Maxillary sinusitis of tumoral origin

We present a retrospective study, which was performed on a batch of 177 patients diagnosed with maxillary sinusitis, selected from the total number of patients with OMF disorders during 2017-2018. The patients were examined and treated at the Department of Emergency Medicine of the Institute of Emergency Medicine, Chisinau. The article contains statistical data on maxillary sinusitis and the breakdown by age, sex, profession, etiology, addressability, place of life, hospitalization, causal tooth and treatment methods. Results: Out of the total number of 3227 patients with OMF, maxillary sinusitis (5.48%) was established for 177 patients. The majority of the patients 52.54% are from Chisinau. The most affected are the patients aged 31-40 years, constituting 26.56%, the majority being male persons 63.27%. Admission by itself to the medical institution prevailed for 74.01% of the cases by itself, and the medical insurance was presented for 77.97%. Hospitalization of patients ranged from 1-5 days for 55.35%. The frequency of teeth involved in the inflammatory processes of the sinus was 41.78% cases, of which 1st molar prevails with 23.16%, thus being an etiological factor. As a surgical treatment of maxillary sinusitis in the section of oro-maxillo-facial surgery, radical cure is used for 58.75% cases.

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Options for antiarrhythmic therapy after surgical treatment of the atrial fibrillation

Cardiosomatics ◽

10.26442/cs45186 ◽

2015 ◽

Vol 6 (4) ◽

pp. 30-34

Author(s):

V. V Bazylev ◽

E. V Nemchenko ◽

G. N Abramova ◽

V. A Karnakhin

Keyword(s):

Heart Failure ◽

Atrial Fibrillation ◽

Retrospective Study ◽

Surgical Treatment ◽

Sinus Rhythm ◽

Functional Class ◽

Number Of Patients ◽

Significant Difference ◽

Cardiovascular Center ◽

The Difference

Aim. To assess the afficiency of using different shcemes of the antiarrythmic therapy (AAT) after the surgical treatment of the atrial fibrillation (AF).Material and methods. This retrospective study included 279 patients: 141 (49%) females and 168 (51%) males, aged 59±7.9 years who had got Сox-Maze IV procedure at Federal cardiovascular center (Penza). 27 patient (9.7%) had the paroxysmal AF, 252 (90.3%) - the persistent one. The AF’s duration was 36 months (from 1 to 180). The size of the left atrium was average 52.4±8.4 mm (from 40 to 82 mm). The medium functional class (FC) of heart failure (HF) (NYHA) was 2.8±0.4: II FC-63 (22.6%), III FC - 213 (76.3%), IV FC - 3 (1.1%). There were 3 groups of patients:1 group had 57 patients who had got amiodaron over 6 months; 2 group - 126 patients who had got b-blocker (b-B) (bisoprolol) long monotherapy; 3 group - 96 patients who had got amiodaron during 3-6 months then had got bisoprolol long therapy. All patiens got Cox-Maze IV procedure.Results. Remote results assessed after 6 months-3 years period after the operation. In all groups the number of patients with I and II FC HF increased; there was significant difference at 2 group (p1-2=0.01; p2-3=0.01; p1- 3=0.73). And there were more patients with sinus rhythm at 2 group than at 3 group significantly. The freedom from AF at 1 group was 77%±0.89, at 2 group - 68%±0.98, at 3 group - 85%±0.95 with the significant difference between 2 and 3 groups (р1-2=0.61; p1-3=0.13; p2-3=0.01).Conclusions. AAT by amiodaron during 3-6 months and then by beta-blocker (bisoprolol) longly after Cox-Maze IV procedure allows to keep sinus rhythm to 85% patiens at the distant period of time and comparing with the b-blocker-monotherapy allows to keep sinus rhythm more effectively. The difference of efficiency by long amiodaron-monotherapy and amiodaron-therapy during 3-6 months is not got statistical significant after Cox-Maze IV procedure.

