scholarly journals Ultrapulsed CO2 Laser Combined with Long-pulsed Nd: YAG Laser for the Treatment of Oral and Maxillofacial Pyogenic Granuloma

2020 ◽  
Author(s):  
Licheng Jiang ◽  
Di Zhang ◽  
Keyi Li ◽  
Bin Zhang ◽  
Anqi Zhang ◽  
...  
Keyword(s):  
Pyogenic Granuloma ◽  
Vascular Lesion ◽  
High Recurrence Rate ◽  
Cure Rate ◽  
Yag Laser ◽  
Oral And Maxillofacial Region ◽  
One Year ◽  
Hands And Feet ◽  
Oral And Maxillofacial Regions

Abstract Background: Pyogenic granuloma is a common, benign, acquired vascular lesion involving the skin and mucous membrane. It occurs in exposed areas, such as oral and maxillofacial regions, hands and feet, which usually have aesthetic affections on the patients’ appearance. Although pyogenic granuloma is treatable by a variety of treatments, they bear defects such as high recurrence rate, multiple therapies, leaving obvious scars, hyperpigmentation, or skin atrophy. In this study, we treat pyogenic granuloma patients with both ultrapulsed CO2 laser and long-pulsed Nd: YAG laser, in order to achieve ideal effects. Methods: 20 participants with pyogenic granuloma of the oral and maxillofacial region were treated with ultrapulsed CO2 laser and long-pulsed Nd: YAG laser, reexamined one month later, and followed up for one year. Clinical characteristics and treatment effects were recorded and examined.Results: The 20 participants were all cured by one treatment with a cure rate of 100%. None of the patients had scar or recurrence during12 months of follow-up. Conclusions: Ultrapulsed CO2 laser combined with long-pulsed Nd: YAG laser is a safe and cosmetically effective solution for pyogenic granuloma of the oral and maxillofacial region.Trial registration: This research is a retrospective study.

scholarly journals Infantile Fibrosarcoma Histologically Mimicking a Benign Soft-Tissue Tumor

2020 ◽  
Vol 7 (4) ◽  
pp. 179-184
Author(s):  
Sam Hajialiloo Sami ◽  
◽  
Farshad Zandrahimi ◽  
Mohamadreza Heidarikhoo ◽  
Mahsa Zahmatkesh ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Tumor ◽  
Vascular Lesion ◽  
Diagnostic Challenge ◽  
Soft Tissue Neoplasm ◽  
Infantile Fibrosarcoma ◽  
Inappropriate Treatment ◽  
Benign Soft Tissue Tumor ◽  
One Year

Infantile fibrosarcoma is a rare soft-tissue neoplasm, which may render a diagnostic challenge leading to misdiagnosis and consequently an inappropriate treatment of patients. This study reports a case of infantile fibrosarcoma that mimicked a hemangioma in an 11-month-old girl. As the lesion signal in the MRI was not consistent with the diagnosis of hemangiomas, we performed a core needle biopsy, which its result was consistent with the diagnosis of infantile fibrosarcoma. The lesion was initially treated with surgical resection. However, the lesion recurred one year after the surgery. The recurrence was managed with debulking surgery. The fifth finger was necrotized during the hospitalization after the relapse surgery. Finally, the necrotic finger was amputated. Also, adjuvant chemotherapy was used to prevent further relapses. The 1-year follow-up of the patient was recurrence-free. These findings highlight the importance of considering infantile fibrosarcoma when an infant presents with a lesion that clinically mimics a vascular lesion.

scholarly journals Pyogenic granuloma - report of three cases in rare sites

2013 ◽  
Vol 12 (4) ◽  
pp. 445-448
Author(s):  
AN Sulabha ◽  
S Choudhari ◽  
G Suchitra
Keyword(s):  
Oral Cavity ◽  
Buccal Mucosa ◽  
Hard Palate ◽  
Medical Science ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Patient Treatment ◽  
Young Females ◽  
One Year

