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Septal perforation

Philip G Chen, Stephen Floreani, Peter-John Wormald
Nasal septal perforations cause a subset of patients to suffer with significant impairments in quality of life. While smaller perforations can often be surgically repaired, perforations exceeding 2 cm are challenging to close. These repairs are highly technical, and there is a lack of consensus regarding the most effective means to do so. The authors performed a retrospective chart review of patients with perforation enlargements and have found that, in select patients, enlarging the septal perforation's edge posterior to the head of the middle turbinates has proven effective in relieving symptoms...
March 2018: Ear, Nose, & Throat Journal
Junhui Jeong, Jun Cheol Park, Chang Eui Hong, Hyo Jin Chung, Jung Hyun Chang
A perforation in posterioinferior portion of nasal septum is rare and caused by vomeral defect. We report a case of 56-year-old man who had a vomer defect, which was detected incidentally during preoperative evaluation of nasal septoplasty and turbinoplasty. The patient had a surgery of septoplasty and bilateral turbinoplasty under general anesthesia. There was no septal mucosal tear or defect during septoplasty and turbinoplasty. When the patient who has vomeral defect with nasal obstruction is planned for septoplasty and turbinoplasty, the surgery should be performed carefully to protect the mucosa...
March 16, 2018: Journal of Craniofacial Surgery
Tsutomu Nomura, Munetaka Ushio, Kenji Kondo, Shigeru Kikuchi
OBJECTIVE: The purpose of this research is to examine the changes in nasal airflow dynamics before and after the nasal perforation repair. METHODS: Three dimensional (3D) models of the nasal cavity before and after septal perforation repair was reconstructed using preoperative and postoperative computed tomography (CT) images of a patient. The numerical simulation was carried out using ANSYS CFX V15.0. Pre- and post-operative models were compared by their velocity, pressure (P), pressure gradient (PG), wall shear (WS), shear strain rate (SSR) and turbulence kinetic energy (TKE) in three plains...
March 13, 2018: Auris, Nasus, Larynx
Hicaz Zencirkıran Ağuş, Oya Atamaner, Begüm Uygur, Ali Kemal Kalkan, Mehmet Ertürk
Aortic valve endocarditis can lead to the destruction or perforation of the leaflets, ring abscess, fistula, or perivalvular regurgitation; less commonly, the regurgitation itself may result in secondary damage to subaortic structures. Pseudoaneurysm of the mitral-aortic intervalvular fi brosa is a rare complication of native aortic valve endocarditis. This region is a relatively avascular area and is prone to endocarditis infection and subsequent aneurysm formation. Herein, the case of a 33-year-old man who was diagnosed with bicuspid aortic valve endocarditis complicated by a pseudoaneurysm, an aneurysm, and aortic valve rupture is described...
March 2018: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
William Berger, Ellen Sher, Sandra Gawchik, Stanley Fineman
BACKGROUND: The safety of a novel intranasal formulation of azelastine hydrochloride (AZE) and fluticasone propionate (FP) has been established in adults and adolescents with allergic rhinitis but not in children <12 years old. OBJECTIVE: To evaluate the safety and tolerability of an intranasal formulation of AZE and FP in children ages 4-11 years with allergic rhinitis. METHODS: The study was a randomized, 3-month, parallel-group, open-label design...
March 1, 2018: Allergy and Asthma Proceedings:
Ghazanfar Ali Shah, Jawaid Akbar Sial, Tahir Saghir
A 70-year diabetic and hypertensive lady admitted with acute coronary syndrome (ACS) underwent coronary angiography, which showed severe diffuse disease of proximal left anterior descending (LAD). She underwent percutaneous coronay intervention (PCI) of proximal LAD artery that resulted in occlusion of jailed first septal perforator. She remained stable and asymptomatic and was shifted to Coronary Care Unit (CCU) after successful procedure. Approximately five hours later, patient developed complete heart block (CHB) and became hemodynamically unstable...
March 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Roberto Mijangos-Vázquez, Antonio J García-Montes, Elena M Soto-López, Verónica Guarner-Lans, Carlos Zabal
OBJECTIVES: The objective of this study was to demonstrate the safety and feasibility of using the new Cardia Ultrasept II™ device with interposed Goretex patch referring to the perforation of polyvinyl alcohol membrane. BACKGROUND: Great advances have been made in the development of devices for closure of atrial septal defect. The Cardia Ultrasept II™ with interposed Goretex patch is the modified last generation of Cardia devices, having the advantage of a super-low profile within the atria and an integral locking delivery-retrieval mechanism that ensures safe deployment...
