scholarly journals Case Report: Ultrasound Guided Mucosal Fold Lateralization for Laryngeal Webs

2021 ◽  
Vol 8 ◽  
Author(s):  
Sohit Paul Kanotra
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Ultrasound Guidance ◽  
Anterior Commissure ◽  
High Recurrence Rate ◽  
Ultrasound Guided ◽  
Vocal Cords ◽  
Mucosal Flap ◽  
Mucosal Surfaces ◽  
Mucosal Fold

The surgical management of Laryngeal webs is challenging and is associated with a high recurrence rate due the presence of opposing raw mucosal surfaces of the vocal cords, especially near the anterior commissure which causes re-scarring. We describe an endoscopic technique of mucosal flap lateralization (MFL) with ultrasound guidance, which prevents the apposition of the anterior raw surfaces of the vocal cords after web incision, thus avoiding recurrence.

scholarly journals Ultrasound-Guided Aspiration Does Not Reduce the Recurrence Rate of Ganglion Cysts of the Wrist

2018 ◽  
Vol 08 (02) ◽  
pp. 100-103 ◽  
Author(s):  
Gregory Kurkis ◽  
Albert Anastasio ◽  
Marijke DeVos ◽  
Michael Gottschalk
Keyword(s):  
Recurrence Rate ◽  
Ultrasound Guidance ◽  
Ganglion Cyst ◽  
High Recurrence Rate ◽  
P Value ◽  
Ultrasound Guided ◽  
Recurrence Rates ◽  
Level Of Evidence ◽  
Ganglion Cysts ◽  
Significant Difference

Background Ganglion cysts are the most frequent soft tissue tumor encountered in the upper extremity and are commonly treated by aspiration or by surgical excision. Ultrasound is a promising addition to traditional aspiration, as it allows for visualization of the needle within the ganglion before aspiration. Questions Are ganglion cysts of the wrist less likely to reoccur if they are aspirated under ultrasound guidance versus “blind” aspiration without the use of ultrasound guidance? Does patient functionality change based on whether or not the cyst recurred? Patients and Methods In total, 52 patients were successfully contacted and recurrence rates were compared between those whose cyst was treated with ultrasound-guided (13 patients) with those whose cyst was treated with blind aspiration (39 patients). Mean follow-up time was 2.9 years. Results Recurrence rates were 69% (9 patients) and 74% (29 patients) for the ultrasound-guided and blind aspiration groups, respectively (p-value: 0.73), showing no significant difference in recurrences of wrist ganglion between the two groups. A metric of functionality (Quick–DASH [Disabilities of the Arm, Shoulder, and Hand]) revealed worse outcomes in patients who experienced return of ganglion cyst after aspiration versus those who did not. Conclusion Additional studies with improved sample sizes are needed to demonstrate the superiority of ultrasound-guided aspiration versus blind aspiration. Due to a high recurrence rate following aspiration (both ultrasound-guided and blinded), a lower threshold for surgical intervention is likely reasonable. Level of Evidence This is a Level IIIb study.

Juvenile Ossifying Fibroma of a 15-Year-old Girl: A Case Report

2021 ◽  
Author(s):  
MA Awal
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Female Child ◽  
High Recurrence Rate ◽  
Ossifying Fibroma ◽  
Surgical Removal ◽  
Facial Deformity ◽  
Maxillofacial Region ◽  
Long Period ◽  
Juvenile Ossifying Fibroma

Juvenile ossifying fibroma is a locally aggressive, benign fibro-osseous tumor. It usually occurs in young children and arises in the maxillofacial region. It has a high recurrence rate. This pathology would be diagnosed and treated as early as possible because of its rapidly progressive and osteolytic nature which may complicate the surgical removal if left untreated over a long period. The present case is diagnosed as Juvenile ossifying fibroma involving the maxilla causing facial deformity, proptosis, and nasal obstruction in a 15-year-old female child.

scholarly journals Technical Innovation Case Report: Ultrasound-Guided Prolotherapy Injection for Insertional Achilles Calcific Tendinosis

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Benjamin K. Buchanan ◽  
Jesse P. DeLuca ◽  
Kyle P. Lammlein
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Ultrasound Guidance ◽  
Technical Innovation ◽  
Specific Technique ◽  
Ultrasound Guided ◽  
Calcaneal Tendon

We describe the use of ultrasound guidance for hyperosmolar dextrose (prolotherapy) injection of the distal calcaneal tendon specifically just anterior to identified enthesophytes in patients with insertional Achilles calcific tendinosis refractory to conservative treatment. This specific technique has not to our knowledge been described or used in literature previously.

