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Septal perforation

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https://www.readbyqxmd.com/read/28544511/computational-fluid-dynamics-evaluation-of-posterior-septectomy-as-a-viable-treatment-option-for-large-septal-perforations
#1
Bradley A Otto, Chengyu Li, Alexander A Farag, Benjamin Bush, Jillian P Krebs, Ryan D Hutcheson, Kanghyun Kim, Bhakthi Deshpande, Kai Zhao
BACKGROUND: Numerous surgical techniques exist to treat nasal septal perforation (NSP). The surgical closure of large NSPs (>2 cm) is still challenging. Posterior septectomy has been reported as a simple alternative to treat large NSP, yet its mechanisms for symptom relief are not clear, and if failed, its consequence cannot be easily reversed. METHODS: Ten NSP patients were recruited: 5 underwent posterior septectomy and 5 underwent conventional flap or button repair...
May 23, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/28539570/usefulness-and-safety-of-a-novel-modification-of-the-retrograde-approach-for-the-long-tortuous-chronic-total-occlusion-of-coronary-arteries
#2
Zehan Huang, Bin Zhang, Weilu Chai, Dunliang Ma, Hongtao Liao, Zhian Zhong, Feng Wang, Jingye Lin
The aim of this study was to evaluate the feasibility and efficacy of the Guidezilla guide extension catheter in a reverse controlled antegrade and retrograde subintimal tracking (CART) technique for chronic total occlusion (CTO) recanalization.We retrospectively collected 80 CTO cases using reverse CART technology from January 2015 to October 2015 and 20 CTO cases using Guidezilla reverse-CART technology from October 2015 to March 2016. Guidezilla was applied in cases when it was difficult to advance a retro-guidewire through an occlusion segment into the antegrade guide catheter...
May 23, 2017: International Heart Journal
https://www.readbyqxmd.com/read/28530255/endoscopic-repair-of-nasal-septal-perforation
#3
M Cassano
Surgical closure of nasal septal perforation is one of the most challenging procedures in nasal surgery. During the last decade, many endoscopic repair techniques have been described with a success of post-operative repair between 76.4% and 100%. The advantages of this approach are its minimal invasiveness (with no external scars), optimal exposure of the operative field (with better visibility of structures) and good control of perforation margins. The drawbacks are that it is time-consuming and can be difficult to perform, requiring years of endoscopic experience...
May 22, 2017: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/28490406/closure-of-nasal-septal-perforations-with-a-polydioxanone-plate-and-temporoparietal-fascia-in-a-closed-approach
#4
Lorenz Epprecht, Christoph Schlegel, David Holzmann, Michael Soyka, Thomas Kaufmann
BACKGROUND: Septal perforation closure is still often invasive and complex, with relatively low closure rates. OBJECTIVES: We aimed to provide the first results of a case series of 20 patients with nasal septal perforations who underwent septal perforation repair by both an open and a minimally invasive technique by using a graft that consisted of temporoparietal fascia and a polydioxanone (PDS) plate without mucosal flaps. Between 2014 and 2016, we tested, for the first time, the feasibility of the insertion of this graft via a hemitransfixion incision at our institution...
May 1, 2017: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/28469224/upper-endoscopy-in-acute-coronary-syndrome-with-ventricular-septal-perforation
#5
Rintaro Hashimoto, Masato Nakahori
No abstract text is available yet for this article.
May 2017: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/28458730/complications-during-maxillary-sinus-augmentation-associated-with-interfering-septa-a-new-classification-of-septa
#6
Tassos Irinakis, Valentin Dabuleanu, Salwa Aldahlawi
PURPOSE: A new classification of maxillary sinus interfering septa based on its orientation is presented along with its relationship to the prevalence and severity of sinus membrane perforations. Additionally, the impact of membrane perforation on post-operative complications and marginal bone loss during the first year of loading is evaluated. MATERIALS & METHODS: Retrospective chart review of 79 consecutive sinus lift procedures with lateral window technique and 107 implants...
2017: Open Dentistry Journal
https://www.readbyqxmd.com/read/28456700/respect-the-septal-perforator-septal-artery-perforation-during-cto-pci-resulting-in-massive-interventricular-septal%C3%A2-hematoma-and-biventricular-cardiac-obstructive-shock
#7
Tiberio M Frisoli, Majed Afana, Sagger Mawri, Mazen Hadid, Luay Sayed, William W O'Neill, Sachin Parikh, Dee Dee Wang, Akshay Khandelwal, Khaldoon Alaswad
No abstract text is available yet for this article.
April 21, 2017: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/28405051/nasal-septal-perforation-diagnosed-intraoperatively-by-course-of-nasotracheal-tube-from-left-nostril-to-right-nostril
#8
Sohan Lal Solanki, Jeson R Doctor, Shreyans Shah
No abstract text is available yet for this article.
