The conservative care by early endodontic drainage of infected teeth in the line of a mandibular fracture: report of a case

The diabetic ischaemic foot has become an increasingly frequent problem over the last decade. However, we report a new approach consisting of a basic classification, a simple staging system of the natural history and a treatment plan for each stage, within a multi-disciplinary framework. This approach of "taking control" consists of two parts: 1. long-term conservative care including debridement of ulcers (to obtain wound control), eradication of sepsis (micribiological control), and provision of therapeutic footwear (mechanical control), and 2. revascularisation by angioplasty and arterial bypass (vascular control). This approach has led to a 50% reduction in the rate of major amputations in patients attending with ischaemic ulceration and absent foot pulses from 1989 to 1999 (from 4.6% to 2.3% per year). Patients who underwent angioplasty increased from 6% to 13%. Arterial bypass similarly increased from 3% to 7% of cases. However, even with an increased rate of revascularisation, 80% of patients responded to conservative care alone. This,we conclude, is an essential part of the management of all patients with ischaemic feet.

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Treatment Outcomes of Lesser Tuberosity Osteotomy Nonunion After Total Shoulder Arthroplasty

Journal of Shoulder and Elbow Arthroplasty ◽

10.1177/2471549218807777 ◽

2018 ◽

Vol 2 ◽

pp. 247154921880777

Author(s):

Zachary J Bloom ◽

Cesar D Lopez, BA ◽

Stephen P Maier ◽

Brian B Shiu ◽

Djuro Petkovic ◽

...

Keyword(s):

Treatment Outcomes ◽

Shoulder Arthroplasty ◽

Surgical Repair ◽

Total Shoulder Arthroplasty ◽

Case Series ◽

Radiographic Evaluation ◽

Lesser Tuberosity ◽

Conservative Care ◽

Conservative Group

Introduction Lesser tuberosity osteotomy (LTO) during anatomic total shoulder arthroplasty has a 13% nonunion rate. Treatment for LTO nonunion is controversial and poorly described in the literature. The purpose of this study was to compare the surgical and nonsurgical treatment outcomes of LTO nonunion. Methods A retrospective case series of 9 consecutive patients with LTO nonunion after primary anatomic shoulder arthroplasty at 1 institution from 2010 to 2016 were studied. Outcomes measured were radiographic evaluation of LTO on axillary X-ray, clinical range of motion (ROM), subscapularis strength, and pain at the time of LTO nonunion diagnosis and after either conservative care or surgical repair of the LTO nonunion. Results LTO nonunion was treated surgically in 4 and conservatively in 5 patients with average follow-up of 30 and 22 months, respectively. There were no significant differences in age, sex, or smoking status between groups. Treatment decision was a shared model of surgeon and patient. Displaced LTO nonunion was treated surgically in 2 and conservatively in 3 patients. There were no differences in LTO union rate of 50% in the surgical versus 60% in the conservative group. Abdominal compression test was abnormal in 50% of surgical versus 40% of conservative groups. At follow-up, ROM was lower in the surgical group with 128° forward elevation (FE) and 33° external rotation (ER) compared to 148° FE and 62° ER. Only 1 patient with LTO nonunion required conversion to reverse replacement. Conclusion LTO nonunion after shoulder arthroplasty is rare. Surgical repair of LTO nonunion does not significantly improve clinical or radiographic outcomes compared to conservative care.

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Hyoid fracture concomitant with comminuted mandibular fracture: A case report

Journal of Oral and Maxillofacial Surgery Medicine and Pathology ◽

10.1016/j.ajoms.2021.05.006 ◽

2021 ◽

Author(s):

Yu Ito ◽

Atsushi Abe ◽

Yoshiko Katayama ◽

Moriyasu Adachi

Keyword(s):

Case Report ◽

Mandibular Fracture

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A rare case of large left internal maxillary artery pseudoaneurysm secondary to mandibular fracture: A case report and review of the literature

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2021.106072 ◽

2021 ◽

Vol 84 ◽

pp. 106072

Author(s):

Vicente J. Cogollo ◽

Adel Elkbuli ◽

Mark McKenney ◽

Michael Renda

Keyword(s):

Case Report ◽

Rare Case ◽

Mandibular Fracture ◽

Maxillary Artery ◽

Internal Maxillary Artery ◽

Review Of The Literature ◽

Artery Pseudoaneurysm

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Contemporary, Conservative Care for Painful Spinal Disorders

Journal of Orthopaedic Trauma ◽

10.1097/00005131-199206000-00031 ◽

1992 ◽

Vol 6 (2) ◽

pp. 266

Author(s):

Glenn R. Rechtine

Keyword(s):

Conservative Care ◽

Spinal Disorders

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Health-related quality of life and symptoms of conservative care versus dialysis in patients with end-stage kidney disease: a systematic review

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfaa078 ◽

2020 ◽

Cited By ~ 1

Author(s):

Wouter R Verberne ◽

Iris D van den Wittenboer ◽

Carlijn G N Voorend ◽

Alferso C Abrahams ◽

Marjolijn van Buren ◽

...

