Sinus Disease and Surgical Treatment: A Results Oriented Quality Assurance Study

The efficacy of sinus surgery continues to be an Issue of debate among otolaryngologists. In an attempt to address this controversy, a case-series study design was used to assess the perceived efficacy of sinus surgery in terms of the alleviation of sinus symptoms and overall health benefit. Self-administered questionnaires were mailed to 142 Individuals who had sinus surgery performed between January 1984, and December 1985. After one follow-up attempt, 114 questionnaires were completed and returned (80% response). Overall, a high percentage of cases reported postoperative Improvement in breathing difficulties (90%), nasal congestion (88%). headache/facial pain (85%). recurrent sinus Infections (83%), and postnasal drip (80%). In addition. 88% of cases reported the surgery to be of some overall health benefit. These results suggest that sinus surgery, as perceived by surgically treated Individuals, may be effective in the management of chronic sinus disease.

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The case for skin camouflage in the management of upper limb scarring – A case series

Hand Therapy ◽

10.1177/17589983211007875 ◽

2021 ◽

pp. 175899832110078

Author(s):

Laura Adamson ◽

Anna Selby

Keyword(s):

Upper Limb ◽

Case Series ◽

Primary Objective ◽

Self Confidence ◽

Published Evidence ◽

Case Series Study ◽

Visual Impact ◽

Series Study ◽

Increasing Function

Introduction For some people the appearance of their hands is as important as function. Upper limb scarring can cause some patients distress. Skin camouflage is an intervention that can be used to reduce the visual impact of a scar but there is limited published evidence for its use for hand scarring. Methods This is a case series study with a primary objective to determine whether skin camouflage reduces distress in patients with an upper limb scar and to evaluate this new service. Patients experiencing distress from an upper limb scar were recruited from a hand therapy outpatient clinic. The intervention delivered was a one hour skin camouflage session. Photographs of the upper limb pre and post skin camouflage intervention were taken. The patient-rated Michigan Hand Questionnaire (MHQ) and Derriford Appearance Scale (DAS24) were completed before treatment, at 1 week and 1 month after treatment. Results Six participants reporting distress from an upper limb scar received skin camouflage intervention. Only three out of six participants completed all follow-up. All three showed improvement in at least two domains of the MHQ (function and aesthetics) at one month post treatment. Increased confidence during functional and work-based activities was also reported on the DAS24. Participants reported increased engagement in daily activities as a result of being able to camouflage their scars. Conclusions This small case series shows that skin camouflage intervention may be beneficial for some patients who are experiencing distress related to an upper limb scar by increasing function and self-confidence.

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The Association Between the Rotator Cuff Status and the Severity and Recovery of Weakness in the Shoulder Abductor Strength in a Case of Proximal Type Cervical Spondylotic Amyotrophy

Global Spine Journal ◽

10.1177/2192568220980441 ◽

2020 ◽

pp. 219256822098044

Author(s):

Sho Ishiwata ◽

Yoichi Iizuka ◽

Hitoshi Shitara ◽

Tokue Mieda ◽

Eiji Takasawa ◽

...

Keyword(s):

Rotator Cuff ◽

Biceps Brachii ◽

Case Series ◽

Manual Muscle Test ◽

Cuff Tear ◽

Cervical Spondylotic Amyotrophy ◽

Case Series Study ◽

Shoulder Abductor ◽

Series Study

Study Design: Case series study. Objective: We aimed to clarify the prevalence of rotator cuff tear (RCT), and the association between RCT and the severity and prognosis in patients with proximal type cervical spondylotic amyotrophy (CSA). Methods: We retrospectively analyzed 35 proximal type CSA patients who were treated conservatively. The following data was collected: age, rotator cuff status on MRI, manual muscle test (MMT) score of shoulder abductor and biceps brachii muscles both at the first visit and final follow-up. We investigated the prevalence of RCT and the association between the rotator cuff status, and the severity and recovery of upper extremity weakness in patients with proximal type CSA. Results: Of the 35 patients, 21 had an RCT on MRI, indicating that the prevalence of RCT in patients with proximal type CSA was 60%. An age-adjusted analysis showed that the presence of RCT was significantly associated with the MMT score of the shoulder abductor muscles both at the first visit and at the final follow-up. The presence of RCT was significantly associated with the recovery of the shoulder abductor muscles. The size of the RCT was negatively correlated with the MMT score of the shoulder abductor muscles at the final follow-up. The size of the RCT was independently correlated with the change of the MMT score of the shoulder abductor muscles. Conclusion: RCT was detected in >50% in patients with proximal type CSA, and the presence and severity of RCT can be used as prognostic factors for proximal type CSA patients who are treated conservatively.