March 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28397952/aortic-valve-prolapse-misdiagnosed-as-aortic-sinus-aneurysm-in-patients-with-ventricular-septal-defect-analysis-of-the-echocardiographic-findings
#9
Guobing Hu, Xiangming Zhu, Fang Song
To retrospectively analyzed the preoperative echocardiographic findings of 9 patients with doubly committed ventricular septal defect (VSD) associated with aortic valve prolapse and to summarize the reasons for misdiagnosis. Methods: This retrospective study was conducted in Yijishan Hospital, Wannan, Anhui, Chinabetween June 2005 and May 2015. Using transthoracic echocardiography (TTE), 92 patients were diagnosed with doubly committed VSD associated with rupture of an aortic sinus aneurysm. The operative findings proved to be in accordance with the echocardiographic findings in 83 patients...
April 2017: Saudi Medical Journal
https://www.readbyqxmd.com/read/28392038/the-emerging-role-of-3-dimensional-printing-in%C3%A2-rhinology
#10
REVIEW
Janalee K Stokken, John F Pallanch
Nasal septal perforations, particularly those that are large and irregular in shape, often present as challenging surgical dilemmas. New technology has allowed us to develop techniques using computed tomography imaging and 3-dimensional (3D) printers to design custom polymeric silicone septal buttons. These buttons offer patients an option that avoids a surgical intervention when standard buttons do not fit well or are not tolerated. Preliminary data suggest that buttons designed by 3D printer technology provide more comfort than standard commercially available or hand-carved buttons with equivalent reduction of symptoms...
June 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28384990/primary-tuberculosis-of-nose-causing-bilateral-nasal-obstruction-and-halitosis-in-a-25-year-old-woman
#11
Leena Rajam, M Hari Kumar, Sabitha Hari Kumar
Primary or secondary nasal tuberculosis is rare and usually, it is considered as an extra pulmonary form of tuberculosis. Nasal tuberculosis infection may spread to maxillary palatal region by contagious or haematogenous route causing palatal perforation. In some instance, it may cause septal perforation with nasal obstruction which may give rise to halitosis. We report a case where, there was bilateral nasal mucosal involvement leading to severe nasal obstruction. This rare manifestation should be considered in areas where the disease is prevalent as delay in diagnosis and treatment could lead to serious and life threatening complications due to local spread from the nose to the para nasal sinuses and brain...
February 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28382270/delayed-left-atrial-perforation-associated-with-erosion-after-device-closure-of-an-atrial-septal-defect
#12
Ji Seong Kim, Sang Yoon Yeom, Sue Hyun Kim, Jae Woong Choi, Kyung Hwan Kim
A 43-year-old man who had had a history of atrial septal defect (ASD) device closure 31 months previously presented with abrupt chest and back pain along with progressive cardiogenic shock and cardiac arrest. After resuscitation, he was diagnosed with cardiac tamponade. Diagnostic and therapeutic surgical exploration revealed left atrium (LA) perforation due to LA roof erosion from a deficient aortic rim. Device removal, primary repair of the LA perforation site, and ASD patch closure were performed successfully...
April 2017: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28368242/somatostatin-positive-interneurons-in-the-dentate-gyrus-of-mice-provide-local-and-long-range-septal-synaptic-inhibition
#13
Mei Yuan, Thomas Meyer, Christoph Benkowitz, Shakuntala Savanthrapadian, Laura Ansel-Bollepalli, Angelica Foggetti, Peer Wulff, Pepe Alcami, Claudio Elgueta, Marlene Bartos
Somatostatin-expressing-interneurons (SOMIs) in the dentate gyrus (DG) control formation of granule cell (GC) assemblies during memory acquisition. Hilar-perforant-path-associated interneurons (HIPP cells) have been considered to be synonymous for DG-SOMIs. Deviating from this assumption, we show two functionally contrasting DG-SOMI-types. The classical feedback-inhibitory HIPPs distribute axon fibers in the molecular layer. They are engaged by converging GC-inputs and provide dendritic inhibition to the DG circuitry...
April 3, 2017: ELife
https://www.readbyqxmd.com/read/28341287/outcomes-of-the-retrograde-approach-through-epicardial-versus-non-epicardial-collaterals-in-chronic-total-occlusion-percutaneous-coronary-intervention
#14
Susanna Benincasa, Lorenzo Azzalini, Mauro Carlino, Barbara Bellini, Francesco Giannini, Xiaohui Zhao, Antonio Colombo
BACKGROUND: The retrograde approach through epicardial collaterals (EC) for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is a challenging procedure. Our study aim was to evaluate the outcomes of patients undergoing CTO PCI using a retrograde approach through epicardial versus non-epicardial collaterals (NEC). METHODS: We collected data from our single-center registry of consecutive patients undergoing retrograde CTO PCI, performed by an experienced operator through EC and NEC (septals and bypass grafts)...
