scholarly journals PROSTHETIC TREATMENT OF A PATIENT WITH NAGERACROFACIALDYSOSTOSIS: A CASE REPORT

2020 ◽  
Vol 8 (9) ◽  
pp. 852-857
Author(s):  
Aicha Oubbaih ◽  
◽  
Yasmina Cheikh ◽  
Samira Bellemkhannate ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Oral Care ◽  
Nasal Bridge ◽  
Flat Nasal Bridge ◽  
Branchial Arches ◽  
Nager Syndrome ◽  
The Many ◽  
And Function

Introduction: Nager syndrome, alsoknown as Nager acrofacialdysostosis, was first described by Nager and de Reynierin 1948. It is a rare syndrome resultingfromdevelopmentalabnormalities of the first and second branchial arches and ismostlysporadic. The prevalenceisunknown about 100 cases have been published up to now. The purpose of this report is to present a case of Nager syndrome wherewewere able to achieve a conventionalcomplete denture despite the many challenges due to the complexity of the clinical case. Case Report: A 27-years-old female patient wasreferred to our service of RemovableProsthodontics at Casablanca UniversityHospital Center complaining of difficulty in speaking and chewing. The patient presentedseveralcraniofacial anomalies including facial atrophy, maxillomandibularhypoplasia, flat nasal bridge, associated to defectsupper and lowerlimbs. Based on these craniofacial characteristics and the coexistingupper and lowerlimbpreaxial anomalies, a diagnosis of Nager syndrome wasconfirmed.The intra-oral examinationrevealed an edentulous mandibular arch and carious, mobile and hypomineralizedmaxillaryteeth, the patient presents a severemicrognatiawith a skeletal Cl III whichcomplicates the prosthetic management of the patient. Therealization of a complete denture has improved the comfort and function of the patient. Conclusion: Nager Syndrome is a condition with a ratherheavyclinical situation and its management must bemultidisciplinary, the psychology and comfort of these patients isoftenaffected. Oral care has improvedaesthetics, function and the quality of life in this patient with Nager syndrome.

scholarly journals Prosthodontic Rehabilitation of a Patient with Subtotal Maxillectomy using a Hollow Bulb Obturator

2012 ◽  
Vol 2 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Gita Rani ◽  
Amarjeet Gambhir
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Clinical Case ◽  
Soft Tissues ◽  
Prosthetic Reconstruction ◽  
Maxillary Defect ◽  
Hollow Bulb Obturator

ABSTRACT Successful prosthetic reconstruction of hemimaxillectomy defects is a challenging procedure that requires multidisciplinary expertize to achieve acceptable function, speech and esthetics. Rehabilitation of an acquired maxillary defect improves the quality of life for the patient as close to normal as possible. Obturation of the defect depends on its volume and position of remaining hard and soft tissues, to be utilized for retention, stability and support for the prosthesis. The prosthesis should be simple to handle, easy to maintain, biocompatible, light in weight and convenient for future adjustments. This case report describes a clinical case of subtotal maxillectomy, which was successfully rehabilitated with a hollow bulb obturator. How to cite this article Rani G, Gambhir A. Prosthodontic Rehabilitation of a Patient with Subtotal Maxillectomy using a Hollow Bulb Obturator. Int J Prosthodont Restor Dent 2012; 2(1):24-28.

The first reported treatment of Nager syndrome associated hearing loss with bone-anchored hearing aids: case report

2011 ◽  
Vol 126 (1) ◽  
pp. 76-78 ◽  
Author(s):  
G P Davies ◽  
I J M Johnson
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Literature Review ◽  
Current Literature ◽  
Hearing Aids ◽  
Clinical Case ◽  
Conductive Hearing Loss ◽  
First Case ◽  
Nager Syndrome ◽  
Conductive Hearing

AbstractObjective:To report the first case of treatment of Nager syndrome associated conductive hearing loss with bone-anchored hearing aids, in a three-year-old boy.Method:Clinical case report and current literature review regarding the use of bone-anchored hearing aids in the treatment of conductive hearing loss in children.Results:A three year eight month old boy with Nager syndrome was successfully treated for conductive hearing loss using bilateral bone-anchored hearing aids.Conclusion:This is the first case report of the use of bone-anchored hearing aids to treat Nager syndrome associated conductive hearing loss. Treatment was safe and successful in this case.

scholarly journals Dental Management of a Patient with Nager Acrofacial Dysostosis

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
R. Bozatlıoğlu ◽  
A. P. Münevveroğlu
Keyword(s):  
Nasal Bridge ◽  
Developmental Abnormalities ◽  
Airway Narrowing ◽  
Oropharyngeal Airway ◽  
Flat Nasal Bridge ◽  
Dental Rehabilitation ◽  
Limb Deformities ◽  
Life Threatening ◽  
Nager Syndrome ◽  
Ear Anomalies

