eyelid oedema
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Author(s):  
Jurand Domański ◽  
Piotr K. Krajewski ◽  
Wojciech Baran ◽  
Jacek C. Szepietowski
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2021 ◽  
Author(s):  
Won Seok Song ◽  
Min Joung Lee ◽  
Youn Joo Choi

Abstract Background: To evaluate the potential benefit of using insulin syringes for local anaesthesia in ptosis surgery.Methods: Sixty patients (120 eyelids) were included in this randomised, fellow eye-controlled study at a university‐based hospital. An insulin syringe was used on one eyelid and a conventional 30-gauge needle on the other. Patients were asked to score pain in both eyelids using a visual analogue scale (VAS) ranging from 0 (no pain at all) to 10 (unbearable pain). Ten minutes after the injection, an observer scored the degree of haemorrhage and oedema in both eyelids on a scale of 0 to 4.Results: The VAS score was 5.17 in the insulin syringe group and 5.35 in the 30-gauge needle group (p=0.264). Ten minutes after the anaesthesia, the haemorrhage score was 1.30 and 1.64 and eyelid oedema score was 1.50 and 1.80 in the insulin syringe and 30-gauge needle groups, respectively (haemorrhage, p=0.045; eyelid oedema, p=0.023). Conclusion: Injecting local anaesthesia using an insulin syringe, compared to conventional 30-gauge needles, significantly reduces haemorrhage and eyelid oedema before skin incision but does not significantly reduce the injection pain. Using insulin syringes also presents fewer complications related to tissue penetration and lesser distortion of anatomical structures compared to conventional 30-gauge needles. We recommend using an insulin syringe for local anaesthesia in ptosis surgery.Trial registration: registry – CRIS / registration number – KCT0005120 / date of registration: 12/06/2020 (retrospectively registered), https://cris.nih.go.kr/cris/index.jsp



2020 ◽  
Vol 91 (6) ◽  
pp. 572-579 ◽  
Author(s):  
Lou Grangeon ◽  
Emer O'Connor ◽  
Chun-Kong Chan ◽  
Layan Akijian ◽  
Thanh Mai Pham Ngoc ◽  
...  

ObjectivesTo define the characteristics of post-traumatic headache with cluster headache phenotype (PTH-CH) and to compare these characteristics with primary CH.MethodsA retrospective study was conducted of patients seen between 2007 and 2017 in a headache centre and diagnosed with PTH-CH that developed within 7 days of head trauma. A control cohort included 553 patients with primary CH without any history of trauma who attended the headache clinic during the same period. Data including demographics, attack characteristics and response to treatments were recorded.ResultsTwenty-six patients with PTH-CH were identified. Multivariate analysis revealed significant associations between PTH-CH and family history of CH (OR 3.32, 95% CI 1.31 to 8.63), chronic form (OR 3.29, 95% CI 1.70 to 6.49), parietal (OR 14.82, 95% CI 6.32 to 37.39) or temporal (OR 2.04, 95% CI 1.10 to 3.84) location of pain, and presence of prominent cranial autonomic features during attacks (miosis OR 11.24, 95% CI 3.21 to 41.34; eyelid oedema OR 5.79, 95% CI 2.57 to 13.82; rhinorrhoea OR 2.65, 95% CI 1.26 to 5.86; facial sweating OR 2.53, 95% CI 1.33 to 4.93). Patients with PTH-CH were at a higher risk of being intractable to acute (OR 12.34, 95% CI 2.51 to 64.73) and preventive (OR 16.98, 95% CI 6.88 to 45.52) treatments and of suffering from associated chronic migraine (OR 10.35, 95% CI 3.96 to 28.82).ConclusionThis largest series of PTH-CH defines it as a unique entity with specific evolutive profile. Patients with PTH-CH are more likely to suffer from the chronic variant, have marked autonomic features, be intractable to treatment and have associated chronic migraine compared with primary CH.



Author(s):  
Gennaro Bussone ◽  
Elisabetta Cittadini

Paroxysmal hemicrania is classified as a trigeminal autonomic cephalalgia by the International Classification of Headache Disorders, third edition. The current criteria require at least 20 attacks of severe unilateral orbital, supraorbital, or temporal pain, lasting 2–30 minutes, accompanied by ipsilateral cranial autonomic features such as ptosis, eyelid oedema, conjunctival injection, lacrimation, nasal blockage, or rhinorrhoea. Attacks usually have a frequency of more than five per day, and respond exquisitely to indomethacin.



2019 ◽  
Vol 12 (12) ◽  
pp. e233719
Author(s):  
Stylianos Louppides ◽  
Loukas Kakoullis ◽  
Giorgos Parpas ◽  
George Panos


2019 ◽  
Vol 55 (10) ◽  
pp. 1283-1283
Author(s):  
Gurinder Kumar ◽  
Sara Belfaqeeh ◽  
Habibullah Eatamadi ◽  
Rajendran Nair ◽  
Gehad ElGhazali
Keyword(s):  




2019 ◽  
Vol 31 (2) ◽  
pp. 196
Author(s):  
Jung Eun Kim ◽  
Chang Yoon Sim ◽  
A Young Park ◽  
Soon Auck Hong ◽  
Young Lip Park ◽  
...  


2017 ◽  
Vol 27 (5) ◽  
pp. 557-559 ◽  
Author(s):  
Ioanna Yfanti ◽  
Marie Paule Guillaume ◽  
Ursula Sass ◽  
Athanassios Kolivras


Author(s):  
T. Gracia-Cazaña ◽  
M.P. Sánchez Salas ◽  
E. Padgett ◽  
R. Oncins


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