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https://www.readbyqxmd.com/read/27886977/can-submandibular-tracheal-intubation-be-an-alternative-to-tracheotomy-during-surgery-for-major-maxillofacial-fractures
#1
Ahmed Gaber Hassanein, Ahmed M A Abdel Mabood
PURPOSE: During surgery for major maxillofacial fractures, orotracheal intubation can interfere with some surgical procedures and nasal intubation can be contraindicated or impossible. That is why tracheotomy is presented as a solution, although it carries a relatively high incidence of complications. In this study, the use of submandibular tracheal intubation is basically evaluated as an alternative to tracheotomy in such circumstances. MATERIALS AND METHODS: This prospective study was performed in patients undergoing surgery for major maxillofacial fractures in which oral intubation and/or nasal intubation have been unsuitable, impossible, or contraindicated...
November 2, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27863301/antioxidant-and-anticancer-effects-and-bioavailability-studies-of-the-flavonoid-baicalin-and-its-oxidovanadium-iv-complex
#2
Juan J Martínez Medina, Luciana G Naso, Ana L Pérez, Alberto Rizzi, Evelina G Ferrer, Patricia A M Williams
Based on the known antioxidant effect of flavonoids, baicalin (baic) found in roots of Scutellaria has been selected. Its coordination complex with the oxidovanadium(IV) cation, Na4[VO(baic)2].6H2O (V(IV)O(baic)), was synthesized at pH9 in ethanol and characterized by physicochemical methods. Spectrophotometric studies at pH9 showed a ligand: metal stoichiometry of 2:1. By vibrational spectroscopy a coordination mode through the cis 5-OH and 6-OH deprotonated groups is inferred. EPR spectroscopy shows an environment of four aryloxide (ArO(-)) groups in the equatorial plane of the VO moiety, both in solution and in the solid complex...
November 5, 2016: Journal of Inorganic Biochemistry
https://www.readbyqxmd.com/read/27862613/naso-esophageal-extraluminal-drainage-for-postoperative-anastomotic-leak-after-thoracic-esophagectomy-for-patients-with-esophageal-cancer
#3
Kiyohiko Shuto, Tsuguaki Kono, Yasunori Akutsu, Masaya Uesato, Mikito Mori, Kenichi Matsuo, Chihiro Kosugi, Atsushi Hirano, Kuniya Tanaka, Shinich Okazumi, Keiji Koda, Hisahiro Matsubara
Postoperative anastomotic leaks and subsequent mediastinal abscess are serious complications. The purpose of this study was to assess the efficacy of naso-esophageal extraluminal drainage after thoracic esophagectomy with gastric conduit reconstruction using a posterior mediastinal route. About 50 of 365 patients (13.7%) with esophageal cancer and postoperative anastomotic leak after curative esophagectomy was investigated. Beginning in June 2009, naso-esophageal extraluminal drainage by inserting a naso-esophageal aspiration tube into the abscess cavity when percutaneous abscess drainage was introduced which was ineffective or technically impossible...
November 9, 2016: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/27857647/nutrition-chez-le-br%C3%A3-l%C3%A3
#4
G Perro
Nutrition is a challenge for burn patients. Emphasized points are early enteral amounts by means of a naso-gastric tube, semi-recumbent position > 30°, gastro-intestinal survey improved by kinetics, weight evolution, nutritional amounts assessment to prevent proteino-energetic deficiency. Feeding is difficult with children, as with seniors often associating a preexisting starvation. Nutritional supplements are useful in medium severity patients. For overweight patients, hypo caloric and hyperprotidic diet is the better choice...
March 31, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/27853694/autologous-diced-cartilage-in-nasal-septoplasty
#5
Sameh Ibrahim Sersar, Ibrahim Yassin, Mohammed Saad Eldin Aly
Diced rib cartilage is an acceptable option in severe nasal deformities. We present our preliminary experience in KAMC in nasal septoplasties using the autologous diced costal cartilage. This is a retrospective study of the 22 cases who needed the autologous diced costal cartilage in our centre in 4 years. All our patients needed autologous diced rib cartilages. Twelve were wrapped with temporalis fascia, eight needed rectus fascia and perichondrium was used in only 2 cases. The naso-frontal angle for the whole series decreased by a mean of 4...