Pyogenic granuloma is a benign, localized mass of exuberant granulation tissue produced in response to various stimuli. It is inflammatory hyperplasia of oral cavity commonly seen on gingival area and rarely on other parts of oral cavity such as lips, tongue, palate and buccal mucosa. It is seen predominantly in 2nd to 3rd decade of life in young females. Clinically manifesting as small red erythematous exophytic lesion, it must be biopsied to rule out other serious conditions. This article aims to present three cases of extra gingival pyogenic granulomas occurring in rare sites such as buccal mucosa, anterior hard palate and alveolar mucosa of completely edentulous ridge in maxilla. Pyogenic granuloma on buccal mucosa and anterior hard palate were seen in female patients with age of 40 years and 34 years respectively and pyogenic granuloma on alveolar mucosa of edentulous ridge in maxilla was noted in 70 years old male patient. Surgical excision was performed for all the lesion and follow up of one year did not show any recurrence. Please add little description of patient + treatment + followup results. DOI: http://dx.doi.org/10.3329/bjms.v12i4.16667 Bangladesh Journal of Medical Science Vol. 12 No. 04 October ’13 Page 445-448

scholarly journals BCG In the treatment of recurrent. Genital condyloma accuminatum

2018 ◽  
Vol 97 (3) ◽  
pp. 283-286
Author(s):  
Chen Jen Shan ◽  
Antonio Marmo Lucon ◽  
Miguel Srougi
Keyword(s):  
Control Group ◽  
High Recurrence Rate ◽  
Cure Rate ◽  
Clinical Recurrence ◽  
Collateral Effects ◽  
Collateral Effect ◽  
History Of ◽  
Electro Coagulation ◽  
And Control

Introduction: The Human Papilloma Virus (HPV) is the most prevalent sexually transmissible disease. The treatment of Condyloma Accuminatum is a great challenge because of the high recurrence rate and of the lack of any drug efficient in its elimination. Objective: To assess the efficacy of the treatment with Imuno BCG (Bacillus Calmette-Guérin) for bearers of condylomas recurrent for more than 2 years. Patients and Methods: Patients with age between 18 and 60 years, having a history of more than 2 years of genital warts, were included, attended as from 01-08-2011; bearers of serious diseases, immunodeficiency or users of immune-suppressors, being excluded. The procedure adopted began with a biopsy of the wart(s) with local anesthetic, followed by the electro-coagulation of all the warts and bases of the biopsies, a solution with 80 mg of Imuno BCG dissolved in 2 ml of saline solution 0.9% was applied to all the genital area, including the cauterized areas. The area was covered with plastic for 2 hours and afterwards washed with water. The local application of Imuno BCG was repeated for 8 consecutive weeks. At the end of the second month the cases were re-assessed. When there was clinical recurrence a new procedure with the same drug was undertaken, but with 3 weekly applications made by the patient himself for 8 weeks. Result: Sixteen patients completed 2-year follow-up. The cure rate was of 62.5%. Of the 10 patients cured, 6 (37.5%) used one series of Imuno BCG, 1 (6.25%) used 2 series, and 3 (18.75%) used 3 series. Of the 6 patients who were not cured, there was a reduction in the number of cauterizations from 5.5 times (over an average period of the disease of 51.6 months) to 2.4 cauterizations (over an average follow-up period of 52.3 months) after the use Imuno BCG. The collateral effects of the use of Imuno BCG were insignificant. Conclusion: Topical BCG is a good option for the treatment of recurrent condylomas, with minimal collateral effect. It may be used even on PPD-negative patients. However, this result must be confirmed with larger sample populations and control-group studies.

scholarly journals Effect of Anterior Capsule Polishing on the Rate of Neodymium: YAG Laser Capsulotomy in Multifocal Intraocular Lens

2021 ◽  
Author(s):  
Honglei Li ◽  
Huiran Bai ◽  
Dongle Liu ◽  
Yanfeng Han ◽  
Xiaoming Wu
Keyword(s):  
Intraocular Lens ◽  
Multifocal Intraocular Lens ◽  
Survival Curves ◽  
Anterior Capsule ◽  
Yag Laser ◽  
Remarkable Effect ◽  
Kaplan Meier ◽  
Neodymium Yag Laser ◽  
One Year