The Use of Cryotherapy to Treat Infantile Digital Fibromatosis with a Functional Deficit: A Case Report

2018 ◽  
Vol 23 (02) ◽  
pp. 278-281 ◽  
Author(s):  
Aviv Kramer ◽  
Yaron Har-Shai ◽  
Isa Metanes ◽  
Hani Harel ◽  
Ronit Wollstein
Keyword(s):  
Case Report ◽  
Occupational Therapy ◽  
Recurrence Rate ◽  
Benign Lesion ◽  
Excellent Result ◽  
Surgical Excision ◽  
Therapeutic Modality ◽  
High Recurrence Rate ◽  
Functional Deficit ◽  
One Year

Infantile Digital Fibromatosis (IDF) is a rare benign lesion that can affect the fingers, often appearing at birth or early on in life. Treatment is controversial due to a high recurrence rate following surgical excision, and the tendency of the lesions to regress or resolve completely after the age of one year. Functional loss has rarely been described. We describe a case of IDF with joint contracture and significant functional deficit that was treated with cryotherapy and post procedural occupational therapy with an excellent result. Indications for treatment and cryotherapy as a therapeutic modality for IDF are discussed.

scholarly journals Anterior mandibular ameloblastoma

2012 ◽  
Vol 2 (1) ◽  
pp. 30 ◽  
Author(s):  
Ajay H. Bhandarwar ◽  
Girish D. Bakhshi ◽  
Ashok D. Borisa ◽  
Amol Wagh ◽  
Rajat Kapoor ◽  
...  
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Local Excision ◽  
Wide Local Excision ◽  
Surgical Excision ◽  
High Recurrence Rate ◽  
Review Of Literature ◽  
Immediate Reconstruction ◽  
Large Size ◽  
Mandibular Region

Ameloblastoma is a benign odontogenic tumor. These are usually asymptomatic until a large size is attained. Ameloblastoma has tendency to spread locally and has a high recurrence rate. Majority of ameloblastomas (80%) arise from the mandible. Ameloblastoma arising from anterior mandibular region (symphysis- menti) is rare. Very few cases of midline anterior ameloblastomas are reported in the literature. They often require wide local excision. Reconstruction of mandible in these cases is challenging. We present a case of mandibular ameloblastoma arising from symphysis- menti. Patient underwent wide surgical excision of the tumor followed by immediate reconstruction using free fibular vascular flap, stabilized with titanium reconstructive plates. A brief case report ands review of literature is presented.

scholarly journals Conservative Management of Unicystic Ameloblastoma: A Case Report

2021 ◽  
Vol 4 (1) ◽  
pp. 74-76
Author(s):  
Saroj Singh ◽  
Bodh Bikram Karki ◽  
Saroj Shrestha
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Conservative Management ◽  
Benign Tumor ◽  
High Recurrence Rate ◽  
Unicystic Ameloblastoma ◽  
Surgical Methods ◽  
Odontogenic Origin ◽  
Rare Benign Tumor ◽  
Surgical Treatments

Ameloblastoma is a rare benign tumor of odontogenic origin with local invasive characteristics and a high recurrence rate. Depending upon the location, size and the subtype of Ameloblastoma, surgical treatments, such as marginal or segmental resection, have traditionally been implemented, but some conservative surgical methods are also being introduced, including decompression, enucleation, or curettage. We are presenting a case of 35 years male with Ameloblastoma of his right body of the mandible. Presentation of the case, Surgical workup, and management are discussed.

scholarly journals 14-Year evolution odontogenic keratocyst: Case report

2021 ◽  
Vol 62 (1) ◽  
Author(s):  
Cintia Milani ◽  
◽  
Camyla Mauricio ◽  
Luciano Francio ◽  
Natanael Mattos ◽  
...  
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Bone Destruction ◽  
Good Alternative ◽  
Odontogenic Keratocyst ◽  
High Recurrence Rate ◽  
Standard Protocol ◽  
Recurrence Rates ◽  
Panoramic Radiographs ◽  
Carnoy’S Solution

