scholarly journals Orthodontic Treatment of Bilateral Impacted Mandibular Canines and a Mupparapu Type 2 Transmigration

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
José Antonio Vera-Guerra ◽  
José Rubén Herrera-Atoche ◽  
Gabriel Eduardo Colomé-Ruiz
Keyword(s):  
Female Patient ◽  
Alternative Treatment ◽  
Orthodontic Treatment ◽  
Treatment Options ◽  
Rare Condition ◽  
Surgical Removal ◽  
Root Apices ◽  
Complex Cases

Dental transmigration is a rare condition that mainly affects the mandibular canines. Since the tooth involved is usually impacted and its crown has crossed the midline towards the opposite side, the treatment options frequently are surgical removal or radiographic follow-up, and, in some cases, orthodontic traction is possible. In 2002, Mupparapu presented a classification for lower canines in transmigration according to their position within the mandible. This paper is aimed at describing the orthodontic treatment of a female patient with two impacted mandibular canines, one of them in a Mupparapu type 2 transmigration position (horizontal impaction position near the lower mandibular border and below the incisors’ root apices). Additionally, the paper discusses the biomechanical orthodontic design and the alternative treatment options for these complex cases.

Antrochoanal Polyps in Children

2001 ◽  
Vol 15 (5) ◽  
pp. 321-325 ◽  
Author(s):  
Laura J. Orvidas ◽  
Charles W. Beatty ◽  
Amy L. Weaver
Keyword(s):  
Treatment Options ◽  
Surgical Removal ◽  
Antrochoanal Polyp ◽  
Endoscopic Removal ◽  
Endoscopic Procedures ◽  
Telephone Interviews ◽  
Presenting Symptoms ◽  
First Recurrence ◽  
Mean Time

Although relatively rare, antrochoanal polyps represent one of the most common types of polyp diagnosed in children without cystic fibrosis. In an attempt to better define this entity and discuss treatment options, the histories and operative reports of all 25 children (aged 17 years and younger) diagnosed with an antrochoanal polyp between 1970 and 1997 at our institution were reviewed. All 25 children complained of nasal obstruction on presentation; other presenting symptoms included rhinorrhea (48%), snoring (36%), and mouth breathing (32%). All 25 patients were noted to have a mass in the nose on examination, and 16 (64%) also had a mass noted in the nasopharynx. All but 1 patient underwent surgical removal of the polyp: intranasal avulsion only, 2 patients; Caldwell-Luc procedures, 10 patients; intranasal procedures, 8 patients; and endoscopic procedures, 4 patients. Mean time to first recurrence was 44.5 months. Seven patients (29%) who underwent excision at our institution experienced recurrence, 3 after endoscopic procedures and 4 after intranasal procedures (with or without Caldwell-Luc; 1 of these patients had a second recurrence). Complications were unusual and included bleeding after pack removal (8.3%) and facial paresthesias (10%). Follow-up ranged from 2 days to almost 27 years and was aided by telephone interviews. We conclude that surgical treatment of these lesions is safe and effective. Endoscopic removal may result in a higher recurrence rate.

Results after two years of follow up after intravesical thermochemotherapy with heated mitomycin 40 in patients with high-risk superficial bladder cancer.

2020 ◽  
Vol 38 (6_suppl) ◽  
pp. 512-512
Author(s):  
Thomas Alexander Voegeli ◽  
Eric Frank ◽  
Christian Bach ◽  
Catejan Nzeh
Keyword(s):  
Bladder Cancer ◽  
High Risk ◽  
Alternative Treatment ◽  
Superficial Bladder Cancer ◽  
Treatment Options ◽  
High Rate ◽  
Intravesical Therapy ◽  
Bladder Irrigation ◽  
Metastatic Prostate Carcinoma