Abstract Purpose Herein, we elucidated the effect of anterior capsule polishing (ACP) during cataract surgery on the rate of neodymium: YAG (Nd: YAG) laser capsulotomy in multifocal intraocular lens (MIOL). Methods We extracted the medical records of patients who underwent phacoemulsification with MIOL between May 2016 and April 2017 from the files of the patients, and the follow-ups of fewer than 3 years were excluded. The participants were divided into the ACP group and the non- ACP group based on whether the anterior capsule was polished. The primary outcome was whether to perform Nd: YAG capsulotomy during the follow-up. We analyzed the time from IOL implantation to Nd: YAG laser capsulotomy using the Kaplan-Meier survival curves. Results The ACP group comprised 70 eyes and non-ACP group, 60 eyes. One year postoperatively, 7.14% of the eyes in the ACP group and 8.33% in the non-ACP group required Nd: YAG laser capsulotomy (P > 0.99). After 2 years, it was 24.29% and 18.33%, respectively (P = 0.52). After 3 years, it was 30.0% and 28.33% respectively (P = 0.85). There was no distinct difference in the probability for Nd: YAG laser between the ACP group and the non-ACP group evaluated using Kaplan-Meier survival curves (P = 0.81). Patients with implantation of diffractive MIOL (AT LISA tri 839MP) had a high probability of requiring Nd: YAG laser capsulotomy. Conclusion Polishing the anterior capsule had no remarkable effect on reducing the rate of Nd: YAG laser capsulotomy after phacoemulsification in MIOL.

Treatment of pregnancy-associated oral pyogenic granuloma with life-threatening haemorrhage by transarterial embolisation

2015 ◽  
Vol 129 (6) ◽  
pp. 607-610 ◽  
Author(s):  
K-Y Tsai ◽  
W-H Wang ◽  
G-H Chang ◽  
Y H Tsai
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Severe Bleeding ◽  
Transarterial Embolisation ◽  
Wound Pain ◽  
Life Threatening ◽  
One Year

AbstractBackground:Pregnancy-associated pyogenic granuloma (pregnancy tumour) is not uncommon. However, control of severe bleeding associated with the lesion by transarterial embolisation has never been reported.Case report:We report the case of a 33-year-old pregnant woman (34 weeks gestation) who presented with a pregnancy-associated pyogenic granuloma of the mandibular gingiva with a life-threatening haemorrhage. The bleeding stopped soon after transarterial micro-embolisation and regressed after one month; thus, no further surgical excision was needed. The patient was free of post-operative wound pain and infection, and there was no recurrence after one year of follow up.Conclusion:In general, surgical excision is the first treatment choice for pregnancy tumours. However, it is limited by the risk of marked deformity or incomplete excision when large lesions or difficult surgical areas are encountered. For large tumours, transarterial embolisation may be a safer alternative.

scholarly journals Our Experience with Double Metatarsal Osteotomy in the Treatment of Hallux Valgus

2012 ◽  
Vol 55 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Pradeep George Mathew ◽  
Pavel Šponer ◽  
Jaroslav Pavlata ◽  
Haroun Hassan Shaikh
Keyword(s):  
Hallux Valgus ◽  
Joint Stiffness ◽  
High Recurrence Rate ◽  
Metatarsal Osteotomy ◽  
Residual Deformity ◽  
Excellent Outcome ◽  
One Year ◽  
Mtp Joints ◽  
Low Rate

Adolescent hallux valgus (HV) is a progressive deformity of adolescent age consisting of metatarsus primus varus and hallux valgus. It has a high recurrence rate after conventional surgical correction. Ten feet in nine patients (two males, seven females) were treated surgically with the Peterson Newman bunion procedure, with a minimum follow‑up of one year. During the final follow‑up all these patients had no complaints of pain, joint stiffness or limping. Even though the patients had some mild loss of range of movements at the MTP joints 4–6° compared to preoperative value, it did not cause any functional impairment and all were satisfied with the final outcome. The double ostetomy for treatment of hallux valgus is technically precise procedure, provides excellent correction and stability and has low rate of recurrence of deformity. We had an excellent outcome in 10 feet in our study without residual deformity or complications.

scholarly journals [18F]fluoro-ethylcholine-PET Plus 4D-CT (FEC-PET-CT): A Break-Through Tool to Localize the “Negative” Parathyroid Adenoma. One Year Follow Up Results Involving 170 Patients

2021 ◽  
Vol 10 (8) ◽  
pp. 1648
Author(s):  
Constantin Smaxwil ◽  
Philip Aschoff ◽  
Gerald Reischl ◽  
Mirjam Busch ◽  
Joachim Wagner ◽  
...  
Keyword(s):  
Biochemical Parameter ◽  
Cure Rate ◽  
4D Ct ◽  
Imaging Results ◽  
Pet Ct ◽  
Intraoperative Pth ◽  
Negative Findings ◽  
One Year ◽  
The One

