Individualized Treatment Plan for Gingival Enlargement: A Case Series

Abstract BACKGROUND Laser interstitial thermal therapy (LITT) is being used for the treatment of recurrent glioblastoma multiforme (GBM). Lesions can be treated using 1 or multiple LITT fibers depending on the preference of surgeons. Usually, more fibers are needed for coverage of larger tumors. OBJECTIVE To investigate and analyze how tumor size affected the number of LITT fibers used. METHODS This is a retrospective review of patients undergoing treatment of recurrent GBM. Patients were treated with up to 4 LITT fibers for adequate tumor coverage. Patient demographics, tumor characteristics, length of stay, complications, and biopsy results were recorded. RESULTS A total of 43 cases were treated using LITT, and of these cases, 31 consisted of contiguous lesions. We used more fibers to treat larger tumor volumes. On average, for each 5 cc of tumor volume, a fiber was added for proper coverage (P = .554). Complications and length of stay were similar across the groups (P = .378, P = .941). CONCLUSION LITT can be used for the treatment of recurrent GBM. For each 5 cc of tumor volume, a LITT fiber can be added to the treatment plan.

Download Full-text

Primarily treated patients versus referred patients in the treatment of native septic arthritis of digits: a retrospective comparative study

BMC Musculoskeletal Disorders ◽

10.1186/s12891-020-03770-9 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Sang Ho Kwak ◽

Jung Yun Bae ◽

Youngkwang Oh ◽

Hyo Seok Jang ◽

Tae Young Ahn ◽

...

Keyword(s):

Antibiotic Therapy ◽

Septic Arthritis ◽

Hospital Stay ◽

Surgical Intervention ◽

Treatment Plan ◽

Case Series ◽

Flap Surgery ◽

Surgical History ◽

History Of ◽

Retrospective Comparative Study

Abstract Background Septic arthritis of digits needs urgent treatment. When treatments delayed or insufficient, patients may be referred to the upper-level hospital due to uncontrolled infection. We reviewed the treatment history of referred patients and compared the microorganisms and the clinical course of both primary and referred patients as relevant studies are rare. Methods In this retrospective review of consecutive case series, 45 patients (primary, n = 11; referred, n = 34) were treated with multiple irrigation and debridement. Cefazolin was used as empiric antibiotics, then changed according to microbiologic study. Previously used antibiotics, treatment delay, surgical history of the referred patients were reviewed. Identified microorganisms, required surgical intervention, hospital stay, radiologic outcome, functional outcomes were compared between both groups. Results In the referred patients, methicillin-resistant Staphylococcus aureus (MRSA) was commonly found and cefazolin was susceptible in only 15% of the cases. Longer hospital stay, prolonged antibiotic therapy, more surgical intervention including flap surgery was required to treat the referred patients. Postoperative pain was not severe in daily activities, but the final range of motion was significantly less in the referred patients compared to the primary patients. Conclusions This study suggests that in the treatment of uncontrolled septic arthritis of the digits, antibiotic agents covering MRSA may shorten the duration of antibiotic therapy in areas of high MRSA incidence. Besides, more number of I & D including flap surgery may be required for the referred patients compared with the primary patients. These findings can help the surgeon in setting up a treatment plan or in counseling of referred patients with uncontrolled septic arthritis of the digits.

Download Full-text

Surgical repair for post-tuberculosis tracheobronchial stenosis

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492320963972 ◽

2020 ◽

pp. 021849232096397

Author(s):

Vu Huu Vinh ◽

Nguyen Van Khoi ◽

Nguyen Viet Dang Quang ◽

Huynh Quang Khanh

Keyword(s):

