scholarly journals Thread Migration After Polydioxanone Thread Lift

2020 ◽  
Author(s):  
Tae Kwang Jeong ◽  
Chang Ho Chung ◽  
Kyung Hee Min
Keyword(s):  
Invasive Procedure ◽  
Facial Asymmetry ◽  
Thread Migration ◽  
Case Presentation ◽  
Body Sensation ◽  
Thread Lift ◽  
Mouth Corner ◽  
Linear Material ◽  
Insertion Sites ◽  
Subcutaneous Plane

Abstract Background: The thread-lift has gained popular interest as a minimally invasive procedure because it is simple and reliable. Additionally, it has shorter recovery time and fewer complications than facelift surgery. However, complications including hematoma, infection, facial asymmetry, thread exposure, thread migration, dimpling, alopecia, parotid gland injury, and scarring can occur. We report a case of thread migration after a polydioxanone (PDO) thread lift.Case presentation: A 40-year-old woman underwent a thread lift using a PDO cogged thread. Insertion sites were marked along the temporal hairline. The expected distal ends of threads were marked at least 1.5 cm apart from the nasolabial and marionette folds and 2.5 cm apart from the mandibular border. All threads were inserted into the deep subcutaneous plane. After 1 month, she complained of a foreign body sensation and pain just lateral to the left mouth corner. She showed a linear elevation with oblique direction, and a linear material was palpated with little mobility. The removed material was confirmed to be a part of the inserted thread.Conclusion:During thread lift, it is important to remove the cannula gently and straightly to avoid breaking the thread. Also, it is better to avoid strong manual massage on the path of the thread.

Lateral tarsal strip through osteotomies for recurrent ectropion and eyelid laxity correction

2022 ◽  
pp. 112067212110730
Author(s):  
Amparo M Mora ◽  
Carlos M Córdoba ◽  
Fabio D Padilla ◽  
Diego F Duran
Keyword(s):  
Surgical Technique ◽  
Facial Asymmetry ◽  
Lower Eyelid ◽  
Body Sensation ◽  
Alternative Treatment Option ◽  
Initial Symptoms ◽  
Aesthetic Results ◽  
Lateral Tarsal Strip ◽  
Anophthalmic Socket

Objective to present a surgical technique for treating patients with recurrent ectropion and severe lower eyelid laxity. Methods Lateral tarsal strip and canthal fixation by osteotomy was performed in 6 patients with recurrent ectropion and 1 patient with extreme lower eyelid laxity secondary to an anophthalmic socket. Preoperative and postoperative photographs were evaluated in order to assess the outcomes of the procedure. Patients were followed up 4 weeks, 6 months, 12 months and 24 months of the postoperative period. The initial symptoms of the patients were eye redness, epiphora, foreign body sensation, aesthetic complaints, and facial asymmetry. Symptoms and aesthetic results were assessed by questioning, photographs, and fluorescein and lissamine green stains taken in each visit. Results No postoperative complications were observed. No recurrence episodes were reported during the follow-up period and physical appearance improvement and symptom severity reduction were maintained during the observation. Conclusion Lateral tarsal strip through osteotomies is an effective surgical procedure for treating severe recurrent ectropion cases or lower eyelid laxity and could be considered as an alternative treatment option or even a primary surgical technique in selected difficult cases.

scholarly journals An Unusual Case of Stridor: Severe Tracheal Narrowing Secondary to Esophageal Food Impaction

2019 ◽  
Vol 3 (3) ◽  
pp. 314-315
Author(s):  
Ryan McCreery ◽  
Matthew Meigh
Keyword(s):  
Foreign Body ◽  
Acute Onset ◽  
Inspiratory Stridor ◽  
Case Presentation ◽  
Body Sensation ◽  
Esophageal Food Impaction ◽  
History Of ◽  
High Risk Populations ◽  
Foreign Body Impaction ◽  
Patient’S History

Foreign body impaction (FBI) in the esophagus has the potential to be a serious condition with a high mortality rate. Although the majority of foreign bodies trapped within the esophagus pass spontaneously, some do require endoscopic intervention. This case discusses a 95-year-old-female with a history of cerebral vascular accident who presented with acute onset respiratory distress with inspiratory stridor. The patient denied any episodes of choking or foreign body sensation. Further imaging revealed a large food bolus within the esophagus with extensive tracheal narrowing. The patient was diagnosed promptly and successfully managed endoscopically. This case presentation emphasizes the need to maintain a high index of clinical suspicion for FBI in high-risk populations, especially when the patient’s history makes it unlikely. In the setting of respiratory complications, airway protection remains a priority, but an accurate diagnosis with timely intervention is paramount.

