Percutaneous Transhepatic Cholangioscopy Utilizing Different Endoscopes to Optimize Treatment Success in Biliary Cast Syndrome, how a Paediatric Bronchoscope can Help: A Case Report

The objective of this case report was to describe the retreatment of an immature upper right central incisor in a 20-year-old female patient after unsuccessful endodontic treatment, who had probable clinical-radiographic diagnosis of a large periapical inflammatory cyst and persistent fistula. After removing the root canal filling material, disinfection of the root canal system, and successive intracanal medication changes over 60 days, the fistula remained active. Therefore, parendodontic surgery was performed. The root canal system was obturated, the periapical cyst was surgically enucleated, and retro-obturation with mineral trioxide aggregate was performed. We used the guided tissue regeneration technique with a xenograft and resorbable membrane. On histopathological examination, we observed bacterial colonies present in the lumen of the cystic lesion. Clinical evaluation, periapical radiograph, and cone-beam tomography confirmed complete healing of the periapical area of the affected tooth. The treatment success was verified by periapical healing over a follow-up period of 21 months.

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When to Choose Paroxetine Treatment in Skin-Picking Disorder: A Case Report

Clinical EEG and Neuroscience ◽

10.1177/15500594211073390 ◽

2022 ◽

pp. 155005942110733

Author(s):

Mehmet K. Arıkan ◽

Muazzez Ç. Oba ◽

Reyhan İlhan ◽

Mehmet C. Mat

Keyword(s):

Case Report ◽

Selective Serotonin Reuptake Inhibitors ◽

Treatment Success ◽

Skin Lesions ◽

Alpha Power ◽

Obsessive Compulsive ◽

Skin Picking ◽

Compulsive Disorder ◽

Skin Picking Disorder ◽

Paroxetine Treatment

Skin picking disorder (SPD) characterized by repetitive compulsive scratching in the absence of a primary skin disease is strongly associated with psychiatric comorbidities, including obsessive-compulsive disorder (OCD) and depression (MDD). Selective serotonin reuptake inhibitors (SSRIs) have been used in the treatment of SPD with variable success. Nevertheless, the optimum treatment choice for SPD is an issue for clinicians. This case report presents a 32-year-old female SPD patient treated with four-week paroxetine monotherapy. Based upon the clinical interview and standardized questionnaires, the patient was diagnosed with OCD with depressive features and Skin Picking Disorder. In addition to symptom severity scales, quantitative electroencephalography (qEEG) was also applied. Paroxetine treatment was started (titrated from 5 to 40 mg/day) and doubled each week. After four-week paroxetine monotherapy, OCD symptoms were diminished, and skin lesions were completely regressed leaving solely post inflammatory hyperpigmentation. Post-treatment qEEG assessment also showed a normalization of frontal alpha power and amplitude asymmetry. It can be concluded that if OCD includes SPD with abnormal EEG patterns; then the treatment success using paroxetine will be very high.

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Internal granuloma with perforation – 2 case report

ARS Medica Tomitana ◽

10.1515/arsm-2015-0045 ◽

2015 ◽

Vol 21 (4) ◽

pp. 196-200

Author(s):

Suciu Ioana ◽

B. Dimitriu ◽

C. Varlan ◽

Cotrut Dana ◽

Cristea Diana ◽

...

Keyword(s):

Case Report ◽

Chronic Inflammation ◽

Root Canal ◽

Treatment Success ◽

Endodontic Treatment ◽

Pulp Chamber ◽

Pulp Tissue ◽

Pulp Inflammation ◽

Clinical Cases

Abstract Internal resorption was associated with long-term chronic inflammation of the pulp (chronic granulomatous pulpitis). When internal resorption is radiographically confirmed, endodontic treatment becomes a necessity. Vital teeth internal resorption appears radiographically as an oval enlargement of the pulp chamber and root canal with smooth, symmetrical outline. Internal granuloma is assumed to be an effect of the trauma, or pulp inflammation, the ailment is rare, asymptomatic and might progress rapidly, causing perforation. It is difficult to remove the pulp tissue from the resorptive defect, since this area is not easily accessible for instrumentation. The delay of the endodontic treatment may lead the internal resorption to perforation, thus decreasing the chances of treatment success. In the following paper, we present a total of two clinical cases with internal granuloma with perforation that have benefited of specific endodontic treatment.

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Nasal Septal Perforation Due to Desmopressin Nasal Spray Use

Ear Nose & Throat Journal ◽

10.1177/01455613211026425 ◽

2021 ◽

pp. 014556132110264

Author(s):

Daniela A. Brake ◽

Grant S. Hamilton ◽

Stephen F. Bansberg

Keyword(s):

Case Report ◽

Early Diagnosis ◽

Nasal Spray ◽

Nasal Septum ◽

Treatment Success ◽

Septal Perforation ◽

Spray Application ◽

Nasal Septal Perforation ◽

Clinical Considerations

Perforations of the nasal septum have many etiologies and occasionally result from intranasal medicated spray use. This case report describes a perforation related to the use of desmopressin nasal spray, which has not been previously reported in the literature. Clinical considerations presented in this article include appropriate technique of nasal spray application, appropriate monitoring of patients on intranasal sprays, and indications for evaluation by an otolaryngologist. Septal perforation treatment success is improved with an early diagnosis.

