scholarly journals Effectiveness of Dental and Maxillary Transverse Changes in Tooth-Borne, Bone-Borne, and Hybrid Palatal Expansion through Cone-Beam Tomography: A Systematic Review of the Literature

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 288
Author(s):  
Giovanni Coloccia ◽  
Alessio Danilo Inchingolo ◽  
Angelo Michele Inchingolo ◽  
Giuseppina Malcangi ◽  
Valentina Montenegro ◽  
...  
Keyword(s):  
Systematic Review ◽  
Database Search ◽  
Qualitative Assessment ◽  
Cone Beam ◽  
Review Of The Literature ◽  
Clinical Papers ◽  
Palatal Expansion ◽  
Cone Beam Tomography ◽  
Skeletal Expansion

Background and Objectives: Palatal expansion is a common orthodontic technique able to increase the transverse changes for subjects with constricted maxillary arches. The aim of the present investigation was to evaluate through a systematic review the tomography effectiveness of different palatal expander approaches. Materials and Methods: The database used to perform the screening and determine the eligibility of the clinical papers was PubMed (Medline). Results: The database search included a total of 284 results, while 271 articles were excluded. A total of 14 articles were included for the qualitative assessment. Conclusions: The effectiveness of the present studies reported that skeletal expansion was a useful approach to increase the transverse changes for subjects with constricted maxillary arches.

scholarly journals Digital Workflow for CBCT-Guided Customized Miniscrew-Assisted Rapid Palatal Expansion (3D Digital MARPE): A Clinical Innovation

2020 ◽  
Vol 54 (3) ◽  
pp. 262-266
Author(s):  
Digant Thakkar ◽  
Abhisek Ghosh ◽  
Tanisha Keshwani
Keyword(s):  
Adult Population ◽  
Cone Beam ◽  
Digital Workflow ◽  
3D Print ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
High Arched Palate ◽  
Clinical Innovation ◽  
The World ◽  
Skeletal Expansion

Miniscrew-assisted rapid palatal expansion (MARPE) has added a new dimension to the world of orthodontics with its use in skeletal expansion of transverse problems in adult population. However, there are few limitations noted with the use of prefabricated MARPE designs such as adaptation to the palate or minscrew fit in cases of high arched palate, which compromises with the anchorage and final outcome. The aim of this article is to use digital workflow to 3d print a MARPE with the aid of cone beam computed tomography, which would overcome the deficiencies of a prefabricated MARPE design and would provide greater rigidity and anchorage value, and predictable skeletal expansion.

Surgical and interventional radiological management of adult epistaxis: systematic review

2017 ◽  
Vol 131 (12) ◽  
pp. 1108-1130 ◽  
Author(s):  
C Swords ◽  
A Patel ◽  
M E Smith ◽  
R J Williams ◽  
I Kuhn ◽  
...  
Keyword(s):  
Systematic Review ◽  
Adverse Effect ◽  
Interventional Radiology ◽  
Search Strategy ◽  
Database Search ◽  
Economic Effects ◽  
Success Rates ◽  
Review Of The Literature ◽  
Artery Ligation ◽  
Sphenopalatine Artery

AbstractBackground:There is variation regarding the use of surgery and interventional radiological techniques in the management of epistaxis. This review evaluates the effectiveness of surgical artery ligation compared to direct treatments (nasal packing, cautery), and that of embolisation compared to direct treatments and surgery.Method:A systematic review of the literature was performed using a standardised published methodology and custom database search strategy.Results:Thirty-seven studies were identified relating to surgery, and 34 articles relating to interventional radiology. For patients with refractory epistaxis, endoscopic sphenopalatine artery ligation had the most favourable adverse effect profile and success rate compared to other forms of surgical artery ligation. Endoscopic sphenopalatine artery ligation and embolisation had similar success rates (73–100 per cent and 75–92 per cent, respectively), although embolisation was associated with more serious adverse effects (risk of stroke, 1.1–1.5 per cent). No articles directly compared the two techniques.Conclusion:Trials comparing endoscopic sphenopalatine artery ligation to embolisation are required to better evaluate the clinical and economic effects of intervention in epistaxis.

scholarly journals Spinal intramedullary schwannomas—report of a case and extensive review of the literature

2020 ◽  
Author(s):  
V. M. Swiatek ◽  
K.-P. Stein ◽  
H. B. Cukaz ◽  
A. Rashidi ◽  
M. Skalej ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Reports ◽  
Database Search ◽  
Second Step ◽  
Cochrane Central Register ◽  
Extensive Review ◽  
Review Of The Literature ◽  
Gender Ratio ◽  
Central Register

Abstract Intramedullary schwannomas (IMS) represent exceptional rare pathologies. They commonly present as solitary lesions; only five cases of multiple IMS have been described so far. Here, we report the sixth case of a woman with multiple IMS. Additionally, we performed the first complete systematic review of the literature for all cases reporting IMS. We performed a systematic review of the literature in PubMed, EMBASE and Cochrane Central Register of Controlled (CENTRAL) to retrieve all relevant studies and case reports on IMS. In a second step, we analysed all reported studies with respect to additional cases, which were not identified through the database search. Studies published in other languages than English were included. One hundred nineteen studies including 165 reported cases were included. In only five cases, the patients harboured more than one IMS. Gender ratio showed a ratio of nearly 3:2 (male:female); mean age of disease presentation was 40.2 years; 11 patients suffered from neurofibromatosis (NF) type 1 or 2 (6.6%). IMS are rare. Our first systematic review on this pathology revealed 166 cases, including the here reported case of multiple IMS. Our review offers a basis for further investigation on this disease.

