P D'Souza ◽  
P A Lamba
Keyword(s):  
Soft Tissues ◽  
Functional Results ◽  
Nutritional Therapy ◽  
Lady Hardinge Medical College ◽  
Spontaneous Healing ◽  
Medical College ◽  
Cancrum Oris ◽  
Facial Defects ◽  
Acute Necrotizing ◽  
Surgical Manipulation

A noma is an acute, necrotizing ulcerative mucositis, also known as cancrum oris, which occurs commonly in children, 2–5 years of age, having a debilitating illness or severe malnourishment. This gangrene lives up to the meaning of its Greek name, by rapidly devouring all adjacent soft tissues, and in some cases even bone. It generally affects the mouth and genitalia and infrequently involves the lid and other extraocular tissues1–3. A noma spreads painlessly and has been reported to leave extensive and complex facial defects2,4,5. Surprisingly, the nomas seen at the Lady Hardinge Medical College and Smt. Kalawati Saran Children's Hospital have been noted to heal without any disfiguring defects when maintained on supportive nutritional therapy and antibiotics without any surgical manipulation during the active or healing phases of the disease. We detail the history and findings in one such case to emphasize the excellent cosmetic and functional results obtained by this purely conservative management.

scholarly journals Interdisciplinary care for newborns with cleft lip and palate in a children's multidisciplinary hospital

2021 ◽  
Author(s):  
А.А. Мамедов ◽  
Ю.О. Волков ◽  
А.А. Корсунский ◽  
С.А. Паршикова ◽  
Л.А. Мазурина ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Anesthetic Management ◽  
Functional Results ◽  
Pediatric Dentistry ◽  
Diagnostic Methods ◽  
Facial Defects ◽  
Surgical Preparation ◽  
Group 2

Накопленный опыт детской хирургии новорожденных и современные методы диагностики (компьютерная и магнитно-резонансная томография, пренатальная диагностика) позволили изменить существующие сроки коррекции врожденных пороков лица. В статье подробно описана «Система оказания помощи детям с расщелиной губы и нёба в период новорожденности», разработанная и внедренная на кафедре стоматологии детского возраста и ортодонтии Сеченовского университета. Сформулированы необходимые условия для оказания помощи данной категории пациентов и показания к предхирургической подготовке, обоснована тактика лечения, анестезиологического обеспечения у данной категории новорожденных. В работе приведены результаты ранней хирургической коррекции врожденных пороков лица 46 новорожденным с расщелиной губы и нёба. Детей с расщелиной губы и альвеолярного отростка разделили на 2 группы. В первую группу (n = 30) вошли пациенты, у которых диастаз в области альвеолярных отростков составлял 10 мм и менее. В этом случае сразу выполнялась хейлоринопластика. Во вторую группу (n = 16) вошли дети с диастазом альвеолярного отростка верхней челюсти более 10 мм. Этим новорожденным проводилась предхирургическая ортодонтическая подготовка в течение 10-12 дней (установка ортоимплантатов и наложение эластической тяги – цепочки). Критерием готовности к операции являлось достижение ширины диастаза между фрагментами альвеолярного отростка 10 мм и менее. После этого проводилось одномоментное удаление ортоимплантатов и операция – хейлоринопластика. Новорожденным с расщелиной твердого и мягкого нёба (n = 4) выполнялась уранопластика по методике А. А. Мамедова. У всех пациентов достигнуты хорошие эстетические и функциональные результаты. The accumulated experience of pediatric surgery of newborns and diagnostic methods (CT, MRI, prenatal diagnostics) have made it possible to change the existing terms for the correction of congenital facial defects. The article describes in detail «A system of care for children with cleft lip and palate in the neonatal period», developed and implemented at the Department of Pediatric Dentistry and Orthodontics, Sechenov University. The necessary conditions for rendering assistance to this category of patients are described, indications for pre-surgical preparation are formulated, the tactics of treatment, anesthetic management in this category of newborns are substantiated. The article presents the results of early surgical correction of 46 newborns with cleft lip and palate. Children with cleft lip and alveolar bone were divided into 2 groups. The first group (n = 30) included patients whose diastasis in the area of the alveolar processes was 10 mm or less. In this case, cheilorinoplasty was performed immediately. Group 2 (n = 16) included children with alveolar ridge diastasis of the upper jaw of more than 10 mm. This group of newborns underwent pre-surgical orthodontic preparation for 10-12 days, which consisted of installing ortho-implants and applying an elastic traction chain. The criterion for readiness for surgery was the achievement of a diastasis width between the fragments of the alveolar process of 10 mm or less. This was followed by simultaneous removal of ortho-implants and surgery – cheilorinoplasty. Newborns with a cleft of the hard and soft palate (n = 4) underwent uranoplasty according to the method of A. A. Mamedov. All patients received good aesthetic and functional results.

