scholarly journals Retrospective Case Series Regarding the Advantages of Cortico-Puncture (CP) Therapy in Association with Micro-Implant Assisted Rapid Palatal Expander (MARPE)

2021 ◽  
Vol 11 (3) ◽  
pp. 1306
Author(s):  
Eugen-Silviu Bud ◽  
Mariana Păcurar ◽  
Alexandru Vlasa ◽  
Ana Petra Lazăr ◽  
Luminița Lazăr ◽  
...  
Keyword(s):  
Sagittal Plane ◽  
Case Series ◽  
Imaging Study ◽  
Positive Outcome ◽  
Retrospective Case ◽  
Midpalatal Suture ◽  
Palatal Expansion ◽  
Post Surgery ◽  
Anterior Nasal Spine ◽  
Suture Opening

Transverse maxillary deficiency currently affects 8–23% of adults. One of the most widely used orthodontic treatments today in patients with transverse maxillary defects is the maxillary skeletal expander (MSE). This was a retrospective observational imaging study regarding structural bone changes that may occur during healing after the placement of micro-implant assisted rapid palatal expanders (MARPE) in combination with cortico-puncture (CP) therapy. Regarding the magnitude of the mid-palatal suture opening, the mean split at the anterior nasal spine (ANS) and the posterior nasal spine (PNS) was 3.76 and 3.12 mm, respectively. The amount of split at the PNS was smaller than at the ANS, approximately 85% of the distance, showing that the opening of the midpalatal suture was almost parallel in the sagittal plane. On average, one-half of the anterior nasal spine (ANS) moved more than the contralateral by 0.89 mm. In the present study, we show that MARPE associated with CP therapy had a positive outcome on the midpalatal suture opening. This occurred in safe conditions, without post-surgery bleeding, and showing healing at the corticotomy level, with no signs of swelling or sepsis, which are side effects usually associated with more complex surgical treatments. Our results suggest that non-surgical palatal expansion, assisted by MARPE and CP, is achievable and predictable in young adults.

Evaluation of the midpalatal suture during rapid palatal expansion in children: a CT study

2005 ◽  
Vol 29 (3) ◽  
pp. 231-238 ◽  
Author(s):  
Omar Gabriel da Silva Filho ◽  
Tulio Silva Lara ◽  
Araci Malagodi de Almeida ◽  
Helena Cristina da Silva
Keyword(s):  
Computerized Tomography ◽  
Mixed Dentition ◽  
Midpalatal Suture ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Anterior Nasal Spine ◽  
The Impact

The midpalatal suture of 18 children submitted to rapid palatal expansion with the Haas fixed expander and ranging in age from 5 years 2 months to 10 years 5 months was evaluated with computerized tomography. The posterior nasal spine undergoes the impact of RPE in patients in the primary and mixed dentition stages, similarly to the anterior nasal spine though to a lesser extent. The average opening of the midpalatal suture was 2.21 mm in the anterior nasal spine region and 0.95 mm in the posterior nasal spine region.

Radiographic Assessment of Relative First Metatarsal Length Following Modified Lapidus Procedure

2020 ◽  
Vol 41 (8) ◽  
pp. 972-977 ◽  
Author(s):  
Wessel Greeff ◽  
Andrew Strydom ◽  
Nikiforos Pandelis Saragas ◽  
Paulo Norberto Faria Ferrao
Keyword(s):  
Hallux Valgus ◽  
Sagittal Plane ◽  
Case Series ◽  
Relative Length ◽  
Long Term Results ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
First Metatarsal ◽  
Patient Reported ◽  
The Mean