scholarly journals Dentoskeletal effects of a temporary skeletal anchorage device–supported rapid maxillary expansion appliance (TSADRME): A pilot study

2015 ◽  
Vol 86 (2) ◽  
pp. 241-249 ◽  
Author(s):  
Jason William Vassar ◽  
Anastasios Karydis ◽  
Terry Trojan ◽  
Jack Fisher
Keyword(s):  
Rapid Maxillary Expansion ◽  
Great Variability ◽  
Cone Beam ◽  
Skeletal Anchorage ◽  
Maxillary Expansion ◽  
Linear Measurements ◽  
Palatal Expansion ◽  
Older Subjects ◽  
Temporary Skeletal Anchorage ◽  
Skeletal Expansion

ABSTRACT Objective:  To quantitatively evaluate maxillary skeletal expansion using cone-beam computed tomography (CBCT) images and propose a novel way to quantify the dental tipping effects of temporary skeletal anchorage device–supported rapid maxillary expansion appliance (TSADRME). Materials and Methods:  Images from 25 patients receiving rapid maxillary expansion with incorporated temporary skeletal anchorage devices (TSADs) before activation (T1) and after removal (T2) were analyzed to detect dentoskeletal changes. Results:  A significant increase from T1 to T2 was found for all linear measurements except buccal maxillary width at the canines. The greatest buccal expansion was at the first molar, decreasing anteriorly. However, the greatest palatal expansion was at the first premolar. All younger subjects (8–16 years old) exhibited less dental tipping and greater expansion overall compared with the older subjects. There was great variability in dental tipping of first molars (mean = 4.31°), with some subjects demonstrating mild uprighting of these teeth. Conclusions:  The TSADRME appliance is an effective, clinically useful device that results in mild molar tipping and may positively affect expansion in the area of TSAD placement.

scholarly journals A Systematic Review of the Literature on the Effects of Dexamethasone on the Brain From In Vivo Human-Based Studies: Implications for Physiological Brain Imaging of Patients With Intracranial Tumors

Neurosurgery ◽  
2010 ◽  
Vol 67 (6) ◽  
pp. 1799-1815 ◽  
Author(s):  
Christina Kotsarini ◽  
Paul D Griffiths ◽  
Iain D Wilkinson ◽  
Nigel Hoggard
Keyword(s):  
Systematic Review ◽  
Brain Tissue ◽  
Database Search ◽  
In Vivo Studies ◽  
Normal Brain ◽  
Review Of The Literature ◽  
Eligibility Criteria ◽  
Perfusion Studies ◽  
The Brain

Abstract BACKGROUND: Among glucocorticoids, dexamethasone is most widely used for treatment of cerebral edema because of its long biological half-life and its low mineralocorticoid activity (sodium retaining). OBJECTIVE: A systematic review of the literature on the effects of dexamethasone on the brain from in vivo studies in humans. METHODS: A MEDLINE database search (via the PubMed interface) and an EMBASE database search (via the Dialog interface) of the past 35 years was performed. Every article relating to human use reported in English was included. In addition, references of all eligible articles were searched to identify other possible sources. RESULTS: Twenty-four articles matched the eligibility criteria. There were disparate methodologies and conflicting results, although they tended to indicate a decrease in blood-tumor barrier permeability, decreased tumoral perfusion, decreased tumoral diffusivity, and the possibility of decreased perfusion in contralateral normal-appearing brain tissue. CONCLUSION: Treatment with dexamethasone may alter imaging parameters from cerebral perfusion studies used in the management of brain tumors. In adequately powered studies, it may be possible to assess the longer term effects of dexamethasone on normal brain tissue to help optimize use with longer term survivors that are emerging as improvements in glioma treatment are made.

Telepractice for Adult Speech-Language Pathology Services: A Systematic Review

2020 ◽  
Vol 5 (1) ◽  
pp. 326-338 ◽  
Author(s):  
Kristen Weidner ◽  
Joneen Lowman
Keyword(s):  
Systematic Review ◽  
Primary Progressive Aphasia ◽  
Future Research ◽  
Service Delivery Model ◽  
Speech Language Pathology ◽  
Review Of The Literature ◽  
Research Designs ◽  
Assessment And Treatment ◽  
Language Pathology ◽  
Screening Assessment

Purpose We conducted a systematic review of the literature regarding adult telepractice services (screening, assessment, and treatment) from approximately 2014 to 2019. Method Thirty-one relevant studies were identified from a literature search, assessed for quality, and reported. Results Included studies illustrated feasibility, efficacy, diagnostic accuracy, and noninferiority of various speech-language pathology services across adult populations, including chronic aphasia, Parkinson's disease, dysphagia, and primary progressive aphasia. Technical aspects of the equipment and software used to deliver services were discussed. Some general themes were noted as areas for future research. Conclusion Overall, results of the review continue to support the use of telepractice as an appropriate service delivery model in speech-language pathology for adults. Strong research designs, including experimental control, across multiple well-described settings are still needed to definitively determine effectiveness of telepractice services.

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