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Ting Zhang, Siyue Xu, Haopeng Li, Xijing He, Feng Zhang
The aim of the present study was to compare the clinical effects of arthroscopic surgery with open surgery for grade II gluteal muscle contracture (GMC) in adults and to discuss the indication and technique for arthroscopic GMC release. The clinical data of 113 adult patients with grade II GMC between 2011 and 2016 was retrospectively collected. Among these patients, 72 patients received open surgery and 41 received arthroscopic surgeryy. The 2 groups were compared in terms of surgical duration, incision size, blood loss, hospital stay, analgesic dose and ranking of postoperative functions and effects...
July 2018: Experimental and Therapeutic Medicine
Zhiwei Zheng, Jun Li, Jinbing Wang, Jian Sun
OBJECTIVES: The purpose of this article was to propose a V-shaped minimal facelift incision (FLI) and analyze its efficacy for improving the esthetic outcomes of parotid gland tumors. METHODS: A prospective, nonrandomized study was performed. Forty-six patients with category I benign parotid tumors as to Quer classification (3 cm or less and located superficially and/or peripherally in the gland) were enrolled. The 46 patients who underwent dissection of parotid gland tumors were divided into 2 groups: minimal FLI (group 1) and modified Blair incision (MBI, group 2)...
June 11, 2018: Journal of Craniofacial Surgery
Zhu Dai, Zhiwei Chen, Ying Liao, Zhengwu Tang, Juncheng Cui
PURPOSE: To compare the outcomes of contracture release by arthroscopic versus open surgical approach in patients with external snapping hip (ESH) caused by gluteal muscle contracture (GMC). METHODS: Medical records of patients with ESH due to GMC who underwent open surgery (n = 44) or arthroscopic surgery (n = 48) between October 2008 and October 2014 were reviewed. Patients were followed up at 1, 3, 12, and 24 months postoperatively. Operation time, incision length, postoperative pain, postoperative complication rate, and recurrence rate were compared between the 2 groups...
March 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Huamao Miao, Xiu Liu, Mi Tian, Jing Zhao, Xuejun Fang, Xingtao Zhou
PURPOSE: To investigate changes in intraocular scattering and Bowman's layer microdistortions after femtosecond laser small incision lenticule extraction using the continuous curvilinear lenticulerhexis technique (SMILE-CCL). METHODS: In this prospective study, 93 eyes of 93 patients (44 women, 49 men) were treated with SMILE-CCL. Mean age was 26.09 ± 4.39 years and mean spherical equivalent was -6.31 ± 2.16 diopters. The Objective Scatter Index (OSI) was examined with an objective optical quality analysis system...
June 1, 2018: Journal of Refractive Surgery
Yongxing Cao, Yang Xu, Yuan Hong, Xiangyang Xu
BACKGROUND: Several minimally invasive anatomic reconstruction techniques of the lateral ligaments have been introduced for the treatment of chronic lateral ankle instability. However, these strategies may not always follow accurate ligament anatomic attachments, especially in the construction of the fibular bone tunnels. OBJECTIVES: This study reported a new percutaneous technique for reconstruction of the ligaments of lateral ankle anatomically with a Tightrope system...
June 6, 2018: Archives of Orthopaedic and Trauma Surgery
Jiaonan Ma, Yan Wang, Tommy C Y Chan
PURPOSE: To investigate the possible risk factors and clinical effects of black areas in small-incision lenticule extraction. METHODS: Thirty-one cases and 126 controls were enrolled in a case-control study from the database of a single center from September 2012 to July 2017. A retrospective analysis of surgical procedures with video and medical records was performed. Logistic regression analysis was used to assess the possible risk factors for black areas between cases with black areas and controls without black areas...
May 31, 2018: Cornea
Sachin Gupta, Aravind Haripriya, S Ashok Vardhan, Thulasiraj Ravilla, Ravilla D Ravindran
PURPOSE: The goal of this study was to document the resident learning curve for manual small-incision cataract surgery (MSICS) and to identify implications for the design of ophthalmology residency programs aimed to train surgeons for developing countries. DESIGN: Hospital-based retrospective cohort study. PARTICIPANTS: All 38 residents entering 2 postgraduate residency programs at Aravind Eye Hospital, Madurai, in 2012 and 2013. METHODS: Surgical complications and reoperations for all MSICSs performed by residents during the residency training period were evaluated using a computerized patient database...