Background: The modified Lapidus is a surgical procedure for managing moderate to severe hallux valgus, especially in the presence of first tarsometatarsal joint arthritis or hypermobility. It has good long-term results but reportedly can lead to transfer metatarsalgia due to inherent shortening of the first metatarsal. Methods: A retrospective analysis of all adult patients who underwent a modified Lapidus procedure during a 3-year period was performed. Clinical notes were evaluated to look for nonunion or any other complications related to the surgery. Pre- and postoperative standard weightbearing radiographs were used to establish the relative metatarsal length (RML), intermetatarsal angle (IMA), hallux valgus angle (HVA), and distal metatarsal articular angle (DMMA). A total of 69 modified Lapidus procedures were identified, with 32 included in the study. Results: The mean pre- and postoperative RMLs were −0.8 and −4.9 mm, respectively. The average RML shortening due to the procedure was −4.1 ( P < .0001). The mean pre- and postoperative IMAs were 15 and 5 degrees, respectively ( P < .0001). The mean pre- and postoperative HVAs were 33 and 9 degrees, respectively ( P < .0001). One patient reported transfer metatarsalgia, which was attributed to elevation of the first metatarsal. Conclusion: We found a statistically significant degree of shortening of the relative length of the first metatarsal without any clinically significant metatarsalgia. The low rate of transfer metatarsalgia following the modified Lapidus procedure could be attributed to the sagittal plane correction and stability obtained by performing a first tarsometatarsal fusion. Level of Evidence: Level IV, retrospective case series.

scholarly journals Prevalence of hypothyroidism among patients with isthmus-preserved thyroid lobectomy

2018 ◽  
Vol 46 (9) ◽  
pp. 3819-3823 ◽  
Author(s):  
Abdulwahid M. Salih
Keyword(s):  
Histopathological Examination ◽  
Benign Lesion ◽  
Case Series ◽  
Follicular Carcinoma ◽  
Retrospective Case ◽  
Post Surgery ◽  
Thyroid Lobectomy ◽  
Case Series Study ◽  
Series Study

Objective To investigate the prevalence of hypothyroidism following thyroid lobectomy with isthmus preservation. Methods This retrospective, case series study included patients who had undergone thyroid lobectomy with preserved isthmus that was reversed onto the contralateral lobe. Neck ultrasound was performed in all patients and the patients were followed for 2 years. Results Out of 170 patients enrolled into the study, three were excluded due to preoperative hypothyroidism and one due to isthmusectomy; of the remaining 166 included in the final analyses, 139 patients (83.7%) were female, 27 (16.3%) were male, and patient age ranged between 17 and 77 years. The indication for intervention was thyroid swelling in 141 patients (84.9%). Final diagnoses following histopathological examination comprised benign lesion in 145 cases (87.3%), malignancy (follicular carcinoma and papillary thyroid carcinoma) in 12 cases (7.2%) and thyroiditis in nine cases (5.4%). During the 2-year post-surgery follow-up, 165 patients (99.4%) were euthyroid and one patient (0.6%) developed hypothyroidism. Conclusion Postoperative hypothyroidism following thyroid lobectomy appears to be very rare when the isthmus is preserved and reversed onto the contralateral lobe.

Post Expansion Evaluation of the Midpalatal Suture in Children Submitted to Rapid Palatal Expansion: a CT Study

2007 ◽  
Vol 31 (2) ◽  
pp. 142-148 ◽  
Author(s):  
Omar Gabriel da Silva Filho ◽  
Tulio Silva Lara ◽  
Helena Cristina da Silva ◽  
Francisco Antônio Bertoz
Keyword(s):  
Prospective Study ◽  
Ct Scans ◽  
Midpalatal Suture ◽  
Tomographic Images ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Anterior Nasal Spine

The aim of this prospective study was to evaluate the midpalatal suture in children submitted to rapid palatal expansion, at the end of the retention stage, with CT scans. The sample was comprised of 17 children aged between 5 years 2 months and 10 years 5 months. The tomographic images showed that the midpalatal suture was completely ossified from the anterior nasal spine area to the posterior nasal spine area at the end of the retention phase, that is, 8 to 9 months postexpansion.

scholarly journals Long-term surgical outcomes of primary retropupillary iris claw intraocular lens implantation for the treatment of intraocular lens dislocation