scholarly journals Closed laparoscopic and endoscopic cooperative surgery for early gastric cancer with difficulty in endoscopic submucosal dissection: a report of three cases

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Hiroshi Saito ◽  
Akihiro Nishimura ◽  
Yusuke Sakimura ◽  
Hiroki Tawara ◽  
Kengo Hayashi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Endoscopic Submucosal Dissection ◽  
Abdominal Cavity ◽  
Tumor Resection ◽  
Invasive Procedure ◽  
Case Presentation ◽  
Less Invasive ◽  
Submucosal Dissection

Abstract Background Endoscopic submucosal dissection (ESD) is increasingly applied for early gastric cancer. ESD is a less invasive procedure and could be a radical treatment. However, in some cases, ESD cannot be completed owing to patient or technical factors. In such cases, which could have the potential for curative resection with ESD, standard gastrectomy is excessively invasive. Through closed laparoscopic and endoscopic cooperative surgery (LECS), gastric tumor can be precisely resected without exposing tumor cells to the abdominal cavity. Compared with standard gastrectomy, closed LECS is less invasive for the treatment of early gastric cancer. Case presentation We performed closed LECS for three cases of early gastric cancer after failed ESD. In all three cases, ESD was interrupted owing to technical and patient factors, including perforation, respiratory failure, and carbon dioxide narcosis. All three cases successfully underwent closed LECS with complete tumor resection and showed an uneventful postoperative course. All three patients remain alive and have experienced no complications or recurrence, with a median follow up of 30 (14–30) months. Conclusions Closed LECS is less invasive and useful procedure for the treatment of early gastric cancer, particularly in cases with difficulty in ESD.

scholarly journals Diagnosing a rare case of lymphocytic infiltration of the pituitary gland without the invasive procedure of pituitary biopsy

2021 ◽  
Vol 20 (3) ◽  
pp. 387-391
Author(s):  
Hamad Haider Khan ◽  
◽  
Hameed Ullah ◽  
Siraj Ulhaq Khan ◽  
Huo Guo ◽  
...  
Keyword(s):  
Pituitary Gland ◽  
Rare Case ◽  
Clinical Laboratory ◽  
Invasive Procedure ◽  
Rare Condition ◽  
Lymphocytic Infiltration ◽  
Laboratory Evaluation ◽  
Inflammatory Disorder ◽  
Case Presentation ◽  
Cellular Population

Background. Lymphocytic infiltration of the pituitary is an unusual inflammatory disorder of the pituitary and indicated to be autoimmune in origin. Presentations depend on the site of involvement and degree of destruction of the cellular population of the pituitary and may range from an asymptomatic state to pan-hypopituitarism with or without mass effects. In the present study, we represent a rare case of lymphocytic infiltration of the pituitary gland who was diagnosed with such condition and the subsequent management. Case presentation. A 22-year-old male who was admitted with symptoms of increased thirst and excessive fatigue. Following a thorough physical, clinical, laboratory, biochemistry, and imaging examinations a timely diagnosis of lymphocytic infiltration of the pituitary was made without using the invasive procedure of pituitary biopsy. In light of the diagnosis prompt management with the mainstay of glucocorticoid was started along with replenishing the other deficient hormones. In this study we describe a rare case of lymphocytic infiltration of the pituitary discussing in terms of epidemiology, sign and symptoms, laboratory evaluation, imaging studies, histopathology, management, and the usual outcome. Conclusion. Lymphocytic infiltration of the pituitary gland can be diagnosed with the clinical presentation along with lab evaluation and imaging but without pituitary biopsy, which could help in an early and accurate diagnosis which is the basis for better management of the rare condition.

scholarly journals Ocular Complication of a Child with Confirmed 2019 Novel Coronavirus Disease: A Case Report

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Anahita Sanaei Dashti ◽  
Zahra Mehdipour Namdar
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Lower Eyelid ◽  
Ocular Complication ◽  
Ocular Complications ◽  
Case Presentation ◽  
Body Sensation ◽  
The World ◽  
Conjunctival Swab ◽  
Novel Coronavirus

Introduction: The first cases of coronavirus disease 2019 (COVID-19) were identified in Wuhan, China, in December 2019, and then it immediately spread to other parts of the world. Conjunctivitis has been reported as one of the manifestations of the disease. In this study, we report a three-year-old child with a confirmed diagnosis of COVID-19 developing conjunctivitis in Iran. Case Presentation: The patient was a three-year-old male child who was referred to Namazee Hospital (Shiraz) due to fever, dry cough, tachypnea, and respiratory distress. He was admitted with the impression of a COVID-19 infection. On the sixth day of admission, the patient developed unilateral red-eye and foreign body sensation in the left eye. A conjunctival swab was done for collecting tears and conjunctival secretions from the lower eyelid fornix without topical anesthesia and was sent for assessing the presence of SARS-CoV-2 RNA, which was demonstrated to be positive after two days. Conclusions: Our findings suggest that the COVID-19 virus can be present in tears and conjunctiva. Additionally, it should be taken into account that ocular complications may not appear in the early stages of infection.

