EVALUATION OF SUGICAL RESULTS OF SEPTOPLASTY COMBINED WITH PARTIALLY REMOVAL OF MIDDLE CONCHA BULLOSA

2016 ◽  
pp. 25-32
Author(s):  
Trung Kien Pham ◽  
Thanh Thai Le

Objective: To survey some results of septoplasty and combined cut partially outside concha bullosa. Patients and Method: The study having population of 36 patients who underwent septoplasty and remove concha bullosa and designed as an prospective, descriptive and interventional study. Results: 16-30 age group is mainly (47.2%). The reason most of them are headache (52.8%), and stuffiness (33.3%). Functional symptoms most common were headache (83.3%), followed by stuffiness (77.8%). Majority is malformed septum (80.6%). 42 concha bullosa on 36 patients including 16 patients only is the left concha bullosa, only 14 patients is the right concha bullosa and 6 patients is the both sides concha bullosa. Concha bullosa size of 1 is mainly, the right is 70% and left is 59.1%. There is a relationship between the level stuffiness and type of malformed septum. Concha bullosa greater is the more headache. The average treatment time is 7 days. 30.6% had complications in surgery. 5.6% had complications after surgery. Almost of patients improved symptoms, 97.2% after 3 months had not headache and stuffiness. The proportion of patients with better treatment was 80.6% and it is increase 91.7% after 3 months. Conclusions: Headache and stuffiness are 2 most common symptom in patients who have concha bullossa and malformed septum, this is also the main reason make patients go to hospital. 2 symptoms improved after septum surgery combined cut outside concha bullosa. Key words: malformed septum, concha bullosa, headache, stuffiness

2016 ◽  
Vol 06 (04) ◽  
pp. 46-52
Author(s):  
Dipesh Thakur ◽  
Sumi Rose

Abstract Objectives: The purpose of this study is to find out the correlation between the right and left hamstring length in both genders to determine the prevalence of hamstring tightness among college students. Methods: N=100 subjects were recruited and screened on the basis of inclusion and exclusion criteria. 80 healthy college students were recruited between the age group of 18 to 25 years, sit and reach test was done among the students. Result: The results stated that there is no statistically significant difference between the right and the left hamstring length in both genders and showed high correlation between the hamstring length of right and left of both groups. Chi square test was done and found that there is statistically significant difference between both the hamstring length of both the genders. The left hamstring of male had severe tightness of 27.50% and the right hamstring of female subjects had severe tightness of 45%. Conclusion: The study results concludes that there is significant correlation between the right and the left hamstring length in both groups but there is no correlation of hamstring length when compared with right hamstring length between groups and left hamstring length between groups. Male subjects had comparatively greater tightness in left hamstring and female subjects had right Hamstring tightness. Linear prevalence of Hamstring tightness is greater in female subjects when compared to male subjects.


2008 ◽  
Vol 65 (3) ◽  
pp. 255-258 ◽  
Author(s):  
Aleksandar Peric ◽  
Jelena Sotirovic ◽  
Nenad Baletic ◽  
Ruzica Kozomara ◽  
Dusan Bijelic ◽  
...  

Background. Concha bullosa (CB) is pneumatization of the middle turbinate and one of the most common anatomic variation of the sinonasal region. It is found in about 25% of the population. Middle meatus obstructive syndrome (MMOS) is, usually connected with CB. The main symptoms of this syndrome are headaches, impaired nasal breathing and hyposmia. Headache is the most common symptom and it may occur due to contact between a CB and other structures of the nasal cavity. Case report. We presented a case of 32 year-old-woman with headaches, located in the orbital and the left frontal region. The headaches were intermittent and corresponding to the nasal cycle. After neurologic and alergic examination, endoscopic nasal examination demonstrated a septal deviation to the right side and a large middle turbinate in the left side of the nasal cavity. Coronal computerized tomography (CT) of the paranasal sinuses demonstrated the septal deformation and pneumatization of the left middle turbinate. Diagnosis was confirmed by lidocaine test. In the functional endoscopic surgery (FESS), the lateral lamela of the anterior CB was removed. At the same time, the septoplasty was done. At the control examination, the patient was without symptoms. Conclusion. Although CB is the common anatomic variation of the nasal cavity, MMOS is rare. Headache (rhinogenic origin) is the most important symptom. Surgical treatment is the lateral resection of the CB in the FESS technique and the septoplasty.