512 Background: Standard management of high risk TCC is either BCG or radical cystectomy, alternative treatment options are limited. It is known that the anti-tumor effect of heated mitomycin is 10 fold higher than at room temperature, which is the standard of intravesical therapy. We herein report the first 2 year follow up (FU) after intravesical therapy with heated mitomycin in a cohort of patients with high risk superficial bladder cancer (TCC). Methods: Treatment was performed for 1 hour with machine bladder irrigation (COMBAT) which maintaines temperature of mitomycin (40 mg) exactly at 43 C. Patients underwent therapy with a 6 week course of weekly treatment and were than followed by cystoscopy every 3 month and if necessary biopsy. Results: We identified 62 patients out of a total group of 108 patients who met the inclusion criteria for high risk TCC according to the EAU Guidelines and who got the complete 6 courses of treatment. 2 were lost of follow up, 1 died due to cardiac problems and 1 from metastatic prostate carcinoma. The remaining 58 patients had a mean FU of 26 month (16-54 m) and included 20 non-responders to BCG. 48/58 patients had CIS or pT1 Tumors or both, 10 patients had pTa+CIS. There were 5 recurrences, all superficial stage pTa, one in the rigth ureter, all could be managed without cystectomy. 8 patients had progressive or recurrent CIS/pT1 or were progressive to pT2 after therapy and underwent cystectomy. Conclusions: In this high risk cohort of 58 patients with a high rate of BCG non-responders only 8 patients had to undergo cystectomy during a 2 year follow up. Intravesical therapy with heated mitomycin is safe and well tolerated and may be an additional alternative treatment before cystectomy is performed in high risk patients with high risk TCC or BCG non responders.

scholarly journals Ligaments Reconstruction for Posttraumatic Ulnar Translocation of the Carpus: A Case Report

2017 ◽  
Vol 06 (04) ◽  
pp. 325-328
Author(s):  
Marco Innocenti ◽  
Federico Piacentini ◽  
Margaret Fok
Keyword(s):  
Open Repair ◽  
Treatment Options ◽  
Rare Condition ◽  
Long Term Results ◽  
Loss Of Function ◽  
Ligament Tear ◽  
Wrist Fusion ◽  
Partial Wrist Fusion

Background Posttraumatic ulnar translocation of the carpus, a result of radiocarpal ligament tear is a relatively rare condition that may lead to persistent wrist pain and loss of function. Case Description We report a case of radiocarpal ligament tear of which we reconstruct it with a vascularized interosseous membrane with 13 years of follow-up. Literature Review Many treatment options have been proposed for the posttraumatic ulnar translocation, ranging from open repair to partial wrist fusion. However, the long term results have been disappointing. Clinical Relevance Though this technique of reconstruction is technically demanding, it shows promising long term clinical outcome.

scholarly journals Late Developing Supernumerary Premolars: Reports of Two Cases

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Soghra Yassaei ◽  
Mahdjoube Goldani Moghadam ◽  
S. M. Ali Tabatabaei
Keyword(s):  
Female Patient ◽  
Orthodontic Treatment ◽  
Surgical Removal ◽  
Radiographic Assessment ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Molar Region

This paper presents two cases of late developing supernumerary premolars. Case 1 is a female patient with nonsyndromic multiple supernumerary teeth located in the maxillary right premolar-molar region, maxillary left premolar region, and the mandibular right and left premolar regions. In this patient surgical removal of all supernumerary teeth was carried out to avoid complications during orthodontic treatment. Case 2 is a female aged 19 years in whom formation of a mandibular supernumerary premolar was observed which was not present at age 13. The patient was made aware of the supernumerary tooth presence, and periodic radiographic assessment was planned.

Selective Carpus Denervation – One of Treatment Options of Madelung Deformity

2019 ◽  
Vol 158 (05) ◽  
pp. 497-500
Author(s):  
Jaroslav Pilny ◽  
Roman Slodicka ◽  
Petr Hajek ◽  
Katerina Horackova
Keyword(s):  
Female Patient ◽  
Treatment Options ◽  
Pain Reduction ◽  
Case Presentation ◽  
Madelung Deformity ◽  
Causal Treatment ◽  
Wrist Denervation

AbstractCase presentation of 7 years follow up of female patient with wrist arthritis caused by Madelung deformity. As causal treatment remains unknown, the pain reduction by means of selective wrist denervation is one possible option.

scholarly journals Conservative treatment in adult patient with reimplanted anterior teeth after traumatic avulsion with extensive bone loss: an 8-year follow-up

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Matheus Melo PITHON
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Options ◽  
Good Prognosis ◽  
Conservative Approach ◽  
Treatment Alternative ◽  
Posterior Teeth ◽  
Mini Implants ◽  
Anterior Teeth ◽  
Short Period

ABSTRACT Introduction: Orthodontic treatment in patients with traumatized teeth is a condition that needs good planning in order to achieve satisfactory results. Objective: To discuss approaches to orthodontic treatment of malocclusions associated with trauma followed by avulsion of anterior teeth, reimplanted after a short period of time. Case report: The treatment started with the distalization of upper posterior teeth, with the aid of mini-implants and sliding jigs, followed by the inclusion of anterior teeth in the arch, followed by intrusion of these teeth. Results: With the treatment, improved mobility of the anterior teeth was achieved, with better insertion into bone tissue. The most important factor for satisfactory treatment and a good prognosis for avulsion is the time the tooth remains outside the socket. Orthodontic treatment in patients with traumatized teeth is not contraindicated; however, clinical and radiographic aspects must be considered. Conclusion: Among the feasible orthodontic treatment options, the conservative approach can be a very favorable treatment alternative.

