Utilisation of an 810 nm diode laser for surgical management of oral soft tissues related to orthodontic treatment: A case series

2021 ◽  
pp. 146531252110392
Author(s):  
Snehal Dalvi ◽  
Saurabh Lingala ◽  
Namrata Khetal ◽  
Stefano Benedicenti ◽  
Reem Hanna
Keyword(s):  
Diode Laser ◽  
Surgical Management ◽  
Orthodontic Treatment ◽  
Soft Tissues ◽  
Continuous Wave ◽  
Average Power ◽  
Fibre Diameter ◽  
Case Series ◽  
Spot Size ◽  
Emission Mode

The present case series demonstrates the efficacy of an 810 nm diode laser for the surgical management of oral soft tissues related to orthodontic treatment. Three orthodontic patients aged 16–23 years underwent operculectomy, ablation of soft-tissue overgrowth over orthodontic appliance and gingivectomy along with gingival recontouring procedures, respectively, using the 810 nm diode laser. In each case, an initiated laser fibre tip was utilised to ablate the tissue at the treatment site by making a light contact with the tissue (average power output = 1–1.6 W, continuous wave emission mode, fibre diameter = 400 µm, spot size = 0.0013 cm2, energy density = 124.9–199.9 J/cm2, irradiance = 796–1273 W/cm2, total energy dose = 300–480 J). The maximum total length of treatment was 300 s (5 min). None of the patients reported any instantaneous or delayed postoperative complications over six months. Utilisation of the 810 nm diode laser for surgical management of oral soft tissues related to orthodontic treatments can be considered safe, effective and justifiable over the conventional scalpel technique; however, it must be performed by trained and experienced clinicians only.

Nd:YAG and Diode Laser in the Surgical Management of Soft Tissues Related to Orthodontic Treatment

2007 ◽  
Vol 25 (5) ◽  
pp. 381-392 ◽  
Author(s):  
C. Fornaini ◽  
J.P. Rocca ◽  
M.F. Bertrand ◽  
E. Merigo ◽  
S. Nammour ◽  
...  
Keyword(s):  
Diode Laser ◽  
Surgical Management ◽  
Orthodontic Treatment ◽  
Soft Tissues

Application of the diode laser for soft-tissue surgery in orthodontics: Case series

2020 ◽  
pp. 146531252095870
Author(s):  
John Hyunbaek Ahn ◽  
Susan Power ◽  
Eleanor Thickett
Keyword(s):  
Soft Tissue ◽  
Diode Laser ◽  
Patient Compliance ◽  
Laser Surgery ◽  
Orthodontic Treatment ◽  
Case Series ◽  
Effective Alternative ◽  
Laser Exposure ◽  
Laser Technology ◽  
Soft Tissue Surgery

Referral to an oral surgeon for soft-tissue surgery before, during or after orthodontic treatment is not uncommon. This process may delay treatment and could potentially increase the risk of complications. In addition, seeing multiple specialties in different environments may demotivate paediatric or anxious patients from pursuing orthodontic treatment and could also adversely affect patient compliance and satisfaction. The development of laser technology provides a safe and effective alternative, allowing the orthodontic clinician to perform soft-tissue surgery. To date, there are no laser exposure protocols or UK guidelines regarding the use of laser surgery in orthodontics. This case series reports four clinical cases that demonstrate potential advantages of using a diode laser for the management of soft tissue in the field of orthodontics.

scholarly journals Eye-Safe Diode-Laser-Based Micropulse Differential Absorption Lidar (DIAL) for Water Vapor Profiling in the Lower Troposphere

2011 ◽  
Vol 28 (2) ◽  
pp. 131-147 ◽  
Author(s):  
Amin R. Nehrir ◽  
Kevin S. Repasky ◽  
John L. Carlsten
Keyword(s):  
Water Vapor ◽  
Diode Laser ◽  
Second Generation ◽  
Continuous Wave ◽  
Single Photon ◽  
Average Power ◽  
Lower Troposphere ◽  
Master Oscillator ◽  
Differential Absorption ◽  
Differential Absorption Lidar

Abstract A second-generation diode-laser-based master oscillator power amplifier (MOPA) configured micropulse differential absorption lidar (DIAL) instrument for profiling of lower-tropospheric water vapor is presented. The DIAL transmitter is based on a continuous wave (cw) external cavity diode laser (ECDL) master oscillator that is used to injection seed two cascaded tapered semiconductor optical power amplifiers, which deliver up to 2-μJ pulse energies over a 1-μs pulse duration at 830 nm with an average power of ∼40 mW at a pulse repetition frequency of 20 kHz. The DIAL receiver utilizes a commercial 28-cm-diameter Schmidt–Cassegrain telescope, a 250-pm narrowband optical filter, and a fiber-coupled single-photon-counting Avalanche photodiode (APD) detector, yielding a far-field full-angle field of view of 170 μrad. A detailed description of the second-generation Montana State University (MSU) DIAL instrument is presented. Water vapor number density profiles and time–height cross sections collected with the water vapor DIAL instrument are also presented and compared with collocated radiosonde measurements, demonstrating the instruments ability to measure night- and daytime water vapor profiles in the lower troposphere.

