Surgical and Nonsurgical Techniques in Orthodontics

Orthognathic surgery can be extremely useful in management of patients with complex malocclusions. It can benefit the patients by treating the esthetic and functional deformities. The collaboration between orthodontists and oral surgeons is crucial in obtaining optimal results for such complicated cases. The timing of the treatment and the age of the patient at the time of treatment play an important role in determining the type of treatment. This review discusses the different types of malocclusions in which the patient can be treated with conventional mechanics if presented during growing period and surgical management if presented after the growth is completed. Furthermore, the review describes the recent introduction of mini-screws and the non-surgical methods that can be used to treat complex malocclusions for adult patients.

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Surgical management of congenital heart defects in adolescent and adult patients, between years 2001–2008

Orvosi Hetilap ◽

10.1556/oh.2009.28683 ◽

2009 ◽

Vol 150 (37) ◽

pp. 1739-1743 ◽

Cited By ~ 3

Author(s):

István Hartyánszky ◽

Andrea Székely ◽

László Király ◽

Zsolt Prodán ◽

Sándor Mihályi ◽

...

Keyword(s):

Surgical Management ◽

Congenital Heart Defects ◽

Congenital Heart ◽

Heart Defects ◽

Adult Patients

A felnőttkorban operált veleszületett szívhibák között vezetnek az I. rekonstrukciós beavatkozások: a) frissen felismert betegségek, b) megelőzően inoperábilisnak ítélt kórképek, c) pulmonalis hypertonia, jobbkamra-elégtelenség miatt „elkésett” műtétek. Növekszik a II. REDO műtétek száma: a) residuumok korrigálása, b) kinőtt, diszfunkciós homograftok cseréje, c) műtéti/intervenciós korrigálás utáni recoarctatio (aneurysma, dissectio) sebészete, d) aorta valvulotomia/valvuloplastica, illetve társvitiumok (TGA) korrigálásának következményeként Ross-műtét, műbillentyű-beültetés . Betegek, eredmények: A 2001–2008 között végzett 4496 műtét közül 166 volt fiatal-felnőtt korú (16–52, átlagéletkor: 28 év) (Ia: 77, Ib: 15, Ic: 4, IIa: 11, IIb: 22, IIc: 9, IId: 28). Műtéti mortalitás nem volt, 1 beteg pulmonalis hypertoniás krízisben, 1 jobbkamra-elégtelenség miatti malignus ritmuszavarban, 2 többszerv-elégtelenségben halt meg. Konklúzió: A rizikófaktorokat a pulmonalis hypertonia és a jobbkamra-elégtelenség jelenti. A bonyolult sebészi megoldások a „congenitalis szívsebész” számára nem jelentenek problémát, de koraibb diagnózisok, terápiában az extracorporalis membránoxigenátor használata az eredményeket javíthatja.

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Tratamento ortodôntico e cirúrgico com a técnica lingual

Orthodontic Science and Practice ◽

10.24077/2021;1454-7379 ◽

2021 ◽

Vol 14 (54) ◽

pp. 73-79

Author(s):

Silvana Allegrini Kairalla ◽

Aluísio Galiano

Keyword(s):

Young Adult ◽

Surgical Technique ◽

Orthognathic Surgery ◽

Adult Patients ◽

Viable Alternative ◽

Lingual Technique ◽

Almost All

Introduction: Adult and young adult patients have been increasingly seeking for orthodontic treatments and almost all of them want it to be done by an aesthetic appliance with maximum invisibility. The lingual technique has emerged in the late 1970s and has now become a very viable alternative to perform orthodontic treatments, however, many cases of treatment or retreatment involve correction through orthognathic surgery. The surgical technique is more sedimented and simplified as a great aid in the correction of skeletal discrepancies. Objectives: This article aims to show the correction of malocclusion and discrepancy between dental arches, with the lingual orthodontic technique and the surgical association. Conclusion: It is possible to provide to the patient an adequate correction of malocclusion, maintaining the desired aesthetics through the lingual technique and orthognathic surgery

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Blister like aneurysm: a review about its surgical management / Aneurismas blister-like: uma revisão sobre seu manejo cirúrgico

Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo ◽

10.26432/1809-3019.2019.64.2.131 ◽

2019 ◽

Vol 64 (2) ◽

pp. 131

Author(s):

Rodrigo Salmeron de Toledo Aguiar ◽

Guilherme Brasileiro de Aguiar ◽

Rafael Gomes dos Santos ◽

André Freitas Nunes ◽

Renan Maximilian Lovato ◽

...