Nager syndrome is a rare syndrome resulting from developmental abnormalities of the first and second branchial arches. Nager syndrome is rare and mostly sporadic. The main clinical features consist of craniofacial, limb, and musculoskeletal morphogenesis. These findings included malar hypoplasia, maxillomandibular hypoplasia, micrognathia, downslanting palpebral fissures, cleft palate, ear anomalies, hypoplastic thumb, short forearm, proximal radioulnar synostosis, atrial septal defect, lower limb deformities, and flat nasal bridge. The prevalence is unknown; about 100 cases of Nager syndrome have been published up to now. Patients with Nager syndrome are found worldwide among all racial and ethnic groups. Trismus and glossoptosis resulting in oropharyngeal airway narrowing cause life-threatening respiratory distress for patients with Nager syndrome. In this case report, dental rehabilitation of a 10-year-old child with Nager syndrome is presented.

scholarly journals Mandibular tori interfering with the mobility of the lingual frenulum: a short case report

2020 ◽  
Vol 27 (1) ◽  
pp. 7
Author(s):  
Théo Casenave ◽  
Natacha Raynaud ◽  
Marjorie Muret ◽  
Jacques-Henri Torres
Keyword(s):  
Case Report ◽  
Functional Impairment ◽  
Surgical Outcome ◽  
Local Anaesthesia ◽  
Similar Case ◽  
Oral Care ◽  
Analgesic Treatment ◽  
Functional Consequence ◽  
Mandibular Tori ◽  
And Function

Introduction: Tori are benign hamartoma-like bone excrescences, usually asymptomatic. Their removal should not be systematic. Observation: A 62-year-old patient showed bilateral tori only leaving a 1.5 mm space for the lingual frenulum path between them. The direct functional consequence was a frequent blockage of the salivary caruncles below the tori. Tori resection was performed under local anaesthesia. Surgical outcome was simple with conventional analgesic treatment and oral care. Comfort and function were immediately restored. Discussion: The originality of this case does not lie in the nature of the lesions but in the uncommon size of their hypertrophy, which caused a lingual functional impairment. We have not found a similar case described in the literature.

scholarly journals Custom Dynamic Orthoses and Physical Therapist Intervention for Bilateral Midfoot Amputation: A Case Report

2021 ◽  
Author(s):  
Kirsten M Anderson ◽  
Richard E Evans ◽  
Charles E Connerly ◽  
Molly Pacha ◽  
Jason M Wilken
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Carbon Fiber ◽  
Marked Improvement ◽  
Physical Therapist ◽  
Plantar Flexion ◽  
Plantar Flexor ◽  
Transmetatarsal Amputation ◽  
And Function

Abstract Objective Partial foot amputation (PFA) is often associated with decreased mobility and function. Recent advances in custom carbon-fiber dynamic ankle-foot orthoses (CDO) have improved gait, pain, and function following musculoskeletal trauma and may benefit individuals with PFA. However, limited information is available related to CDO use outside the military. The purpose of this case report is to describe the course of care and outcomes of a civilian provided CDOs after bilateral transmetatarsal amputation. Methods (Case Description) A 72-year-old man had a blood-borne bacterial infection (septicemia) of unknown origin at 68 years of age, developed limb threatening necrosis of the hands and feet, and received bilateral transmetatarsal amputations with skin grafting. The patient initially used foam toe fillers and cushioned shoes but was functionally limited and experienced recurrent ulceration. He was fit with bilateral CDOs 39 months after amputation and completed device-specific training with a physical therapist. Results After 1 week with the CDOs, ankle ROM during gait was reduced, but greater than 40% increases were observed in bilateral ankle plantar-flexor moments and ankle plantar-flexion push-off power compared with the toe fillers. With additional therapist-directed training focused on gait and activity performance, ankle plantar-flexor moments and plantar-flexion push-off power further increased when compared with results after 1 week of CDO use. The patient reported marked improvement in quality of life with the CDOs due to improved walking ability on level and uneven terrain, marked improvement in confidence, and reduced pain. Conclusion This case reflects the lessons learned and outcomes of a civilian using bilateral CDOs after bilateral transmetatarsal amputation and with poor skin quality. The results from this case study suggest that carbon fiber CDOs and focused training by a physical therapist can result in improved gait biomechanics, mobility and quality of life.

scholarly journals Multisystem atrophy: a case report with clinical and functional findings relevant to functional Physiotherapy

2021 ◽  
Author(s):  
Daniela Maria RIbeiro Vaz ◽  
Adrielle Galanti ◽  
Veronica Corrêa César Rodrigues ◽  
Ana Paula Oliveira Borges
Keyword(s):  
Case Report ◽  
Motor Coordination ◽  
Olivopontocerebellar Atrophy ◽  
Functional Impairments ◽  
Trunk Flexion ◽  
Cross Sectional ◽  
Male Individual ◽  
The Individual ◽  
And Function

