scholarly journals Endodontic Microsurgical Instruments - A Review

2021 ◽  
Vol 10 (20) ◽  
pp. 1532-1538
Author(s):  
Prathap M.S. ◽  
Reshma Pradeep
Keyword(s):  
Clinical Outcome ◽  
Minimally Invasive ◽  
Success Rate ◽  
Key Words ◽  
Success Rates ◽  
Invasive Treatment ◽  
Biomimetic Materials ◽  
Endodontic Surgery ◽  
Endodontic Microsurgery ◽  
Root Treatment

Indications for endodontic surgery include failed nonsurgical treatment or retreatment, anatomical problems or iatrogenic errors. Endodontic surgery was considered as the last option with instruments that were unsuitable, surgical sites with inadequate vision and increased incidence of post-operative complication. But today endodontic surgery has evolved into endodontic microsurgery with the advancement in illumination, magnification, instruments and materials. Higher magnification and micro-instruments have increased the clinical outcome of endodontic surgery. Traditional instruments used in endodontic surgery are too large for the small osteotomy sites of microsurgery. Few of the instruments used for microsurgery are the smaller version of the traditional instruments. Endodontic microsurgery represents a minimally invasive treatment option with predictable outcome with the use of micro-instruments. A high success rate of nearly 93.5 % is reported, thus, making microsurgery a predictable option for the management of periapical pathology where surgical root treatment is not possible. The advanced techniques developed to overcome the barriers seen in traditional endodontic surgery have allowed the clinicians to achieve higher success rates. Along with the micro-instruments, the introduction of biomimetic materials has also led to the favourable results after endodontic surgery. This article discusses the different microsurgical instruments available for microsurgical procedures. KEY WORDS Curette, Microblade, Microsurgery, Piezotomes, Retractor, Ultrasonic.

Traumatic chylothorax: a dilemma to surgeons and interventionists

2021 ◽  
Vol 14 (5) ◽  
pp. e238961
Author(s):  
Parvez Mohi Ud Din Dar ◽  
Shivanand Gamanagatti ◽  
Pratyusha Priyadarshini ◽  
Subodh Kumar
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Success Rate ◽  
Blunt Trauma ◽  
Treatment Option ◽  
Thoracic Duct ◽  
Chest Trauma ◽  
Neck Surgery ◽  
Invasive Treatment ◽  
Traumatic Chylothorax

Chylothorax is generally seen due to iatrogenic injury to the thoracic duct during thoracic or neck surgery. It can also be encountered secondary to chest trauma either blunt or penetrating. Percutaneous thoracic duct embolisation is an alternative to surgical treatment and is considered an effective and safe minimally invasive treatment option for chylothorax with a success rate of about 80%. We present a case of blunt trauma to the chest with chylothorax, which was successfully managed with transvenous retrograde thoracic duct embolisation.

Impact of the nature of the temporalis fascia graft on the outcome of type I underlay tympanoplasty

2017 ◽  
Vol 131 (6) ◽  
pp. 472-475 ◽  
Author(s):  
Z Jiang ◽  
Z Lou ◽  
Z Lou
Keyword(s):  
Success Rate ◽  
Key Words ◽  
Literature Search ◽  
Present Review ◽  
Type I ◽  
Success Rates ◽  
Temporalis Fascia ◽  
Exclusion Criteria ◽  
Fascia Graft ◽  
Duration Of Surgery

AbstractObjectives:Temporalis fascia has become the most widely used graft for tympanoplasty, as it is strong, durable, and easy to procure and handle. However, the type of temporalis fascia graft to use (i.e. dry or wet) remains controversial. The present review aimed to evaluate the success rates of dry and wet temporalis fascia grafts in type I underlay tympanoplasty.Methods:A literature search was performed, using PubMed up to August 2016, to identify all studies of dry and wet temporalis fascia grafts in type I underlay tympanoplasty. The initial search using the key words ‘temporalis fascia’ and ‘tympanoplasty’ identified 130 articles; these were screened by reviewing the titles or abstracts based on the inclusion and exclusion criteria. Ultimately, this review included seven articles.Results and conclusion:A dry or wet temporalis fascia graft did not affect the outcome of type I underlay tympanoplasty. However, using wet temporalis fascia could shorten the duration of surgery in type I underlay tympanoplasty. Concerns that the fibroblast count of temporalis fascia may beneficially affect success rate have not been substantiated in clinical reports thus far.