Keyword(s):

Surgical Management ◽

Intracranial Aneurysms ◽

Surgical Techniques ◽

Vascular Lesion ◽

High Morbidity ◽

Good Efficiency ◽

Treatment Techniques ◽

Pubmed Database ◽

Surgical Methods ◽

Ruptured Intracranial Aneurysms

ABSTRACT Introduction: Blister aneurysms are of uncertain pathogenesis and are a vascular lesion located in the brain. Overall, they represent 0.3% - 1.0% of all intracranial aneurysms and 0.9% - 6.5% of ruptured intracranial aneurysms. They are associated with high morbidity and mortality. Even with the first description being from 1969, there is still debate in the literature about which type of treatment is the best: surgical or endovascular. In this review, we focus on the surgical management. Method: The authors performed a review of available surgical techniques used for blood blister-like aneurysms treatment. Pubmed database was used as search source introducing blister-like aneurysm and blister aneurysms as keywords. The most relevant articles and those that focused on surgical treatment techniques were selected. Discussion: The most used surgical methods are clipping, trapping, wrapping and bypass. As main features of each technique, we can highlight clipping with good efficiency, when there is good neck exposure; trapping being employed in ruptured aneurysm; wrapping for avulsion and bypass that promotes vascularization to the distal territory of the aneurysm. Conclusion: The endovascular method has shown to be promising and efficient. However, different surgical techniques are still being employed based on their efficiency when facing certain surgical scenarios.Keywords: Neurosurgery, Subarachnoid hemorrhage, Intracranial aneurysm, Endovascular proceduresRESUMOIntrodução: Aneurismas cerebrais blister-like são lesões vasculares de patogenia incerta. De modo geral, representam 0.3%-1.0% de todos aneurismas intracranianos e 0.9% - 6.5% dos aneurismas intracranianos que rompem. Estão associados a alta morbimortalidade. Mesmo com a primeira descrição sendo de 1969, ainda há debate na literatura sobre qual tipo de tratamento é o melhor: cirúrgico ou endovascular. Nessa revisão, focamos no tratamento cirúrgico. Métodos: Os autores realizaram uma revisão das técnicas cirúrgicas utilizadas para tratamento de aneurismas blister-like. A plataforma Pubmed foi utilizada para a pesquisa das palavras chaves “blister-like aneurysm” e “blister aneurysm”. Os artigos de maior relevância e aqueles que enfatizam as técnicas cirúrgicas foram selecionados. Discussão: Os métodos cirúrgicos empregados são clipagem, trapping, wrapping e bypass. Quanto às características de cada método, podemos salientar a eficácia da clipagem, quanto melhor for a exposição do aneurisma; o uso do trapping em situações de rompimento do aneurisma; wrapping para casos em que houve avulsão do aneurisma e by-pass que promove a vascularização distal ao aneurisma. Conclusão: O método endovascular tem se mostrado promissor e efetivo. No entanto, as diferentes técnicas cirúrgicas ainda são empregadas e defendidas devido a sua eficiência frente certos cenários cirúrgicos.Descritores: Neurocirurgia, Hemorragia subaracnóidea, Aneurisma intracraniano, Procedimentos endovasculares

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Plasma Rich in Growth Factors in the Treatment of Endodontic Periapical Lesions in Adult Patients: A Narrative Review

Pharmaceuticals ◽

10.3390/ph14101041 ◽

2021 ◽

Vol 14 (10) ◽

pp. 1041

Author(s):

Agata Zoltowska ◽

Katarzyna Machut ◽

Elzbieta Pawlowska ◽

Marcin Derwich

Keyword(s):

Growth Factors ◽

Tissue Regeneration ◽

Adult Patients ◽

Application Site ◽

Platelet Concentrates ◽

Platelet Rich Fibrin ◽

Periapical Lesions ◽

Pubmed Database ◽

Proliferation And Differentiation ◽

Different Types

Platelet concentrates have been widely used in regenerative medicine, including endodontics. The aim of this manuscript was to assess critically the efficacy of PRF in the treatment of endodontic periapical lesions in adult patients on the basis of the literature. The PICO approach was used to properly develop literature search strategies. The PubMed database was analyzed with the keywords: “((PRP) OR (PRF) OR (PRGF) OR (CGF)) AND (endodontic) AND ((treatment) OR (therapy))”. After screening of 155 results, 14 articles were included in this review. Different types of platelet concentrates are able to stimulate the processes of proliferation and differentiation of mesenchymal stem cells. Platelet rich fibrin (PRF) releases growth factors for at least 7 days at the application site. Growth factors and released cytokines stimulate the activity of osteoblasts. Moreover, the release of growth factors accelerates tissue regeneration by increasing the migration of fibroblasts. It was not possible to assess the efficacy of PRF supplementation in the treatment of endodontic periapical lesions in permanent, mature teeth with closed apexes, due to the lack of well-designed scientific research. Further studies are needed to analyze the effect of PRF on the healing processes in the periapical region.

