scholarly journals Tympanoplasty type 1 in the treatment of patients with sclerotic mastoid: anatomical and functional results

2014 ◽  
Vol 4 (3) ◽  
pp. 94-98
Author(s):  
Rıza Dündar
Keyword(s):  
Functional Results

CLASSIFICATION AND TREATMENT OF HAMATE FRACTURES

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 151-157 ◽  
Author(s):  
Kenichi Hirano ◽  
Goro Inoue
Keyword(s):  
Soft Tissue ◽  
Closed Reduction ◽  
Open Reduction ◽  
Functional Results ◽  
Non Union ◽  
Cast Immobilisation ◽  
Classification And Treatment

Twenty-nine patients with hamate fractures were treated. The two main types of hamate fractures are hook fractures (type 1) and body fractures (type 2). We sub-divided type 2 fractures according to the fracture line into coronal, type 2a and transverse, type 2b. There were 15 type 1, 11 type 2a and three type 2b fractures. For type 1, nine were treated with excision, one with open reduction and internal fixation (ORIF) and five with cast immobilisation, in which two resulted in non-union followed by excision. For type 2, five type 2a cases were treated with ORIF and the others with closed reduction and pinning. Most of the patients had satisfactory results at the seventh month follow-up. However, those with associated neurovascular and musculotendinous injuries were likely to have unfavourable results. On the basis of study findings, it appears that functional results are influenced mainly by the associated soft tissue damage.

Allograft Tympanoplasty Type 1 in the Childhood Population

1996 ◽  
Vol 105 (11) ◽  
pp. 871-876 ◽  
Author(s):  
Evert P. P. M. Hamans ◽  
Thomas Somers ◽  
Paul J. Govaerts ◽  
F. Erwin Offeciers
Keyword(s):  
Functional Results ◽  
Ossicular Chain ◽  
Statistical Correlation ◽  
Tympanic Membrane Perforation ◽  
Short Term ◽  
Membrane Perforation ◽  
Childhood Population

Seventy allograft type 1 tympanoplasties in children under 16 years of age were studied retrospectively. Only patients with a tympanic membrane perforation without cholesteatoma and a normal ossicular chain were included. Short-term and long-term anatomic and functional results were analyzed after a mean follow-up of 40 months. The overall short-term take rate was 97% and the long-term take rate was 88%. A number of variables with alleged prognostic value for surgical outcome were analyzed, but none showed statistical correlation with either anatomic or functional results. A median hearing gain of 10 dB was achieved, which was stable over time. We conclude that allograft tympanoplasty type 1 in this group of children is anatomically and functionally successful regardless of age.

scholarly journals Treatment choice for repair of sound-conducting apparatus with isolated ossicular anomalies

2021 ◽  
Vol 20 (1) ◽  
pp. 8-17
Author(s):  
I. A. Anikin ◽  
Keyword(s):  
Middle Ear ◽  
Anesthetic Management ◽  
Functional Results ◽  
Successful Development ◽  
Surgical Interventions ◽  
Type 1 Tympanoplasty ◽  
Auditory Ossicles ◽  
Sound Conduction ◽  
Technical Solutions

Over the last decades, attention to the study of the possibilities of pediatric otorhinolaryngology has increased. The constantly evolving technologies in reconstructive surgery and advances in the field of anesthetic management have made it possible to carry out the necessary surgical interventions at the earliest possible time. Even such traditionally complex areas like treatment of isolated middle ear abnormalities receive more and more opportunities for successful development. In order to achieve maximal results of hearing in isolated ossicular abnormalities, various approaches to their reconstruction are used. In our work, we aimed to find out which of the two most topical technical solutions is optimal in terms of functional results’ achievement. To do this, we analyzed two independent groups of patients in whom different approaches to the repair of the sound conduction was applied. On the basis of the study, it can be argued that attempts to preserve a deformed, but movable chain of the auditory ossicles, that is, performing type 1 tympanoplasty with an intact stapes with anomalies in the development of auditory ossicles did not prove their feasibility. Performing surgery using a simpler technique, namely with the removal of deformed ossicles and the use of partial titanium prostheses, allows you to achieve the best anatomical and functional results.