scholarly journals An Unusual Self-Inflicted Foreign Body in the Urinary Bladder and Urethra: A Case Report

2020 ◽  
Vol 18 (2) ◽  
pp. 94-97
Author(s):  
Mofizur Rahman ◽  
AKM Akramul Bari ◽  
Syeda Nafisa Khatoon
Keyword(s):  
Foreign Body ◽  
Minimally Invasive ◽  
Foreign Bodies ◽  
Plain Radiograph ◽  
Invasive Procedure ◽  
Clinical History ◽  
Urethral Injury ◽  
Case Presentation ◽  
Urethral Trauma ◽  
Urinary Tract Symptoms

Introduction: Most foreign bodies in the lower genitourinary tract are self-inserted via the urethra as the result of exotic impulses, psychometric problems, sexual curiosity, or sexual practice while intoxicated. Diagnosis of these foreign bodies can be done by clinical history, physical examination, and image studies of the patient. The treatment of foreign bodies is determined by their size, location, shape, and mobility. In most cases, minimally invasive procedures such as endoscopic removal are recommended to prevent bladder and urethral injuries. In some cases, however, surgical treatment should be done if the foreign bodies cannot be removed by the endoscopic procedure or further injuries are expected as a result of the endoscopic procedures. Case Presentation: Herein we present a case of self-inserted lower genitourinary foreign body. A 60 years old man presented with complaints of dysuria, dribbling, haematuria and suprapubic pain for 3 weeks. An X-ray of the pelvis showed a coiled up radio opaque shadow of telephone wire in the bladder region extending downwards which was removed by suprapubic cystostomy. Discussions: Bladder foreign body is not common. Plain radiograph is sufficient to diagnose and minimally invasive procedure is usually successful. In this case retrieval by cystostomy was done to avoid the risk of bladder and urethral injury. Conclusion: Introduction into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimize bladder and urethral trauma. The possibility of an intravesical foreign body should be considered in any patient with chronic unexplained lower urinary tract symptoms. Bangladesh Journal of Urology, Vol. 18, No. 2, July 2015 p.94-97

scholarly journals Severe Enoral Bleeding with a Direct Oral Anticoagulant after Tooth Extraction and Heparin Bridging Treatment

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Simone Ehrhard ◽  
John Patrik Burkhard ◽  
Aristomenis K. Exadaktylos ◽  
Thomas C. Sauter
Keyword(s):  
Tooth Extraction ◽  
Oral Anticoagulants ◽  
Direct Oral Anticoagulants ◽  
Invasive Procedure ◽  
Low Molecular Weight ◽  
Case Presentation ◽  
Acute Bleeding ◽  
Local Surgery ◽  
Number Of Patients ◽  
The Individual

Background. The number of patients receiving direct oral anticoagulants (DOACs) is increasing, however, this treatment is associated with the risk of bleeding. More than 10 percent of patients on DOACs have to interrupt their anticoagulation for an invasive procedure every year. For this reason, the correct management of DOACs in the perioperative setting is mandatory. Case Presentation. An 81-year-old male patient, with known impaired renal function, presented to our emergency department with a severe enoral bleeding after tooth extraction. The DOAC therapy—indicated by known atrial fibrillation—was interrupted perioperatively and bridged with Low Molecular Weight Heparin (LMWH). The acute bleeding was stopped by local surgery. The factors contributing to the bleeding complication were bridging of DOAC treatment, together with prolonged drug action in chronic kidney disease. Conclusion. In order to decide whether it is necessary to stop DOAC medication for tooth extraction, it is important to carefully weigh up the individual risks of bleeding and thrombosis. If DOAC therapy is interrupted, bridging should be reserved for thromboembolic high-risk situations. Particular caution is required in patients with impaired kidney function, due to the risk of accumulation and prolonged anticoagulant effect of both DOACs and LMWH.

scholarly journals Fluctuating neurological symptoms: should I call the neurologist or the hematologist?