scholarly journals THE TREATMENT OF EXTRA- AND INTRA-ARTICULAR FRACTURES THE DISTAL HUMERUS

2010 ◽  
Vol 16 (3) ◽  
pp. 96-102
Author(s):  
V. V. Klyuchevsky ◽  
Hassan Ben El Hafi
Keyword(s):  
Soft Tissues ◽  
Functional Results ◽  
Distal Humerus ◽  
Distal Segment ◽  
Rigid Fixation ◽  
Performance Score ◽  
Mayo Elbow Performance Score ◽  
Articular Fractures ◽  
Active Mobilization ◽  
Violent Acts

From 2005 to 2009 we treated 112 patients with fractures of distal segment of the humerus, 83 (74,10%) of them were injured when falling from the height of its own growth, 8 (7,14%) - in an accident, 6 (5,35%) - a fall from a height, 13 (11,6%) - in sports, and two - as a result of violent acts. In 97 (87%) cases the fractures were closed, in 15 (13%) - open. 19 patients were treated conservatively and 93 - operatively. Functional results were evaluated using the Mayo elbow performance score (MEPS) in 78,37% of patients. Results of the conservative method: excellent and good - 46,66%, and in all patients with type A without displacement - in 100%. The fair results - in 33% and the poor in 20% - with type В and C. The results of operative treatment: excellent and good - 90,41%, the fair results - in 9,58%, no poor results. Initial prevent the oedema and bleeding into joints and soft tissues, adequate rigid fixation of fractures with the maximal restoration of the elbow joint congruent without additional immobilization and early active mobilization is essential to prevent the elbow stiffness and achieve a good outcomes.

Method of surgical treatment of the saddle nose deformity

2021 ◽  
Vol 20 (4) ◽  
pp. 43-47
Author(s):  
D. S. Pshennikov ◽  
◽  
Z. M. Abdulaev ◽  
◽  
Keyword(s):  
Surgical Treatment ◽  
Local Anesthesia ◽  
Nasal Septum ◽  
Soft Tissues ◽  
Operation Time ◽  
Functional Results ◽  
Nasal Dorsum ◽  
Superficial Musculoaponeurotic System ◽  
Saddle Nose Deformity ◽  
External Nose

Saddle deformity of the external nose, which is a consequence of trauma, is usually combined with a nasal septal deviation and is quite widespread in the population. The problem of surgical treatment of this group of patients lies not only in the technical complexity, trauma of the proposed methods but also in the need to carry out significant interventions under general anesthesia, which limits the use of available techniques by a wide number of ENT surgeons, increases the duration of the operation, recovery time and temporary disability of the patient. The invention aims to improve surgical treatment of patients with saddle nasal deformity by providing stable cosmetic and functional results. Materials and methods: The proposed method of surgical treatment of saddle deformity of nasal dorsum includes several stages. Cartilage autograft taken from nasal septum during septoplasty is milled to 0,5–1,0 mm, mixed with 0,5 ml of latex tissue glue (LTG) having hemostatic and antiseptic properties due to aminocaproic acid and dioxidine content, respectively. This mixture is kept for 5 minutes and delivered to the pocket formed under the SMAS (superficial musculoaponeurotic system) layer in the soft tissues of the dorsum of the external nose, after which the final shape of the nose is simulated and fixed with a plaster splint for a week. Results: Based on the department of otolaryngology of Semashko Ryazan Regional Clinical Hospital, for the period from 2012 to 2019, 17 patients were treated with a diagnosis: saddle deformity of the external nose and nasal septum deviation. All patients underwent rhinoseptoplasty under local anesthesia using LTG as described above. No complications were observed in the postoperative period. During follow-up from 7 to 24 months, patients retain constant functional and cosmetic results. Conclusions. This method is a simple, low-traumatic one of surgical treatment of saddle deformity of the nasal dorsum, which allows reducing the operation time, performing it under local anesthesia and obtaining good cosmetic and functional results. The technical simplicity and accessibility of the method make it possible to use it in hospitals engaged in the surgical treatment of nasal diseases.