February 27, 2018: Cardiology in the Young
Andrés Ricardo Pérez-Riera, Raimundo Barbosa-Barros, Wallam Lima Aragão, Rodrigo Daminello-Raimundo, Luiz Carlos de Abreu, Joseane Elza Tonussi Mendes Rossette do Valle, Isabel Cristina Esposito Sorpreso, Kjell Nikus
We report a case of acute coronary syndrome with transient prominent anterior QRS forces (PAF) caused by proximal subocclusion of the left anterior descending (LAD) coronary artery before the first septal perforator branch. The ECG change indicates left septal fascicular block (LSFB) with associated slurring-type giant J-wave. Currently, this J-wave variant is considered as a lambda-like wave or QRS-ST-T "triangulation". Its presence is indicative of poor prognosis because of the risk for cardiac arrest as a consequence of ventricular tachycardia/ventricular fibrillation (VT/VF)...
February 24, 2018: Annals of Noninvasive Electrocardiology
Amenda Ann Davis
Uterine perforation during hysteroscopic operative procedures is a potential complication well known to gynaecologists. Uterine septa are a commonly encountered Müllerian anomaly related to pregnancy loss and infertility. Hysteroscopic resection of septa has shown to improve pregnancy outcome. There are limited case reports of uterine rupture in subsequent pregnancies after hysteroscopic septal resection. Our patient had a hysteroscopic septal resection done a year prior which was complicated by a uterine fundal perforation, left to spontaneously heal after immediate sealing with cautery...
February 22, 2018: BMJ Case Reports
Kota Agematsu, Toru Okamura, Yoji Takiguchi, Yorikazu Harada
No abstract text is available yet for this article.
February 2018: Journal of Cardiac Surgery
Isam Alobid, Cristobal Langdon, Alfonso Santamaría
No abstract text is available yet for this article.
February 15, 2018: JAMA Facial Plastic Surgery
Masaki Tsuji, Toshiaki Isogai, Yuta Okabe, Yoshihiro Nishimura, Shingo Itagaki, Kazuaki Enatsu, Motoyuki Hisagi, Takahiro Nonaka, Mikio Ninomiya, Toshiya Otsuka, Hiroyuki Tanaka, Tamotsu Tejima
A 71-year-old woman was admitted with dyspnea. An electrocardiogram revealed ST-segment elevation, and echocardiography showed akinesis in the left ventricular apex with hyperkinesis of the base. Coronary angiography revealed no stenosis, and left ventriculography indicated ballooning of the left ventricular apex and apical ventricular septal perforation. We diagnosed the patient with Takotsubo syndrome complicated by ventricular septal perforation, which was surgically repaired. Although ventricular septal perforation is recognized as a life-threatening complication after acute myocardial infarction, it can also occur after Takotsubo syndrome...
February 9, 2018: Internal Medicine
Adrien Daigeler, Cornelius Schubert, Tobias Hirsch, Björn Behr, Marcus Lehnhardt
INTRODUCTION: There are many techniques to identify vessels in perforator surgery, each with specific disadvantages. Handheld Dopplers are easy to use, but inaccurate with respect to the exact localisation of the perforator. Angio-CT is invasive, time consuming, and expensive. In contrast, duplex sonography is a reliable, easy-to-use and availabe alternative for pre-, intra-, and postoperative visualisation of vessels. Power Doppler further increases sensitivity and allows visualisation of vessels smaller than 0...
February 12, 2018: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
Nishant Saran, Sameh M Said, Hartzell V Schaff, Simon Maltais, John M Stulak, Kevin L Greason, Richard C Daly, Alberto Pochettino, Katherine S King, Joseph A Dearani
OBJECTIVES: Given the paucity of available literature, we sought to evaluate the mechanisms of tricuspid regurgitation and the outcomes of tricuspid valve surgery in the presence of permanent pacemakers. METHODS: We retrospectively reviewed the records of 622 adult patients who underwent tricuspid valve surgery in the presence of permanent pacemakers between January 1993 and December 2013. Those with prosthetic tricuspid valve or tricuspid valve endocarditis and those undergoing concomitant heart transplant were excluded (n = 23)...