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Rita Losa-Rodríguez ◽  
Carmen Pérez Martínez ◽  
Gabriel Rodríguez Pérez ◽  
Ignacio de la Fuente Graciani ◽  
Lara M. Gómez García
Keyword(s):  
Clinical Laboratory ◽  
Clinical Manifestations ◽  
Facial Asymmetry ◽  
Peripheral Blood Smear ◽  
Hematologic Disease ◽  
Early Administration ◽  
Laboratory Findings ◽  
Case Presentation ◽  
Elevated Creatinine

AbstractObjectivesThe objective of this study was to highlight the role of the clinical laboratory and the relevance of reporting the case immediately to the unit of hematology for the diagnosis and early administration of treatment in the presence of such an urgent hematologic disease as thrombotic thrombocytopenic purpura (TTP).Case presentationAn elderly patient was referred to the emergency department of our hospital by his general practitioner for speech difficulty, facial asymmetry and weakness in the upper limb. Stroke code was activated. However, laboratory findings (anemia, thrombocytopenia, elevated creatinine, total bilirubin and LDH, negative direct Coombs test) and presence of schistocytes in the peripheral blood smear test were consistent with a completely different diagnosis: TTP thrombotic microangiopathy.ConclusionsThe first diagnostic approach of left hemispheric stroke was not confirmed in the laboratory, with findings of nonautoimmune hemolytic anemia, thrombocytopenia without apparent cause and presence of schistocytes. We should not forget that the clinical manifestations of this condition are widely variable and may include multiorganic dysfunction. Although confirmation of diagnosis is based on ADAMTS-13, its associated high mortalitiy requires immediate treatment on mere suspicion.

scholarly journals Postoperative complicated peripheral cortical cataract after ultrasound cycloplasty: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jihan Luo ◽  
Zhen Liu ◽  
Lin Zhao ◽  
Yi Zhou ◽  
Li Kong ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Aqueous Humor ◽  
Focused Ultrasound ◽  
Invasive Procedure ◽  
Cataract Extraction ◽  
High Intensity Focused Ultrasound ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Case Presentation ◽  
Non Invasive

Abstract Background Ultrasound cycloplasty (UCP) is a non-invasive procedure for glaucoma treatment. Using high-intensity focused ultrasound to work on the ciliary body, the generation of aqueous humor can be reduced and the drainage of aqueous humor through the uveoscleral pathway can be enhanced. Recently, this therapy is gradually gaining clinical recognition. We report a case of a patient with glaucoma who accepted UCP in another hospital, but because of a worsening of a preexistent cataract and an insufficient IOP lowering effect, finally underwent cataract surgery in both eyes in our hospital, during the surgery we observed the unusual opacities probably due to UCP mistreatment. Case presentation Patient was diagnosed as chronic angle closure glaucoma and catacract, accepted UCP on both eyes in another hospital 4 months ago. After the UCP therapy, the pupil was vertical ellipse, the UCP didn’t have a sufficient effect on IOP and forced us to do cataract surgery to lower IOP. During the cataract surgery, some unusual white opacities in the peripheral cortex with clear boundary were found. Inaccurate WtW measurement was the most likely cause of the injury, which resulted in the use of the small-size UCP probe and the downward movement of the UCP probe. Conclusion UCP should not be a first line treatment in a patient with cataract and angle closure glaucoma, cataract extraction is a better choice. The appropriate case selection needs to be more strict and the preoperative indexes measurements need to be more accurate.

Twin-Twin Transfusion Syndrome Complicated by Proximate Placental Cord Insertion Sites: Endoscopic Clip-Assisted Laser Occlusion

2020 ◽  
Vol 47 (10) ◽  
pp. 779-784
Author(s):  
Andrew H. Chon ◽  
Huyen Q. Pham ◽  
Ramen H. Chmait
Keyword(s):  
Laser Ablation ◽  
Thermal Injury ◽  
Therapeutic Option ◽  
Stage Iv ◽  
Minimal Energy ◽  
Endoscopic Clip ◽  
Fetal Demise ◽  
Case Presentation ◽  
Insertion Sites ◽  
Placental Vessel

<b><i>Introduction:</i></b> Severe twin-twin transfusion syndrome (TTTS) with a large vascular communication between proximate placental cord insertion sites is a therapeutic dilemma because laser ablation may cause thermal injury to the cord roots and subsequent fetal demise. <b><i>Case Presentation:</i></b> Stage IV TTTS with placental cord insertion sites 1.3 cm apart and with an intervening large arterio-arterial (AA) anastomosis presented for treatment. The application of endoclips onto the large AA anastomosis between the cord roots allowed for successful laser occlusion using minimal energy. Both the donor and recipient twins were alive and well at 6 months of age. <b><i>Conclusion:</i></b> Endoscopic clip-assisted laser occlusion of a placental vessel is technically feasible and may be a useful therapeutic option in select cases.

Sign in / Sign up

Export Citation Format

Share Document