May 31, 2018: Ophthalmology
Iben Bach Damgaard, Andri Kartasasmita Riau, Yu-Chi Liu, Min Li Tey, Gary Hin-Fai Yam, Jodhbir Singh Mehta
Purpose: To evaluate the feasibility of excimer laser reshaping of biological lenticules available after small incision lenticule extraction (SMILE). Methods: Fresh and cryopreserved SMILE-derived human lenticules underwent excimer laser ablation for stromal reshaping. The treatment effects in the lasered group were compared with the nonlasered group with respect to changes in surface functional groups (by Fourier transform infrared spectroscopy [FTIR]) and surface morphology (by scanning electron microscopy [SEM] and atomic force microscopy [AFM])...
May 1, 2018: Investigative Ophthalmology & Visual Science
Mohamed Nagy Elmohamady, Walid Abdelghaffar, Ahmed Daifalla, Tamer Salem
Purpose: To evaluate femtosecond laser in flap and cap creation, detect some corneal biomechanical changes, and evaluate dry eye after laser in situ keratomileusis (LASIK), Femto-LASIK, and small incision lenticule extraction (SMILE) with 3-year follow-up. Patients and methods: Preoperative evaluation taken: full ophthalmic examination, Pentacam, ocular response analyzer, ocular surface disease index (OSDI), and tear breakup time (TBUT). LASIK flap was created using Moria microkeratome in 30 eyes (LASIK group) and using VisuMax femtosecond laser in 38 eyes (FS-LASIK group) and SMILE was done by VisuMax in 35 eyes (SMILE group)...
2018: Clinical Ophthalmology
Longlong Shao, Ping Zhen, Yonghai Ma, Dong Gong, Yunlong Wang
Objective: To investigate the appropriate concentration of methicillin-resistant Staphylococcus aureus (MRSA) in establishing chronic femoral osteomyelitis model in rabbits. Methods: Forty-eight adult New Zealand white rabbits were randomly divided into 6 groups with 8 rabbits in each group. Animals in groups B, C, D, E, and F were injected 1×10 9 , 1×10 8 , 1×10 7 , 1×10 6 , 1×10 5 CFU/mL MRSA on the location of 2 cm of the femoral supracondyle, respectively, and group A was injected with aseptic saline as a control...
April 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Hun Lee, David Sung Yong Kang, Dan Z Reinstein, Samuel Arba-Mosquera, Eung Kweon Kim, Kyoung Yul Seo, Tae-Im Kim
PURPOSE: To evaluate the changes in corneal higher-order aberrations (HOAs) after corneal wavefront-guided transepithelial photorefractive keratectomy (PRK) and small-incision lenticule extraction (SMILE). SETTING: Yonsei University College of Medicine and Eyereum Eye Clinic, South Korea. DESIGN: Retrospective case series. METHODS: Medical records of patients having either corneal wavefront-guided transepithelial PRK or small-incision lenticule extraction were examined...
May 19, 2018: Journal of Cataract and Refractive Surgery
Partha Biswas, Parikshit Madhav Gogate, Quresh Badr Maskati, Sundaram Natarajan, Lalit Verma, Payal K Bansal
Purpose: To gauge the differences in ophthalmology residency training, academic, clinical and surgical, in the last three decades of the 20th century and the first decade of the 21st century. Methods: A survey was conducted by the Academic and Research Committee of the All India Ophthalmological Society, in 2014-2016, using a prevalidated questionnaire, which was circulated to ophthalmologists to gauge the practicality of the teaching protocols of clinical and surgical skills during postgraduate residency program...
June 2018: Indian Journal of Ophthalmology
Takahiro Kataoka, Tomoya Nishida, Azusa Murata, Mayuka Ito, Naoki Isogai, Rie Horai, Takashi Kojima, Yoko Yoshida, Tomoaki Nakamura
Purpose: This retrospective case-matched study aimed to compare visual and refractive outcomes between small incision lenticule extraction (SMILE) and LASIK. Patients and methods: Patients who underwent SMILE (34 eyes of 23 patients) or LASIK (34 eyes of 24 patients) were enrolled and matched according to preoperative manifest refractive spherical equivalents. The mean preoperative manifest refractive spherical equivalent was -4.69±0.6 and -4.67±0.64 D in the SMILE and LASIK groups, respectively...
2018: Clinical Ophthalmology
Haris Sideroudi, Apostolos Lazaridis, Anke Messerschmidt-Roth, Georgios Labiris, Vassilios Kozobolis, Walter Sekundo
PURPOSE: To evaluate the long-term changes in anterior and posterior corneal irregular astigmatism and curvatures after small incision lenticule extraction (SMILE). METHODS: Fifty eyes of 28 patients underwent SMILE for myopic astigmatism. All procedures were performed using the VisuMax® femtosecond laser. A Scheimpflug camera was used for preoperative and 3-year postoperative tomography. Anterior and posterior corneal Fourier parameters (spherical component, regular astigmatism, asymmetry, and irregularity) and curvature data were evaluated and compared within 2 subgroups according to the magnitude of the refractive correction (low myopia group: spherical equivalent (SEQ) ≥ -6 D; high myopia group: (SEQ) < -6 D)...