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Prevalence of Degenerative Diseases of the Spine in the Kyrgyz Republic

Bulletin of Science and Practice ◽

10.33619/2414-2948/48/13 ◽

2019 ◽

Vol 5 (11) ◽

pp. 97-103

Author(s):

M. Sabyraliev ◽

Zh. Sulaimanov ◽

A. Koichubekov

Keyword(s):

Retrospective Study ◽

Musculoskeletal System ◽

Work Experience ◽

Statistical Data ◽

Full Scale ◽

Kyrgyz Republic ◽

Degenerative Diseases ◽

Number Of Patients ◽

The Social ◽

Social Side

There is no doubt that with the years, and the acquisition of work experience, each person earns not only merit, and the benefits that result from it. However, gradually, and in most people, there are diseases of the musculoskeletal system, which undoubtedly, to some extent, affect the favorable existence. Nevertheless, it should be noted that a full-scale study of the prevalence of degenerative diseases in the Kyrgyz Republic and the degree of influence on the social side of the life of the population never carried out. The purpose of this study was to study the prevalence of degenerative-dystrophic diseases in the Kyrgyz Republic for 6 years (2010–2015) and their significance in the structure of disability. In the framework of a retrospective study of statistical data on diseases of the spine for 6 years, the turnover was 19186 cases, and in some areas, there was an increase in this indicator. So, in Osh from 1177 in 2010 to 1224 in 2015, an increase in the number of patients in 47 patients, representing 0.7%, of Jalal-Abad region with 402 patients in 2010 to 694 in 2015, an increase of 292 (9.6%). The average republican rate of more disability exit from the diseases of the musculoskeletal system was 1.7 in the study period, but the increase was always higher than the average republican rate in Batken (4.4), Issyk-Kul (3,4), Naryn (2,7), Talas (2,1), and Chui (2,1) areas.

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Surgical treatment of primary sacral tumors: complications associated with sacrectomy

Neurosurgical FOCUS ◽

10.3171/foc.2003.15.5.9 ◽

2003 ◽

Vol 15 (5) ◽

pp. 1-8 ◽

Cited By ~ 22

Author(s):

Mehmet Zileli ◽

Cüneyt Hoscoskun ◽

Priscilla Brastianos ◽

Dündar Sabah

Keyword(s):

Retrospective Study ◽

Surgical Treatment ◽

Patient Characteristics ◽

Histological Findings ◽

Presenting Symptoms ◽

Number Of Patients ◽

Sacral Tumors

Object Sacral tumors are relatively rare, and experience related to resection of these tumors is therefore usually limited to a small number of patients. The purpose of this retrospective study was to review the authors' experience with sacral neoplasms over the last 12 years. Methods Based on a review of records in 11 patients who underwent sacrectomy, and the various patient characteristics, presenting symptoms, histological findings for their tumors, as well as the type of surgical treatment used (including a whole spectrum of sacral amputations), and their outcome are reported. Conclusions Despite the potential for complications, sacrectomy can be performed successfully, and is an important procedure in the treatment of primary sacral tumors.

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Single-step surgical treatment of odontogenic maxillary sinusitis: A retrospective study of 98 cases

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/j.jcms.2019.04.012 ◽

2019 ◽

Vol 47 (8) ◽

pp. 1249-1254 ◽

Cited By ~ 4

Author(s):

Fabio Costa ◽

Enzo Emanuelli ◽

Leonardo Franz ◽

Alessandro Tel ◽

Massimo Robiony

Keyword(s):

Retrospective Study ◽

Surgical Treatment ◽

Maxillary Sinusitis ◽

Single Step

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Intra-articular calcaneal fractures. Retrospective study of surgical treatment vs conservative.

10.26226/morressier.570fc33ed462b8029237ee3b ◽

2016 ◽

Author(s):

Sandra Catalán Amigo

Keyword(s):

Retrospective Study ◽

Surgical Treatment ◽

Calcaneal Fractures

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Breech Presentation: Vaginal Delivery or Caesarean Section?

