scholarly journals Determining the Incidence of Complications and Their Causes after Stapedotomy in Patients with Otosclerosis

2019 ◽  
pp. 1-7
Author(s):  
Mohamad Mohseni ◽  
Ahmad Daneshi ◽  
Ali Mohamad Asghari ◽  
Saleh Mohebi ◽  
Sara Moradi
Keyword(s):  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Tympanic Membrane Perforation ◽  
Medical Treatments ◽  
Surgical Methods ◽  
Membrane Perforation ◽  
History Of ◽  
Effective Role ◽  
Surgical Treatments ◽  
Time Of Admission

Introduction: In order to treat the symptoms of otosclerosis, various surgical and medical treatments are suggested. Surgical treatments are the choice. This study aimed to determine the incidence of vertigo and its cause in Iran, and the present study focused on this issue. Methods: This was a prospective cohort study carried out on patients with otosclerosis undergoing stapedotomy referred to Rasoul Akram hospital, Tehran during 2017-18. The patients aged below 18 or those who had a history of vertigo were excluded. Diapasonic and audiometric tests were carried out. The follow-ups included the time of admission (the day after surgery) for the presence of vertigo using visual analogue scale and diapasonic tests, one week after surgery using visual analogue scale and diapasonic tests, and one month after surgery using visual analogue scale and audiometry. The data were imported to SPSS v.22 software and analyzed. Results: The surgical complications that occurred after stapedotomy for patients in this center were as follows: 12.1%of subjects had vertigo one day after surgery, 8.6% had vertigo one week later, and 1.7% had vertigo one month later, thus, the frequency of vertigo was reduced overtime. Meanwhile, 91.4% of the patients had a better sense of hearing and only 1.7% suffered from tympanic membrane perforation. In 8.6% of subjects, there was a disturbance in the taste. Tinnitus was only observed in 5.2% of the surgical patients in this center. Among women, vertigo was higher one day and one week after surgery. Logistic regression showed that age is significant predictor of dizziness one day after surgery (OR: 1.37, P=0.03). Conclusion: According to the results, the frequency of vertigo was decreased overtime. In this study, it was found that the complications of stapedotomy surgery were less than other surgical methods, but those who were older had significantly higher vertigo a week and one day after surgery indicating effective role of age on postoperative complications. Those who underwent surgery by tympanomeatal method had a better vertigo one day and one week after surgery.

Palatoplasty for Snoring: A Randomized Controlled Trial of Three Surgical Methods

1998 ◽  
Vol 119 (3) ◽  
pp. 288-292 ◽  
Author(s):  
R. W. Clarke ◽  
M. P. J. Yardley ◽  
C. M. Davies ◽  
A. Panarese ◽  
R. T. Clegg ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Postoperative Morbidity ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Surgical Methods ◽  
Before And After ◽  
A New Technique ◽  
Surgical Treatments

In a randomized, controlled trial, 62 patients (47 men and 15 women) with severe antisocial snoring, but no sleep apnea, were allocated to one of three surgical treatments. These were uvulopalato-pharyngoplasty, laser palatoplasty, and diathermy palatoplasty. Postoperative morbidity was measured on a visual analogue scale of severity of pain, dysphagia, and nasal regurgitation at 1, 2, and 7 days after the operation. Efficacy of each procedure was measured by asking the sleeping partner to record the severity of snoring before and after the operation, again on a visual analogue scale. Measurements were taken at 1, 3, and 6 months. There were no significant differences in early postoperative morbidity among the treatment groups. Diathermy palatoplasty is a new technique for the relief of snoring that is associated with low morbidity and requires little in the way of expensive equipment.

scholarly journals Historical Surgical Treatments in Polish Veterinary Medicine

Animals ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 1487
Author(s):  
Slawomir Gonkowski ◽  
Liliana Rytel ◽  
Krystyna Makowska ◽  
Jaroslaw Calka
Keyword(s):  
Veterinary Medicine ◽  
20Th Century ◽  
16Th Century ◽  
Humoral Theory ◽  
Surgical Methods ◽  
History Of ◽  
Polish Language ◽  
Surgical Treatments

Several methods of surgical treatments have been used in the history of Polish veterinary medicine, many of which have now been forgotten. In the present study, a review was conducted of Polish-language veterinary medicine books published from the 16th century (when the first books in Polish were printed) to the 20th century. The article contains a description of the most popular surgical methods used in animal treatment in Poland over the centuries including, among others, bloodletting, setons, fonticulus and cauterization. This article reviews historical veterinary methods and traces the development of Polish veterinary medicine from ancient cures often based on humoral theory to a modern branch of biologic science.