Tracheal Stenosis ◽

Treatment Plan ◽

Argon Plasma Coagulation ◽

Case Series ◽

The Other ◽

Segmental Resection ◽

Stent Insertion ◽

Bronchial Stenosis ◽

Tracheobronchial Stenosis ◽

End To End

Aim Post-tuberculosis tracheobronchial stenosis is rare but one of the most dangerous complications of tracheobronchial tuberculosis. Balloon dilatation, stent insertion, laser photoresection, argon plasma coagulation, and cryotherapy are some of the initial treatments recommended for mild to moderate cases. Here, we report a case series of patients who underwent segmental resection and end-to-end anastomosis for bronchial stenosis and a sliding technique for severe and long-segment tracheal stenosis. Methods We retrospectively reviewed the medical records of patients with post-tuberculosis tracheobronchial stenosis operated on in our thoracic surgery department. Of the 7 cases that were treated, two had severe tracheal stenosis stretching over 50% of the tracheal length, one was operated on using resection and end-to-end anastomosis, and the other had sliding tracheoplasty. The other 5 cases of bronchial stem stenosis were treated with segmental resection and end-to-end anastomosis. Results All five patients with bronchial stenosis had a good outcome; the ipsilateral lung was well ventilated and respiratory function was good. One patient with tracheal stenosis, treated with segmental resection and end-to-end anastomosis, died after the surgery, and the other patient, treated with slide tracheoplasty, had a good recovery. Conclusion The treatment plan for patients with post-tuberculosis tracheobronchial stenosis should be on a patient-by-patient basis. Sliding tracheoplasty can be a treatment option in patients with long-segment tracheal stenosis.

Download Full-text

GINGIVAL ENLARGEMENT –A CASE SERIES

ANNALS AND ESSENCES OF DENTISTRY ◽

10.5368/aedj.2012.4.1.3.3 ◽

2012 ◽

Vol 4 (1) ◽

pp. 73-76 ◽

Cited By ~ 1

Author(s):

Buddiga Vinutna

Keyword(s):

Case Series ◽

Gingival Enlargement

Download Full-text

A Conscious Sedation Protocol for Videolaryngostroboscopy in Pediatric Patients

International Journal of Otolaryngology ◽

10.1155/2010/643123 ◽

2010 ◽

Vol 2010 ◽

pp. 1-4 ◽

Cited By ~ 5

Author(s):

Samantha Anne ◽

Lawrence M. Borland ◽

Laura Haibeck ◽

Joseph E. Dohar

Keyword(s):

Outcome Measures ◽

Pediatric Patients ◽

Conscious Sedation ◽

Treatment Plan ◽

Tertiary Care ◽

Case Series ◽

Diagnostic Information ◽

Secondary Outcome ◽

Sedation Protocol

Objective. To determine best sedation protocol for videolaryngostroboscopy in children unable to tolerate non-sedated evaluation.Materials and Methods.Consecutive case series of 10 children with voice disturbances, unable to tolerate nonsedated videolaryngostroboscopy at an academic tertiary care children’s hospital. Flexible fiberoptic videolaryngostroboscopy was performed and interpreted by pediatric otolaryngologist and speech and language pathologist. Sedation was administered with newly described protocol that allowed functional portion of evaluation.Main Outcome Measures: ability to follow commands and tolerate flexible fiberoptic videolaryngostroboscopy.Secondary Outcome Measures: total phonation time, complications, need for subsequent videolaryngostroboscopic attempts, clinical outcomes, and follow-up.Results. 10 children underwent procedure under conscious sedation. 9/10 children were able to perform simple tasks and maintain adequate phonation time to complete stroboscopic exam. 1/10 patients failed to complete exam because of crying during entire exam. Mean exam time was 2 minutes 52 seconds (SD 86 seconds), phonation time is 1 minute 44 seconds (SD 60 seconds), and number of tasks completed was 10.5 (SD 8.6).Conclusions. Conscious sedation for videolaryngostroboscopy can be safely and effectively performed in children unable to comply with nonsedated examination. Such studies provide valuable diagnostic information to make a diagnosis and to devise a treatment plan.

Download Full-text

Outcomes of an inappropriate orthodontic treatment plan - a case series study

Progress in Orthodontics ◽

10.1034/j.1600-9975.2000.d01-6.x ◽

2000 ◽

Vol 1 (1) ◽

pp. 37-42 ◽

Cited By ~ 1

Author(s):

Tracy R. Patterson ◽

Sorin R. Straja ◽

Orhan C. Tuncay

Keyword(s):

Orthodontic Treatment ◽

Treatment Plan ◽

Case Series ◽

Case Series Study ◽

Series Study

Download Full-text

Differential Diagnosis and Management of Incomplete Locked-In Syndrome after Traumatic Brain Injury

Case Reports in Neurological Medicine ◽

10.1155/2017/6167052 ◽

2017 ◽

Vol 2017 ◽

pp. 1-7 ◽

Cited By ~ 2

Author(s):