Background: The diagnostic performance of [18F]fluoro-ethylcholine-PET-CT&4D-CT (FEC-PET&4D-CT) to identify parathyroid adenomas (PA) was analyzed when ultrasound (US) or MIBI-Scan (MS) failed to localize. Postsurgical one year follow-up data are presented. Methods: Patients in whom US and MS delivered either incongruent or entirely negative findings were subjected to FEC-PET&4D-CT and cases from July 2017 to June 2020 were analyzed, retrospectively. Cervical exploration with intraoperative PTH-monitoring (IO-PTH) was performed. Imaging results were correlated to intraoperative findings, and short term and one year postoperative follow-up data. Results: From July 2017 to June 2020 in 171 FEC-PET&4D-CTs 159 (92.9%) PAs were suggested. 147 patients already had surgery, FEC-PET&4D-CT accurately localized in 141; false neg. 4, false pos. 2, global sensitivity 0.97; accuracy 0.96, PPV 0.99. All of the 117 patients that already have completed their 12-month postoperative follow up had normal biochemical parameter, i.e., no signs of persisting disease. However, two cases may have a potential for recurrent disease, for a cure rate of at least 98.3%. Conclusion: FEC-PET&4D-CT shows unprecedented results regarding the accuracy localizing PAs. The one-year-follow-up data demonstrate a high cure rate. We, therefore, suggest FEC-PET-CT as the relevant diagnostic tool for the localization of PAs when US fails to localize PA, especially after previous surgery to the neck.

Pleomorphic liposarcoma of chest wall: a rare entity with challenging management

2019 ◽  
Vol 27 (4) ◽  
pp. 310-312
Author(s):  
Yasir Khan ◽  
Sara Iqbal ◽  
Saulat Fatimi
Keyword(s):  
Chest Wall ◽  
Recurrence Rate ◽  
Poor Prognosis ◽  
Fatal Outcome ◽  
Anterior Chest Wall ◽  
High Recurrence Rate ◽  
Rare Entity ◽  
Pleomorphic Liposarcoma ◽  
One Year

Pleomorphic liposarcoma is the rarest subtype of liposarcoma, with a high recurrence rate and poor prognosis. We present the case of young man with a rapidly growing large anterior chest wall liposarcoma that was excised, but he suffered 3 local recurrences in one year, showing the aggressive nature of the disease. If not completely resected with a tumor-free margin, the patient may have to endure multiple extensive surgeries in quick succession, increasing the chances of metastasis and a fatal outcome. Pleomorphic liposarcoma should be radically excised along with radiotherapy and strict follow-up of such patients.

Abstract 2445: Comparison of Atrial Fibrillation Ablation Strategies for Paroxysmal patients presenting to the Electrophysiology Laboratory In atrial fibrillation

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Luigi Di Biase ◽  
Claude S. Elayi ◽  
Chi Keong Ching ◽  
Richard Hongo ◽  
Steven Hao ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cure Rate ◽  
Minimal Impact ◽  
Single Procedure ◽  
Atrial Ablation ◽  
Significant Difference ◽  
One Year ◽  
Complex Fractionated Atrial Electrograms

BACKGROUND : Whether different ablation strategies affect paroxysmal atrial fibrillation (AF) termination mode and long term cure is unclear. We compared the effect of different ablation strategies on the AF termination and long term success in patients with parox-AF presenting to the electrophysiology laboratory in AF. METHODS : One hundred and three (103) consecutive patients with parox-AF scheduled for AF ablation presenting in the lab in AF were selected for this study. The patients were randomized to PVAI only (35 pts) versus bi-atrial ablation of the complex fractionated atrial electrograms (CFAE defragmentation) including the coronary sinus (34 pts) versus CFAE followed by PVAI (34 pts) Modes of AF termination were: conversion to SR, organization into AT or persistence of AF requiring cardioversion following ablation. RESULTS are summarized below: There was no significant difference between the groups in term of sex, age, AF duration, LA size and EF. Follow up after a single procedure with AAD is summarized below CONCLUSION : Defragmentation alone had the smallest impact on both acute AF termination and one year follow-up cure rate. No difference in terms of acute and chronic success was seen between PVAI alone and PVAI asoociated with defragmentation. This suggests that PV isolation is critical to cure AF in paroxysmal AF and that adjunctive strategies have minimal impact on cure rate and should not be considered in all patients.

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