scholarly journals Changes in occlusal plane through orthognathic surgery

2012 ◽  
Vol 17 (4) ◽  
pp. 160-173 ◽  
Author(s):  
Lucas Senhorinho Esteves ◽  
Carolina Ávila ◽  
Paulo José Medeiros
Keyword(s):  
Surgical Treatment ◽  
Functional Outcomes ◽  
Orthognathic Surgery ◽  
Functional Results ◽  
Clinical Results ◽  
Occlusal Plane ◽  
Functional Disorders ◽  
Dentofacial Deformities ◽  
Treatment Objective ◽  
Surgical Manipulation

INTRODUCTION: A conventional ortho-surgical treatment, although with good clinical results, does not often achieve the desired functional outcomes. Patients with dentofacial deformities, especially those with increased occlusal planes (OP), are also affected by muscle, joint and breathing functional disorders, as well as facial esthetic involvement. The surgical manipulation of the OP in orthognathic surgery is an alternative to overcome the limitations of conventional treatment. OBJECTIVE: To report the importance of assessing the occlusal plane during diagnosis, planning and ortho-surgical treatment of patients with facial skeletal deformities and its main advantages. CONCLUSION: Although both philosophies of ortho-surgical treatment (conventional and by surgical manipulation of the OP) have presented good results, the selective correction of the OP allows a full treatment of these patients, providing better esthetic and functional results.

scholarly journals Acute necrotizing encephalopathy of childhood: an under-recognized and diverse clinico-radiological syndrome

2020 ◽  
Vol 7 (11) ◽  
pp. 2106
Author(s):  
Raghavendra Narayan Vanaki ◽  
Suchitra Basappa Diwanmal ◽  
Ramesh Rajesh Pol ◽  
Bhuvaneshwari Chandrashekhar Yelamali ◽  
Milind Ramakant Kulkarni ◽  
...  
Keyword(s):  
Neurodevelopmental Outcome ◽  
Cerebral Atrophy ◽  
Complete Recovery ◽  
Normal Brain ◽  
Mortality And Morbidity ◽  
Acute Necrotizing Encephalopathy ◽  
Medical College ◽  
Mri Brain ◽  
Acute Necrotizing ◽  
Magnetic Resonance Imaging Mri

Background: With advances in neuroimaging, acute necrotizing encephalopathy of childhood (ANEC) is being recognized as an acute encephalopathy with a characteristic rapidly deteriorating neurological course with poor neuro-developmental outcomes with high mortality and morbidity rates. Indian data of ANEC is primitive and hence this study was planned. The objective of the study was to evaluate the clinical, radiological characteristics and its outcomes in children with ANEC.Methods: Retrospective review of 10 infants and children with ANEC at Department of Paediatrics, S.N. Medical College and HSK Hospital, Bagalkot from January 2013 to December 2019. ANEC was suspected based on clinical and radiological characteristics and diagnosis was made based on diagnostic criteria proposed by Mizuguchi et al. Clinical and radiological (Magnetic resonance imaging (MRI) brain characteristics) findings and response to early pulse dose steroid therapy and supportive treatment were assessed in all cases. All cases were followed for evaluation of neurodevelopmental outcome and response to physiotherapy was noted in all the cases.Results: Total 10 cases were analysed (age ranged from 6 months to 11 years). Sex distribution male to female was 3:7. All cases had precedent viral illnesses and had fever, coryza, diarrhoea. The initial neurological symptoms included seizures and status epilepticus (n=7), altered sensorium (n=3), focal neurological signs , gait disturbances (n=2) and diplopia (n=1). MRI brain revealed characteristic thalamus involvement with varied involvement of midbrain, pons, medulla (n=10). Other findings were cavitation (n=5), haemorrhage (n=4), minimal residual lesions (n=4), cerebral atrophy (n=1), normal brain study (n=5) on follow-up. 9 out of 10 cases survived, responded to early physiotherapy and rehabilitation. 6 children had complete recovery with minimal disability in 3 cases.Conclusions: ANEC is a clinico-radiological syndrome. Early detection and appropriate treatment improves outcome in ANEC.