March 14, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/28321378/hemi-transseptal-approach-for-pituitary-surgery-a-follow-up-study
#15
Naif Fnais, Salvatore Di Maio, Susan Edionwe, Anthony Zeitouni, Denis Sirhan, Constanza J Valdes, Marc A Tewfik
Objectives The hemi-transseptal (Hemi-T) approach was developed to overcome the potential drawbacks of the nasoseptal flap (NSF) in endoscopic endonasal transsphenoidal skull base surgery. In this study, we describe further refinements on the Hemi-T approach, and report long-term outcomes as compared with traditional methods of skull base reconstruction. Design A retrospective case-control study. Setting Montreal Neurological Institute and Jewish General Hospital, Montreal, Canada. Participants Patients who underwent endoscopic endonasal transsphenoidal approach to skull base pathology...
April 2017: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/28300715/operative-learning-curve-after-transition-to-endoscopic-transsphenoidal-pituitary-surgery
#16
Tasneem Shikary, Norberto Andaluz, Jareen Meinzen-Derr, Collin Edwards, Philip Theodosopoulos, Lee A Zimmer
OBJECTIVES: No clear consensus yet defines the endpoints for operative learning curves in the transition to minimally invasive endoscopic techniques. This retrospective review of our first 202 patients who underwent endoscopic pituitary resection examines the statistical learning curve related to operative times--a measure of our surgical team's efficiency and complication rates, a reflection of surgical skill and maturity. METHODS: Retrospective chart review included patient demographics, tumor type, operative times, complication rates, and follow-up...
March 11, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28296714/analysis-of-a-resident-aesthetic-clinic-process-for-rhinoplasty-resident-experience-and-patient-satisfaction
#17
Michael G Brandel, Gehaan F DʼSouza, Christopher M Reid, Marek K Dobke, Amanda A Gosman
GOALS/PURPOSE: Plastic surgery residents often desire additional training in rhinoplasty than what is provided by their residency program. The goal of this study was to define and evaluate a specific process used to structure preoperative, intraoperative, and postoperative protocols for rhinoplasty patients in the resident aesthetic clinic (RAC) to enhance qualitative and quantitative experience. Complication rates and patient/resident satisfaction scores were also examined. METHODS: Resident clinic rhinoplasty patients underwent a well-defined and established process that included patient education and informed consent, preoperative planning in a conference-based session, specific adherence to established surgical techniques, and structured postoperative management and follow-up...
May 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28295381/upper-lateral-cartilage-composite-flap-for-closure-of-complicated-septal-perforations
#18
David F Smith, Monirah Albathi, Andrew Lee, Linda N Lee, Kofi D Boahene
OBJECTIVES/HYPOTHESIS: To present a novel technique for the repair of large complicated nasal septal perforations using an upper lateral cartilage composite flap. STUDY DESIGN: This is a case series of five patients with large septal perforations seen at an academic tertiary care center, who have failed previous treatment measures and were selected to undergo this novel reconstruction for closure of their defects. METHODS: Patients were followed clinically to determine the success of the repair...
March 14, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28275421/treating-a-structural-heart-disease-using-a-non-structural-approach-role-of-cardiac-pacing-in-hypertrophic-cardiomyopathy
#19
Bernard Benjamin P Albano, Erdie C Fadreguilan, Jeffrey M Chua, James Ho, Ana Beatriz Medrano
Hypertrophic cardiomyopathy (HCM) is the most common genetic cardiovascular disease characterized by a thickened non-dilated ventricle in the absence of another cardiac or systemic condition. Its most important hemodynamic consequence is left ventricular outflow tract (LVOT) obstruction. The primary management strategy of this condition is surgical septal myectomy, but an acceptable alternative treatment in patients who are not suitable for (or who refuse) surgery is alcohol septal ablation (ASA). However, in patients with unfavorable coronary anatomy which precludes ASA (i...
February 2017: Cardiology Research
https://www.readbyqxmd.com/read/28242555/imaging-prevalence-of-nasal-septal-perforation-in-an-urban-population
#20
Menachem Gold, Issac Boyack, Nicholas Caputo, Aaron Pearlman
OBJECTIVE: To determine the prevalence of nasal septal perforation (NSP) on CT imaging in an urban hospital setting. METHODS: Facial bone CT scans from 3708 consecutive patients were reviewed for the presence of NSP. Size of the perforation was measured in two dimensions. Medical records were reviewed for possible risk factors. RESULTS: The prevalence of NSP was 2.05%. The most common risk factor was a history of drug abuse. Cocaine was the most prevalent drug used...
May 2017: Clinical Imaging
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