scholarly journals Oral Mucocele and its Surgical Approach as Treatment: Case Series

2021 ◽  
Vol 55 (8) ◽  
Author(s):  
Tania Saskianti ◽  
Angela Faustina Kartono ◽  
Ayudia Rifki ◽  
Yufita Fitriani ◽  
Pradita Agung Kurnia
Keyword(s):  
Surgical Treatment ◽  
General Population ◽  
Oral Cavity ◽  
Surgical Approach ◽  
Benign Lesion ◽  
Treatment Success ◽  
Case Series ◽  
Children And Parents ◽  
Local Trauma ◽  
High Treatment

A common benign lesion in children’s oral cavity is mucocele on the lower lips that originates from the accumulation of mucous due to local trauma and a lip-biting habit. Lip-biting is often motivated by a psychological condition of anxiety. Mucoceles are painless but can be bothersome for patients when eating and speaking. Mucoceles can affect the general population but are more common among the young. The etiology of oral mucoceles may vary, and surgical treatment is best chosen for its convenience, child-friendliness, and high treatment success rate. Awareness education for children and parents is necessary to eliminate a lip-biting habit. If the pattern persists due to anxiety, it is essential to inquire more about the etiology and consult a professional psychologist.

scholarly journals Surgical Approaches to First Branchial Cleft Anomaly Excision: A Case Series

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Lourdes Quintanilla-Dieck ◽  
Frank Virgin ◽  
Chistopher Wootten ◽  
Steven Goudy ◽  
Edward Penn
Keyword(s):  
Surgical Treatment ◽  
Facial Nerve ◽  
Surgical Approach ◽  
Case Series ◽  
High Rate ◽  
Preoperative Imaging ◽  
Surgical Approaches ◽  
Complete Surgical Excision ◽  
Clinical Presentations ◽  
Branchial Cleft

Objectives. First branchial cleft anomalies (BCAs) constitute a rare entity with variable clinical presentations and anatomic findings. Given the high rate of recurrence with incomplete excision, identification of the entire tract during surgical treatment is of paramount importance. The objectives of this paper were to present five anatomic variations of first BCAs and describe the presentation, evaluation, and surgical approach to each one.Methods. A retrospective case review and literature review were performed. We describe patient characteristics, presentation, evaluation, and surgical approach of five patients with first BCAs.Results. Age at definitive surgical treatment ranged from 8 months to 7 years. Various clinical presentations were encountered, some of which were atypical for first BCAs. All had preoperative imaging demonstrating the tract. Four surgical approaches required a superficial parotidectomy with identification of the facial nerve, one of which revealed an aberrant facial nerve. In one case the tract was found to travel into the angle of the mandible, terminating as a mandibular cyst. This requireden blocexcision that included the lateral cortex of the mandible.Conclusions. First BCAs have variable presentations. Complete surgical excision can be challenging. Therefore, careful preoperative planning and the recognition of atypical variants during surgery are essential.

scholarly journals Organ-sparing excision of pediatric testicular teratoma

2021 ◽  
Author(s):  
IV Poddubnyi ◽  
KN Tolstov ◽  
EV Fedorova ◽  
VO Trunov ◽  
MM Khanov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Surgical Approach ◽  
Clinical Case ◽  
Treatment Approach ◽  
Benign Lesion ◽  
Preoperative Assessment ◽  
Testicular Mass ◽  
Extent Of Surgery ◽  
Organ Sparing ◽  
First Time

Pediatric testicular masses are rare pathologies. Many physicians, facing such masses for the first time, have trouble choosing the algorithm of assessment and surgical treatment tactics. Extent of surgery and surgical approach depend directly on preoperative assessment results. The clinical case of the incident testicular mass surgical treatment in a 15-year-old boy is reported. The patient underwent laboratory and instrumental examination, the results of which confirmed a benign lesion. Based on the data obtained, the organ-sparing surgical approach was selected. An assessment algorithm, treatment tactics for testicular mass based on the data obtained, advisability and safety of the organ-sparing treatment approach are reported.

Granular Cell Myoblastoma of the Esophagus Incidence and Surgical Treatment

1973 ◽  
Vol 82 (6) ◽  
pp. 784-789 ◽  
Author(s):  
Kenneth H. Farrell ◽  
Kenneth D. Devine ◽  
Edgar G. Harrison ◽  
Arthur M. Olsen
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Benign Lesion ◽  
Granular Cell ◽  
Aerodigestive Tract ◽  
Surgical Removal ◽  
Endoscopic Dilatation ◽  
Upper Aerodigestive Tract ◽  
Granular Cell Myoblastoma ◽  
Pathologic Findings

Granular cell myoblastoma (Abrikossoff's tumor), although certainly a rare, almost always benign lesion, is being encountered with increasing frequency in areas of particular interest to the otolaryngologist or surgeon in the upper aerodigestive tract. Although such lesions have been found frequently in the oral cavity and larynx, only one case has been reported of such a lesion originating in the esophagus. The detailed clinical and pathologic findings of three additional patients with esophageal lesions are described. Conservative surgical removal of granular cell myoblastoma may be preferable to endoscopic dilatation.