September 2016: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/27845053/endoscopic-step-up-approach-using-a-dedicated-bi-flanged-metal-stent-reduces-the-need-for-direct-necrosectomy-in-walled-off-necrosis-with-videos
#6
Sundeep Lakhtakia, Jahangeer Basha, Rupjyoti Talukdar, Rajesh Gupta, Zaheer Nabi, Mohan Ramchandani, B V N Kumar, Partha Pal, Rakesh Kalpala, Manohar Reddy, R Pradeep, Jagadeesh Singh, G V Rao, D Nageshwar Reddy
BACKGROUND: EUS-guided drainage using plastic stents may be inadequate for treatment of WON. Recent studies report variable outcomes even using covered metal stent. AIM: The aim of this study was to evaluate the efficacy of a dedicated covered bi-flanged metal stent (BFMS) when adopting endoscopic "step-up approach" for drainage of symptomatic WON. METHODS: We retrospectively evaluated consecutive patients with symptomatic WON who underwent EUS-guided drainage using BFMSs over a 3-year period...
November 11, 2016: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/27833348/assessment-of-alar-flare-and-efficacy-of-alar-cinch-suture-in-the-management-of-alar-flare-following-le-fort-1-superior-repositioning-a-comparative-study
#7
K Mustafa, Fatima Shehzana, H Hari Kishore Bhat
OBJECTIVES: To prospectively analyze the amount of alar flare, factors contributing to alar flare and efficacy of cinch suture as an adjunctive procedure for alar flare reduction. STUDY DESIGN: Thirty adult patients with vertical maxillary excess, who underwent Le Fort 1 impaction, were divided into 2 groups of 15 each. Alar cinch was performed as an adjunct procedure in group 2 patients and results were compared to group 1 which was the control group. Measurements were made on the patients and on 1:1 standardized photographs...
December 2016: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/27830884/the-validity-of-eight-neoclassical-facial-canons-in-the-turkish-adults
#8
Omur Karaca Saygili, Serife Cinar, Burak Gulcen, Emrah Ozcan, Ilter Kus
The neoclassical canons were used to define the proportions between various areas of the head and face. Therefore, this study was done to establish the neoclassical canons of facial proportions in Turkish adults. A total of 200 healthy adults 20 to 35 years of age were examined. Using anthropometric landmarks, 5 horizontal and 9 vertical direct measurements were made on the faces with a sliding caliper. Results have been compared with eight neoclassical facial canons. Compared with both sexes, a significant difference has been found in all measurements except the upper facial width, left eye-fissure width, forehead height I and II (P<0...
November 10, 2016: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/27829604/an-impacted-minor-papilla-stone-in-a-patient-with-pancreas-divisum-that-caused-acute-exacerbation-of-chronic-pancreatitis-a-case-report
#9
Yoshiaki Isono, Shimpei Matsusaki, Hiroki Tanaka, Tomomasa Tochio, Hiroaki Kumazawa, Tomohiro Sase, Tomonori Saito, Hiroshi Okano, Youichirou Baba, Katsumi Mukai
A 75-year-old woman with epigastric pain was admitted to our emergency department. She was diagnosed with an acute exacerbation of chronic pancreatitis based on the results of blood tests and abdominal computed tomography (CT). The abdominal CT and magnetic resonance cholangiopancreatography revealed pancreas divisum. Abdominal CT also showed a stone in the minor papilla, with impaction of the stone being the most likely cause of the acute episode. Therefore, endoscopic sphincterotomy of the minor papilla and endoscopic naso-pancreatic duct drainage were performed to remove the stone and decrease the internal pressure of the pancreatic duct...
