Vulvodynia Treated Successfully with Breathing Biofeedback and Integrated Stress Reduction: A Case Report

Millions of women experience substantial pain and suffering from vulvodynia, which is pain around the entrance to the vagina (vulva). A common treatment is surgical removal of the tissue (vestibulectomy). This case report describes the detailed process of a holistic biofeedback-based intervention that successfully resolved the vulvodynia in a 23-year-old woman. The four-session treatment interventions included teaching diaphragmatic breathing to transform shallow thoracic breathing into slower diaphragmatic breathing. Treatment transformed her feeling of powerlessness, a belief that there was nothing she could do, into empowerment and a hope that she could reduce her symptoms and optimize her health. She also practiced self-healing imagery and learned to change her posture from collapsed to erect/empowered. Each time she felt discomfort or was fearful, her lower abdomen tended to tighten. After treatment, she used this sensation as a reminder to breathe lower and slower and sit or stand erect. After 6 weeks, she once again could initiate and enjoy intercourse and has been symptom free during the 8 month follow-up.

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Intramedullary Teratoma: Case Report and Review of the Literature

Tumori Journal ◽

10.1177/030089169608200622 ◽

1996 ◽

Vol 82 (6) ◽

pp. 616-620 ◽

Cited By ~ 18

Author(s):

Riccardo Caruso ◽

Mariano Antonelli ◽

Luigi Cervoni ◽

Maurizio Salvati

Keyword(s):

Case Report ◽

Surgical Removal ◽

International Literature ◽

Review Of The Literature ◽

Personal Case

Aims and Background Intramedullary teratoma is an extremely exceptional tumor (5 cases), although a careful review of international literature has shown it to be more frequent (32 cases) than believed. Methods The authors present a personal case with some unusual aspects. Results Our case is unusual not only because it was diagnosed by MRI (only one case has been reported in the literature) but also because surgical removal of the tumor was apparently total (only 4 other cases have been described), with a long follow-up period (4.5 years) and excellent results, in clinical and neuroradiologic terms.

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Multiple, Multiloculated, and Recurrent Keratocysts of the Mandible and Maxilla in Association with Gorlin-Goltz (Nevoid Basal-Cell Carcinoma) Syndrome: A Pediatric Case Report and Follow-up over 5 Years

Case Reports in Dentistry ◽

10.1155/2018/7594840 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8

Author(s):

P. Santander ◽

E. M. C. Schwaibold ◽

F. Bremmer ◽

S. Batschkus ◽

P. Kauffmann

Keyword(s):

Case Report ◽

Basal Cell Carcinoma ◽

Cell Carcinoma ◽

Basal Cell ◽

Radiographic Finding ◽

Permanent Teeth ◽

High Recurrence Rate ◽

Surgical Removal ◽

Dental Maturation

Background. We report a case of multiple keratocysts first diagnosed in an 8-year-old boy. Case report. The incidental radiographic finding of a cystic lesion in an 8-year-old boy led to the surgical enucleation and further diagnosis of a keratocyst associated with a tooth crown. In the course of dental maturation from deciduous to permanent teeth, the boy presented new lesions, always associated with the crowns of teeth. Gorlin-Goltz (nevoid basal-cell carcinoma) syndrome was suspected, and the genetic analysis detected a previously undescribed germline variant in the PTCH1 gene. Treatment. This included a surgical removal of the cystic lesions, as well as the affected teeth. Follow-up. Due to the high recurrence rate of the keratocysts, frequent radiological checks were performed over a 5-year period.

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Surgical Management of Necrotizing Sialometaplasia of Hard Palate: A Case Report

International Journal of Current Science Research and Review ◽

10.47191/ijcsrr/v3-i12-03 ◽

2020 ◽

Vol 03 (12) ◽

Author(s):

Indu Palanivel ◽

Keyword(s):

Case Report ◽

Oral Cavity ◽

Surgical Management ◽

Conservative Management ◽

Hard Palate ◽

Complete Regression ◽

Self Healing ◽

Healing Period ◽

Necrotizing Sialometaplasia

Necrotizing Sialometaplasia is rare and in the oral cavity it accounts <1% of all biopsied lesion. For decades Necrotizing Sialometaplasia were treated by conservative management as it is a self healing lesion. The progressive healing period was reported from 2 weeks to 3 months in the literature. Is necrotizing sialometaplasia a self-limiting disease? Here we report a case of non-healing necrotizing sialometaplasia which was treated by surgical management. Complete regression of the lesion was evident after the surgical management and no recurrence until two years of follow-up.