JKCD ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. 9-11
Author(s):  
Sadaf Ambreen

Objectives: To compare Demirjian Dental scoring method with Greulich-Pyle (GP) Skeletal method of age estimation in pubertal children. Materials and Methods: Sample of the study included 267 male healthy subjects of 11-16 years of age group.. Demirjian Scoring system was utilized to evaluate the orthopantomograms to assess their Dental age and the Hand-Wrist radiographs were analyzed to calculate the skeletal age by utilizing GP atlas. Chronological age was obtained from the date of birth of the subject .Both methods were compared with one another and with the chronological age. It was a cross-sectional study and only healthy male subjects without any clinical abnormalities were included in the study. Results: A total of 267 male subjects of 11-16 years of age group were assessed by Demirjian and Greulich Pyle Methods. Both were compared with Chronological Age. Data obtained was statistically analyzed and the Student “t” test was applied in the study population. The mean difference between Chronolgical age and dental age was 0.69years and that of chronological age and skeletal age was 0.87 years. It was observed from dental age assessment that it does not differ much from the skeletal age. Conclusion: It was concluded that Demirjian method of Age Estimation is more precise than Greulich Pyle method of Age Estimation. Furthermore both methods can be used selectively in Medicolegal cases to access bone age which can be easily correlated to chronological age.


2016 ◽  
pp. 57-64
Author(s):  
Thi Linh Giang Truong ◽  
Vu Quoc Huy Nguyen ◽  
Quang Vinh Truong ◽  
Van Duc Vo

Background: Study on the correlation between the values of the Uterine Doppler with the type of preeclamsia and using uterine Doppler and predict fetal distress. Methods: Study on 116 patients with pre-eclampsia at Obs. & Gyn. Department - Hue Central Hospital were taken by an prospective cohort study. Results: There was correlation between morphology of uterine Doppler waves with the type of preeclamsia and fetal distress. Among 46 patients with server preeclamsia, the rate of abnormal of waves uterine Doppler is 78,2 %, and the rate of abnormal of waves uterine Doppler is 22% and fetal. This research also evaluate the relation between uterine Doppler with the fetal distress. The group patients with fetal distress also have the rate of abnormal uterine Doppler is 86,6% and the rate of nomal uterine dopple is 13,4 %. Conclusion: There was the correlation between the values of the Uterine Doppler with the type of preeclamsia and predict fetal distress. The value of uterine Doppler ultrasound can be predict the ricks happening for mother and fetal distress with preeclampsia. Key words: Doppler ultrosound, uterine Doppler, fetal distress, preeclampsia, IUGR.


2015 ◽  
pp. 29-34
Author(s):  
Van Nam Phan ◽  
Ba Kien Tran

Purpose: To determine the clinical characteristics of the chronic dacryocystitis and the success rate of external dacryocystorhinostomy. Methods: The retrospective, interventional study without comparing on 27 patients (32 eyes) of chronic dacryocystitis who underwent dacryocystorhinostomy (DCR) from 2010 to 2011. Results were evaluated with standards: epiphora, purelence, lacrimal duct irrigation. Results: Over period of 6 months, 27 patients including 25 (92.59%) female, 2 (7.41%) male. The mean age was 49.8 years (range, 22-79 years). All patients demonstrated epiphera (range, 3 months – 11 years). Dacryocystorhinostomy was performed unilaterally in 81.48%, bilateral 18.52%. Successrate was 90.06% overall. Conclusions: Although techniques in dacryocystorhinostomy of DUPUY-DUTEMPS is old, its result is mainstay of treatment for chronic dacryocystitis in Vietnam. Key words: Dupuy-Dutemps, chronic dacryocystitis


2021 ◽  
pp. 152483802110302
Author(s):  
Caroline Bailey ◽  
Jessica Shaw ◽  
Abril Harris

Adolescents experience alarmingly high rates of sexual violence, higher than any other age-group. This is concerning as sexual violence can have detrimental effects on teens’ personal and relational well-being, causing long-term consequences for the survivor. Still, adolescents are hesitant to report the assault or seek out services and resources. When an adolescent survivor does seek out services, they may interact with a provider who is a mandatory reporter. This scoping review sought to synthesize the current U.S.-based research on the role, challenges, and impact of mandatory reporting (MR) in the context of adolescent sexual assault. Database searches using key words related to MR, sexual assault, and adolescence identified 29 peer-reviewed articles. However, none of these articles reported on empirical investigations of the phenomenon of interest and instead consisted of case studies, commentaries, and position papers. The scoping review was expanded to provide a lay of the land of what we know about the intersection of adolescent sexual assault and MR. Results of the review indicate that though implemented broadly, MR policies vary between individuals, organizations, and states and have historically been challenging to implement due to this variation, conflicts with other laws, tension between these policies and providers’ values, and other factors. Based on the available literature, the impact of MR in the context of adolescent sexual assault is unknown. There is a critical need for research and evaluation on the implementation and impact of MR policies, especially in the context of adolescents and sexual violence.


