scholarly journals Combined Approach to Coexisting Glaucoma and Cataract: Choice of Surgical Techniques

10.5772/19050 ◽  
2011 ◽  
Author(s):  
Brig JKS ◽  
Lt Col Jaya Kaushik ◽  
Surg Lt Cdr AS Parihar ◽  
Ashwini KS
Keyword(s):  
Surgical Techniques ◽  
Combined Approach

scholarly journals MODIFIED SINGLE ROLL FLAP APPROACH FOR SIMULTANEOUS IMPLANT PLACEMENT AND RECESSION COVERAGE

2021 ◽  
Vol 27 (2) ◽  
pp. 3778-3783
Author(s):  
Kamen Kotsilkov ◽  
Keyword(s):  
Surgical Techniques ◽  
Lateral Approach ◽  
Alveolar Ridge ◽  
Combined Approach ◽  
Root Coverage ◽  
Coronally Advanced Flap ◽  
Implant Placement ◽  
Lower Jaw ◽  
Caries Lesions

PURPOSE: This presentation demonstrates the application of the recently described modified single roll flap approach in a combined approach with the coronally advanced flap for simultaneous root coverage and implant placement with augmentation of an alveolar ridge defect. MATERIAL/METHODS: A 45 years old patient presented with complaints of teeth hypersensitivity and gum recessions as a result of an extraction of a fractured tooth.The clinical examination revealed an edentulous area in the lower right mandible, position #46, presenting a III class Siebert alveolar ridge defect, with a predominant horizontal volume insufficiency.Root exposures with caries lesions were observed on the neighboring teeth - #44, #45, #47. Usually, such a combined soft tissue and bone defects require multiple surgeries to achieve complete tissue augmentation. In this case, a new combined approach was performed, using the recently described by the author modified single roll flap and the protocol of the lateral approach of the coronally advanced flap for the lower jaw. RESULT: A complete root coverage, both bucally and approximaly, was present on the 4th month after surgery. In the edentulous area, a sufficient volume augmentation was observed with a presence of an adequate height and thickness of the peri-implant mucosa to achieve a good long term success of the implant born crown. CONCLUSION: The presented case proved the benefits of the newly described modified roll flap and the possibility this approach to be implemented in different surgical techniques, thus enlarging the indications of its application.

scholarly journals Combined approach for management of gynecomastia: Subcutaneous mastectomy and liposuction

2018 ◽  
Vol 7 (3) ◽  
pp. 78-81
Author(s):  
Amir Bajracharya
Keyword(s):  
Patient Satisfaction ◽  
Surgical Techniques ◽  
Cost Effective ◽  
Subcutaneous Mastectomy ◽  
Combined Approach ◽  
Exclusion Criteria ◽  
Patient Satisfaction Score ◽  
Fat Removal ◽  
Grade Ii ◽  
Minimal Complication

Introduction: There are different modalities for the treatment of gynecomastia. Open surgical techniques have become less popular with the advent of liposuction and its variants, including power-assisted and ultrasound-assisted liposuction. Methodology: This is a descriptive study done to observe the combined approach of liposuction and subcutaneous mastectomy for the treatment of gynecomastia and to evaluate aesthetic aspects using Surgeon’s evaluation score for size, shape, scarring, overall outcome and patient satisfaction score by using visual analogue scale. Inclusion criteria consist of all the patients with bilateral or unilateral gynecomastia using Simon Grade I and II. , Exclusion criteria consist of patients having pseudogynecomastia, pathological and with Simon Grade III gynecomastia. Frequency analysis was done using Statistical Package for Social Sciences version 20.0. Results: Twenty-one patients were included in the study, out of which there were 12 (57%) cases of bilateral, six (29%) cases of right and three (14%) cases of left sided gynecomastia. Mean age was 23.8 years range (14-32) years, mean body mass index 22.52 kg/m2 (18-26) kg/m2 mean volume of fat removal through liposuction 136.43 ml (40-300) ml, and mean resected breast tissue was 89.29 gm (40-150) gm. In our study 33.3% cases were of Simon Grade I and 66.7 % cases were of Grade II gynecomastia with one (4.7%) case had post-operative hematoma. With combined approach liposuction and subcutaneous mastectomy results showed overall excellent patient satisfaction, minimal complication, less scarring and cost effective. Conclusions: Management of gynecomastia with subcutaneous mastectomy and liposuction can be a combined approach with less complication and overall excellent patient satisfaction.

