scholarly journals Use of the Microdebrider in the Surgical Management of Rhinophyma

2018 ◽  
Vol 97 (1-2) ◽  
pp. E42-E45
Author(s):  
Winsion Chow ◽  
Goran Jeremic ◽  
Leigh Sowerby
Keyword(s):  
Ease Of Use ◽  
Sebaceous Glands ◽  
Connective Tissues ◽  
Revolution Speed ◽  
Surgical Tool ◽  
Acne Rosacea ◽  
End Stage ◽  
High Degree ◽  
Superficial Tissue ◽  
Surgical Option

Rhinophyma is a disfiguring end-stage manifestation of acne rosacea. It is characterized by a painless hyperplasia of the sebaceous glands and connective tissues of the nose. Numerous surgical modalities—including scalpel surgery, dermabrasion, CO2 laser ablation, and electrocautery—have been reported with varying results. We describe our experience with using a microdebrider to treat 2 patients—a 65-year-old man and a 74-year-old man—who presented with rhinophyma. The instrument we used was the Medtronic Straight-shot M4 Microdebrider. Using a low revolution speed, we easily excised the bulky superficial tissue. At higher revolution speeds with the use of a small shaver tip, we were able to achieve delicate contouring of the nasal tip and ala without causing scarring. Postoperatively, both patients exhibited an excellent cosmetic outcome and expressed a high degree of patient satisfaction. We conclude that the microdebrider is an excellent surgical tool for treating rhinophyma lesions. Its ease of use and its availability at most surgical centers makes it a favorable surgical option.

Treatment of patient with end-stage hepatocellular carcinoma by the mineral pulse light stimuli on LV acupoints- case report

2020 ◽  
Author(s):  
yongchol cha ◽  
Hyok Choe ◽  
Songjin Oh ◽  
ZinHwa Cha
Keyword(s):  
Hepatocellular Carcinoma ◽  
Light Stimulus ◽  
Treatment Options ◽  
Liver Malignancy ◽  
Pulse Light ◽  
Light Stimuli ◽  
Cirrhotic Patients ◽  
Light Stimulator ◽  
End Stage ◽  
High Degree

Abstract Background; Hepatocellular carcinoma (HCC) represents a major and steadily increasing global health challenge as the most common primary liver malignancy and leading cause of death in cirrhotic patients. The only hope for curative treatment or significant increase in life expectancy is early detection. Once patients have progressed towards end-stage HCC, effective treatment options are extremely limited on the background of a very high degree of heterogeneity in clinical presentation and outcome. Objectives; The purpose of this study is to perform clinical trial on an end-stage HCC patient by mineral pulse light stimulus on LV acupoints without any drugs use. Methods; End-stage HCC patient was stimulated by mineral pulse light stimulator (MPLS). Stimulus acupoints; LV3, LV14, SP6. The selected acupoints were stimulated by MPLS for 50~60 minutes once a day. The same method was performed on the patient for 25days and rested for 5days, and again repeated every month without any drugs use. Results; After treatment, the general patient conditions and alfa-fetoprotein level were improved and hepatoma size was decreased to 9.1×8.5cm from 11.0×9.7cm before treatment (a), and the decay areas was disappeared.Conclusions; End-stage HCC patient was improved by mineral pulse light stimulus on LV acupoints without any drugs use.

scholarly journals Early Urological Complications After Live Related Renal Transplantation: An Update

2020 ◽  
Vol 46 (2) ◽  
pp. 68-72
Author(s):  
Tohid Mohammad Saiful Hossain ◽  
Tahmina Karim
Keyword(s):  
Kidney Transplant ◽  
Patient Survival ◽  
Surgical Complication ◽  
Graft Loss ◽  
Standard Of Care ◽  
Delay In Diagnosis ◽  
Post Transplant ◽  
Urological Complications ◽  
End Stage ◽  
High Degree

Background: Kidney transplant is the standard of care for end stage kidney disease and associated with immunological, vascular and urological complications. Urological complications remain the most common type of surgical complication in the early post-transplant period, inspite of major procedural advances many grafts are still being lost due to same. Objectives: The purpose of this review was to discuss the different presentations, compare various ureterovesical anastomosis techniques and provide a basic overview for the management of post-transplant urological complications hence to improve graft and patient survival. Methods: This study was a narrative review.  Recent available literature was searched by keywords. The most recent information from relevant articles were collected and reviewed. This write up was compiled after the review of articles from the last 50 years. Results: Majority of these complications could be traced back to the time of retrieval and anastomosis of ureter. So, the high degree of suspicion, early detection, accurate diagnosis and timely management of urological complications occurring after kidney transplant were the key tasks of transplant team managing the patients. A delay in diagnosis or management of these complications could lead to morbidity to the recipient even graft loss and or mortality. Conclusion: To minimize the early complications of post kidney transplantation high degree of suspicion and prompt intervention is needed for graft and patient survival. Bangladesh Med Res Counc Bull 2020; 46(2): 68-72

