scholarly journals Change to win - flapless external dacryocystorhinostomy (DCR)

2020 ◽  
Vol 5 (8) ◽  
pp. 224-230
Author(s):  
Dr. Ravi Ranjan ◽  
◽  
Dr. Kumari Rupam ◽  
Dr. Sudhir Kumar ◽  
◽  
...  
Keyword(s):  
Subcutaneous Tissue ◽  
Symptomatic Relief ◽  
Case Series ◽  
Nasolacrimal Duct ◽  
Medial Side ◽  
Case Series Study ◽  
Lacrimal Bone ◽  
External Dacryocystorhinostomy ◽  
One Year ◽  
Series Study

Introduction: Nasolacrimal Duct obstruction (NLDO) is a common ophthalmic problem and theusual Treatment is Dacryocystorhinostomy (DCR), either external or endonasal. This study aims toevaluate the success of external DCR with neither anterior nor posterior flaps with Mitomycin c(MMC) syringing on the 5th post-operative day (early proliferative phase of wound healing). It wasshown in the present study that a comparable good result can be achieved without tedious flapsmaking and anastomosis. Material and Methods: It is a retrospective, non-comparativeobservational Case series study done from March 2011 to August 2019. A total of 2165 patientswere included in this study qualifying inclusion criterion. 8 to 10 mm Arruga’s bone trephine wasused to make osteum in lacrimal bone and passage in the nasal mucosa. The anterior margin of thelateral side of the remaining sac was sutured to the subcutaneous tissue of the medial side adjacentto the nasal osteotomy. Syringing with 1 ml of 0.4 mg/ ml MMC was done in the newly formedpassage on the 5th post-operative day. These patients were followed up for one year. The successcriteria were symptomatic relief from epiphora subjectively. Objectively a patent nasolacrimal ductupon syringing and Nasal endoscopy. Results: 2136 (out of 2165) patients' eyes treated with thisprocedure showed resolution of epiphora with a success rate of 98.66%. Conclusion: The currentstudy suggest that DCR without flap making is an effective and easy procedure in the managementof NLDO obstruction and flap making is a futile step in the procedure as it has no impact on theoutcome.

scholarly journals Clinical manifestations of diffuse large B‑cell lymphoma in the skin and subcutaneous tissue a case series study

2020 ◽  
Vol 37 (5) ◽  
pp. 812-816
Author(s):  
Katarzyna Dulik ◽  
Grażyna Kamińska-Winciorek ◽  
Ryszard Swoboda ◽  
Anna Kwiatkowska-Pamula ◽  
Sebastian Giebel
Keyword(s):  
B Cell ◽  
Cell Lymphoma ◽  
Subcutaneous Tissue ◽  
Clinical Manifestations ◽  
Case Series ◽  
B Cell Lymphoma ◽  
Large B Cell Lymphoma ◽  
Case Series Study ◽  
Series Study ◽  
Large B Cell

scholarly journals Clinicopathological study of thyroid swellings in HSK hospital in Karnataka, India

2018 ◽  
Vol 5 (2) ◽  
pp. 420
Author(s):  
Subhash N. Halbhavi ◽  
Mahantayya Ganjigatti ◽  
Shrikant B. Kuntoji ◽  
Mohammedgouse A. Karikazi
Keyword(s):  
Clinical Diagnosis ◽  
Pressure Effect ◽  
Malignant Lesion ◽  
Case Series ◽  
Nodular Goiter ◽  
First Line ◽  
Case Series Study ◽  
One Year ◽  
Series Study ◽  
Rule Out

Background: A thyroid enlargement whether diffuses or in the form of nodules have to be investigated to rule out neoplasm. FNAC is the first line of investigation. USG and TFT are also used. The cases which are at high risk are considered for surgery. Aims and objectives of the study was the clinical presentation of thyroid swellings, incidence of various thyroid swelling, benign versus malignant lesion and to correlate the clinical diagnosis with that of pathological diagnosis.Methods: A case series study of 60 patients attending surgical OPD IPD with symptoms of thyroid in SNMRC and HSK hospital Bagalkot between 1-1-2015 to 30-6-2016. After detailed history thorough, clinical examination was carried out all the patients underwent routine investigations TFT FNAC USG neck. Few patients underwent surgery and all the thyroid specimens were sent for HPE and the clinical diagnosis is correlated with that of pathological diagnosis.Results: Of 60 cases female to male ratio was 9:1. The age group involved is between 31-40 years (31.67%). Duration of goiter is less than one year in 60% of cases. The chief complaint was swelling in front of the neck 100%. Duration of swelling ranged from 15 days to 15 years. Toxic features were present in 18.33% of cases, but after TFT the toxic cases were only 6.67%. Most of the patient showed colloid goiter (43.33%) on FNAC. Out of 60 cases only 22 cases did undergo surgery histopathological specimen were colloid versus nodular goiter in 81.88% out of 22 cases only.Conclusions: Thyroid swellings are common in females they occur in 3rd and 4th decade most commonly. FNAC is very useful in the diagnosis. The main indications of surgery are cosmetic problems, pressure effect symptoms are suspicion of malignancy.