December 19, 2017: Journal of Thoracic and Cardiovascular Surgery
Carla Pereira, Alfonso Santamaría, Cristobal Langdon, Mauricio López-Chacón, José Hernández-Rodríguez, Isam Alobid
PURPOSE OF REVIEW: Nasal septum perforation (NSP) is a communication between the two nasal cavities. This review contributes to the better knowledge of NSP causes, diagnosis, and treatment. RECENT FINDINGS: NSP prevalence is about 1%. Clinical presentation may range from absence of symptoms to the presence of bothersome sinonasal symptoms. NSP is more frequently caused by trauma or post-surgery, inflammatory diseases, and abuse substances. Conservative management (nasal irrigation, topical use of antibiotic or lubricant ointments, or placement of prosthesis) is considered the first-line treatment...
February 5, 2018: Current Allergy and Asthma Reports
Abdullah Karataş
Objective: Intranasal steroid sprays (INSS) are frequently prescribed for treating inferior turbinate hypertrophy (ITH). Complications due to the long-term application of INSS such as crusting, epistaxis, nasal mucosa dryness, and septal perforation may occur. Predicting patients who would benefit from INSS early might lower treatment costs and complication rates. We examined the predictive value of nasal decongestant response rates for the outcomes of INSS in ITH. Methods: Fifty patients with bilateral ITH were included in two groups: patients benefiting from INSS and those not benefiting...
September 2017: Turkish Archives of Otorhinolaryngology
Takuma Yamasaki, Shuhei Fujita, Yuji Kaku, Junko Katagiri, Takeshi Hiramatsu
BACKGROUND: Ventricular septal perforation (VSP) after acute myocardial infarction (AMI) is accompanied by the worsening of rapid hemodynamics, resulting in a poor prognosis. In our department, infarct lesions are preoperatively detected with electrocardiogram (ECG)-synchronized contrast computed tomography, and the scope of approach and exclusion is determined. Furthermore, to effectively prevent a residual shunt, modified double patch repair and infarct exclusion techniques were used in combination to preserve left ventricular (LV) function...
January 30, 2018: Journal of Cardiothoracic Surgery
Ramin Khameneh-Bagheri, Reza Jafarzadeh-Esfehani, Mostafa Ahmadi
BACKGROUND: The interventricular septal hematoma (IVSH) is a rare and potentially lethal finding. There are variously reported etiologies including instrumental damages during cardiac interventions. Although there are not enough studies available, conservative management is considered as a preferable approach in stable patients. CASE REPORT: A 45-year man smoker with the previous history of percutaneous coronary intervention (PCI), admitted with unstable angina in present visit...
September 2017: ARYA Atherosclerosis
Murat Kiraz, Omur Gunaldi, Osman Tanriverdi, Ibrahim Erdim, Lutfi Sinasi Postalci, Bekir Tugcu, Mine Zahide Yazici
AIM: Thesurgical success rates of microscopic and endoscopic transsphenoidalapproaches for treatment of hypophyseal adenomas have often been compared. However, little has been reported regarding sinonasal complications of these approaches. We comparedsinonasal complications after microscopic and endoscopic approaches for hypophyseal adenomas. MATERIAL AND METHODS: At our clinic, sinonasal complications occurred in in 31 patients who underwent microscopic transsphenoidal surgery between 2007 and 2014 and in 32 patients who underwent endoscopic transsphenoidal surgery between 2014 and 2016...
December 17, 2017: Turkish Neurosurgery
Ayse Gul Karadeniz, Muhammet Rasit Sayin, Selim Kul
Multislice/multidetector-row computed tomography (MDCT) is now widely used for noninvasive assessment of coronary arteries, and it may sometimes reveal coronary anomalies. Detection of such anomalies may be relevant both during follow-up and for planning cardiac or coronary surgical/interventional procedures. These anomalies may be missed unless carefully sought. In this paper, we present the MDCT images of a first septal perforator branch originating from the left main coronary artery, which represents an extremely rare coronary anomaly...
January 3, 2018: Folia Morphologica (Warsz)
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