scholarly journals CLIPPED OR CLIPLESS CHOLECYSTECTOMY

2018 ◽  
Vol 25 (06) ◽  
pp. 805-809
Author(s):  
H. Sabiha Akhtar ◽  
Zia Farooq ◽  
Hassan Rathore ◽  
Muhammad Umar Farooq ◽  
Arooj Ahmad
Keyword(s):  
Treatment Options ◽  
P Value ◽  
Surgical Removal ◽  
Biliary Leakage ◽  
Group A ◽  
The Difference ◽  
Group B ◽  
Trial Setting ◽  
Selection Of

Background: Cholecystectomy is the surgical removal of the inflamedgallbladder. Advancement in technology has led to many treatment options and methods ofcholecystectomy but the selection of right method depends upon severity of disease alongwith available resources and expertise. Objective: To compare the frequency of biliary leakagewith clipless versus clipped laparoscopic cholecystectomy for management of cholecystitis.Material & Methods: Study design: Randomized control trial. Setting: Unit 1, Departmentof Surgery, Jinnah hospital, Lahore. Duration: It was conducted for a period of six monthsfrom July 2016 to January 2017. Data collection: A total of 130 patients were included in thestudy using nonprobability consecutive sampling and were randomly divided in two groups byusing lottery method. In group A, clip-less Harmonic scalpel was used along with Ultrasonicshear. In group B, the conventional instruments were used with the application of clips. Patientswere called for follow-up in OPD after 1 week to assess biliary leakage through MRCP. All thedata was collected through a pre-designed proforma. The data was entered and analyzed inSPSS version 20. Results: The mean age of patients was 42.97±10.77 years with 68 (52.31%)patients were male and 62 (47.69%) patients were females. The biliary leakage was noted in29 cases i.e. 9 from clipless group and 20 were from clipped group and the difference wasstatistically significant (p-value=0.020) Conclusion: It can be concluded from this study thatthe frequency of biliary leakage is significantly higher in the clipped LC for management ofCholecystitis. Thus it is encouraging to use clipless method to avoid such complication andimprove surgical outcomes.

scholarly journals Long Term Follow-Up of Patients with Nontoxic Benign Nodular Goiter Treated with 131Iodine Therapy

2021 ◽  
Vol 3 (1) ◽  
pp. 20-26
Author(s):  
Karren L Antonio ◽  
Keyword(s):  
Radioactive Iodine ◽  
Treatment Options ◽  
Nodular Goiter ◽  
Size Reduction ◽  
Surgical Removal ◽  
Radioactive Iodine Therapy ◽  
Thyroid Lobe ◽  
Size Number

Background: With the advancement of diagnostic modalities, there is an increase in the number of individuals detected with thyroid nodules. There are multiple treatment options for the management of nontoxic benign nodular goiter. Radioactive iodine results in effective goiter size reduction which can be administered as out-patient basis and is an appropriate alternative for patients with higher risk for surgery. Our group have shown the effectiveness of 131Iodine therapy for nodular nontoxic goiters. We aim to determine the long-term effectiveness of radioactive iodine therapy among patients with nodular nontoxic goiter. Methods: This is a retrospective cohort study of patients with nontoxic benign nodular goiter, negative for malignancy on biopsy who underwent radioactive therapy with a follow-up of ≥36months using ultrasound studies. Thyroid size, number of nodules and size of nodules pre-treatment and ≥36months post-treatment were compared. Results: 63 patients were included with an average follow-up of 73.14 ± 34.87 months. Mean age during radioactive therapy and last follow-up was 41 ± 14 and 47 ± 14 respectively. Significant thyroid size reduction was noted in 92.06% of patients (right thyroid lobe: 47.54 ± 31.25%, left thyroid lobe 47.44 ± 31.82%) while significant reduction in number and size of nodules were noted in 96.82% and 98.41% of patients respectively. No increase in the number of nodules and no development of new nodules were noted among all patients. Conclusion: Radioactive iodine therapy for nontoxic benign nodular goiter produces a sustained reduction in thyroid size, number and size of nodules even after a long follow-up period. Hence, it is a viable alternative to surgical removal of the thyroid offering a lower risk for complication especially among patients who refuse surgery or has a contraindication to surgical management.

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