Vitrectomy for full thickness macular hole developed during the course of anti-VEGF treatment of type 1 neovascular AMD

2021 ◽  
pp. 112067212110021
Author(s):  
Zofia Anna Nawrocka ◽  
Zofia Nawrocka ◽  
Jerzy Nawrocki
Keyword(s):  
Macular Hole ◽  
Rare Complication ◽  
Functional Results ◽  
Age Related Macular Degeneration ◽  
Full Thickness ◽  
Neovascular Amd ◽  
Anti Vegf ◽  
Age Related ◽  
Full Thickness Macular Hole

Purpose: To report a case of treatment of a full-thickness macular hole, which appeared after 10 months of anti-VEGF treatment in neovascular age related macular degeneration (nAMD). Methods: The patient was diagnosed as type 1 nAMD. The coexisting vitreomacular traction caused a full thickness macular hole after 10 months of treatment. Patients: A 68-year-old woman treated with anti VEGF. Results: Vitrectomy with the temporal inverted ILM flap technique succeeded in closing the hole. Further anti-VEGF treatment followed. Conclusion: FTMH is a rare complication or coexistence in nAMD. Vitrectomy and continuous anti-VEGF treatment might result in satisfactory anatomical and functional results.

scholarly journals Do different surgical techniques in tibia pilon fractures change the results of the midterm?

2020 ◽  
Vol 50 (6) ◽  
pp. 1559-1565
Author(s):  
Vedat BİÇİCİ ◽  
İzzet BİNGÖL
Keyword(s):  
Surgical Techniques ◽  
Functional Results ◽  
Surgical Approaches ◽  
Complication Rates ◽  
Pilon Fracture ◽  
Significant Difference ◽  
One Step ◽  
Type 3 ◽  
Pilon Fractures

Background/aim: Pilon fracture is difficult to treat fractures due to many complications that can develop after surgery. To achieve the best results, different surgical approaches are used.In our study, we aimed to compare the functional results and complication rates of our treatments in patients treated with 3 different surgical tecniques.Materials and methods: 89 pilon fractures of 87 patients treated for pilon fracture were evaluated. Patients were examined in 3 different groups (one step, two step surgery and Ilizarov). Functional results, postoperative complications and ankle AOFAS scores were evaluated.Results: The mean AOFAS score of the all patients was 77.67. There was no significant difference between 3 surgical techniques (P = 0,880). While skin complication was not seen in patients who underwent double-stage surgery and Ilizarov (0%); It was seen in 6 (15.7%) patients who underwent single-stage surgery. Treatment results were found to be better in type 1 and type 2 fractures, while in type 3 fractures (P = 0.004).Conclusion: Despite the different surgical approaches and implants applied, no difference was found between the midterm ankle functional results of the patients. Two-stage surgery and Ilizarov is a safe and effective treatment approach to reduce morbidity and early complications in pilon fractures.

B-scan ultrasound, visual electrophysiology and perioperative videoendoscopy for predicting functional results in keratoprosthesis candidates

2020 ◽  
pp. bjophthalmol-2020-316962
Author(s):  
Luzia Diegues Silva ◽  
Albert Santos ◽  
Flavio Hirai ◽  
Norma Allemann ◽  
Adriana Berezovsky ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Invasive Procedure ◽  
Functional Results ◽  
Negative Finding ◽  
Electrophysiological Testing ◽  
Electrophysiological Findings ◽  
Boston Type 1 Keratoprosthesis ◽  
Visual Electrophysiology ◽  
Better Than