scholarly journals Evaluation of a Tangential Map-Based Nomogram for Intrastromal Corneal Ring Segments’ Implantation in Keratoconus: One Year Results

2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Adel Galal Zaky ◽  
Mahmoud Tawfik KhalafAllah ◽  
Abdelrahman Elsebaey Sarhan ◽  
Moataz Faiz Elsawy
Keyword(s):  
Case Series ◽  
Refractive Outcomes ◽  
Intrastromal Corneal Ring ◽  
Case Series Study ◽  
Prospective Case Series ◽  
One Year ◽  
Series Study

Purpose. To evaluate a new tangential map-based nomogram versus the axial map-based nomogram for ICRS in keratoconus. Methods. A prospective case series study including 64 eyes of 64 patients who underwent ICRS implantation. Cone location was determined for each eye with two maps: the axial and the tangential. Appropriate ring selection was determined using two surgical nomograms: axial map-based and tangential map-based. Visual, refractive, and topographic outcomes were assessed before, as well as at 3, 6, and 12 months after ICRS implantation. Results. The cone location, and consequently the ring selection, was significantly different in the two nomograms with a “centralization tendency” in the tangential map. In the axial group, UDVA and CDVA improved from 0.12 ± 0.04 and 0.24 ± 0.08 to 0.28 ± 0.08 and 0.4 ± 0.1, respectively. Similarly, MRSE substantially decreased from −6.7 ± 3.3 to −1.2 ± 1.1D at 12 months after the procedure. In the tangential group, UDVA and CDVA improved from 0.09 ± 0.06 and 0.2 ± 0.1 to 0.5 ± 0.2 and 0.7 ± 0.2, respectively. MRSE substantially decreased from −4.9 ± 1D to −1.00 ± 1.6D at 12 months after the procedure. The UDVA gain was significantly higher in the tangential group: 0.35 compared to 0.15 at 12 months, P=0.01∗. Similarly, the gain in the CDVA was 0.4 and 0.15 in the tangential and axial groups, respectively, at 12 months, P=0.003∗. At 12 months, the tangential map showed superiority in UDVA, CDVA, and MRSE in the peripheral cone location, but not the central and paracentral ones. Conclusion. The tangential map-based nomogram attained better visual and refractive outcomes at 1 year. In addition, the cone location was significantly different between both maps with a centralization tendency in the tangential one.

scholarly journals Five Years Prospective Study on Implant Failure and Marginal Bone Remodeling Expected Using Bone Level Implants with Sandblasted/Acid-Etched Surface and Conical Connection

2021 ◽  
Author(s):  
Marco Tallarico ◽  
Aurea Immacolata Lumbau ◽  
Silvio Mario Meloni ◽  
Irene Ieria ◽  
Chang-Joo Park ◽  
...  
Keyword(s):  
Bone Remodeling ◽  
Case Series ◽  
Insertion Torque ◽  
Case Series Study ◽  
The Mean ◽  
Prospective Case Series ◽  
One Year ◽  
The One ◽  
Series Study