scholarly journals Recovery from Idiopathic Facial Paralysis (Bell’s Palsy) Using Photobiomodulation in Patients Non-Responsive to Standard Treatment: A Case Series Study

Photonics ◽  
2021 ◽  
Vol 8 (8) ◽  
pp. 341
Author(s):  
Claudio Pasquale ◽  
Anatoliy Utyuzh ◽  
Maria Vladimirovna Mikhailova ◽  
Esteban Colombo ◽  
Andrea Amaroli
Keyword(s):  
Standard Treatment ◽  
Continuous Wave ◽  
Case Series ◽  
Supportive Therapy ◽  
Facial Asymmetry ◽  
Spot Size ◽  
Pharmacological Therapy ◽  
Psychological Burden ◽  
Case Series Study ◽  
Series Study

Diminished facial movement and marked facial asymmetry can lead to a consistent psychological burden. Bell′s palsy (BP) is one of the most common causes of facial nerve illness, which comes with unilateral acute facial paresis. Nowadays, no clear guidelines for treating BP are available. We carried out a case series study to test the efficacy of photobiomodulation (PBM) therapy in patients with BP non-responsive to standard treatment. The study was experimentally performed at the Department of Surgical and Diagnostic Sciences, University of Genoa (Genoa, Italy), in accordance with case report guidelines. Patients were referred to our department by colleagues for evaluation to be included in the case series because no consistent improvement was observed at least 3 months from the diagnosis of BP. All the patients interrupted their pharmacological therapy before the initiation of PBM therapy. PBM therapy (808 nm, 1 W irradiated in continuous-wave for 60 s on spot-size 1 cm2; 1 W/cm2; 60 J/cm2; and 60 J) was administered every 2 days until complete resolution. Evaluation of the House-Brackmann scale was performed before and after treatments. Fourteen patients were screened as eligible for the study. Patients were Caucasians (36% females and 64% males) with a mean age ± standard deviation of 56.07 ± 15.21 years. Eleven patients out of 14, who experienced BP a maximum of 6 months, completely recovered through PBM. The three patients that did not show improvement were those who had experienced BP for years. PBM could be a supportive therapy for the management of BP in patients non-responsive to standard treatment. However, randomized controlled trials are necessary to sustain our encouraging results, exclude bias, and better explain the boundary between the time from diagnosis and the recovery of BP through PBM therapy.

scholarly journals Surgical Management of Chronic Tendoachilles Tear in Elderly Patients – A Case Series

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Neetin P Mahajan ◽  
Pranay Kondewar ◽  
Prasanna Kumar G S ◽  
Ankit Marfatia
Keyword(s):  
Elderly Patients ◽  
Functional Outcome ◽  
Surgical Management ◽  
Soft Tissues ◽  
Case Series ◽  
Wound Complication ◽  
Treatment Method ◽  
Interference Screw ◽  
Flexor Hallucis Longus ◽  
Selection Of

Introduction: Chronic tendoachilles (TA) tears are commonly missed injuries in elderly population with associated comorbidities and they usually occur as low-energy injuries. Appropriate surgical management helps in getting a better functional outcome in elderly patients. Case Series: We present a series of three cases of chronic TA tear in elderly patients managed surgically. Two patients had an insertional tear and they were managed with flexor hallucis longus (FHL) transfer and fixed with interference screw in the calcaneum. Another patient was managed with end-to-end suturing using fiber wire. All the patients are having good functional outcome without any wound complication or re rupture. Conclusion: Early diagnosis, meticulous repair, and handling of soft tissues and TA tear help in getting a better outcome in elderly patients. The final functional outcome depends on intraoperative stability of the repair, ankle physiotherapy, and wisely selection of the treatment method, which mainly depends on the location of the tear. Reconstruction with FHL tendon using interference screw in calcaneum helps to repair the insertional tears in elderly patients. Keywords: Tendoachilles tear, flexor hallucis longus graft, steroid, elderly patients.

Imaging Features of Primary Tumors of the Hand

2020 ◽  
Vol 16 ◽  
Author(s):  
Filippo Boriani ◽  
Edoardo Raposio ◽  
Costantino Errani
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Epithelioid Sarcoma ◽  
Case Series ◽  
Malignant Neoplasm ◽  
Benign Tumors ◽  
Imaging Features ◽  
Primary Tumors ◽  
Therapeutic Decisions ◽  
Tumors Of The Hand

: Musculoskeletal tumors of the hand are a rare entity and are divided into skeletal and soft tissue tumors. Either category comprises benign and malignant or even intermediate tumors. Basic radiology allows an optimal resolution of bone and related soft tissue areas, ultrasound and more sophisticated radiologic tools such as scintigraphy, CT and MRI allow a more accurate evaluation of tumor extent. Enchondroma is the most common benign tumor affecting bone, whereas chondrosarcoma is the most commonly represented malignant neoplasm localized to hand bones. In the soft tissues ganglions are the most common benign tumors and epithelioid sarcoma is the most frequently represented malignant tumor targeting hand soft tissues. The knowledge regarding diagnostic and therapeutic management of these tumors is often deriving from small case series, retrospective studies or even case reports. Evidences from prospective studies or controlled trials are limited and for this lack of clear and supported evidences data from the medical literature on the topic are controversial, in terms of demographics, clinical presentation, diagnosis prognosis and therapy.The correct recognition of the specific subtype and extension of the tumor through first line and second line radiology is essential for the surgeon, in order to effectively direct the therapeutic decisions.