Cephalalgia ◽  
2008 ◽  
Vol 28 (7) ◽  
pp. 769-773 ◽  
Author(s):  
M Kueper ◽  
SL Goericke ◽  
O Kastrup

We report on a female patient who developed post-dural puncture headache (PDPH) after epidural analgesia for delivery. Treatment with epidural blood patch led to complete headache remission and the patient was discharged. Two days later the patient was readmitted with hemihypaesthesia and mild hemiparesis of the right side. Magnetic resonance imaging showed a small left parietal cortical haemorrhage probably following cerebral venous thrombosis (CVT). Coagulation screening detected heterozygous Factor V mutation. Headache is a common symptom of PDPH and CVT. Review of the literature revealed five patients in puerperal state, who developed CVT in close temporal relationship after blood patch treatment for PDPH. Change of headache character with loss of postural influence was reported frequently before diagnosis of CVT was confirmed. These findings may indicate a causal relationship.


2014 ◽  
Vol 13 (2) ◽  
pp. 135-139 ◽  
Author(s):  
Nazlima Nargis ◽  
Iqbal Karim ◽  
Khondaker Bulbul Sarwar

Background: Abnormal uterine bleeding (AUB) is the most common reason for gynecological visits for perimenopausal bleeding and may account for more than 25% of all hysterectomies. Objective: This study was aimed to review the causes of abnormal uterine bleeding in perimenopausal women establishing the correlation with ultrasonographic and histopathological examinations. Study Method: This descriptive study was conducted in the department of gynecology and obstetrics, Ibn Sina Medical College, Dhaka during January to December 2012. Two hundred and eleven women were selected for this study, who admitted into the hospital with abnormal uterine bleeding in perimenopausal age. The clinical, ultrasonographic and histopathological findings of these women were evaluated in this study. Results: Menorrhagia was the major symptom (52.6%) irrespective of age and parity. All these women underwent D&C followed by either medical management or hysterectomy depending upon the diagnosis. The histopathological findings of endometrium were analyzed and confirmed as fibroid uterus (58.28%) and DUB (17.58%) correlated well with transvaginal sonography (TVS) and histopathological examination. Hysterectomy conferred other uterine lesions as adenomyosis (18.71%), endometrial polyp (4.81%) and malignancy (1.06%). Conclusion: Abnormal uterine bleeding in perimenopausal age group is a common but ill-defined entity which needs proper evaluation. Accurate diagnosis of the causative factors of AUB in this age group is of utmost importance so that appropriate management can be established early that leads the minimization of the patients’ sufferings. DOI: http://dx.doi.org/10.3329/bjms.v13i2.18295 Bangladesh Journal of Medical Science Vol.13(2) 2014 p.135-139


Author(s):  
D.O. Shkvorchenko ◽  
◽  
I.M. Gorshkov ◽  
S.A. Kakunina ◽  
K.S. Norman ◽  
...  

Purpose. To evaluate the clinical and functional results of the technique of transcleral fixation of the artificial iridochrustalic diaphragm during its decentration in a patient with aniridia and aphakia. Material and methods. Under observation was a 32-year-old patient K. with a diagnosis on the right eye: iridochrustalic diaphragm decentralization, posttraumatic aniridia, posttraumatic aphakia, who underwent a method of transcleral fixation of a displaced artificial iridochrustalic diaphragm developed at the Academician S. N. Fedorov Eye Microsurgery of the Moscow Ministry of Health of the Russian Federation. Results. Patient K. is subjectively satisfied with the visual functions obtained in the right eye. Conclusion. Thus, this clinical case demonstrates a very successful implementation of the fixation of the iridochrustalic diaphragm with its displacement to obtain satisfactory visual functions in the patient. Key words: aniridia, iridochrustalic diaphragm, transcleral fixation.


2020 ◽  
pp. 56-61
Author(s):  
Anh Mai Ba Hoang ◽  
Phuong Nguyen Thi Thanh ◽  
My Nguyen Thi Tra ◽  
Nguyen Le Thi Cao ◽  
Nam Tran Ngoc Khanh

Background: Bacterial skin infections are common due to the bacteral invasion into the skin and cause a variety of clinical manifestation. In order to assess the characteristics of this group, we conducted this study to evaluate the clinical and main subclinical features. Methods: A total of 95 patients were diagnosed with bacterial skin infections at Dermatology Clinic of Hue University of Medicine and Pharmacy Hospital from June 2015 to May 2016, of which 34 patients had some tests and 19 patients had samples for culture. Results: The age group of 16 - 30 years old was the most popular: 50.5%; High rate of patients came for consultation in winter (49.5%), most patients had no fever. For functional symptoms, pain accounted for the highest proportion: 71.6%. The most common skin lesion was nodule: 38.8%, the lower extremities were the most common position: 38.9%. Furuncle had the highest incidence: 45.3%. For main laboratory tests, most patients had a normal number of leucocyte: 71.4%; ESR increased by two times accounting for a rate of 20.6%; culture results showed Staphylococcus aureus being a highest percentage: 57.9%. Conclusion: Most skin infections localized and were less systemic effect, the most common agent was S. aureus. Keywords: infection, bacteria, skin, fever, S. aureus


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