scholarly journals Paper patching in traumatic perforation of tympanic membrane

2018 ◽  
Vol 5 (1) ◽  
pp. 10
Author(s):  
Vinod Shinde ◽  
Sudeep Choudhary ◽  
Mayur Ingale ◽  
Paresh Chavan
Keyword(s):  
Tympanic Membrane ◽  
Standard Treatment ◽  
Tympanic Membrane Perforation ◽  
Spontaneous Healing ◽  
Medical College ◽  
Membrane Perforation ◽  
Group A ◽  
Inflammatory Drugs ◽  
Group B ◽  
Random Groups

<p class="abstract"><strong>Background:</strong> Traumatic perforations are not new for ENT surgeons. The dictum for treatment is to keep the ear dry and leave the tympanic membrane to heal by itself. Most of the time it heals completely, but if it does not, a tympanoplasty is required.</p><p class="abstract"><strong>Methods:</strong> 144 patients of traumatic tympanic membrane perforation, who reported in the outdoor patient department of Otorhinolaryngology, at Dr. D. Y. Patil Medical college, DPU, Pune, were divided in two random groups; Group A was treated with standard treatment while Group B was treated with patching of perforation as an adjuvant to standard treatment. A simple paper, (from the envelop of gel foam) was used for this procedure. The standard taught and performed treatment for a tympanic membrane perforation is administering antibiotics, antihistaminic and anti-inflammatory drugs and keeping the ear dry; leaving the perforation for spontaneous healing.  </p><p class="abstract"><strong>Results:</strong> Group A 75% perforations had healed while in Group B 97.22% perforations healed completely.</p><p class="abstract"><strong>Conclusions:</strong> Paper patching supports the healing tympanic membrane and significantly improves the chances of spontaneous healing thus reducing the requirement of surgical intervention.</p>

scholarly journals Diet and dialogue skills: An innovative approach to diet demonstration by medical students of lady hardinge medical college

2021 ◽  
Vol 46 (1) ◽  
pp. 134
Author(s):  
AnanyaRay Laskar ◽  
Archana Thakur ◽  
AnitaShankar Acharya ◽  
SanjeevKumar Rasania ◽  
Aparna Jain
Keyword(s):  
Medical Students ◽  
Innovative Approach ◽  
Lady Hardinge Medical College ◽  
Medical College

scholarly journals Results of the treatment of distal radius fractures with a proprietary implant, the DRONes nail plate – preliminary report

2020 ◽  
Vol 86 (2) ◽  
pp. 66-72
Author(s):  
Maciej Piotrowski ◽  
Keyword(s):  
Distal Radius ◽  
Soft Tissues ◽  
Full Range ◽  
Nail Plate ◽  
Functional Results ◽  
Distal Radius Fractures ◽  
Intramedullary Fixation ◽  
X Rays ◽  
Radius Fractures ◽  
Additional Advantage

Introduction. Distal radius fractures are one of the most common bone injuries. Modern treatment methods are needed not only to reduce the time needed to heal, but also allow the wrist the full range of motion as soon as possible. The solution should provide stable bone fixation with the least possible damage to soft tissues, which will allow quick recovery of extremity function. The method meeting these criteria is intramedullary fixation. Aim of the study. To evaluate the treatment results of distal radius fractures with the DRONes® hybrid nail plate. Material and methods. The study group consists of patients with distal radius fracture treated with open reduction and intramedullary fixation. Patients aged 24 to 69 years (average 54 years) were operated on after a failed attempt to adjust the fracture using the closed reduction method. 40 distal fractures of the distal radius qualified for the following 5 types according to AO: 2 fractures -A2, 5 -A3, 8 -C1, 14 -C2, 11 -C3. Two weeks after the surgery, X-rays were performed to check the position of the bone fragments and implant. After a further 6-7 weeks, the union and wrist function were evaluated. Results. Bone union was achieved in all patients within 8-9 weeks, and the range of wrist mobility was only slightly limited. The most common complication was the neurapraxia of the superficial branch of the radial nerve disappearing after 6-8 weeks. Conclusions. Patients treated with the DRONes® hybrid nail plate achieve good functional results after 8-9 weeks and can return to work and their preinjury lifestyle. An additional advantage is the simple surgical technique.