scholarly journals A Modification of the Cheli Craniolateral Approach for Minimally Invasive Treatment of Osteochondritis Dissecans of the Shoulder in Dogs: Description of the Technique and Outcome in 164 Cases

2020 ◽  
Author(s):  
Aldo Vezzoni ◽  
Luca Vezzoni ◽  
Silvia Boiocchi ◽  
Alda Miolo ◽  
Ian Gordon Holsworth
Keyword(s):  
Clinical Outcome ◽  
Minimally Invasive ◽  
Surgical Approach ◽  
Osteochondritis Dissecans ◽  
Humeral Head ◽  
Surgical Approaches ◽  
Invasive Treatment ◽  
Invasive Approach ◽  
Head Surface

Abstract Objective The aim of this study was to describe a novel minimally invasive surgical approach for the treatment of shoulder osteochondritis dissecans (OCD) in dogs and to retrospectively review our clinical cases treated with this approach. Study Design The study describes a modification of Cheli surgical approach (1985), developed to reduce the degree of invasiveness as well as the incidence of postoperative complications observed in other surgical approaches to the shoulder joint. Medical records of dogs that underwent our minimally invasive approach to the scapulohumeral joint for treatment of OCD from May 2001 to May 2019 were retrospectively reviewed for intraoperative findings and complications. Clinical outcome and complications were also evaluated in the operated dogs with a minimum of a 2-month-follow-up evaluation. Results A total of 164 shoulders in 141 dogs (23 bilateral), 103 males and 38 females, were examined and treated with our modified craniolateral approach for the treatment of OCD of the humeral head. In all cases, the modified craniolateral approach allowed visibility and adequate exposure of the caudal humeral head surface. Radiographic and clinical follow-up evaluations were available in 123/164 (75%) cases. The clinical outcome was consistent with other reports using different surgical approaches for OCD lesions of the humeral head in dogs. Clinical Significance This technique provided a reliable approach for surgical treatment of canine shoulder OCD and can be considered a valid alternative to other surgical approaches including arthroscopy.

scholarly journals Minimal Surgery Technique in Rhegmatogenous Retinal Detachment

2018 ◽  
Vol 5 (4) ◽  
pp. 3747-3751
Author(s):  
Müberra Akdogan ◽  
Mahmut Ozturk
Keyword(s):  
Retinal Detachment ◽  
Surgical Technique ◽  
Minimally Invasive ◽  
Success Rate ◽  
Rhegmatogenous Retinal Detachment ◽  
Subretinal Fluid ◽  
Success Rates ◽  
Minimally Invasive Surgical ◽  
Anatomical Success ◽  
Anatomical Success Rate

Objectives: The aim of our study is to emphasize that, using minimal detachment surgery in selected cases among patients diagnosed with rhegmatogenous retinal detachment, it is possible to repair the detachment with scleral buckling + cryopexy without the drainage of subretinal fluid and to minimize invasive surgery. Methods: Minimally possible detachment surgery and conventional detachment surgery were applied to 50 eyes of 50 patients between 12 and 69 years old (28 males, 22 females) who were admitted to Şişli Etfal Hospital Eye Clinic Retina Unit and diagnosed with rhegmatogenous retinal detachment, and the data were divided into two groups and analyzed retrospectively. Preoperatively, anamnesis was obtained, visual acuity was measured, biomicroscopic examination was performed, intraocular pressure was measured, detailed fundus examination was performed and the topographical drawing of fundus oculi was made. All operations were performed under local anesthesia, and in the operating room. Results:   In the 1st group, minimally invasive detachment surgery was performed on 30 eyes of 30 patients. This group of patients was followed up for a minimum of 5 months and a maximum of 2 years. In these cases, the anatomical success rate was 93.3%, and the visual success rate was 80%. In the 2nd Group, conventional detachment surgery was performed on 20 eyes of 20 patients. This group of patients was followed up for a minimum of 4 months and a maximum of 1.5 years. In these cases, the anatomical success rate is 60%, and the visual success rate is 60%. Conclusion: If patients with rhegmatogenous retinal detachment apply to an ophthalmologist in a timely fashion, very good anatomical and visual success rates can be achieved with the minimally invasive surgical technique. In conditions where vitreoretinal surgery is not possible in the appropriate patient group, the first option should be minimally invasive surgical technique.