Lauren Surdyke ◽

Jennifer Fernandez ◽

Hannah Foster ◽

Pamela Spigel

Keyword(s):

Traumatic Brain Injury ◽

Differential Diagnosis ◽

Brain Injury ◽

Treatment Plan ◽

Inpatient Rehabilitation ◽

Individualized Treatment ◽

Rehabilitation Team ◽

Lower Cranial Nerve ◽

Nerve Paralysis ◽

Comprehensive Therapy

Locked-in syndrome (LIS) is a rare diagnosis in which patients present with quadriplegia, lower cranial nerve paralysis, and mutism. It is clinically difficult to differentiate from other similarly presenting diagnoses with no standard approach for assessing such poorly responsive patients. The purpose of this case is to highlight the clinical differential diagnosis process and outcomes of a patient with LIS during acute inpatient rehabilitation. A 32-year-old female was admitted following traumatic brain injury. She presented with quadriplegia and mutism but was awake and aroused based on eye gaze communication. The rehabilitation team was able to diagnose incomplete LIS based on knowledge of neuroanatomy and clinical reasoning. Establishing this diagnosis allowed for an individualized treatment plan that focused on communication, coping, family training, and discharge planning. The patient was ultimately able to discharge home with a single caregiver, improving her quality of life. Continued evidence highlights the benefits of intensive comprehensive therapy for those with acquired brain injury such as LIS, but access is still limited for those with a seemingly poor prognosis. Access to a multidisciplinary, specialized team provides opportunity for continued assessment and individualized treatment as the patient attains more medical stability, improving long-term management.

Download Full-text

Breast cancer during pregnancy: retrospective institutional case series

Radiology and Oncology ◽

10.2478/raon-2021-0022 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Erika Matos ◽

Tanja Ovcaricek

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

De Novo ◽

Treatment Plan ◽

Case Series ◽

Blue Dye ◽

Breast Cancer Patients ◽

Her2 Positive ◽

Tertiary Institution ◽

International Guidelines

Abstract Background Pregnancy associated breast cancer is a rare disease. It presents a unique entity of breast cancer with aggressive phenotype. The main aim was to evaluate how the international guidelines were followed in daily practice. Patients and methods Data concerning patients’ and tumours’ characteristics, management, delivery and maternal outcome were recorded from institutional electronic database. In this paper a case series of pregnant breast cancer patients treated at single tertiary institution between 2007 and 2019 are presented and the key recommendations on managing such patients are summarized. Results Fourteen patients met the search criteria. The majority of tumours were high grade, triple negative or HER2 positive, two patients were de novo metastatic. Treatment plan was made for each patient by multidisciplinary team. Eight patients were treated with systemic chemotherapy with no excess toxicity or severe maternal/fetal adverse effects. In all but two patients, delivery was on term and without major complications. Only one event, which was not in whole accordance with international guidelines, was identified. It was the use of blue dye in one patient. Conclusions Women with pregnancy associated breast cancer should be managed like non-pregnant breast cancer patients and should expect a similar outcome, without causing harm to the unborn child. To achieve a good outcome in pregnancy associated breast cancer, a multidisciplinary approach is mandatory.

Download Full-text

RESECTION AND REGENERATION- A HOPE FOR THE HOPELESS

10.36106/ijsr/3834076 ◽

2020 ◽

pp. 1-5

Author(s):

Apeksha Annigeri B. ◽

Rajiv Nidasale Puttaswamaiah ◽

Avinash Janaki Lingaraju

Keyword(s):

Alveolar Bone ◽

Treatment Plan ◽

Treatment Options ◽

Case Series ◽

Cost Effective ◽

Ridge Preservation ◽

Tooth Structure ◽

Implant Placement ◽

Long Term Prognosis

Preservation of tooth structure has always been the prime aim of dental practice. Teeth with advanced periodontal disease in multirooted teeth often pose a significant challenge to the clinician, complicating the treatment plan and compromising long term prognosis. The outcome of the treatment is determined by proper case selection and surgical, endodontic and prosthetic parameters. Resective and regenerative osseous procedures are often employed to help preserve the tooth structure, alveolar bone involving the retained root of multirooted teeth and are cost effective over the other treatment options like ridge preservation/augmentation followed by implant placement. This case series describes application of resective and regenerative techniques for molars with extensive combined periodontal-endodontic disease.

Download Full-text