scholarly journals LIGATURE MARK ON THE NECK

2015 ◽  
Vol 22 (06) ◽  
pp. 798-803
Author(s):  
Mariam Arif
Keyword(s):  
Retrospective Study ◽  
Study Design ◽  
Forensic Medicine ◽  
Soft Tissues ◽  
Thyroid Cartilage ◽  
Age Group ◽  
Manner Of Death ◽  
Female Ratio ◽  
Medical College ◽  
Male Female Ratio

Introduction: There are three types of compression of neck which are of primeforensic importance – (1) Manual strangulation (2) Hanging (3) Ligature strangulation. Ligaturemark is found in the latter two types.1 Ligature mark is a pressure mark on the neck underneaththe ligature. Initially it appears as a pale groove which on drying becomes yellowish brownparchment like.2,5 Objective: The aim is to study the information provided by a ligature markin ligature asphyxial deaths. Methodology: Study Design: A retrospective study on ligatureasphyxial deaths. Setting: Forensic Medicine and Toxicology Departments of King EdwardMedical University, Lahore and Nishtar Medical College, Multan. Period: January, 2012 toDecember, 2013. Results: The incidence of violent ligature asphyxial deaths was 4.21% of thetotal medicolegal deaths autopsied. Age group 21 to 30 years accounted for the maximumcases (37.6%). Male: female ratio was 1.02. Nylon rope (44.7%) was the most common ligaturematerial used. Ligature mark was single in all cases and was situated above thyroid cartilage in82.92% cases of hanging. In ligature strangulation deaths, mark was one in number in 93.18%cases and was below thyroid cartilage in 97.72% cases. The manner of death in hangingwas mostly suicidal (90.24%) as compared to homicidal in all cases of ligature strangulation.Ligature mark was incompletely encircling the neck in 85.36% cases and obliquely present in100% cases of hanging. In all deaths due to ligature strangulation, it was completely encirclingand transversely present around the neck. Underlying soft tissues of neck were glisteningwhite in all hanging deaths while it showed extravasations of blood in all ligature strangulationcases. Conclusions: A meticulous examination of the ligature mark during autopsy, though notconclusive, can give valuable information that can be very helpful in diagnosing deaths due tohanging and ligature strangulation.

Tactics of Operative Treatment for Closed Long Bone Fractures in Patients with Polytrauma in Early Period

2003 ◽  
Vol 10 (3) ◽  
pp. 3-9
Author(s):  
V A Sokolov ◽  
E I Byalik ◽  
V A Sokolov ◽  
E I Byalik
Keyword(s):  
Soft Tissues ◽  
Bone Fractures ◽  
Plate Osteosynthesis ◽  
Early Period ◽  
Functional Results ◽  
Fat Embolism ◽  
Long Bone ◽  
Long Bone Fractures ◽  
Embolism Syndrome ◽  
Urgent Operation

Results of the treatment of 218 victims with polytrauma were analyzed during the period from 1998 to 2202. There were 127 patients with one and 91 patients with several closed fractures. Authors consider osteosynthesis for closed long bone fractures to be an urgent operation of third term. Osteosynthesis is absolutely indicated to the patients with psychomotor excitation, in cases of the threat for skin perforation by bone fragments and in patients requiring intensive nursing for their life rescue. The choice of operative method depends on polytrauma severity and fracture type. When osteosynthesis is performed by urgent indications in patients with polytrauma the requirements to osteosynthesis stiffness are higher than in isolate injuries, as the rotation displacement, migration and fixator deformity frequently take place in unconscious patients who need constant intensive nursing. In patients with concomitant thorax injury urgent intramedullar osteosynthesis by nail is contraindicated due to the possibility of fat embolism syndrome development. In these patients plate osteosynthesis is preferred. If there are no absolute indications to urgent osteosynthesis this operation could be performed on 3-10 days after trauma using lightly traumatic and invasive methods not waiting for the complete normalization of homeostasis parameters and restoration of soft tissues in the fracture zone. In closed long bone fractures tactics of early osteosynthesis allows to decrease the rate of hypostatic complications and mortality by more than 10% and achieve good functional results.

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