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COVERAGE OF EXPOSED TIBIA

The Professional Medical Journal ◽

10.29309/tpmj/2010.17.01.1977 ◽

2010 ◽

Vol 17 (01) ◽

pp. 44-49

Author(s):

TAJAMMAL ABBAS SHAH ◽

USMAN LATIF ◽

QUDDUS-UR- REHMAN

Keyword(s):

Wound Infection ◽

Lower Limb ◽

Road Traffic ◽

Musculocutaneous Flaps ◽

Degloving Injury ◽

Limb Injuries ◽

Surgical Methods ◽

Different Types ◽

Bone Coverage ◽

Comparative Prospective Study

The alarming rise in road traffic accident has resulted in increased incidence of degloving lower limb injuries requiring some sortof cover for exposed bones e.g tibia. Objective: To study and compare the rate of wound infection & decreased morbidity in degloving injuriesof lower limb following early bone coverage by various surgical methods of bone coverage. Design: Comparative, prospective study, Place& duration of study. Allied Hospital SU II Faisalabad. Period: From January 2002 to October 2004. Material & Methods: Thirty (30) patientsdivided into four groups, muscle & musculocutaneous flaps for 15 patients, local rotational flaps for 05 patients, cross leg flaps & decorticationfor 05 patients. The patients in each group were divided unequally because of unavailability of patients. Patients were also examinedpostoperatively for 06 weeks. Results: The patients underwent surgery for degloving injury of leg. Most of them were young malesbetween 5-45 years of age resulting mainly from different types of accidents. 2 out of 15(13.3%) patients having, musculocutaneous flapsdeveloped wound infection. 1 out of 5(20%) with local rotational flaps, 2 out of 5 (40%) with cross leg flaps & 3 out of 5(60%) with decorticationdeveloped wound infection. 14 out of 15(93.3%) patients with muscle & musculocutaneous flaps while 4 out of 5(80%) with local rotational flapsrecovered within 3 weeks. Patients with cross leg flaps recovered after one month while patients with decortication recovered after forty fivedays. 13 out of 15 regained full function (86%) with muscle & musculocutaneous flaps while patients having local rotational flaps regained 100%full function. 4 out of 5(80%) regained full function with cross leg flaps & 1 out of 5(20%) regained full function with decortication. Conclusions:Muscle & musculocutaneous flaps for exposed tibia is safe and effective method of treatment having low rate of wound infection with widercoverage & decreased morbidity.

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Gastric emptying and different types of reflux in adult patients with cystic fibrosis

Alimentary Pharmacology & Therapeutics ◽

10.1111/j.1365-2036.2011.04786.x ◽

2011 ◽

Vol 34 (7) ◽

pp. 799-807 ◽

Cited By ~ 35

Author(s):

A. Pauwels ◽

K. Blondeau ◽

V. Mertens ◽

R. Farre ◽

K. Verbeke ◽

...

Keyword(s):

Cystic Fibrosis ◽

Gastric Emptying ◽

Adult Patients ◽

Different Types

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Myeloperoxidase Deficiency Manifesting as Pseudoneutropenia with Low Mean Peroxidase Index and High Monocyte Count in 4 Adult Patients

Laboratory Medicine ◽

10.1093/labmed/lmz060 ◽

2019 ◽

Author(s):

Soongki Roh ◽

Ji Yeon Ham ◽

Kyung Eun Song ◽

Narae Hwang ◽

Nan Young Lee

Keyword(s):

Clinical Condition ◽

Adult Patients ◽

Severe Neutropenia ◽

Differential Count ◽

Monocyte Count ◽

Transient Phenomenon ◽

Myeloperoxidase Deficiency ◽

Different Types ◽

Therapy Manual

Abstract Myeloperoxidase (MPO) deficiency, one of the most common inherited phagocyte defects, and may exist as a transient phenomenon in combination with some clinical condition. Hematological analyzer ADVIA 2120i is used to identify the different types of leukocytes based on their size and staining properties, and by mean peroxidase index (MPXI). When MPO deficiency is present, neutrophils may be incorrectly counted as monocytes with lower MPXI values. We encountered a few cases of MPO deficiency with abnormally high monocytes counts resulting in pseudoneutropenia. These abnormal reports could lead to a mistaken diagnosis of severe neutropenia, which could result in unnecessary therapy. Manual differential count exhibited the normal differential count in every case. Every case yielded a markedly low MPXI value below -20. In conclusion, we suggest that MPO deficiency must be considered in patients especially when abnormally high monocyte counts combined with low MPXI values are observed.

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