2016: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
https://www.readbyqxmd.com/read/27828827/the-natural-history-of-dilated-cardiomyopathy-how-has-it-changed
#10
Marco Merlo, Piero Gentile, Paola Naso, Gianfranco Sinagra
No abstract text is available yet for this article.
November 8, 2016: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/27826770/endobronchial-naso-bronchial-lavage-an-alternative-interventional-treatment-for-post-lobectomy-bronchopleural-fistula
#11
Ye Ning, Hai Huang, Lei Xue, Xuewei Zhao
BACKGROUND AND STUDY AIMS: Post-lobectomy bronchopleural fistula is a rare complication of lung resection surgery, and proper management is crucial for the successful resolution. Most published papers deal with surgical treatment. We report our experience with a new interventional management, endobronchial naso-bronchial lavage (ENBL). The aim of this study was to evaluate the continuing efficacy and safety of this innovative procedure. PATIENTS AND METHODS: From 2002 to 2012, 17 patients who suffered from post-lobectomy bronchopleural fistula were recruited...
November 8, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27820877/longitudinal-evaluation-of-eye-misalignment-and-eye-movements-following-surgical-correction-of-strabismus-in-monkeys
#12
Mythri Pullela, Brittany A Degler, David K Coats, Vallabh E Das
Purpose: Strabismus correction surgery is well documented in both the literature and practice with varying levels of success and permanence. Our goal was to characterize longitudinal changes in eye alignment and eye movements following strabismus correction surgery in a monkey model for developmental strabismus. Methods: We studied two juvenile rhesus monkeys with exotropia previously induced via an optical prism-rearing paradigm in infancy. Eye misalignment was corrected via a resection-recession surgery of the horizontal rectus muscles of one eye...
November 1, 2016: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/27817053/magnetic-resonance-imaging-in-the-pre-operative-evaluation-of-obstructive-epiphora-true-fisp-and-vibe-vs-gadolinium
#13
Francesco Somma, Vincenzo d'Agostino, Fabio Tortora, Nicola Serra, Gerardo Sorrentino, Valeria Piscitelli, Andrea Somma, Mario Gamerra
PURPOSE: To assess unenhanced magnetic resonance imaging (MRI) in the preoperative evaluation of obstructive epiphora in patients undergoing dacryocystorhinostomy (DCR) and in particular, to evaluate the efficacy of this technique in the detection of the exact level of obstruction occurring in the naso-lachrymal duct (NLD). The correct identification and characterization of the NLD and its obstructions lead to a more effective surgery, preventing recurrent dacryocystitis after the surgical treatment...
November 5, 2016: La Radiologia Medica
https://www.readbyqxmd.com/read/27811949/small-intestinal-protein-infusion-in-humans-evidence-for-a-location-specific-gradient-in-intestinal-feedback-on-food-intake-and-gi-peptide-release
#14
M van Avesaat, D Ripken, H F J Hendriks, A A M Masclee, F J Troost
BACKGROUND: Protein infusion in the small intestine results in intestinal brake activation: a negative feedback mechanism that may be mediated by the release of GI peptides resulting in a reduction in food intake. It has been proposed that duodenum, jejunum and ileum may respond differently to infused proteins. OBJECTIVE: To investigate differences in ad libitum food intake, feelings of hunger and satiety and the systemic levels of cholecystokinin (CCK), glucagon-like peptide-1 (GLP-1), peptide YY (PYY), glucose and insulin after intraduodenal, intrajejunal and intraileal protein infusion...
November 4, 2016: International Journal of Obesity: Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/27810560/intranasal-delivery-of-ciprofloxacin-to-rats-a-topical-approach-using-a-thermoreversible-in-situ-gel
#15
Joana Sousa, Gilberto Alves, Paula Oliveira, Ana Fortuna, Amílcar Falcão
Intranasal administration of antibiotics is an alternative and attractive delivery approach in the treatment of local infections such as chronic rhinosinusitis. This topical route has the advantage of delivering high drug concentrations directly to the site of infection when trying to eradicate the highly resistant bacterial biofilms. The purpose of this study was to assess and compare the pharmacokinetic parameters of ciprofloxacin following intranasal and intravenous administrations to rats in plasma, olfactory bulb and nasal mucosa of two different nasal regions...