Background/AimsWe analysed the ability of B-scan ultrasound, ocular electrophysiology testing and videoendoscopic examination for predicting visual prognosis in Boston Type 1 keratoprosthesis (KPro-1) candidates. Indirect anatomical and electrophysiological findings and results from direct endoscopic evaluations were correlated with postoperative functional data.MethodsIn this prospective and interventional study, we included 13 individuals who had previously been indicated for Kpro-1 surgery. All subjects underwent preoperative screening, including ophthalmic evaluation, B-scan ultrasound, electrophysiological testing, and perioperative intraocular videoendoscopic evaluation (VE). B-scan ultrasound, electrophysiological testing, and VE evaluation results were categorised as favourable or unfavourable predictors of postoperative functional results according to predefined criteria. The predictability values of B-scan ultrasound, electrophysiological testing, and VE prognostication were calculated based on the visual acuity level achieved.ResultsAll surgeries and perioperative VEs were uneventful. Preoperative best-corrected visual acuity (BCVA) ranged from light perception to counting fingers. The 1-year postoperative BCVA was better than 20/200 (satisfactory visual acuity result) in 10 eyes (76.9%) and 20/40 or better in 5 eyes (38.5%). B-scan ultrasound presented a positive predictive value (PPV) of 85.7% for satisfactory postoperative visual acuity, electroretinography showed a PPV of 66.7%, and visual evoked potential presented a PPV of 66.7%. The perioperative VE PPV of a negative finding for satisfactory visual acuity was 100%.ConclusionsFundoscopic visualisation by intraocular VE is a minimally invasive procedure that can be used to predict functional outcomes in keratoprosthesis candidates. This technique demonstrated better prognostication in keratoprosthesis candidates than B-scan ultrasound and electrophysiological testing.

ANATOMICAL AND FUNCTIONAL RESULTS OF INTRAVITREAL AFLIBERCEPT MONOTHERAPY FOR TYPE 1 RETINOPATHY OF PREMATURITY

Retina ◽  
2020 ◽  
Vol 40 (12) ◽  
pp. 2366-2372 ◽  
Author(s):  
Yen-Ting Chen ◽  
Laura Liu ◽  
Chi-Chun Lai ◽  
Kuan-Jen Chen ◽  
Yih-Shiou Hwang ◽  
...  
Keyword(s):  
Retinopathy Of Prematurity ◽  
Functional Results ◽  
Intravitreal Aflibercept

scholarly journals Long-Term Anatomical and Functional Survival of Boston Type 1 Keratoprosthesis in Congenital Aniridia

2021 ◽  
Vol 8 ◽  
Author(s):  
Ariann Dyer ◽  
Alix De Faria ◽  
Gemma Julio ◽  
Juan Álvarez de Toledo ◽  
Rafael I. Barraquer ◽  
...  
Keyword(s):  
Retention Rate ◽  
Functional Results ◽  
Long Term Results ◽  
Cumulative Probability ◽  
Congenital Aniridia ◽  
Boston Type 1 Keratoprosthesis ◽  
The Mean ◽  
Retroprosthetic Membrane

Purpose: To analyze the long-term anatomical survival, functional survival, and complications of Boston type 1 keratoprosthesis (KPro) in the eyes with congenital aniridia-associated keratopathy (AAK).Methods: A retrospective review of 12 eyes with congenital aniridia that underwent a Boston type 1 KPro surgery was conducted. A Kaplan–Meier analysis was performed. Anatomical and functional success criteria were KPro retention and a best corrected visual acuity (BCVA) ≤1.3 LogMAR (≥0.05 decimal) at the end of a follow-up period. Postoperative complications were recorded.Results: The mean preoperative BCVA was 2.1 ± 0.9 (range: 3.8–1) LogMAR, and glaucoma was a comorbidity in all the cases. Five years after the surgery, the overall retention rate was 10/12 (83.3%), and 50% had functional success. Only three (25%) of the 12 cases did not achieve a BCVA ≤1.3 LogMAR. The cumulative probability of anatomical success was 92, 79, and 79% after 1, 5, and 10 years, respectively. The cumulative probability of functional success was 57 and 46% after 1 and 5 years, respectively. The mean anatomical and functional survival time was 10 ± 1.3 (95% IC = 7.5–12.3 years) and 3.8 ± 0.9 years (95% IC = 1.8–5.8 years), respectively. The most common postoperative complication was retroprosthetic membrane (RPM) formation in 8/16 cases (66%). The mean number of complications per case was 2.4 ± 1.8 (0–6).Conclusions: The Boston type 1 KPro is a viable option for patients with AAK with good anatomical and functional long-term results. Glaucoma is an important preoperative condition that affects functional results. Retroprosthetic membrane formation seems to have a higher incidence in this condition.

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