Aim: the purpose of the present prospective, case series study were to report implant survival rate and marginal bone remodeling expected five years after loading using dental implants placed in in the daily practice. Material and Methods: this research was designed as an open-cohort, prospective case series study. Any completely or partially edentulous patients scheduled to receive at least one bone leve were considered eligible for this study. Primary outcomes were: cumulative implant (ISR) and prosthetic (PSR) survival rates, and any complications experienced up the five years follow-up. Secondary outcomes were: marginal bone remodeling, implant insertion torque, implant stability quotient (ISQ), and thickness of gingival biotype. Results: ninety consecutive patients (34 males and 56 females; mean age 53.2±15.4 years; range of 24–81 years), 243 implants were placed and followed for at least five years after loading (mean of 65.4±3.1 months; range of 60–72 months). The mean implant insertion torque was 42.9±4.8 Ncm (range from 15 to 45 Ncm). Overall, 83.5% of the implants (n=203) were placed with an insertion torque between 35 and 45 Ncm. At the one year follow-up, no drop-outs were recorded, but 17 patients (18.9%) with 18 restorations (12.6%) delivered on 34 implants (14%) were lost at the five years examination. At the five-year examination, six implants failed in six patients, resulting in a cumulative ISR of 97.5%. At the five-year follow-up, four prostheses failed (2.8%) resulting in a cumulative PSR of 97.2%. At the five-year examination, five complications were reported by five different patients, resulting in a prosthetic success rate of 96.5%, measured at patient level. Five years after loading, mean MBL was 0.41 ± 0.30 mm (95% CI: 0.26–0.34). Difference from the one year data was 0.04 ± 0.19 mm (95% CI: 0.01–0.07). The mean ISQ value at implant placement was 71.6 ± 5.5 (range of 45–88). Six months later, the mean ISQ was 76.7 ± 4.4 (range of 66–89). The difference was statistically significant (P=0.0001). Statistically significant higher MBL was found for smokers, and patient with thin gingival biotype. Conclusions: High implant survival and success rates could be expected with stable marginal bone remodeling up to five years after loading. Smoking and thin tissue biotype were the most important variabilities associated with higher MBL. Further research are needed to confirm these results.

scholarly journals Guided bone regeneration with L‐PRF in the Atrophic Maxilla – A prospective case series study – One year results

2019 ◽  
Vol 30 (S19) ◽  
pp. 383-383
Author(s):  
João CaramÍs ◽  
Duarte Marques ◽  
Marta Lopes ◽  
Helena Francisco ◽  
Andrè Chen ◽  
...  
Keyword(s):  
Bone Regeneration ◽  
Case Series ◽  
Guided Bone Regeneration ◽  
Case Series Study ◽  
Atrophic Maxilla ◽  
Prospective Case Series ◽  
One Year ◽  
Series Study

ASSESSMENT OF ANATOMICAL & FUNCTIONAL SUCCESS IN EXTERNAL DACRYOCYSTORHINOSTOMY BY AIR BUBBLE TEST

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Dr. Vikas Tantuway
Keyword(s):  
Case Series ◽  
Invasive Procedure ◽  
Nasolacrimal Duct ◽  
Good Tool ◽  
Predictive Values ◽  
Reliability Indices ◽  
Air Bubble ◽  
Bubble Test ◽  
External Dacryocystorhinostomy ◽  
Anatomical Success

Aim: To assess reliability indices of Air Bubble Test (ABT) for anatomical and functional success in external Dacryocystorhinostomy (DCR). Methods: Prospective case series of nasolacrimal duct obstruction underwent DCR. Functional success defined as Munk score 0 & 1 & anatomical success as free irrigation at followup.ABT performed by putting antibiotic drops into eye& asking patient to exhale while keeping nose & mouth closed. Formation of bubbles at punctum considered as positive test. Specificity, sensitivity, positive & negative predictive values calculated. Results: There were 103 DCR in 97 patients(23 male,74 female)with mean age 45.56 yr. Anatomical and functional success was 99.02% & 98.05%, respectively.ABT showed sensitivity 96.07%, specificity 100% for anatomical success after DCR. Sensitivity and specificity were 97.02% & 100% for functional success. Conclusion: As non-invasive procedure ABT is a good tool to assess success of DCR, though lacrimal syringing remains the gold standard. Keywords: Anatomical, Dacryocystorhinostomy & Air Bubble Test.

Evaluating Vitality and Periodontal Sensitivity of Teeth Adjacent to the Site of Open Sinus Lift Surgery before and after Treatment: A Case Series Study

2020 ◽  
Vol 30 (2) ◽  
pp. 77-81
Author(s):  
Amir Moeintaghavi ◽  
Negar Azami ◽  
Mohammad Sadegh Zohrevand ◽  
Farid Shiezadeh ◽  
Hamid Jafarzadeh ◽  
...  
Keyword(s):  
Case Series ◽  
Sinus Lift ◽  
Case Series Study ◽  
Before And After ◽  
Series Study
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