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Eun Young Choi ◽  
Chul Hee Lee ◽  
Hyun Goo Kang ◽  
Jae Yong Han ◽  
Suk Ho Byeon ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Pars Plana Vitrectomy ◽  
Case Series ◽  
Retrospective Case ◽  
Iol Implantation ◽  
Intraocular Lens Dislocation ◽  
Post Surgery ◽  
Pars Plana ◽  
Iol Dislocation ◽  
Iris Claw

AbstractWe aimed to investigate the efficacy and safety of primary retropupillary iris claw intraocular lens (R-IOL) implantation in patients with complete intraocular lens (IOL) dislocation. In this single-center retrospective case series, we reviewed the medical records of patients who underwent R-IOL implantation surgery with pars plana vitrectomy for the treatment of IOL dislocation between September 2014 and July 2019. The primary outcome was change in visual acuity (VA) up to 24 months postoperatively. The secondary outcomes included changes in intraocular pressure (IOP), refractive errors, and endothelial cell count (ECC) over the same period. Data of 103 eyes (98 patients) were analyzed. The mean uncorrected VA was significantly improved at one month postoperatively (− 0.69 logMAR, P < 0.001), compared to the preoperative value. IOP (− 2.3 mmHg, P = 0.008) and ECC (− 333.4 cells/mm2, P = 0.027) significantly decreased one month post-surgery and remained stable thereafter. Postoperative mean spherical equivalents were similar to the prediction error throughout the follow-up period. IOP elevation (n = 8, 7.8%), cystoid macular edema (n = 4, 3.9%), and dislocation of the R-IOL (n = 10, 9.7%) were managed successfully. Overall, primary R-IOL implantation with pars plana vitrectomy is effective and safe for correcting IOL dislocation due to various causes.

scholarly journals Return to Sport after Surgical Treatment of Lisfranc Injuries in Athletes: A Retrospective Case Series

2019 ◽  
Vol 12 (4) ◽  
pp. 141-145 ◽  
Author(s):  
Bryan G. Vopat ◽  
Matthew L. Vopat ◽  
Pim A.D. Van Dijk ◽  
Sean Hazzard ◽  
Kayla McKinnon ◽  
...  
Keyword(s):  
Open Reduction ◽  
Case Series ◽  
Return To Sport ◽  
Retrospective Case ◽  
Superficial Infection ◽  
Lisfranc Injury ◽  
Vein Thrombosis ◽  
Post Surgery ◽  
Average Pain

Introduction A Lisfranc injury can be a devastating injury in athletes,and if inadequately treated, may lead to chronic pain and lossof function. The purpose of this study was to determine the rate andtime until return to sport after surgical fixation for a ligamentous Lisfrancinjury. We hypothesized that open reduction and screw fixationof a ligamentous Lisfranc injury can be a successful treatment in theathletic population and allow patients to return to sport at close totheir preinjury level of play. Methods All patients who were analyzed underwent repair of aligamentous Lisfranc injury with open reduction and screw fixationby a single surgeon, were between 18 - 40 years old at time of theirfinal follow up, and were identified as being an athlete (either recreationalor competitive). Eligible patients were given a questionnairethat included if they were able to return to sport, time until return tosport, subjective percentage of pre-injury level of play, current pain(0 - 10), and complications. Results Eleven patients were identified as athletes. Ten (91%) wereavailable for follow-up with a mean of 36.5 months (range, 14 - 60).The average age was 25.4 years (range, 15 - 37) at time of surgery.Eighty percent (8/10) were able to return to sport. The average timeuntil return to sport was 29.4 weeks (range, 22 - 52) with an averagesubjective value of their pre-injury level of play of 87% (range, 70 -100%). However, 67% (6/9) of the athletes had occasional pain withsport with an average pain level of 2.1 (range, 0 - 5). Two patientshad complications, a superficial infection and a deep vein thrombosis. Conclusion Most athletes were able to return to sport after undergoingopen reduction and internal fixation of a ligamentous Lisfrancinjury by less than 30 weeks post-surgery with a subjective value of87% of their previous function. However, the majority of the patientsalso experienced some residual pain with their respective sport.These findings suggested that athletes with a ligamentous Lisfrancinjury can have reliably good outcomes with operative repair.

