scholarly journals Pushed monocanalicular intubation versus probing as a primary management for congenital nasolacrimal obstruction

2016 ◽  
Vol Volume 10 ◽  
pp. 1487-1493 ◽  
Author(s):  
Sameh Hassan Abdelbaky ◽  
Emad Elsawaby ◽  
Rania Asem El Essawy ◽  
Yomna Ismail
Keyword(s):  
Primary Management ◽  
Monocanalicular Intubation

scholarly journals Balloon Dacryocystoplasty with Pushed Monocanalicular Intubation as a Primary Management for Primary Acquired Nasolacrimal Duct Obstruction

2021 ◽  
Author(s):  
Chun-Chieh Lai ◽  
Cheng-Ju Yang ◽  
Chia-Chen Lin ◽  
Yi-Chun Chi
Keyword(s):  
Success Rate ◽  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Combination Group ◽  
Duct Obstruction ◽  
Surgical Success ◽  
Significant Difference ◽  
Silicone Stent ◽  
Primary Management ◽  
Monocanalicular Intubation

Abstract Though dacryocystorhinostomy (DCR) has long served as the gold treatment for primary nasolacrimal duct obstruction (PANDO), balloon dacryocystoplasty (DCP) and silicone stent intubation were applied especially in partial PANDO in the attempts to avoid osteotomy and reduce invasiveness. Herein, we present the results of the combined procedures with balloon DCP and pushed monocanalicular intubation in complete PANDO, and comparison of the combination to balloon DCP alone. We retrospectively reviewed 72 eyes of 56 patients, including 37 eyes of 29 patients in the combination group and 35 eyes of 28 patients in the balloon DCP alone group. There was no significant difference in the success rate between antegrade balloon DCP with and without pushed MCI in general. Nevertheless, interestingly the former procedure was associated with significantly higher surgical success rate than the latter in younger patients.

scholarly journals Clinical and angiographic characteristics of patients with STEMI and confirmed diagnosis of COVID-19: an experience of Tanta University Hospital

2020 ◽  
Vol 72 (1) ◽  
Author(s):  
Ahmed Alaarag ◽  
Timoor Hassan ◽  
Sameh Samir ◽  
Mohamed Naseem
Keyword(s):  
Poor Prognosis ◽  
Management Strategy ◽  
Clinical Presentation ◽  
Underlying Mechanism ◽  
Fibrinolytic Therapy ◽  
University Hospital ◽  
Total Occlusion ◽  
St Elevation ◽  
Primary Management ◽  
D Dimer

Abstract Background Patients with established cardiovascular diseases have a poor prognosis when affected by the coronavirus disease 2019 (COVID-19). Also, the cardiovascular system, especially the heart, is affected by COVID-19. So we aimed to evaluate the angiographic and clinical characteristics of COVID-19 patients presented by ST-elevation myocardial infarction (STEMI). Results Our retrospective study showed that STEMI patients with COVID-19 had elevated inflammatory markers with mean of their CRP (89.69 ± 30.42 mg/dl) and increased laboratory parameters of thrombosis with mean D-dimer (660.15 ± 360.11 ng/ml). In 69.2% of patients, STEMI was the first clinical presentation and symptoms suggestive of COVID-19 developed during the hospital stay; about one third of patients had a non-obstructive CAD, while patients with total occlusion had a high thrombus burden. Conclusion STEMI may be the initial presentation of COVID-19. A non-obstructive CAD was found in about one third of patients; on the other hand, in patients who had a total occlusion of their culprit artery, the thrombus burden was high. Identification of the underlying mechanism responsible for the high thrombus burden in these patients is important as it may result in changes in their primary management strategy, either primary PCI, fibrinolytic therapy, or a pharmaco-invasive strategy. Furthermore, adjunctive anticoagulation and antiplatelet therapy may need to be revised.

Self-adjusting monocanalicular intubation for congenital lacrimal obstruction

2015 ◽  
Vol 90 (5) ◽  
pp. 206-211
Author(s):  
F.J. Alañón ◽  
M.A. Alañón ◽  
B. Marín-González ◽  
I. López-Marín ◽  
N. Olmo ◽  
...  
Keyword(s):  
Monocanalicular Intubation

scholarly journals Does plain radiography still have a role in cases of fish bone ingestion in emergency rooms? A retrospective analysis

2021 ◽  
Author(s):  
Tzu-Chi Wu ◽  
Pin-Wen Huang ◽  
Chun-Bin Tung
Keyword(s):  
Computed Tomography ◽  
Symptomatic Relief ◽  
Fish Bone ◽  
Plain Radiography ◽  
Positive Finding ◽  
Emergency Physicians ◽  
Persistent Symptoms ◽  
Fish Bones ◽  
Negative Results ◽  
Primary Management

Abstract Background Fish bones are the most common aerodigestive foreign bodies found in adults. Most cases of fish bone impaction improve after primary management by emergency physicians with a mirror laryngoscopy using a tongue depressor, before otolaryngologists perform a fiberoptic nasendoscopy. A computed tomography scan usually follows to determine the next step. Studies have recently been concerned about overdoses of radiation from computed tomography. However, clear algorithms remain unavailable for fish bone ingestion management to date. Methods A retrospective review was conducted on 180 patients who visited the emergency department with complaints of fish bone impaction between January 2017 and January 2019. Results A total of 81.6% of patients with fish bone impaction got symptomatic relief after primary management by emergency physicians and otolaryngologists. Out of 180 patients, 33 (18.3%) needed an endoscopic procedure due to persistent symptoms. Only one (0.56%) required an operation due to perforation. In the group failing primary management, the plain radiography of eight patients showed a positive finding and an esophagogastroscopy was done to remove the fish bones. Conclusion Lateral neck radiography is still beneficial to patients with fish bone ingestion failure from primary management. Positive lateral soft tissue radiography in cases with persistent symptoms post primary management may directly suggest esophagogastroscopy without confirmation from a computed tomography, unless complications are suspected. For patients aged below 40, following up on their conditions after post management radiography shows negative results may increase their safety.

The Role of Cross-Finger Flaps in the Primary Management of Untidy Flexor Tendon Injuries

1993 ◽  
Vol 18 (3) ◽  
pp. 408-408
Author(s):  
D. T. Gault ◽  
A. A. Quaba
Keyword(s):  
Flexor Tendon ◽  
Favourable Outcome ◽  
Tendon Injuries ◽  
Tissue Loss ◽  
Traditional Teaching ◽  
Flexor Tendon Injuries ◽  
Soft Tissue Loss ◽  
Primary Management

This is a report of five patients who sustained untidy division of flexor tendons in zones 1 and 2, associated with overlying soft tissue loss. Contrary to traditional teaching, the tendon injuries were repaired primarily, and the tissue loss was made good with a cross-finger flap. At final evaluation, three cases were assigned excellent grades and two cases fair grades by Kleinert criteria. This unexpectedly favourable outcome may be due to a quality of the inner surface of the cross-finger flap and/or to staggering of the skin and tendon suture lines.

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