Piezoelectric technology in otolaryngology, and head and neck surgery: a review

2017 ◽  
Vol 131 (S2) ◽  
pp. S12-S18 ◽  
Author(s):  
C Meller ◽  
T E Havas
Keyword(s):  
Learning Curve ◽  
Head And Neck ◽  
Operative Time ◽  
Neck Surgery ◽  
Ease Of Use ◽  
Head And Neck Surgery ◽  
Cochrane Central Register ◽  
Surgical Tool ◽  
Surgical Methods ◽  
Piezoelectric Surgery

AbstractBackground:Piezoelectric technology has existed for many years as a surgical tool for precise removal of soft tissue and bone. The existing literature regarding its use specifically for otolaryngology, and head and neck surgery was reviewed.Methods:The databases Medline, the Cochrane Central Register of Controlled Trials, PubMed, Embase and Cambridge Scientific Abstracts were searched. Studies were selected and reviewed based on relevance.Results:Sixty studies were identified and examined for evidence of benefits and disadvantages of piezoelectric surgery and its application in otolaryngology. The technique was compared with traditional surgical methods, in terms of intra-operative bleeding, histology, learning curve, operative time and post-operative pain.Conclusion:Piezoelectric technology has been successfully employed, particularly in otology and skull base surgery, where its specific advantages versus traditional drills include a lack of ‘blunting’ and tissue selectivity. Technical advantages include ease of use, a short learning curve and improved visibility. Its higher cost warrants consideration given that clinically significant improvements in operative time and morbidity have not yet been proven. Further studies may define the evolving role of piezoelectric surgery in otolaryngology, and head and neck surgery.

CQPweb — combining power, flexibility and usability in a corpus analysis tool

2012 ◽  
Vol 17 (3) ◽  
pp. 380-409 ◽  
Author(s):  
Andrew Hardie
Keyword(s):  
Data Model ◽  
Ease Of Use ◽  
Corpus Analysis ◽  
Analysis Tool ◽  
Analysis Software ◽  
Web Based ◽  
Query System ◽  
Analysis System ◽  
High Degree ◽  
Very High

CQPweb is a new web-based corpus analysis system, intended to address the conflicting requirements for usability and power in corpus analysis software. To do this, its user interface emulates the BNCweb system. Like BNCweb, CQPweb is built on two separate query technologies: the IMS Open Corpus Workbench and the MySQL relational database. CQPweb’s main innovative feature is its flexibility; its more generalised data model makes it compatible with any corpus. The analysis options available in CQPweb include: concordancing; collocations; distribution tables and charts; frequency lists; and keywords or key tags. An evaluation of CQPweb against criteria earlier laid down for a future web-based corpus analysis tool suggests that it fulfils many, but not all, of the requirements foreseen for such a piece of software. Despite some limitations, in making a sophisticated query system accessible to untrained users, CQPweb combines ease of use, power and flexibility to a very high degree.

scholarly journals Rhinophyma: A Simple and Cost-effective Management

2013 ◽  
Vol 6 (1) ◽  
pp. 56-57
Author(s):  
SG Smitha ◽  
Smitha Soubhagya Gangaraj
Keyword(s):  
Skin Graft ◽  
Cost Effective ◽  
Complete Healing ◽  
Effective Management ◽  
Sebaceous Glands ◽  
Cosmetic Appearance ◽  
Acne Rosacea ◽  
Surgical Methods

ABSTRACT Rhinophyma is a slowly progressive condition due to hypertrophy of the sebaceous glands of the tip of the nose, often seen in cases of long standing acne rosacea. There are many surgical methods which are followed. We present a case of rhinophyma which was treated by shaving with diathermy knife followed by regular postoperative dressings. No skin graft was used during the procedure and a complete healing with near normal cosmetic appearance was achieved. How to cite this article Gangaraj SS, Thimaiah AH. Rhinophyma: A Simple and Cost-effective Management. Clin Rhinol An Int J 2013;6(1):56-57.

scholarly journals How to Build Your Own ASP-based System?!

2021 ◽  
pp. 1-63
Author(s):  
ROLAND KAMINSKI ◽  
JAVIER ROMERO ◽  
TORSTEN SCHAUB ◽  
PHILIPP WANKO
Keyword(s):  
Problem Solving ◽  
Application Programming Interface ◽  
Ease Of Use ◽  
Cross Sectional ◽  
Difference Constraints ◽  
Application Programming ◽  
Set Up ◽  
The One ◽  
High Degree ◽  
Abstract Syntax Trees