Gag Reflex Control through Acupuncture: A Case Series

2014 ◽  
Vol 32 (1) ◽  
pp. 24-27 ◽  
Author(s):  
Giuseppa Bilello ◽  
Antonella Fregapane
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Case Series ◽  
Inclusion Criteria ◽  
History Of ◽  
Gag Reflex ◽  
Reflex Control ◽  
Dental Appointments

Background Many patients avoid dental appointments because of severe gagging when they have work performed, such as taking impressions. There are several methods known to alleviate gagging, and some studies have suggested that acupuncture may be effective in reducing gag reflex. The aim of the present study therefore was to evaluate whether acupuncture can produce a reduction of the gag reflex. Methods A total of 20 patients, aged between 19 and 80 years, with history of gag reflex on taking dental impressions, were recruited. All patients fulfilling the inclusion criteria had an upper and lower dental alginate impression taken without acupuncture, and a second upper and lower alginate impression taken immediately after acupuncture based on traditional Chinese medicine. After each impression, the patients recorded their emetic sensation using a visual analogue scale (VAS). Results The results showed a significant (p<0.05) reduction in the gag reflex scores after acupuncture. For upper impressions, they fell from 6.8 (1.1) to 1.1 (1.1); and for lower impressions, from 5.45 (1.0) to 0.4 (0.7) (mean (SD)). Conclusions The findings from our study suggest that acupuncture may be useful for preventing and treating gag reflex, and justifies further study.

Natural History of Pediatric Tympanic Membrane Perforation

2011 ◽  
Vol 32 (2) ◽  
pp. 246-251 ◽  
Author(s):  
Matthew Rollin ◽  
Pauline Rogers ◽  
Philip Robinson
Keyword(s):  
Natural History ◽  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Membrane Perforation ◽  
History Of

Nature of spontaneous tympanic membrane perforation in acute otitis media in children

1989 ◽  
Vol 103 (12) ◽  
pp. 1150-1153 ◽  
Author(s):  
G. Berger
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Healing Process ◽  
Previous History ◽  
Acute Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Membrane Perforation ◽  
Free Drainage ◽  
History Of ◽  
Ear Effusion

AbstractThe study was undertaken to define the characteristics of spontaneous eardrum perforation in acute otitis media. Eighty (29.5 per cent) out of 271 children with acute otitis media had eardrums which perforated. An increased incidence of perforation was associated with a previous history of otitis media.All perforations were small and limited exclusively to the pars tensa. In 85 per cent of the patients, the perforation was located in the anterior-inferior quadrant. It had smooth margins enabling free drainage of pus and was associated with a favourable clinical course. In the remaining 15 per cent of the cases, the perforation was located in the posterior-superior quandrant. It had a nipple-like shape with a tiny opening that did not allow pus to drain sufficiently from the middle ear.The perforation closed in 94 per cent of the patients within one month. The healing process was gradual and following perforation closure, there was evidence of middle ear effusion for some time before normal aeration was regained.

scholarly journals Variables Associated with Endometriosis-related Pain: A Pilot Study using a Visual Analogue Scale

2019 ◽  
Vol 41 (03) ◽  
pp. 170-175 ◽  
Author(s):  
Mauro Cozzolino ◽  
Maria Coccia ◽  
Giacomo Lazzeri ◽  
Francesca Basile ◽  
Gianmarco Troiano
Keyword(s):  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Complex Disease ◽  
Smoking Habit ◽  
Clinical Information ◽  
University Hospital ◽  
History Of ◽  
Vas Scores ◽  
A Prospective Study

Objective Endometriosis is a complex disease, and pain is an important component of the syndrome. One of the most used methods to assess pain is the visual analogue scale (VAS). The aim of the present research was to study the pain experienced by patients who referred to our unit for endometriosis, using the VAS to understand the variables that could influence it. Methods We have conducted a prospective study from February 2012 to December 2016, enrolling 388 patients who referred to a university hospital, in Florence, Italy. We have included in the present study patients during their follow-up for endometriosis; we have also included patients who underwent surgery with a histological diagnosis of endometriosis. We have collected sociodemographic and clinical information regarding age, body mass index (BMI), smoking habit, number of pregnancies, and endometriosis staging. Finally, we have administered the VAS for several symptoms. Results Dysmenorrhea was the symptom associated with the highest perception of pain (mean VAS score of 5.76). The logistic regression showed that the stage of endometriosis could influence the pain associated to constipation and to dysuria. The linear regression showed that age could influence the pain associated to constipation, to dyspareunia, and to dysmenorrhea. A positive correlation was found between dysmenorrhea and chronic pelvic pain (CPP), between dysmenorrhea and dyspareunia, and between constipation and dysuria. Conclusion Using a validated method, the VAS, we have studied the pain experienced by a group of patients with a history of endometriosis and observed that smoking habit and BMI did not influence the VAS scores, and that dysmenorrhea was associated with the highest perception of pain.