Comparison of Medical Therapy Alone to Medical Therapy with Surgical Treatment of Peritonsillar Abscess

2017 ◽  
Vol 158 (2) ◽  
pp. 280-286 ◽  
Author(s):  
Alex Battaglia ◽  
Raoul Burchette ◽  
Jacob Hussman ◽  
Matthew A. Silver ◽  
Peter Martin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Medical Therapy ◽  
Treatment Success ◽  
Case Series ◽  
Peritonsillar Abscess ◽  
Complication Rates ◽  
Surgical Drainage ◽  
Opioid Use ◽  
Significant Difference ◽  
A Prospective Study

Objective This study was performed to determine whether the efficacy and safety of medical management of uncomplicated peritonsillar abscess (PTA) presenting in the emergency department is equivalent to medical plus surgical therapy. Study Design Case series with chart review. Setting Southern California Permanente Medical Group (SCPMG). Subjects and Methods Upon successful completion of a prospective study comparing medical treatment (MT) to surgical treatment (ST) of PTA in 2008, MT was adopted by 12 SCPMG centers while 7 centers continued standard surgical drainage. Clinical outcomes are now reviewed on a random sampling of 211 patients with PTA treated with MT and 96 patients treated with ST between 2008 and 2013 at the respective medical centers. Patients were treated with intravenous (IV) fluids, weight-appropriate IV ceftriaxone, clindamycin, and dexamethasone, and then discharged on clindamycin × 10 days (MT). Patients in the ST group received MT but also surgical drainage. Primary end points were complication rates and failure rates. Results MT and ST resulted in no significant difference in treatment success or complications. However, patients in the MT group obtained significantly less liquid opioid prescriptions (MT, 30.8 ± 5.65; ST, 77.75 ± 13.41; P < .0001), reported fewer sore days (MT, 4.48 ± 0.27; ST, 5.77 ± 0.49; P = .0004), and required less days off from work (MT, 3.4 ± 0.44; ST, 4.9 ± 0.82; P = .044). Conclusions Compared to ST, MT appears to be equally safe and efficacious, with less pain, opioid use, and days off work, especially if patients with PTA present without trismus. MT for PTAs reduces the possibility of surgical complications, as well as the cost and inconvenience associated with ST.

Transforaminal Endoscopic Surgical Treatment for Post-Laminectomy Lumbar Radiculopathy: Case Series

2021 ◽  
Author(s):  
Albert E. Telfeian ◽  
Adetokunbo Oyelese ◽  
Jared Fridley ◽  
Ziya L. Gokaslan
Keyword(s):  
Surgical Treatment ◽  
Case Series ◽  
Lumbar Radiculopathy

scholarly journals Total laparoscopic transabdominal-transdiaphragmatic approach for treating Siewert II tumors: a prospective analysis of a case series

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Wei Pang ◽  
Gang Liu ◽  
Yan Zhang ◽  
Yun Huang ◽  
Xinpu Yuan ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Mediastinal Lymph Node ◽  
Intraoperative Complications ◽  
Case Series ◽  
Type Ii ◽  
Clinical Trial Registry ◽  
Siewert Type ◽  
Siewert Type Ii ◽  
Estimated Blood Loss ◽  
Gastrointestinal Reconstruction

Abstract Background Although the morbidity of gastric cancer has decreased, the incidence of adenocarcinoma of the esophagogastric junction (AEG) is increasing. Furthermore, no consensus exists on which surgical approach should be applied for Siewert type II AEG. The purpose of our study was to evaluate the technical safety and feasibility of a new surgical approach. Methods Sixty patients with Siewert type II AEG underwent laparoscopic total gastrectomy with the total laparoscopic transabdominal-transdiaphragmatic (TLTT) approach, which needs an incision in the diaphragm. Results The median operative time, reconstruction time, and estimated blood loss were 214.8 ± 41.6 min, 29.40 ± 7.1 min, and 209.0 ± 110.3 ml, respectively. All of the patients had negative surgical margins. Conclusion There were no intraoperative complications or conversions to open surgery. Our surgical procedure provides a unique option for the safe application of laparoscopic lower mediastinal lymph node dissection and gastrointestinal reconstruction. Trial registration Chinese Clinical Trial Registry, ChiCTR1800014336. Registered on 31 December 2017 - Prospectively registered, http://www.chictr.org.cn/edit.aspx?pid=23111&htm=4.