July 2018: Cornea
Paul Dayton, Daniel J Hatch, Robert D Santrock, Bret Smith
Although plating on the plantar, tension-side of the metatarsocuneiform joint provides an inherent biomechanical advantage for Lapidus arthrodesis, it has not been widely adopted owing to the morbidity associated with plantar application. To overcome these limitations, a modification to 90-90 locked biplanar plating was developed to provide the biomechanical advantages of multiplanar fixation and tension-side fixation, allowing application through a conventional incision. We tested the hypothesis that biplanar plating with tension-side fixation (low-profile straight dorsal plate and anatomic medial-plantar plate) would demonstrate improved mechanical stability compared with a previously tested 90-90 biplanar construct (small straight plate dorsally and medially) under cyclic loading...
May 8, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Bahram Eshraghi, Hadi Ghadimi
PURPOSE: To determine the rate of success of small-incision levator resection technique for correction of congenital ptosis. METHODS: Patients with congenital ptosis who were candidates for levator resection were enrolled if their levator function was not poor (< 5 mm). Incisions were made on upper eyelid crease with a length of 10-12 mm. After resection of adequate length of levator muscle, two sutures were used to fix it to tarsal plate. Sliding the incision to medial and lateral sides provided a wider field of access to allow the surgeon to place the sutures above nasal and temporal borders of limbus...
May 9, 2018: Graefe's Archive for Clinical and Experimental Ophthalmology
Jakob Siedlecki, Nikolaus Luft, Wolfgang J Mayer, Martin Siedlecki, Daniel Kook, Bertram Meyer, Martin Bechmann, Rainer Wiltfang, Siegfried G Priglinger, Martin Dirisamer
PURPOSE: To report the outcomes of enhancement after small incision lenticule extraction (SMILE) using the VisuMax CIRCLE option (Carl Zeiss Meditec AG, Jena, Germany), which converts the SMILE cap into a femtosecond LASIK flap for secondary excimer laser application. METHODS: Of 2,065 SMILE procedures, 22 eyes (1.1%) re-treated with CIRCLE with a follow-up of 3 months were included in the analysis. SMILE was performed in the usual manner. For re-treatment, the CIRCLE procedure was performed with pattern D flap creation on the VisuMax system and subsequent excimer laser ablation with a Zeiss MEL 90 laser (Carl Zeiss Meditec) with plano target in all cases...
May 1, 2018: Journal of Refractive Surgery
Robert J Yawn, Matthew M Dedmon, Brendan P O'Connell, Frank W Virgin, Alejandro Rivas
OBJECTIVE: To evaluate the use of porcine small intestinal submucosal grafts for tympanic membrane repair. PATIENTS: Adult and pediatric patients with tympanic membrane perforations with and without chronic otitits media, and perforations after removal of cholesteatoma. INTERVENTION: Endoscopic or microscopic tympanic membrane repair using porcine small intestinal submucosal grafts (Biodesign). MAIN OUTCOME MEASURE(S): Perforation closure, bone and air pure-tone averages (PTA), air-bone gap (ABG), and word recognition scores (WRS) were recorded as outcome measures...
June 2018: Otology & Neurotology
Jonghyeok Ko, Junemoe Jeong, Sungin Lee, Hyunglak Son, Oh-Kyeong Kweon, Wan Hee Kim
OBJECTIVE: To evaluate the feasibility of single-port retroperitoneoscopic adrenalectomy (SPRA) in dogs. STUDY DESIGN: A pilot experimental study. ANIMALS: Eight healthy beagle dogs. METHODS: SPRA was performed on the left and right sides (4 dogs each). Resection of the adrenal gland was performed through a SILS port using a retroperitoneal approach. Operative time was defined from skin incision to the completion of skin suture...
April 26, 2018: Veterinary Surgery: VS
Kai-Jung Chen, Akram Joda, Riccardo Vinciguerra, Ashkan Eliasy, Shervin Mir Mohi Sefat, Daniel Kook, Brendan Geraghty, Cynthia J Roberts, Ahmed Elsheikh
PURPOSE: To compare a biomechanically corrected intraocular pressure (bIOP) algorithm provided by the dynamic Scheimpflug analyzer (Corvis ST) with Goldmann applanation tonometry IOP (Goldmann IOP) and standard dynamic Scheimpflug analyzer IOP measurements before and after laser in situ keratomileusis (LASIK) and refractive lenticule extraction small-incision lenticule extraction (SMILE) surgeries. SETTING: Smile Eye Clinic, Munich, Germany, and University of Liverpool, Liverpool, United Kingdom...
May 2018: Journal of Cataract and Refractive Surgery
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