November 1, 2016: European Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/27796598/soft-tissue-changes-after-a-mandibular-osteotomy-for-symmetric-skeletal-class-iii-malocclusion
#16
Seigo Ohba, Haruka Kohara, Takamitsu Koga, Takako Kawasaki, Kei-Ichirou Miura, Noriaki Yoshida, Izumi Asahina
The soft tissue profile is crucial to esthetics after orthognathic surgery. The aim of this study was to assess the soft tissue changes of the subnasal and submental regions more than 1 year after a sagittal split ramus osteotomy (SSRO) in patients with skeletal class III malocclusion. A total of 22 patients with mandibular prognathism were included in this study. Patients had lateral cephalograms before and more than 1 year after they underwent an isolated SSRO. Soft and hard tissue changes were assessed using the lateral cephalograms...
October 31, 2016: Odontology
https://www.readbyqxmd.com/read/27796410/-rare-but-important-differential-diagnosis-of-masses-at-the-fronto-etmoidal-naso-pharyngeal-basis-of-the-skull
#17
C Billich, C Vonend, B Schmitz
No abstract text is available yet for this article.
October 28, 2016: Der Radiologe
https://www.readbyqxmd.com/read/27795345/improved-detection-of-respiratory-pathogens-using-high-quality-sputum-with-taqman-array-card-technology
#18
Bernard J Wolff, Anna M Bramley, Kathleen A Thurman, Cynthia G Whitney, Brett Whitaker, Wesley H Self, Sandra R Arnold, Christopher Trabue, Richard G Wunderink, Jon McCullers, Kathryn M Edwards, Seema Jain, Jonas M Winchell
New diagnostic platforms often use naso- or oropharyngeal (NP/OP) swabs for pathogen detection for patients hospitalized with community-acquired pneumonia (CAP). We applied multi-pathogen testing to high-quality sputum specimens to determine if more pathogens could be identified relative to NP/OP swabs. Children (<18 years old) and adults hospitalized with CAP were enrolled over 2.5 years through the Etiology of Pneumonia in the Community (EPIC) study. NP/OP specimens with matching high-quality sputum (defined as ≤10 epithelial cells/low power field [lpf] and ≥25 white blood cells/lpf or a q-score definition of 2+) were tested by TaqMan Array Card (TAC), a multi-pathogen real-time polymerase chain reaction (PCR) detection platform...
October 19, 2016: Journal of Clinical Microbiology
https://www.readbyqxmd.com/read/27790571/assessment-of-function-of-eustachian-tube-in-oral-submucous-fibrosis-a-tympanometric-study
#19
Alagiri Chandran, Nalini Aswath
INTRODUCTION: Oral Submucous fibrosis (OSMF) is a chronic insidious disease of oral mucosa that occurs due to areca-nut chewing, consumption of chillies, autoimmunity and genetic predisposition. The disease starts with burning sensation and inability to tolerate spicy foods with gradual reduction in mouth opening due to fibrosis of the oral mucosa. The extension of fibrosis into the naso pharynx leads to reduction in hearing efficiency. It is a potentially malignant lesion and can transform into oral cancer...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27769723/an-extended-transcaruncular-approach-for-naso-orbito-ethmoid-and-le-fort-ii-fracture-repair
#20
Atsushi Imaizumi, Kunihiro Ishida, Osamu Nishizeki
BACKGROUND: Recent advancements in computed tomography have enabled the diagnosis of naso-orbito-ethmoid (NOE) fractures to be made in much greater detail. Surgical access to the upper nasofrontal buttress in NOE fractures, however, has remained unchanged over the past decades. All approaches to these fractures using skin incisions have individual drawbacks. The transcaruncular approach is free of the drawbacks of the cutaneous approaches. We further extended the transcaruncular approach for the treatment of NOE and Le Fort II fractures...
September 23, 2016: Journal of Cranio-maxillo-facial Surgery
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