European Journal of Interdisciplinary Studies ◽

10.26417/ejis.v2i1.p153-157 ◽

2016 ◽

Vol 2 (1) ◽

pp. 153

Author(s):

Tomescu Cezar Laurentiu ◽

Rodica Sîrbu ◽

Emin Cadar ◽

Brezeanu Dragos ◽

Aneta Tomescu

Keyword(s):

Retrospective Study ◽

Caesarean Section ◽

Vaginal Delivery ◽

Total Population ◽

Population Sample ◽

Breech Presentation ◽

Current Paper ◽

Clinical Hospital ◽

Obstetrics And Gynaecology ◽

Number Of Patients

The incidence of breech presentation is approximately 3,97%. Breech presentation is considered as being “borderline eutocic” and it requires carefully monitoring both the foetus and the mother. The aim of the current paper is to evaluate the preffered method of delivery in case of breech presentation. The paper presents a retrospective study performed in the Obstetrics and Gynaecology Departments of the County Emergency Clinical Hospital “Sf. Apostol Andrei” in Constanta, during a period of 5 years (2010-2014). The methods of birth were analyzed for a lot of 1104 patients with breech presentation with ages ranging between 16 and 44 years old. The total number of patients who gave birth through vaginal delivery was of 139 patients, amounting to 12.59% of the total population sample. The number of patients that gave birth through C-section was 965, which amounts to 87.4% of the total population sample. Birth through C-section is preferred by both obstetricians and patients alike, due to the fact that vaginal delivery is associated with a higher foetal risk in breech presentation.

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The Dose of Somatostatin Analogues during Pre-Surgical Treatment Is a Key Factor to Achieve Surgical Remission in Acromegaly

Endocrines ◽

10.3390/endocrines2030023 ◽

2021 ◽

Vol 2 (3) ◽

pp. 241-250

Author(s):

Marta Araujo-Castro ◽

Eider Pascual-Corrales ◽

Héctor Pian ◽

Ignacio Ruz-Caracuel ◽

Alberto Acitores Cancela ◽

...

Keyword(s):

Retrospective Study ◽

Surgical Treatment ◽

Surgical Outcomes ◽

Pituitary Adenomas ◽

Somatostatin Analogues ◽

Beneficial Effects ◽

Key Factor ◽

Long Acting ◽

First Time ◽

Endocrine Complications

Purpose: to determine whether pre-surgical treatment using long-acting somatostatin analogues (SSAs) may improve surgical outcomes in acromegaly. Methods: retrospective study of 48 patients with acromegaly operated by endoscopic transsphenoidal approach and for first time. Surgical remission was evaluated based on the 2010 criteria. Results: most patients, 83.3% (n = 40), harbored macroadenomas and 31.3% (n = 15) invasive pituitary adenomas. In this case, 14 patients were treated with lanreotide LAR and 6 with octreotide LAR, median monthly doses of 97.5 [range 60–120] and 20 [range 20–30] mg, respectively, for at least 3 months preoperatively. Presurgical variables were comparable between pre-treated and untreated patients (p > 0.05). Surgical remission was more frequent in those pre-treated with monthly doses ≥90 mg of lanreotide or ≥30 mg of octreotide than in untreated or pre-treated with lower doses (OR = 4.64, p = 0.025). However, no differences were found between pre-treated and untreated patients when lower doses were included or between those treated for longer than 6 months compared to those untreated or pre-treated for shorter than 6 months. Similarly, no differences were found either in terms of surgical or endocrine complications (OR = 0.65, p = 0.570), independently of the doses and the duration of SSA treatment (p > 0.05). Conclusions: the dose of SSAs is a key factor during pre-surgical treatment, since the beneficial effects in surgical remission were observed with monthly doses equal or higher than 90 mg of lanreotide and 30 mg of octreotide, but not with lower doses.

