In Response to Analysis of the Clinical Features and Surgical Outcomes of First Branchial Cleft Anomalies

2021 ◽  
Author(s):  
Yu Han
Keyword(s):  
Clinical Features ◽  
Surgical Outcomes ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft

Analysis of the Clinical Features and Surgical Outcomes of First Branchial Cleft Anomalies

2021 ◽  
Author(s):  
Runqin Yang ◽  
Chen Dong ◽  
Yang Chen ◽  
Hongsheng Liu ◽  
Changming Zhang ◽  
...  
Keyword(s):  
Clinical Features ◽  
Surgical Outcomes ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft

Clinical features of first branchial cleft anomalies

1996 ◽  
Vol 17 (4) ◽  
pp. 233-239 ◽  
Author(s):  
Fumio Ikarashi ◽  
Yuichi Nakano ◽  
Naobumi Nonomura ◽  
Masahiro Kawana ◽  
Takahiro Okura
Keyword(s):  
Clinical Features ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft

Intraoperative use of fibrin glue dyed with methylene blue in surgery for branchial cleft anomalies

2016 ◽  
Vol 126 (9) ◽  
pp. 2147-2150 ◽  
Author(s):  
Michela Piccioni ◽  
Marco Bottazzoli ◽  
Nader Nassif ◽  
Stefania Stefini ◽  
Piero Nicolai
Keyword(s):  
Methylene Blue ◽  
Fibrin Glue ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft

scholarly journals Placenta previa with posterior extrauterine adhesion: clinical features and management practice

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yoshikazu Nagase ◽  
Shinya Matsuzaki ◽  
Masayuki Endo ◽  
Takeya Hara ◽  
Aiko Okada ◽  
...  
Keyword(s):  
Propensity Score ◽  
Blood Loss ◽  
Cesarean Delivery ◽  
Clinical Features ◽  
Surgical Outcomes ◽  
Multivariate Regression ◽  
Placenta Previa ◽  
Control Group ◽  
Intraoperative Blood Loss ◽  
Intraoperative Bleeding

Abstract Background A diagnostic sign on magnetic resonance imaging, suggestive of posterior extrauterine adhesion (PEUA), was identified in patients with placenta previa. However, the clinical features or surgical outcomes of patients with placenta previa and PEUA are unclear. Our study aimed to investigate the clinical characteristics of placenta previa with PEUA and determine whether an altered management strategy improved surgical outcomes. Methods This single institution retrospective study examined patients with placenta previa who underwent cesarean delivery between 2014 and 2019. In June 2017, we recognized that PEUA was associated with increased intraoperative bleeding; thus, we altered the management of patients with placenta previa and PEUA. To assess the relationship between changes in practice and surgical outcomes, a quasi-experimental method was used to examine the difference-in-difference before (pre group) and after (post group) the changes. Surgical management was modified as follows: (i) minimization of uterine exteriorization and adhesion detachment during cesarean delivery and (ii) use of Nelaton catheters for guiding cervical passage during Bakri balloon insertion. To account for patient characteristics, propensity score matching and multivariate regression analyses were performed. Results The study cohort (n = 141) comprised of 24 patients with placenta previa and PEUA (PEUA group) and 117 non-PEUA patients (control group). The PEUA patients were further categorized into the pre (n = 12) and post groups (n = 12) based on the changes in surgical management. Total placenta previa and posterior placentas were more likely in the PEUA group than in the control group (66.7% versus 42.7% [P = 0.04] and 95.8% versus 63.2% [P < 0.01], respectively). After propensity score matching (n = 72), intraoperative blood loss was significantly higher in the PEUA group (n = 24) than in the control group (n = 48) (1515 mL versus 870 mL, P < 0.01). Multivariate regression analysis revealed that PEUA was a significant risk factor for intraoperative bleeding before changes were implemented in practice (t = 2.46, P = 0.02). Intraoperative blood loss in the post group was successfully reduced, as opposed to in the pre group (1180 mL versus 1827 mL, P = 0.04). Conclusions PEUA was associated with total placenta previa, posterior placenta, and increased intraoperative bleeding in patients with placenta previa. Our altered management could reduce the intraoperative blood loss.

Branchial cleft and pouch anomalies

1992 ◽  
Vol 106 (2) ◽  
pp. 137-143 ◽  
Author(s):  
G. R. Ford ◽  
A. Balakrishnan ◽  
J. N. G. Evans ◽  
C. M. Bailey
Keyword(s):  
Recurrent Infection ◽  
Theoretical Description ◽  
The Other ◽  
Unexpected Finding ◽  
Neck Swelling ◽  
Complete Excision ◽  
Delay In Diagnosis ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft ◽  
Sick Children

AbstractWe present a retrospective study of 106 patients with branchial cleft and pouch anomalies who presented to the Hospital for Sick Children between 1948 and 1990. The relevant embryology of the branchial apparatus is summarized and a theoretical description of individual anomalies given.Second branchial cleft sinuses were the most common anomalies, and the majority were managed simply, with adequate excision and a low recurrence rate. Five cases of first branchial cleft anomalies are presented, emphasizing the delay in diagnosis, the need for complete excision to prevent recurrence, and for a parotidectomy incision to protect the facial nerve from damage. The two third branchial pouch anomalies presented with a cystic neck swelling, one with recurrent infection and discharge, and the other with stridor. In both, the diagnosis was made at operation. The single fourth branchial pouch cyst was an unexpected finding in a patient with stridor.

Clinical Features and Surgical Outcomes of Cervical Myelopathy in the Elderly

2006 ◽  
Vol 443 (&NA;) ◽  
pp. 140-145 ◽  
Author(s):  
Hideki Nagashima ◽  
Yasuo Morio ◽  
Hideki Yamashita ◽  
Koji Yamane ◽  
Ryota Teshima
Keyword(s):  
Clinical Features ◽  
Surgical Outcomes ◽  
Cervical Myelopathy ◽  
The Elderly

scholarly journals The “dimple swallow” sign for branchial cleft anomalies

2018 ◽  
Vol 190 (44) ◽  
pp. E1307-E1307
Author(s):  
Petros Koltsidopoulos ◽  
Charalampos Skoulakis
Keyword(s):  
Branchial Cleft Anomalies ◽  
Branchial Cleft
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