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Boulos S Nassar, Richard Kerber
Cardiac arrest continues to represent a public health burden with most patients having dismal outcomes. CPR is a complex set of interventions requiring leadership, coordination, and best practices. Despite the widespread adoption of new evidence in various guidelines, the provision of CPR remains variable with poor adherence to published recommendations. Key steps health-care systems can take to enhance the quality of CPR and, potentially, to improve outcomes, include optimizing chest compressions, avoiding hyperventilation, encouraging intraosseous access, and monitoring capnography...
November 2017: Chest
S Müller, M Walther, A Röser, V Krenn
INTRODUCTION: Endoprostheses of the ankle joint show higher revision rates of 3.29 revisions per 100 component years. The aims of this study were the application and modification of the consensus classification of the synovia-like interface membrane (SLIM) for periprosthetic failure of the ankle joint, the etiological clarification of periprosthetic pseudocysts and a detailed measurement of proliferative activity (Ki67) in the region of osteolysis. MATERIAL AND METHOD: Tissue samples from 159 patients were examined according to the criteria of the standardized consensus classification...
March 2017: Der Orthopäde
Won Chul Shin, Nam Hoon Moon, Kuen Tak Suh
We report the case of a 25-year-old woman presenting with left hip pain. A lesion was found in the proximal femoral metaphysis. Benign bone tumor, such as intraosseous lipoma or liposclerosing myxofibrous tumor, was suspected based on simple radiographs and magnetic resonance images. Curettage of the lesion and bone grafting was performed. Histologic findings reflected primary intraosseous xanthoma of the proximal femur. Laboratory tests revealed the patient to be normolipidemic, while immunoelectrophoretic fractionation of lipoproteins revealed normal values for alpha, pre-beta, beta, and chylomicrons...
September 2016: Hip & Pelvis
Marilina Totaro, Daniele De Falco Alfano, Francesco Negri, Valeria Seletti, Ilaria Paladini, Giuseppe Russo, Maurizio Mostardi, Chiara Ganazzoli, Veronica Gafà, Michele Corrado, Melchiore Giganti
Intraosseous lipoma is a very rare lesion, accounting for only 0.1% of all primary osseous tumors (1), first described in 1980 (2). This lesion is considered the rarest of benign bone tumors (3); probably it is not the actual incidence because these lesions are frequently asymptomatic and the introduction of cross-sectional imaging, especially MRI, seems to have increased the detection (4). The majority of intraosseus lipomas are in the lower limbs (70%) and the os calcis being the most frequently involved (32%)...
July 28, 2016: Acta Bio-medica: Atenei Parmensis
Ling Zhang, Shu-Li Liu, Wei-Min Ye, Jing Zheng
PURPOSE: Primary intraosseous squamous cell carcinoma (PIOSCC) arising within an odontogenic keratocyst (OKC) is rare malignancy, entailing a poor prognosis for delayed diagnosis. The number of reports concerning this entity is extremely small. The aim of this study is to present the clinical and pathologic characteristics of PIOSCC and investigate its pathogenesis. MATERIALS AND METHODS: This study describes three patients with mandibular PIOSCC derived from an OKC over a seven-year period, each of which suffering from decompression in mandible...
2015: American Journal of Translational Research
Andrzej Kurowski, Dariusz Timler, Togay Evrin, Łukasz Szarpak
BACKGROUND: The study was designed to investigate the success rate and time of insertion intraosseous access during simulated resuscitation. MATERIAL AND METHODS: This was a randomized crossover study involving 107 paramedics. They were timed from start of insertion attempt to successful insertion and asked to score perceived difficulty of intraosseus access devices. Bone injection gun (BIG) (WaisMed Company, Houston, TX), EZ-IO (Vidacare, Shavano Park, TX) and Jamshidi (Carefusion, San Diego, CA) were used in this study...
December 2014: American Journal of Emergency Medicine
Christopher L Moore
Vascular access is the most commonly performed invasive procedure in medicine. For more than 20 years, ultrasound has been shown to improve the success and decrease complications of central venous access; however, it is still not universally used for this procedure. Ultrasound may also be used to facilitate difficult peripheral vascular access, potentially avoiding other more invasive procedures such as central or intraosseus vascular access. This article reviews some of the indications and evidence for ultrasound-guided vascular access, provides tips for successful ultrasound guidance, and discusses barriers to adoption...
July 2014: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Ronil V Chandra, Thabele M Leslie-Mazwi, Darren B Orbach, Leonard B Kaban, James D Rabinov
PURPOSE: To document the efficacy of ethylene vinyl alcohol copolymer (ONYX; ev3/Covidien, Irvine, CA) in the treatment of arteriovenous malformations (AVMs) of the mandible. MATERIALS AND METHODS: A retrospective consecutive series of patients with facial AVMs isolated to the mandible and immediate perimandibular tissue was identified at 2 institutions. The primary treatment modality of transarterial embolization using ONYX was performed by way of the external carotid artery branches...