scholarly journals Complementarity of Photo-Biomodulation, Surgical Treatment, and Antibiotherapy for Medication-Related Osteonecrosis of the Jaws (MRONJ)

Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 145
Author(s):  
Diana Florina Nica ◽  
Mircea Riviș ◽  
Ciprian Ioan Roi ◽  
Carmen Darinca Todea ◽  
Virgil-Florin Duma ◽  
...  
Keyword(s):  
At Risk ◽  
Surgical Treatment ◽  
Healing Rate ◽  
Treatment Success ◽  
Maxillofacial Surgery ◽  
Treatment Protocol ◽  
Clinical Results ◽  
Complete Healing ◽  
Osteonecrosis Of The Jaws ◽  
Stage 1

Background and Objectives: Antiresorptive or anti-angiogenic agents may induce medication-related osteonecrosis of the jaws (MRONJ), which represents a challenge for clinicians. The aim of this study is to design and apply a composed and stage-approach therapy combining antibiotherapy, surgical treatment, and photo-biomodulation (PBM) for the prevention or treatment of MRONJ lesions. Materials and Methods: The proposed treatment protocol was carried out in the Department of Oral & Maxillofacial Surgery of the “Victor Babes” University of Medicine and Farmacy of Timisoara, in 2018–2020. A total of 241 patients who were previously exposed to antiresorptive or anti-angiogenic therapy, as well as patients already diagnosed with MRONJ at different stages of the disease were treated. A preventive protocol was applied for patients in an “at risk” stage. Patients in more advanced stages received a complex treatment. Results: The healing proved to be complete, with spontaneous bone coverage in all the n = 84 cases placed in an “at risk” stage. For the n = 49 patients belonging to stage 0, pain reductions and decreases of mucosal inflammations were also obtained in all cases. For the n = 108 patients proposed for surgery (i.e., in stages 1, 2, or 3 of MRONJ), a total healing rate of 91.66% was obtained after the first surgery, while considering the downscaling to stage 1 as a treatment “success”, only one “failure” was reported. This brings the overall “success” rate to 96.68% for a complete healing, and to 99.59% when downscaling to stage 1 is included in the healing rate. Conclusions: Therefore, the clinical outcome of the present study indicates that patients with MRONJ in almost all stages of the disease can benefit from such a proposed association of methods, with superior clinical results compared to classical therapies.

Primary Surgical Treatment in Very Advanced (T4b) Oral Cavity Squamous Cell Carcinomas

2021 ◽  
pp. 019459982098435
Author(s):  
Evan J. Patel ◽  
Jamie R. Oliver ◽  
Alec Vaezi ◽  
Zujun Li ◽  
Michael Persky ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Propensity Score ◽  
Oral Cavity ◽  
Squamous Cell ◽  
Multivariable Analysis ◽  
Group Versus ◽  
Curative Treatment ◽  
National Cancer Database ◽  
Curative Intent ◽  
Historical Cohort

Objectives To describe patterns of primary surgical treatments in patients with T4b oral cavity squamous cell carcinoma (OCSCC). Study Design Historical cohort study. Setting National Cancer Database. Methods Review of the National Cancer Database between 2004 and 2017 for all T4b OCSCCs. Only patients with curative treatment methods were included in the survival analysis. Surgical and nonsurgical outcomes were compared by multivariable and propensity score matching analysis. Results A total of 1515 cases of T4b OCSCC were identified. A minority of patients (n = 363, 24.0%) underwent curative treatment; among these, 206 (56.7%) underwent primary surgery. Median length of follow-up was 24 months. The 90-day mortality of patients who underwent surgical treatment was 1.0%. The 2-year survival was higher for patients who underwent surgery + chemoradiotherapy (CRT) as compared with CRT (64.6% vs 45.2%, P < .001). On multivariable analysis, surgery + CRT was associated with longer survival. In a propensity score–matched cohort of 312 patients, 2-year survival remained higher in the surgical group versus the nonsurgical group (59.4% vs 45.5%, P = .02). Among patients who underwent surgery + CRT, there was no difference in 2-year survival between clinical T4a and T4b (59% vs 64.6%, P = .20). Conclusions A minority of patients with T4b OCSCC undergo treatments with curative intent. A subset of patients underwent primary surgical treatment, which was associated with longer survival. The T4b classification might entail a heterogenous group, and further studies in revision of this classification might be justified.

Sign in / Sign up

Export Citation Format

Share Document