Keyword(s):

Kidney Disease ◽

Older Patients ◽

Health Related Quality ◽

End Stage Kidney Disease ◽

Conservative Care ◽

Patient Reported ◽

Related Quality ◽

Health Related ◽

End Stage

Abstract Background Non-dialytic conservative care (CC) has been proposed as a viable alternative to maintenance dialysis for selected older patients to treat end-stage kidney disease (ESKD). This systematic review compares both treatment pathways on health-related quality of life (HRQoL) and symptoms, which are major outcomes for patients and clinicians when deciding on preferred treatment. Methods We searched PubMed, Embase, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus and PsycINFO from inception to 1 October 2019 for studies comparing patient-reported HRQoL outcomes or symptoms between patients who chose either CC or dialysis for ESKD. Results Eleven observational cohort studies were identified comprising 1718 patients overall. There were no randomized controlled trials. Studies were susceptible to selection bias and confounding. In most studies, patients who chose CC were older and had more comorbidities and worse functional status than patients who chose dialysis. Results were broadly consistent across studies, despite considerable clinical and methodological heterogeneity. Patient-reported physical health outcomes and symptoms appeared to be worse in patients who chose CC compared with patients who chose dialysis but had not yet started, but similar compared with patients on dialysis. Mental health outcomes were similar between patients who chose CC or dialysis, including before and after dialysis start. In patients who chose dialysis, the burden of kidney disease and impact on daily life increased after dialysis start. Conclusions The available data, while heterogeneous, suggest that in selected older patients, CC has the potential to achieve similar HRQoL and symptoms compared with a dialysis pathway. High-quality prospective studies are needed to confirm these provisional findings.

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Iatrogenic Mandibular Fracture Associated With Third Molar Removal After Mandibular Angle Osteotectomy

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000000566 ◽

2014 ◽

Vol 25 (3) ◽

pp. e263-e265 ◽

Cited By ~ 3

Author(s):

Jia-Jie Xu ◽

Li Teng ◽

Xiao-Lei Jin ◽

Jian-Jian Lu ◽

Chao Zhang

Keyword(s):

Third Molar ◽

Mandibular Fracture ◽

Mandibular Angle

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Contemporary Trends in Procedural Volume for Adult Facial Trauma, 1996-2006

Otolaryngology ◽

10.1177/0194599811427825 ◽

2011 ◽

Vol 146 (2) ◽

pp. 226-229 ◽

Cited By ~ 8

Author(s):

Linda N. Lee ◽

Neil Bhattacharyya

Keyword(s):

Medical Center ◽

Academic Medical Center ◽

Mandibular Fracture ◽

Facial Trauma ◽

Facial Fracture ◽

National Hospital Discharge Survey ◽

Historical Cohort ◽

Key Indicator ◽

Nasal Fracture ◽

Procedural Volume

Objectives. To determine how rates of operative facial fractures may have changed between 1996 and 2006 and to determine the potential impact of such change on otolaryngology residency surgical key indicator cases. Study Design. Historical cohort study. Setting. Academic medical center. Subjects and Methods. The National Hospital Discharge Survey (NHDS) and National Survey of Ambulatory Surgery (NSAS) 1996 and 2006 cases were reviewed, extracting all cases of adult nasal, malar/zygomatic, maxillary, and mandibular fracture reductions in inpatient and outpatient settings, respectively. Procedure rates for each facial fracture were tabulated and compared between 1996 and 2006. Results. Overall in 1996, there were an estimated 113,041 ± 3740 operative facial fracture repairs performed. Among the 3 key indicator fracture repairs most relevant to otolaryngologists, there were 15,810 ± 2143 open nasal fracture reductions, 9360 ± 1742 open zygomaticomaxillary (ZMC) fracture reductions, and 20,214 ± 2585 open mandibular fracture repairs. Overall in 2006, there were 120,463 ± 7554 total facial fracture procedures, with 11,613 ± 2846 open nasal fracture reductions, 10,216 ± 2881 open ZMC fracture reductions, and 17,965 ± 3171 open mandibular repairs. Comparing cohorts, there was no significant change in number of open nasal, ZMC, or mandibular fracture repairs ( P = .24, P = .58, P = .80, respectively). Conclusion. Facial fracture procedure rates have remained largely stable over the past 10 years. These data have implications for otolaryngology training programs and could help guide resident education in facial trauma.

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