Odontogenic keratocyst is a developmental odontogenic cyst that is usually diagnosed in routine radiographs in the early stages. This fact increases the dentist’s responsibility for its diagnosis, and the professional should pay attention to all maxillomandibular complex and not only to the teeth. There is no standard protocol for the treatment of odontogenic keratocyst. However, surgical resection is recommended because of its high recurrence rate, especially in those cases with extensive bone destruction. The enucleation followed by Carnoy’s solution application has been shown to be a good alternative to resection and pointed out as the conservative method associated with the lowest recurrence rates in the treatment of odontogenic keratocyst. This study aimed to report a case of an extensive odontogenic keratocyst with more than 14 years of evolution that had not been diagnosed in three previous different panoramic radiographs and was treated with enucleation and application of Carnoy’s solution.

scholarly journals White papilloma involving both vocal cords: A Case Report

2020 ◽  
Vol 26 (1) ◽  
pp. 73-76
Author(s):  
Abirvab Naha ◽  
Utpal Dutta ◽  
Pran Gopal Datta ◽  
Ashim Kumar Biswas ◽  
MA Chowdhury
Keyword(s):  
Case Report ◽  
Respiratory Tract ◽  
Human Papilloma Virus ◽  
Male Patient ◽  
Direct Laryngoscopy ◽  
Histopathological Examination ◽  
Anterior Commissure ◽  
Indirect Laryngoscopy ◽  
Vocal Cords ◽  
Papilloma Virus

White papilloma are rare lesions that may occur at any site of mucosa- lined respiratory tract especially in vocal cords. Morphologically it appears villas looking, clinically & microscopically benign in most cases. We report a 70 years old male patient with white papilloma near anterior commissure involving both vocal cords found during indirect laryngoscopy. The lesion was completely resected with a unipolar coagulation device under direct laryngoscopy. Histopathological examination showed papilloma of vocal cords associated with Human papilloma virus(HPV) wart. To our knowledge this is the second reported case concomitant white papilloma with concomitant HPV in the vocal cords. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 73-76

Ultrasound-guided caudal epidural steroid injection for successful treatment of radiculopathy during pregnancy

2020 ◽  
Vol 10 (2) ◽  
pp. 67-71
Author(s):  
Timothy M Connolly ◽  
Danielle Nadav ◽  
Semih Gungor
Keyword(s):  
Case Report ◽  
Ultrasound Guidance ◽  
Steroid Injection ◽  
Subsequent Pregnancy ◽  
Epidural Steroid Injection ◽  
Leg Pain ◽  
Ultrasound Guided ◽  
Presenting Symptoms ◽  
Epidural Steroid ◽  
Caudal Epidural

Aim: The aim of this case report is to describe ultrasound guidance for caudal epidural steroid injection during pregnancy. Case report: A 29-year-old, 32-week parturient presented with severe back and leg pain with MRI demonstrating herniation of the L5-S1 level. The disabling pain was refractory to conservative therapy, and an ultrasound-guided caudal epidural steroid injection was performed. There was significant pain relief in the first week with an uneventful subsequent pregnancy. Following delivery, the patient had no further recurrence of her presenting symptoms. Conclusion: Severe radiculopathy may be encountered during pregnancy, complicated by a limited number of treatment options. Ultrasound guidance should be considered during performance of caudal epidural injections in feasible cases.

Role of talectomy in the treatment of rigid talipes equinovarus deformities

1995 ◽  
Vol 85 (4) ◽  
pp. 189-197 ◽  
Author(s):  
GR Johnson ◽  
P Han ◽  
JA Giacopelli
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Recurrence Rate ◽  
Satisfactory Result ◽  
Operative Technique ◽  
High Recurrence Rate ◽  
Salvage Procedure ◽  
Surgical Interventions ◽  
Talipes Equinovarus

The authors provide a review of the principles of talectomy as a surgical treatment option for severe, rigid, and resistant clubfoot deformities. Such deformities are associated with a high recurrence rate and frequently involve a large number of surgical interventions to attain a satisfactory result. Talectomy has been successfully used as both a primary and salvage procedure to treat such deformities, often eliminating the need for subsequent surgeries. A discussion of the operative technique, indications, advantages, and common complications associated with the procedure is presented. In addition, a case report of talectomy used to treat a severe, bilateral clubfoot deformity in a 4-year-old boy is included.

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