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Management of Extramammary Paget's Disease: A Case Report and Review of the Literature

Case Reports in Dermatological Medicine ◽

10.1155/2013/436390 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Rosa Guerra ◽

Subhasis Misra

Keyword(s):

Case Report ◽

Treatment Options ◽

Treatment Success ◽

Paget’S Disease ◽

Rare Condition ◽

Paget's Disease ◽

Extramammary Paget’S Disease ◽

Review Of The Literature ◽

Perianal Region ◽

Extramammary Paget's Disease

Extramammary Paget's Disease (EMPD) is a rare condition of the skin that often involves the vulva, perianal region, scrotum, penis, and axilla. Although prognosis is generally favorable, it can be associated with neoplasms of the bladder, urethra, prostate, and rectum. This report presents a case of scrotal EMPD that failed treatment with imiquimod 5% cream and discusses benefits and complications of available treatment options. The variation of treatment success emphasizes the importance of further research.

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Successful Diagnosis and Treatment of Biliary Cast Syndrome after Orthotopic Liver Transplantation by Percutaneous Transhepatic Choledochoscopy: A Case Report

Gastroenterology & Hepatology Open Access ◽

10.15406/ghoa.2015.02.00051 ◽

2015 ◽

Vol 2 (4) ◽

Author(s):

Yu-Long Yang

Keyword(s):

Liver Transplantation ◽

Case Report ◽

Orthotopic Liver Transplantation ◽

Diagnosis And Treatment ◽

Cast Syndrome ◽

Percutaneous Transhepatic Choledochoscopy

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Successful Endoscopic Management of Late Biliary Cast Syndrome in a Liver Transplant Recipient: A Case Report

Case Reports in Gastroenterology ◽

10.1159/000468509 ◽

2017 ◽

Vol 11 (1) ◽

pp. 207-211

Author(s):

Manuel Alejandro Mahler ◽

Federico Marcaccio ◽

Jean-Marc Dumonceau ◽

Carlos Macías Gómez

Keyword(s):

Liver Transplantation ◽

Case Report ◽

Bile Duct ◽

Transplant Recipient ◽

Graft Failure ◽

Liver Transplant Recipient ◽

Mucosal Damage ◽

Endoscopic Management ◽

Unusual Complication ◽

Cast Syndrome

Biliary cast syndrome (BCS) is an unusual complication of liver transplantation (LT). The pathophysiology is not known, and it is thought to develop because of mucosal damage in the bile duct related to obstruction, ischemia, or bacterial infection. It occurs in 2.5–18% of LT patients and is associated with increased graft failure, need for retransplantation, and mortality. Here we report on a case of BCS of late appearance after LT who was successfully treated by endoscopic means.

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Skeletal Class II Malocclusion Treated with AdvanSync 2 - A Case Report

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/603 ◽

2021 ◽

Vol 10 (34) ◽

pp. 2951-2953

Author(s):

Namrata Dogra ◽

Archana Jaglan ◽

Sidhu M. S. ◽

Seema Grover ◽

Suman Suman

Keyword(s):

Case Report ◽

Treatment Success ◽

Class Ii ◽

Orthodontic Appliances ◽

Class Ii Malocclusion ◽

Functional Appliance ◽

Fixed Functional Appliance ◽

Skeletal Class Ii ◽

Fixed Orthodontic Appliances ◽

Functional Appliances

Treatment of complex malocclusion poses a challenge for the orthodontist because of its multifactorial aetiology. Class II malocclusion is the most frequently encountered and treated malocclusion in orthodontic practice and affects approximately 14.6 % of the North Indian population.1 A common reason for Class II malocclusion is mandibular skeletal retrusion which is the most common characteristic, as reported by McNamara.2 This can be caused by genetic or hereditary factors. When evaluating treatment options for Class II patients, the extent of the skeletal discrepancy and the skeletal maturity of the patient needs to be considered. Treatment may range from dental compensation including camouflage with extractions to surgical procedures targeted at moving the jaw at fault. In growing patients, growth modification with functional appliances offers an intermediate treatment option. Functional appliances are basically of two types; Removable and Fixed. Removable functional appliances such as Activator, Bionator, Frankel Function regulator and Twin Block appliance change Class II relationship by the transmission of soft tissue tension to the dentition. Treatment success with these appliances relies heavily on patient compliance. Therefore, in non-compliant patients, fixed Class II correctors in conjunction with fixed orthodontic appliances are the best choice.3 Fixed functional appliances generate continuous stimuli for mandibular growth without break and permit better adaptation to functions like mastication, swallowing, speech and respiration.1 The Herbst fixed functional appliance has been used routinely for Class II patients and has undergone many design variations over time.4 The AdvanSync2 Class II corrector is a recently introduced fixed functional appliance. It has a much smaller size than the conventional Herbst appliances, is easier to place, activate and remove and most importantly, can be used in conjunction with full-arch fixed appliances throughout.3 Here we describe a case report of a patient treated with the AdvanSync2 Class II corrector and the findings observed in the sagittal and vertical dimensions

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