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Efficacy and long-term follow-up of IL-1R inhibitor anakinra in adults with Still's disease: a case-series study

Arthritis Research & Therapy ◽

10.1186/ar3366 ◽

2011 ◽

Vol 13 (3) ◽

pp. R91 ◽

Cited By ~ 70

Author(s):

Katerina Laskari ◽

Athanasios G Tzioufas ◽

Haralampos M Moutsopoulos

Keyword(s):

Case Series ◽

Still’S Disease ◽

Still's Disease ◽

Case Series Study ◽

Long Term Follow Up ◽

Series Study

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1402 Impact of COVID-19 on Nasal Fracture Presentation and Epidemiology: A Retrospective Comparative Case-series Study

British Journal of Surgery ◽

10.1093/bjs/znab259.569 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

A Hassane ◽

S Palaniappan ◽

M Szostok ◽

M Shakeel

Keyword(s):

Local Anaesthetic ◽

Older Patients ◽

Nasal Congestion ◽

Case Series ◽

Nasal Fracture ◽

Case Series Study ◽

The Common ◽

The Difference ◽

Nasal Fractures ◽

Series Study

Abstract Aim Nasal fractures (NF) are the most common ENT presentation and commonly managed in the clinic or A&E. With the recent COVID pandemic, this study aims to assess the difference in demographics, incidence and aetiology in NF since the start of the first lockdown (16/03/2020) as well as management of nasal fractures. Method Retrospectively, data collection on demographics, history and management over 5 years (2015-2020) for all patients presenting with symptoms of nasal fracture. Data was collected on password-protected Excel spreadsheet and subsequent statistical analysis performed using IBM SPSS Statistics. Results A total of 346 patients were identified of which 36 were diagnosed during the lockdown. Seventy-one percent were ≤40 years old and common aetiology recorded was assault (n = 85), sports (n = 85) and falls (n = 77). Mechanical fall was the common aetiology in older patients. Across gender, falls was the most common aetiology in females (37/94) and assault for males (72/246). Epistaxis (57%) and nasal congestion (31.8%) were most commonly reported symptoms. Before lockdown, Fifty-six percent of the cohort underwent manipulation of NF under local anaesthetic and no intervention needed in 39% while 58% underwent no intervention during the lockdown. No patients were readmitted in 30 days who were treated conservatively or with local anaesthetic during the lockdown. Conclusions This study showed that the most common cause of NF was sports and assault while during the lockdown, falls was the leading cause. More patients were managed conservatively during the lockdown with no 30-readmission showing that conservative management was as effective as management under local anaesthetic.

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A Retrospective, Multicenter, Cross-Sectional Case Series Study Evaluating Outcomes of CAD/CAM Abutments on Implants from Four Manufacturers: 4-Year Mean Follow-up

The International Journal of Oral & Maxillofacial Implants ◽

10.11607/jomi.8840 ◽

2021 ◽

Vol 36 (5) ◽

pp. 966-976

Author(s):

Christopher Barwacz ◽

Kumar Shah ◽

Nurit Bittner ◽

William Parker ◽

Toni Neumeier ◽

...

Keyword(s):

Case Series ◽

Cross Sectional ◽

Case Series Study ◽

Cad Cam ◽

Series Study

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Triple Procedure for Dense Cataractous Neovascular Glaucoma Patients

Journal of Ophthalmology ◽

10.1155/2020/1251203 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Hossam M. Moharram ◽

Shaaban Abd-Elhamid Mehany Elwan ◽

Mahmoud M. Nassar ◽

Mohamed F. Abdelkader

Keyword(s):