Combined Approach of the Anterior Skull Base in Sinonasal Tumours

2018 ◽  
Vol 69 (5) ◽  
pp. 1191-1193
Author(s):  
Dragos Octavian Palade ◽  
Bogdan Mihail Cobzeanu ◽  
Petronela Zaharia ◽  
Marius Dabija
Keyword(s):  
Skull Base ◽  
Surgical Techniques ◽  
Anterior Skull Base ◽  
Disease Stage ◽  
Surgical Approaches ◽  
Intracranial Extension ◽  
Combined Approach ◽  
Endoscopic Techniques ◽  
Complex Anatomy ◽  
Insidious Onset

Malignancies of the nasal cavity and the paranasal sinuses are rare, counting for less than 3 % of the ENT-cancers. The insidious onset of these tumours with non-specific symptoms often leads to a delayed diagnostic. Advanced disease stage combined with the complex anatomy of the sinonasal cavities and anterior skull base encouraged surgeons to extend beyond the boundaries the classic surgical techniques. Surgical approaches to anterior skull base lesions can be divided into open approches: craniofacial, subcranial, endoscopic techniques or combined approaches when a craniotomy is associated with an endonasal endoscopic approach. The indication must take into consideration the oncologic principles, histopathology exam, extent of disease and surgeon skill and experience. Combined approach should be taken into consideration for patients with extended disease or significant intraorbital or intracranial extension. For certain tumours that require a craniotomy for the superior, superolateral, and anterior extensions of the disease and also a nasal and paranasal sinus tumor that could be removed endoscopically, an endoscopic-assisted approach can be considered.

Surgical Techniques in the Treatment of Pancreatic Pseudocysts

Swiss Surgery ◽  
2003 ◽  
Vol 9 (3) ◽  
pp. 131-134
Author(s):  
Röthlin
Keyword(s):  
Surgical Techniques ◽  
Pancreatic Pseudocysts

Anhand der Pseudozysteneinteilung nach D'Egidio und Schein werden die verschiedenen chirurgischen Techniken der Pseudozystendrainage und -resektion diskutiert. Die Möglichkeiten und Grenzen der laparoskopischen Technik werden dargestellt. Auf die "Konkurrenz" der endoskopischen und interventionellen Therapien wird lediglich am Rand verwiesen. Prognostisch hängt der weitere Verlauf nach Pseudozystenoperation weniger von der Operationstechnik, als vom natürlichen Verlauf der Erkrankung (chron. Pankreatitis) und vom Sistieren, bzw. Weiterbestehen der zugrundeliegenden Noxe ab.

Current Strategies in the Management of Spinal Metastatic Disease

Swiss Surgery ◽  
2003 ◽  
Vol 9 (2) ◽  
pp. 55-62 ◽  
Author(s):  
Bartanusz ◽  
Porchet
Keyword(s):  
Spinal Cord ◽  
Surgical Techniques ◽  
Cord Compression ◽  
Treatment Modalities ◽  
Surgical Approaches ◽  
Spinal Stabilization ◽  
Management Algorithm ◽  
Specific Manner ◽  
Extensive Surgery ◽  
Selection Of

The treatment of metastatic spinal cord compression is complex. The three treatment modalities that are currently applied (in a histologically non-specific manner) are surgery, radiotherapy and the administration of steroids. The development of new spinal instrumentations and surgical approaches considerably changed the extent of therapeutic options in this field. These new surgical techniques have made it possible to resect these tumours totally, with subsequent vertebral reconstruction and spinal stabilization. In this respect, it is important to clearly identify those patients who can benefit from such an extensive surgery. We present our management algorithm to help select patients for surgery and at the same time identifying those for whom primary non-surgical therapy would be indicated. The retrospective review of surgically treated patients in our department in the last four years reveals a meagre application of conventional guidelines for the selection of the appropriate operative approach in the surgical management of these patients. The reasons for this discrepancy are discussed.

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