scholarly journals Aesthetic Restoration using Direct Composite Resin

2020 ◽  
Author(s):  
Anudeep S. Myakal
Keyword(s):  
Minimally Invasive ◽  
Key Words ◽  
Composite Resin ◽  
Promising Result ◽  
Treatment Plan ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Composite Resin Restoration ◽  
The Aesthetic ◽  
Composite Restoration

Anterior Crown fractures are common among schoolchildren. This will impact on their functional, aesthetic and psychological behaviour, as the aesthetic zone clinician must propose the exact and minimally invasive treatment plan. Achieving promising result in both aesthetic and strength is the greatest desire for the patient as well as for parents. This is the case of fractured permanent maxillary central incisors treated using Direct Composite Resin Restoration. Key Words: Anterior Crown, Fracture, Aesthetic, Maxillary central incisors, composite restoration

Feasibility and Clinical Outcome after Minimally Invasive David's Procedure

2015 ◽  
Vol 63 (S 01) ◽  
Author(s):  
H. Baumbach ◽  
K. Wachter ◽  
R. Nagib ◽  
A. Ursulescu ◽  
R. Yadav ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Minimally Invasive

Entscheidungsprozesse beim Übersetzen: Routine und Reflexion bei Novizen und Berufsübersetzern

Fachsprache ◽  
2017 ◽  
Vol 32 (3-4) ◽  
pp. 100-121
Author(s):  
Friederike Prassl
Keyword(s):  
Decision Making ◽  
Success Rate ◽  
Knowledge Integration ◽  
Popular Science ◽  
Failure Rates ◽  
Science Text ◽  
Success Rates ◽  
Preliminary Results ◽  
Decision Making Processes ◽  
Cognitive Involvement

This article focuses on the decision-making processes involved in research and knowledge integration in translation processes. First, the relevance of decision taking intranslation is discussed. Second, the psychology of decision making as seen by Jungermann et al. (2005) is introduced, who propose a categorization of decision-making processes intofour types: “routinized”, “stereotype”, “reflected” and “constructed”. This classification is then applied to the translations by five professional translators and five novices of five segments occurring in a popular-science text. The analysis reveals that the decision-making types are distributed differently among students and professional translators, which also has to be seen against the background of whether the decisions made were successful or not. The preliminary results of this study show that students resort to reflected decisions in most cases, but with a low success rate. Professionals achieve a higher success rate when making reflected decisions. As expected, they also make more routinized decisions than students. The professionals’ success rates improve with increasing cognitive involvement, while their failure rates are relatively high when making routinized decisions, an aspect worthwhile considering in translation didactics.

CLINICAL CHARACTERISTICS OF THE CHRONIC DACRYOCYSTITIS AND THE SUCCESS RATE OF EXTERNAL DACRYOCYSTORHINOSTOMY

2015 ◽  
pp. 29-34
Author(s):  
Van Nam Phan ◽  
Ba Kien Tran
Keyword(s):  
Success Rate ◽  
Key Words ◽  
Clinical Characteristics ◽  
Lacrimal Duct ◽  
Interventional Study ◽  
Chronic Dacryocystitis ◽  
External Dacryocystorhinostomy ◽  
The Mean

Purpose: To determine the clinical characteristics of the chronic dacryocystitis and the success rate of external dacryocystorhinostomy. Methods: The retrospective, interventional study without comparing on 27 patients (32 eyes) of chronic dacryocystitis who underwent dacryocystorhinostomy (DCR) from 2010 to 2011. Results were evaluated with standards: epiphora, purelence, lacrimal duct irrigation. Results: Over period of 6 months, 27 patients including 25 (92.59%) female, 2 (7.41%) male. The mean age was 49.8 years (range, 22-79 years). All patients demonstrated epiphera (range, 3 months – 11 years). Dacryocystorhinostomy was performed unilaterally in 81.48%, bilateral 18.52%. Successrate was 90.06% overall. Conclusions: Although techniques in dacryocystorhinostomy of DUPUY-DUTEMPS is old, its result is mainstay of treatment for chronic dacryocystitis in Vietnam. Key words: Dupuy-Dutemps, chronic dacryocystitis

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