scholarly journals Failed Surgery for Patellar Tendinopathy in Athletes: Midterm Results of Further Surgical Management

2021 ◽  
Vol 9 (3) ◽  
pp. 232596712199455
Author(s):  
Nicola Maffulli ◽  
Francesco Oliva ◽  
Gayle D. Maffulli ◽  
Filippo Migliorini
Keyword(s):  
Surgical Management ◽  
Revision Surgery ◽  
Case Series ◽  
Sports Participation ◽  
Patellar Tendinopathy ◽  
Symptom Duration ◽  
Level Of Evidence ◽  
Training Time ◽  
The Mean

Background: Tendon injuries are commonly seen in sports medicine practice. Many elite players involved in high-impact activities develop patellar tendinopathy (PT) symptoms. Of them, a small percentage will develop refractory PT and need to undergo surgery. In some of these patients, surgery does not resolve these symptoms. Purpose: To report the clinical results in a cohort of athletes who underwent further surgery after failure of primary surgery for PT. Study Design: Case series; Level of evidence, 4. Methods: A total of 22 athletes who had undergone revision surgery for failed surgical management of PT were enrolled in the present study. Symptom severity was assessed through the Victorian Institute of Sport Assessment Scale for Patellar Tendinopathy (VISA-P) upon admission and at the final follow-up. Time to return to training, time to return to competition, and complications were also recorded. Results: The mean age of the athletes was 25.4 years, and the mean symptom duration from the index intervention was 15.3 months. At a mean follow-up of 30.0 ± 4.9 months, the VISA-P score improved 27.8 points ( P < .0001). The patients returned to training within a mean of 9.2 months. Fifteen patients (68.2%) returned to competition within a mean of 11.6 months. Of these 15 patients, a further 2 had decreased their performance, and 2 more had abandoned sports participation by the final follow-up. The overall rate of complications was 18.2%. One patient (4.5%) had a further revision procedure. Conclusion: Revision surgery was feasible and effective in patients in whom PT symptoms persisted after previous surgery for PT, achieving a statistically significant and clinically relevant improvement of the VISA-P score as well as an acceptable rate of return to sport at a follow-up of 30 months.

scholarly journals Steering the Mandible in the Right Direction : Forsus Case Series

2021 ◽  
pp. 030157422110054
Author(s):  
Prachi Gohil ◽  
Sonali Mahadevi ◽  
Bhavya Trivedi ◽  
Neha Assudani ◽  
Arth Patel ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Case Series ◽  
Treatment Compliance ◽  
Class Ii ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Technological Advances ◽  
Functional Appliances ◽  
The Right ◽  
Mandibular Retrognathia

We are in the process of discovery of new vistas for technological advances in terms of various appliances with a vision of making orthodontic treatment compliance free as well as successful. Due to improved technology, the enigma of treating the Class II syndrome is palliated. “Out of the box” thinking has become a norm to treat certain situations that were not corrected in noncompliant patients. Fixed functional appliances are valuable tools introduced to assist the correction of skeletal Class II malocclusion with mandibular retrognathia at the deceleration stage of growth for achieving stable results. In this direction a case series is reported of patients having the above conditions and undergoing orthodontic treatment using a Forsus FFA. Joining hands with technology is a win-win situation for both the patient and the orthodontist.

Sentinel bowel loop as a marker for primary segmental intestinal volvulus in extreme low birth weight neonates

2021 ◽  
pp. 1-5
Author(s):  
T. Zahouani ◽  
W.R. Carter ◽  
R.H. Jessel ◽  
D.E. El-Metwally ◽  
H.M. Crowley
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Surgical Management ◽  
Case Series ◽  
Extremely Low Birth Weight ◽  
Bowel Loop ◽  
Clinical Markers ◽  
Low Birth Weight Infants ◽  
Intestinal Volvulus ◽  
Delay In Diagnosis

Primary segmental intestinal volvulus is a rare condition that may affect neonates. This condition occurs when a loop of bowel torses around the axis of its mesentery without any other abnormality or malrotation. In the earlier stages, the diagnosis can be challenging due to the lack of specific clinical and radiographic signs. Prompt surgical management is critical as a delay in diagnosis may result in bowel loss or death. We present a series of three cases of extremely low birth weight infants with primary segmental volvulus. A sentinel bowel loop was critical in guiding each patient’s surgical management as there were no other clinical markers concerning a pending intra-abdominal catastrophe. This case series suggests that a sentinel bowel loop may be a radiographic marker for primary segmental intestinal volvulus in extremely low birth weight infants.

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