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Ameloblastic fibro-odontoma: case report

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-863720170002000133222 ◽

2017 ◽

Vol 65 (3) ◽

pp. 265-269

Author(s):

Cintia Gollo PIVA ◽

Daniela Cristina MIYAGAKI ◽

Maria Salete LINDEN ◽

Ferdinando DE CONTO ◽

Isadora RINALDI ◽

...

Keyword(s):

Case Report ◽

Facial Asymmetry ◽

Odontogenic Tumor ◽

Surgical Removal ◽

Tumor Site ◽

Treatment Methods ◽

Anatomical Region ◽

Radiolucent Lesion

ABSTRACT The ameloblastic fibro-odontoma is a benign, mixed, asymptomatic and rare odontogenic tumor that can easily be confused radiographically and histologically with other diseases. Usually it affects a population between the first and second decades of life, is more frequent in the mandible and shows predilection for males. This lesion, characterized by dental agenesis at the tumor site, has no predilection for anatomical region; however, an increase of intraoral volume may cause mild facial asymmetry. It shows slow but expansive growth, and is a well-defined radiolucent lesion, usually unilocular, with radiopacity inside. Normally surgical removal is conservative and the prognosis is favorable. This article reports a case of ameloblastic fibro-odontoma treated by surgical removal and follow-up of two years. The aim of this work was to study the ameloblastic fibro-odontoma in its entirety, seeking to inform clinicians about the best diagnostic and treatment methods for this type lesion.

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Malignant ventricular tachycardia in acromegaly: a case report

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2012.6410005 ◽

2014 ◽

Vol 133 (1) ◽

pp. 55-59 ◽

Cited By ~ 2

Author(s):

Zhe An ◽

Yu-quan He ◽

Guo-hui Liu ◽

Li-li Ge ◽

Wen-qi Zhang

Keyword(s):

Ventricular Tachycardia ◽

Case Report ◽

Pituitary Adenoma ◽

Sudden Death ◽

Ventricular Tachyarrhythmia ◽

Cardiovascular Complications ◽

Surgical Removal ◽

Ventricular Tachyarrhythmias ◽

Life Threatening

CONTEXT: In patients with acromegaly, cardiovascular complications are the main cause of death; sudden death has been associated with ventricular tachyarrhythmias. In other patients with life-threatening malignant ventricular tachyarrhythmias, surgical placement of an implantable cardioverter-defibrillator (ICD) has proved highly effective in reducing sudden death rates. CASE REPORT: The present article reports the case of a 50-year-old male acromegalic patient who presented symptoms of syncope induced by ventricular tachycardia. An ICD was surgically implanted and a pituitary adenoma, which was responsible for the acromegaly, was completely removed in the same procedure. The surgery was successful and the ventricular arrhythmias were effectively terminated. During six months of follow-up, no documented arrhythmic episodes occurred. CONCLUSION: In patients with acromegaly, malignant ventricular tachyarrhythmia might be effectively controlled by implantation of an ICD and surgical removal of the pituitary adenoma.

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Management of Large Residual Cyst in Elderly Patient with Decompression Alone: Case Report

Balkan Journal of Dental Medicine ◽

10.2478/bjdm-2018-0030 ◽

2018 ◽

Vol 22 (3) ◽

pp. 171-174 ◽

Cited By ~ 1

Author(s):

Damla Torul ◽

Mehmet Cihan Bereket ◽

Enes Özkan

Keyword(s):

Elderly Patient ◽

Case Report ◽

Tooth Extraction ◽

Odontogenic Cysts ◽

Surgical Removal ◽

Radicular Cyst ◽

Regeneration Capacity ◽

Cyst Cavity ◽

The Ideal

SummaryBackground/Aim:Residual cysts comprise approximately 10% of all odontogenic cysts. They are more commonly seen in 4th-6th decades of life, and occur due to incomplete previous surgical removal of a radicular cyst; or due to left epithelial remnants stimulated by tooth extraction. These lesions are often treated with enucleation. However, this procedure is not always the ideal treatment solution for elderly people due to the presence of physical and mental disorders, and risk of jaw fracture.Case Report: In this case report, the successful treatment of a large residual cyst in the symphysis of a 93 year-old female patient by performing decompression alone is presented. A plastic drain was placed on the wall of the cyst to allow irrigation. Regeneration was observed in the cyst cavity 3 months after surgery. The 1-year follow up showed that the majority of the cyst cavity was filled with new bone.Conclusions: In elderly patients, large inflammatory cysts can be successfully treated with decompression considering the limited regeneration capacity and difficulties in follow-up.