scholarly journals Detection of total hip arthroplasty at airport securities

2020 ◽  
Vol 7 (1) ◽  
pp. 48
Author(s):  
Ashok Raju Gottemukkala ◽  
Praful Kilaru ◽  
Pushpak Reddy Chada ◽  
Rahul Suna ◽  
Maryada Venkatwar Reddy ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Case Series ◽  
High Volume ◽  
Airport Security ◽  
Inclusion Criteria ◽  
Retrospective Case ◽  
Security Screening ◽  
Total Hip ◽  
Post Surgery

<p class="abstract"><strong>Background:</strong> In era of increased air travel, airport security screening measures has been increased. A lot of anxiety to the patient, that may trigger an alarm at airport securities post-surgery. The purpose of this study is to find out experiences of patients after total hip arthroplasty (THA) passing through airport security.  </p><p class="abstract"><strong>Methods:</strong> A retrospective case series of 269 THA patients in a single high-volume center from January 2016 to June 2018, who had passed through airport security and met inclusion criteria. Patient were contacted during their regular follow ups or via phone. The patients were asked for alarm trigger, perceived inconvenience, whether security officials asked to show documentation regarding prosthesis, and any extra screening procedures check measures.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 269 patients, 52 patients met inclusion criteria travelling by airplane. 27 patients reported alarm trigger. 7 patients had to undergo additional security check measures. 43% of the patients believed that having their THA increased the inconvenience while traveling.  </p><p class="abstract"><strong>Conclusions:</strong> This study provides information to surgeons regarding airport travel post THA. Patients can be counselled regarding the inconvenience and to be prepared for delays in airport and to be prepared to present documentation of their prosthesis.</p>

scholarly journals Skeletal, Dentoalveolar, and Periodontal Changes of Skeletally Matured Patients with Maxillary Deficiency Treated with Microimplant-assisted Rapid Palatal Expansion Appliances: A Pilot Study

2018 ◽  
Vol 8 ◽  
pp. 71-85 ◽  
Author(s):  
Peter Ngan ◽  
Uyen Kelly Nguyen ◽  
Tung Nguyen ◽  
Timothy Tremont ◽  
Chris Martin
Keyword(s):  
Alveolar Bone ◽  
Adult Patients ◽  
Matched Pair ◽  
Limited Information ◽  
Maxillary Expansion ◽  
Midpalatal Suture ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Before And After ◽  
Suture Opening

Introduction Microimplant-assisted rapid palatal expansion (MARPE) has recently been offered to adult patients for correcting maxillary transverse deficiency. However, there is limited information in the literature on the success of this appliance and its skeletal and dental effects on skeletally matured patients. The purpose of this study was to investigate the immediate skeletal, dentoalveolar, and periodontal response to MARPE appliance using cone-beam computed tomography in a skeletally matured patient as assessed by the cervical vertebral maturation method. Materials and Methods Eight consecutively treated patients (2 females, 6 males; mean age of 21.9 ± 1.5 years) treated with a maxillary skeletal expander were included in the study. Measurements were taken before and after expansion to determine the amount of midpalatal suture opening, upper facial bony expansion, alveolar bone bending, dental tipping, and buccal bone thickness (BBT). Data were analyzed using a one-way ANOVA and matched-pair t-test (α = 0.05). Results Midpalatal suture separation was found in 100% of the patients with no dislodged microimplants. Total maxillary expansion was attributed to 41% skeletal, 12% alveolar bone bending, and 48% dental tipping. Pattern of midpalatal suture opening was found to be parallel in both the coronal and axial planes. On average, the absolute dental tipping ranged from 4.17° to 4.96° and the BBT was reduced by an average of 39% measured at the premolars and molars. Conclusions The MARPE appliance can be a clinically acceptable, nonsurgical treatment option for correcting mild to moderate maxillary transverse discrepancies for skeletally matured adult patients with a healthy periodontium.

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