Case Series ◽

Neovascular Glaucoma ◽

Panretinal Photocoagulation ◽

Case Series Study ◽

Triple Procedure ◽

Distant Visual Acuity ◽

Pars Plana ◽

The Mean ◽

Series Study

Purpose. One of the most difficult refractory glaucomas is the neovascular type (NVG), and its association with dense cataract adds to this difficulty. This study aimed to provide results of the triple surgical procedure for such conditions. Methods. 12 eyes of 12 patients with NVG and dense cataract were included in this case series study. The mean age of patients was 57.25 ± 5.9 years. The mean preoperative intraocular pressure (IOP) was 47.25 ± 4.04 mmHg with maximum antiglaucoma therapy. The mean best corrected distant visual acuity (BCDVA) in LogMAR was 2.13 ± 0.38. All patients received intravitreal injection of 1.25 mg (0.05 ml) bevacizumab followed by phacoemulsification, pars plana vitrectomy (PPV) including panretinal photocoagulation (PRP), and trabeculectomy with mitomycin C (MMC). Mean IOP and BCDVA changes were the main outcome results of this study. Results. The follow-up period was 2 years. The mean BCDVA was improved to 1.22 ± 0.35, 1.13 ± 0.34, 1.12 ± 0.37, 1.06 ± 0.38, and 1.01 ± 0.37 at 1, 3, 6, 12, and 24 months, respectively, after this procedure. This improvement was statistically significant when compared with preoperative BCDVA (P<0.0001). The mean postoperative IOP was dropped to 20.08 ± 4.1, 17.08 ± 2.1, 17.17 ± 5, 15.75 ± 4.7, and 16.17 ± 6.1 mmHg, respectively. At the last follow-up, the mean IOP was statistically significantly lower than preoperative IOP (P<0.0001) at the previously mentioned time points. The success rate was complete in 90.9% of eyes and qualified in 100% of eyes. Iris and angle neovascularization had regressed significantly in all patients, and no serious complications occurred during the follow-up period. Conclusions. This triple surgery can safely improve patients with NVG and dense cataract regarding BCDVA and IOP control. This trial is registered with NCT04143620.

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Topical polyphenol treatment of sacrococcygeal pilonidal sinus disease: use of ultrasonography to evaluate response to treatment – clinical case series study

Advances in Dermatology and Allergology ◽

10.5114/ada.2018.77255 ◽

2019 ◽

Vol 36 (4) ◽

pp. 431-437

Author(s):

Hasan Aksoy ◽

Berna Aksoy ◽

Ezgi Ozkur ◽

Emel Calikoglu

Keyword(s):

Pilonidal Sinus ◽

Clinical Case ◽

Case Series ◽

Response To Treatment ◽

Pilonidal Sinus Disease ◽

Sinus Disease ◽

Case Series Study ◽

Series Study

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Chronic recurrent multifocal osteomyelitis: follow up Longitudinal case series study for five years with radiographic and scintigraphic imaging perspective and health outcome analysis with EQ5D-5L

Pediatric Rheumatology ◽

10.1186/1546-0096-13-s1-p188 ◽

2015 ◽

Vol 13 (Suppl 1) ◽

pp. P188

Author(s):

N Roy ◽

S Sathyanandan ◽

K Lalitha ◽

M Mathew

Keyword(s):

Health Outcome ◽

Case Series ◽

Chronic Recurrent Multifocal Osteomyelitis ◽

Outcome Analysis ◽

Scintigraphic Imaging ◽

Case Series Study ◽

Multifocal Osteomyelitis ◽

Series Study ◽

Imaging Perspective

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Functional and Radiographic Outcomes of Minimally Invasive Intramedullary Nail Device (MIIND) for Moderate to Severe Hallux Valgus

Foot & Ankle International ◽

10.1177/1071100720969676 ◽

2020 ◽

pp. 107110072096967

Author(s):

Carlo Biz ◽

Alberto Crimì ◽

Ilaria Fantoni ◽

Jacopo Tagliapietra ◽

Pietro Ruggieri

Keyword(s):

Hallux Valgus ◽

Case Series ◽

Radiographic Outcomes ◽

Case Series Study ◽

Significant Correction ◽

The Mean ◽

Series Study ◽

Severe Hallux Valgus

Background: This study was aimed at assessing clinical and radiographic outcomes of the Minimally Invasive Intramedullary Nail Device (MIIND) to correct moderate to severe hallux valgus (HV) and the long-term persistence of its effects. Methods: This case series study involved 100 patients, 84 women and 16 men (mean age, 59 years), who underwent the MIIND procedure with a mean follow-up of 97 months. Assessment was performed preoperatively, postoperatively, at 6 and 12 months, and at last follow-up. Clinical outcomes were evaluated with American Orthopaedic Foot & Ankle Society (AOFAS) scores, visual analog scale (VAS), and patient satisfaction. Intermetatarsal angle (IMA), metatarsophalangeal hallux valgus angle (HVA), distal metatarsal articular angle (DMAA), and tibial sesamoid position were assessed. Statistical analysis was performed. Results: The mean AOFAS score improved from 57.9 to 90.5 points, VAS scale was 1.5 ± 2.0, and patients’ satisfaction was 8.7 ± 1.4. The mean correction of the HVA and IMA showed a significant correction; however, the effect of time was not statistically significant on DMAA. Sex ( P = .047), severity ( P = .050), associated procedures ( P = .000), and preoperative angle ( P = .000) showed significant association with HVA correction and its persistence over time. Age was not statistically significant. Complications were 9 cases of superficial wound infection and 6 recurrences. Conclusions: The MIIND technique proved a viable procedure to correct moderate to severe HV with a low rate of complications and recurrence, producing significant correction of most radiographic parameters assessed and their persistence, even at long term. Level of Evidence: Level IV, case series study.

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