Traumatic perforation: determinants of conductive hearing loss

2017 ◽  
Vol 3 (3) ◽  
pp. 592
Author(s):  
Ravi K. S. ◽  
Ravishankar S. N.
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Conductive Hearing Loss ◽  
Previous History ◽  
Pure Tone Audiometry ◽  
Tympanic Membrane Perforation ◽  
Tertiary Center ◽  
Membrane Perforation ◽  
History Of ◽  
Conductive Hearing

<p class="abstract"><strong>Background:</strong> Traumatic perforations of the tympanic membrane are very common in day to day life and it may be due to direct or indirect source.  The aim of this study is to evaluate the various factors which determine the degree of hearing loss in patients with traumatic perforation of tympanic membrane<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> A retrospective review was performed in 50 patients seen at the ENT department in our rural tertiary center over a period of two years between January 2015 to December 2016. The patients with history of ear trauma from various causes and with absolutely no previous history of any ear disease were included in our study. The data retrieved included parameters such as age, sex, side, cause of injury and presenting complaints such as hearing loss, earache, tinnitus, and vertigo. A detailed clinical and otoscopic examination was done to determine<span lang="EN-IN"> the size and location of the </span>perforation. Hearing was assessed using pure tone audiometry (PTA) to determine the degree of hearing loss and to correlate with frequency, size and location of perforation<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> A total of 50 patients with traumatic perforations of the tympanic membrane were enrolled for the study, comprising of 32 males and 18 females patients. Age of the patients ranged from12 to 65 years of age. The results showed that the most common mode of trauma was RTA (46%). Audiometry shows that the larger the tympanic membrane perforation, the larger the air–bone gap. Hearing loss was highest at the lowest frequencies and generally decreased as the frequency increased. The results also showed that there was no difference in air bone gap with relation to location of perforation (anterior vs. posterior)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> The conductive hearing loss resulting from a tympanic membrane perforation is frequency dependent, with the largest losses occurring at the lowest sound frequencies, hearing loss increases as size of the perforation increases and no relation with location of perforation<span lang="EN-IN">.</span></p>

A moist edge environment aids the regeneration of traumatic tympanic membrane perforations

2017 ◽  
Vol 131 (7) ◽  
pp. 564-571 ◽  
Author(s):  
Z C Lou ◽  
Z H Lou
Keyword(s):  
Growth Factors ◽  
Literature Review ◽  
Tympanic Membrane ◽  
Tympanic Membrane Perforation ◽  
Crust Formation ◽  
Advantages And Disadvantages ◽  
Tympanic Membrane Perforations ◽  
Membrane Perforation ◽  
History Of ◽  
Topical Applications

AbstractObjective:To review the history of moist therapy used to regenerate traumatic tympanic membrane perforations.Study design:Literature review.Methods:The literature on topical agents used to treat traumatic tympanic membrane perforations was reviewed, and the advantages and disadvantages of moist therapy were analysed.Results:A total of 76 studies were included in the analysis. Topical applications of certain agents (e.g. growth factors, Ofloxacin Otic Solution, and insulin solutions) to the moist edges of traumatic tympanic membrane perforations shortened closure times and improved closure rates.Conclusion:Dry tympanic membrane perforation edges may be associated with crust formation and centrifugal migration, delaying perforation closure. On the contrary, moist edges inhibit necrosis at the perforation margins, stimulate proliferation of granulation tissue and aid eardrum healing. Thus, moist perforation margins upon topical application of solutions of appropriate agents aid the regeneration of traumatic tympanic membrane perforations.

scholarly journals Congenital Cholesteatoma in Adult: Is it Still Possible?

2021 ◽  
Vol 27 (1) ◽  
pp. 96-99
Author(s):  
Heng Yao Tan ◽  
Anuar Idwan Idris ◽  
Cheng Ai Ong ◽  
Asma A
Keyword(s):  
Tympanic Membrane ◽  
Previous History ◽  
Tympanic Membrane Perforation ◽  
High Resolution Computed Tomography ◽  
Congenital Cholesteatoma ◽  
Positional Vertigo ◽  
Modified Radical Mastoidectomy ◽  
Membrane Perforation ◽  
History Of ◽  
Intact Tympanic Membrane

Congenital cholesteatoma is a mass of squamous epithelium located medial to an intact tympanic membrane without previous history of tympanic membrane perforation, otorrhoea or otological surgery. We described a 24 year old gentleman with a left postauricular discharging fistula for 3 years with recent history of gradual hearing loss, tinnitus and recurrent episodes of positional vertigo. Clinical examination noted left postauricular fistula opening and otoscopy showed a whitish mass medial to a bulging intact tympanic membrane. High-resolution computed tomography of temporal bone was suggestive of cholesteatoma. Left modified radical mastoidectomy was done and he recovered with resolution of symptoms. Bangladesh J Otorhinolaryngol; April 2021; 27(1): 96-99

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