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Tratamento de pigmentações melânicas com instrumentos rotatórios e lâmina de bisturi Treatment of melanic pigmentations with rotary instruments and scalpel blade

RSBO ◽

10.21726/rsbo.v15i2.681 ◽

2019 ◽

Vol 15 (2) ◽

pp. 135

Author(s):

Paula Porto Spada ◽

Ana Luiza Girardi ◽

Thayna Souza Silva ◽

Guilherme Schuldt ◽

Darlan Rigo Junior ◽

...

Keyword(s):

Case Report ◽

Clinical Characteristics ◽

Clinical Case ◽

Case Reports ◽

Surgical Removal ◽

Pigmented Lesions ◽

Rotary Instruments ◽

Good Healing ◽

Scalpel Blade

Introduction: Oral pigmentary lesions may have different clinical characteristics, ranging from physiological pigmentation, such as melanin spots, to something more serious, such as malignant melanoma. Due to the great variety of pigmented lesions, the treatments are varied and individualized. Objective: This clinical case reports a case of melanocytic removal through a surgical technique that associates rotary instruments and scalpel blade. Case report: A 45-year-old patient, melanoderma, sought care at the Positivo University, complaining about the dark spots visible on his gum, and the discomfort they caused him when smiling. After the clinical examination, the presence of melanocytic pigmentation was diagnosed and the proposed treatment was surgical removal of spots with a drill and scalpel blade. In the immediate postoperative period, the patient presented good healing and reported only mild burning in the first three days. After 60 days, the gingiva was healed, with no relapsing spots. Conclusion: The technique chosen was effective because it presented adequate healing and absence of relapse of the pigmentation in the postoperative follow-up

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Case Report – Accidental Epidural Catheter Breakage and Its Management

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i57a33961 ◽

2021 ◽

pp. 1-5

Author(s):

Karuna Taksande ◽

Krishnendu S. ◽

Nikhil Bhalerao ◽

Jui Jadhav ◽

Dnyanashree Wanjari ◽

...

Keyword(s):

Case Report ◽

Epidural Catheter ◽

Cruciate Ligament ◽

Surgical Removal ◽

Technical Error ◽

Successful Management ◽

Anterior Cruciate ◽

Anesthesia Epidural

Aim: Epidural anaesthesia which is preferred in most of the prolonged and painful procedures can be dreadful when the catheter breaks inside. In this case report we report accidental breakage of epidural catheter and its successful management. Presentation of Case: 47 year old male patient was posted for arthroscopic Anterior cruciate ligament (ACL) and Posterior Cruciate Ligament (PCL) repair under spinal and epidural anesthesia. Epidural catheter got sheared while securing it. It was managed by surgical removal to avoid further complications. Discussion: There are different causes for epidural catheter breakage including technical error and manufacture error. Catheter should be checked for any manufacturing defect or kinking. If there is resistant while inserting the catheter careful removal of catheter along with the needle should be performed to avoid breakage of catheter. Conclusion: Epidural catheter breakage can be disastrous for any anaesthesiologist, so it is important to be vigilant while securing epidural catheter. If accidentally epidural catheter is retained it should be discussed with the patient and surgeons, and it is either removed since it is a foreign body or if left in situ. Serial follow-up for any neurological symptoms should be done.

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Surgical resection of a giant cardiac hemangioma encroached upon the right coronary artery: A case report

10.22541/au.160726599.99983978/v1 ◽

2020 ◽

Author(s):

guangpu fan ◽

Yu Chen

Keyword(s):

Case Report ◽

Coronary Artery ◽

Surgical Resection ◽

Surgical Removal ◽

Cardiac Tumors ◽

Cardiac Hemangioma ◽

Risk Of Rupture ◽

The Right ◽

Primary Cardiac Tumors

Cardiac hemangioma is relatively rare for primary cardiac tumors. The diagnose is mainly based on surgical resection and biopsy, imaging examinations only provide limited diagnostic clues. For those giant cardiac hemangiomas, which may raise a risk of rupture, need thoroughly surgical removal. However, meticulous follow-up is required due to its possibility of recurrence.

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