Introduction: Multiple System Atrophy (MSA) is a severe neurodegenerative disease that has parkinsonian, autonomic, cerebellar, and pyramidal features. It is prevalent at 3.4 to 4.9 cases per 100,000 population, and is most common after the age of 60. It is called Striatonigral Degeneration, with a predominance of parkinsonian symptoms; it is known as Olivopontocerebellar Atrophy, with cerebellar symptoms, and Shy-Drager syndrome with autonomic symptoms. Physiotherapy plays an important role in the rehabilitation of kinetic- functional impairments. Objective: To report the case of a volunteer with SMA in order to highlight the neurological findings for neurofunctional rehabilitation. Methods: This is an observational, cross-sectional case report study that was conducted at the Clínica Escola de Fisioterapia da Universidade de Franca (UNIFRAN), with the approval of the CEP (CAAE 83164918.2.0000.5495), of a 55-year-old male individual, referred to physiotherapy, diagnosed with SMA. Neurological evaluation was performed in the sector, of sensitivity, movement, tone, reflexes, motor coordination, balance, gait and function. Results: The individual reports that 4 years ago he started having difficulty walking and talking. He was diagnosed with Parkinson’s disease. He underwent a new evaluation, arriving at the current diagnosis. In the physical therapy evaluation dysautonomia, dysarthria, dysdiadochokinesia, dysmetria, hypertonia by rigidity, akinesia and bradykinesia, trunk flexion posture, balance deficit, tetraparesis and fetinated gait were observed. Conclusion: The impairments found impair the patient’s ability to perform several ADLs. This study emphasizes the value of neurofunctional physiotherapeutic semiology for an effective therapeutic treatment that promotes independence and quality of life possible for the individual with SMA.

scholarly journals Effects of Moringa Leaf Extract (Moringaoleifera) in the Breastfeeding

2018 ◽  
Vol 1 (1) ◽  
pp. 74-79 ◽  
Author(s):  
Indri Seta Septadina ◽  
Krisna Murti
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Positive Impact ◽  
Pubic Hair ◽  
Pituitary Hormone ◽  
The Many ◽  
And Function ◽  
Global Strategies ◽  
Breast Gland

Exclusive breastfeeding for 6 months is a global strategies to promote the growth, development, health and survival of infants. Despite the many benefits of exclusive breastfeeding for infants, mothers, families and communities, the coverage is still low in many countries including Indonesia. Mother's milk is produced from the collaboration between mechanical stimulation of hormonal and nerve factors. One of the hormones that affects is the estrogen. The hormone estrogen is a sex hormone produced by the uterus to stimulate the growth of sex organs such as breasts and pubic hair and regulate the menstrual cycle. The hormone estrogen also plays a role to maintain the texture and function of the breast. Pregnancy in a woman, making the breast gland will be more developed by the influence of estrogen, somatomamotropin and prolactin hormones. The process is affected by the hormones estrogen and progesterone. Estrogen significantly stimulates the synthesis and release of pituitary hormone, this effect depends on the duration and dose of administration. In Indonesia, moringa plant is a local food that has the potential to be developed in culinary breastfeeding mothers because it contains phytosterol compounds that function to improve and facilitate the production of breast milk (laktogogum effect). This paper will discuss some of the facts about the effect of Moringaoleifera extract on prolactin levels in increasing the quantity and quality of breast milk in the breastfeeding process. The amount of nutrients in the Moringa leaf (Moringaoleifera) one such as phytosterol compounds (laktogogum effect) in increasing levels of pituitary hormone and iron hormones can have a positive impact on the health of the baby because breast milk is the most important and best natural baby food.

scholarly journals Nasal prosthesis after partial rhinectomy. A case report

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Shekhar Gupta ◽  
Bharti Gupta ◽  
Bhagwandas K. Motwani
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Financial Constraints ◽  
Surgical Reconstruction ◽  
Surgical Approaches ◽  
Prosthetic Rehabilitation ◽  
Oral Infections ◽  
Maxillofacial Prosthesis ◽  
And Function

Maxillofacial defects can result from several reasons, including neoplasia, congenital malformations, trauma, oral infections, etc. This kind of defects can be severely debilitating to the patients. To improve the quality of life of these patients, the options include surgical reconstruction and maxillofacial prosthesis. However, surgical approaches have many inherent disadvantages and limitations. This case report describes the prosthetic rehabilitation of a female patient who underwent partial rhinectomy secondary to basal cell carcinoma. The case was planned with a silicone prosthesis with anatomic and spectacle retention. A non-surgical method of rehabilitation was followed owing to the patient’s choice and financial constraints. The final prosthesis was aimed at enhancing the esthetics and function of the patient, thereby improving her quality of life.

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