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Outcomes of Surgical and Nonsurgical Treatment for Colorectal Cancer in Nonagenarian Patients

The American Surgeon ◽

10.1177/0003134821995060 ◽

2021 ◽

pp. 000313482199506

Author(s):

Youngbae Jeon ◽

Kyoung-Won Han ◽

Won-Suk Lee ◽

Jeong-Heum Baek

Keyword(s):

Colorectal Cancer ◽

Overall Survival ◽

Surgical Treatment ◽

Postoperative Complications ◽

Postoperative Mortality ◽

Nonsurgical Treatment ◽

Perioperative Outcomes ◽

Rank Test ◽

Kaplan Meier ◽

Number Of Patients

Purpose This study is aimed to evaluate the clinical outcomes of surgical treatment for nonagenarian patients with colorectal cancer. Methods This retrospective single-center study included patients diagnosed with colorectal cancer at the age of ≥90 years between 2004 and 2018. Patient demographics were compared between the operation and nonoperation groups (NOG). Perioperative outcomes, histopathological outcomes, and postoperative complications were evaluated. Overall survival was analyzed using Kaplan-Meier methods and log-rank test. Results A total of 31 patients were included (16 men and 15 women), and the median age was 91 (range: 90‐96) years. The number of patients who underwent surgery and who received nonoperative management was 20 and 11, respectively. No statistical differences in baseline demographics were observed between both groups. None of these patients were treated with perioperative chemotherapy or radiotherapy. Surgery comprised 18 (90.0%) colectomies and 2 (10.0%) transanal excisions. Short-term (≤30 days) and long-term (31‐90 days) postoperative complications occurred in 7 (35.0%) and 4 (20.0%) patients, respectively. No complications needed reoperation, such as anastomosis leakage or bleeding. No postoperative mortality occurred within 30 days: 90-day postoperative mortality occurred in two patients (10.0%), respectively. The median overall survival of the operation group was 31.6 (95% confidence interval: 26.7‐36.5) and that of NOG was 12.5 months (95% CI: 2.4‐22.6) ( P = 0.012). Conclusion Surgical treatment can be considered in carefully selected nonagenarian patients with colorectal cancer in terms of acceptable postoperative morbidity, with better overall survival than the nonsurgical treatment.

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Perfil Epidemiológico da Espondilodiscite Tratada Cirurgicamente

Acta Médica Portuguesa ◽

10.20344/amp.6549 ◽

2016 ◽

Vol 29 (5) ◽

pp. 319 ◽

Cited By ~ 2

Author(s):

Joaquim Soares do Brito ◽

António Tirado ◽

Pedro Fernandes

Keyword(s):

Staphylococcus Aureus ◽

Mycobacterium Tuberculosis ◽

Surgical Treatment ◽

Epidemiologic Study ◽

Neurological Impairment ◽

Tuberculous Infection ◽

Paravertebral Abscess ◽

Number Of Patients ◽

Epidemiological Profile ◽

Relative Constant

Introduction: The term spondylodiscitis aims to describe any spinal infection. Medical treatment is the gold standard; nevertheless, surgical treatment can be indicated. The aim of this work was to study the epidemiological profile in a group of patients with spondylodiscitis surgically treated in the same medical institution between 1997 and 2013. Material and Methods: Eighty five patients with spondylodiscitis were surgically treated in this period. The authors analysed clinical data and image studies for each patient. Results: We treated 51 male and 34 female patients with an average age of 48 years old (min: 6 - max: 80). The lumbar spine was more often affected and Mycobacterium tuberculosis the most frequent pathogen. The number of cases through the years has been grossly stable, with a slight increase of dyscitis due to Staphylococcus aureus and decrease of the dyscitis without pathogen identification. Paravertebral abscess was identified in 39 patients and 17 had also neurological impairment, mostly located in the thoracic spine and with tuberculous aetheology. Immunosuppression was documented in 10 patients. Discussion: In this epidemiologic study we found a tuberculous infection, male gender and young age predominance. Despite a relative constant number of patients operated over the years, pyogenic infections due to Staphylococcus aureus seems to be uprising. Paravertebral abscess and neurological impairment are important dyscitis complications, especially in tuberculous cases. Conclusion: Spinal infections requiring surgical treatment are still an important clinical condition. Mycobacterium tuberculosis and Staphylococcus aureus represent the main pathogens with a growing incidence for the latest.

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