Abstract Answer Set Programming, or ASP for short, has become a popular and sophisticated approach to declarative problem solving. Its popularity is due to its attractive modeling-grounding-solving workflow that provides an easy approach to problem solving, even for laypersons outside computer science. However, in contrast to ASP’s ease of use, the high degree of sophistication of the underlying technology makes it even hard for ASP experts to put ideas into practice whenever this involves modifying ASP’s machinery. For addressing this issue, this tutorial aims at enabling users to build their own ASP-based systems. More precisely, we show how the ASP system clingo can be used for extending ASP and for implementing customized special-purpose systems. To this end, we propose two alternatives. We begin with a traditional AI technique and show how metaprogramming can be used for extending ASP. This is a rather light approach that relies on clingo’s reification feature to use ASP itself for expressing new functionalities. The second part of this tutorial uses traditional programming (in Python) for manipulating clingo via its application programming interface. This approach allows for changing and controlling the entire model-ground-solve workflow of ASP. Central to this is clingo’s new Application class that allows us to draw on clingo’s infrastructure by customizing processes similar to the one in clingo. For instance, we may apply manipulations to programs’ abstract syntax trees, control various forms of multi-shot solving, and set up theory propagators for foreign inferences. A cross-sectional structure, spanning meta as well as application programming, is clingo’s intermediate format, aspif, that specifies the interface among the underlying grounder and solver. We illustrate the aforementioned concepts and techniques throughout this tutorial by means of examples and several nontrivial case studies. In particular, we show how clingo can be extended by difference constraints and how guess-and-check programming can be implemented with both meta and application programming.

Natural History of Sanfilippo Syndrome Type C in Boyacá, Colombia

2016 ◽  
Vol 32 (2) ◽  
pp. 177-183 ◽  
Author(s):  
Harvy Mauricio Velasco ◽  
Yasmin Sanchez ◽  
Angela Milena Martin ◽  
Luis A. Umaña
Keyword(s):  
Natural History ◽  
Novel Mutation ◽  
Autosomal Recessive Disorder ◽  
Sanfilippo Syndrome ◽  
Large Pedigree ◽  
Modifying Factors ◽  
History Of ◽  
Type C ◽  
End Stage ◽  
High Degree

Mucopolysaccharidosis type III, or Sanfilippo syndrome, is an autosomal recessive disorder characterized by impairment in the degradation of Heparan sulfate. Here the authors describe the natural history of 5 related individuals; all associated through a large pedigree which reports a total of 11 affected members, originally from the Boyacá region in Colombia, diagnosed with MPS IIIC who all harbor a novel mutation in HGSNAT. The authors report an unusually high incidence of the disease in this population. The clinical features are similar to previously described patients, although some differences in the degree of severity and end-stage of the disease are seen in this specific group. The authors consider that the high degree of endogamy in this specific population could underlie modifying factors for the severity of presentation in these patients. Future studies might provide more information on the functional effect of this novel mutation, which could define this group as a genetic isolate.

scholarly journals Cartilage Perforation in Rhinophyma Treated with Diode Laser A Disastrous Complication

2017 ◽  
Vol 1 (1) ◽  
pp. 22-23
Author(s):  
S. S. Shirol ◽  
Keyword(s):  
Diode Laser ◽  
Rare Complication ◽  
Surgical Excision ◽  
Unusual Complication ◽  
Inflammatory Disorder ◽  
Layer By Layer ◽  
Aesthetic Outcome ◽  
Level Of Evidence ◽  
Acne Rosacea ◽  
End Stage

Rhinophyma is a slowly progressive, disfiguring, inflammatory disorder of nose, which represents the end stage of acne rosacea. Various modalities of treatments like dermabrasion, surgical excision, cryotherapy, electrocautery and lasers. Each modality has some limitations and advantages. Lasers are known for precise excision layer by layer and good aesthetic outcome. However, we present a patient of Rhinophyma treated with diode lasers with an unusual complication of lower lateral cartilage perforation. Level of Evidence: Level V, A report of rare complication. Keywords: Rhinophyma, Diode laser, Cartilage perforation, Complication, Laser.

544 Vasculitic Subglottic Stenosis: A Question of Immunosuppression?

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Zammit ◽  
S Hardy ◽  
J Harper ◽  
A Panarese ◽  
C Webb
Keyword(s):  
Management Strategy ◽  
Infectious Complications ◽  
Subglottic Stenosis ◽  
Respiratory Compromise ◽  
Delayed Treatment ◽  
Current Management Strategy ◽  
Renal Vasculitis ◽  
End Stage ◽  
High Degree ◽  
Tracheobronchial Disease

Abstract Introduction Subglottic stenosis (SGS) is the commonest manifestation of tracheobronchial disease in granulomatosis with polyangiitis (GPA) and carries a high degree of morbidity. Management of SGS-GPA is a double-edged sword. Delayed treatment may cause respiratory compromise and infectious complications. However, aggressive surgical management may initiate a systemic inflammatory response, reactivating the vasculitic cascade and potentially lead to long-term complications including renal vasculitis and consequential end-stage renal failure. There is currently no internationally agreed management strategy for this disease. Method This retrospective review was undertaken to analyse our unique combination of surgical dilatations and immunosuppressive-focused adjuvant management strategy between years 2011-2020. Results Sixteen of our one hundred and nine GPA patients (14.7%) had SGS and were included in our analysis. Whilst three patients (18.8%) improved solely on medical treatment, thirteen (81.3%) required combined surgery and immunosuppression (consisting of cyclophosphamide or Rituximab regimens). Thirty-nine surgical dilatations and two tracheostomies were performed over a mean 53-month follow-up period, with a calculated mean procedure rate of one every 24.8 months (2.7 - 89 months). Conclusions Our current management strategy affords a lower procedure rate at every 24.8 months compared to other published studies with combined procedure rate at every 14.9 months.

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