August 2014: Journal of Oral and Maxillofacial Surgery
V Zavaglia, A Nori, C Rubini, S R Berlin, C Serafini
No abstract text is available yet for this article.
2013: Annali di Stomatologia
Muhammad Usman Tariq, Nasir Ud Din, Zubair Ahmad, Naila Kayani, Rashida Ahmed
Solitary bone cysts (SBCs) are benign, intraosseus, cystic lesions, which generally involve metaphysis of long bones during the period of skeletal immaturity. Histologic features are nonspecific, but identification of amorphous cementum-like material provides a significant diagnostic clue. This material is unique to SBC with reported frequency of 10% to 70% and has been described as an immature form of bone. We retrieved and reviewed 41 cases of SBC reported in the last 10 years. The ages of patients ranged from 4 to 64 years (mean, 16 years), with a male-to-female ratio of 3:1...
February 2014: Annals of Diagnostic Pathology
Oscar Hammarfjord, Johan Roslund, Peter Abrahamsson, Peter Nilsson, Andreas Thor, Mikael Magnusson, Göran Kjeller, Charlotta Englesson-Sahlström, Tomas Strandkvist, Gunnar Warfvinge, Carina Krüger-Weiner
Our aim was to evaluate the treatment given to patients with intraosseus ameloblastomas with special emphasis on recurrence and the outcomes of primary and secondary resection. Forty-eight patients who were treated for intraosseous ameloblastoma at 8 centres across Sweden met the inclusion criteria. They showed typical distribution of age, sex, site of lesion, and characteristic presenting features. Eleven of the 48 were initially treated with radical resection and none recurred. Twenty-two of the remaining 37 who were initially treated by conservative resection presented with recurrences...
December 2013: British Journal of Oral & Maxillofacial Surgery
F Caranci, M Cirillo, D Piccolo, G Briganti, D Cicala, G Leone, F Briganti
We describe the case of a 23-year-old man whose CT scan revealed a hypodense lesion reshaping the superior and middle third of the clivus and partially invading the sphenoidal sinus. MRI showed an irregular-shaped lesion occupying the body of the sphenoid bone, involving the superior and middle third of the clivus and sprouting into the sphenoid sinus. The lesion was hyperintense on T1- and T2-weighted sequences with a thin peripheral rim of hypointensity, without enhancement after i.v. gadolinium injection...
December 20, 2012: Neuroradiology Journal
F Terranova, L Trevisiol, P F Nocini, G Bissolotti, V Bondì, D De Santis, D Bertossi, A D'agostino
The odontogenic keratocyst is now designated as a keratocystic odontogenic tumor and is defined as a benign uni- or multicystic, intraosseus tumor of odontogenic origin, with a characteristic lining of parakeratiniezed tumour as a better reflects is neoplastic nature. This case report presents the marsupialization procedure for the treatment of a keratocystic lesion.
August 1, 2013: Minerva Stomatologica
J Aragón-Sánchez, J L Lázaro-Martínez, Y Quintana-Marrero, F J Álvaro-Afonso, M J Hernández-Herrero
BACKGROUND: Charcot neuroarthropathy is a severe complication in the feet of patients with diabetes, which can lead to a major amputation. Osteomyelitis and surgery for osteomyelitis have been reported as trigger mechanisms of developing Charcot neuroarthropathy. However, the development of acute Charcot neuroarthropathy triggered by osteomyelitis during conservative antibiotic treatment is not well outlined in the medical literature. CASE REPORTS: Two patients apparently developed mid and rear foot Charcot neuroarthropathy, which was clinically suspected while being treated with antibiotics for osteomyelitis...
June 2013: Diabetic Medicine: a Journal of the British Diabetic Association
N T Geetha, Rajesh Kumar B Pattathan, H R Shivakumar, Amarnath P Upasi
Fibro-osseous lesions of the jaws can have certain histologic features in common with central giant cell granuloma (CGCG) including the presence of multinucleated giant cells. The clinical, radiologic and histologic features of these lesions should be carefully evaluated to distinguish between these conditions. Fibro-osseous lesions of the jaws are a heterogenous group of lesions characterized by the replacement of normal bone by fibrovascular tissue containing newly formed mineralized material. Central giant cell lesions are defined as an intraosseus lesion consisting of cellular fibrous tissue containing multiple foci of hemorrhage and aggregation of multinucleated giant cells...
January 2011: Annals of Maxillofacial Surgery
Alexander Nedopil, Peter Raab, Maximilian Rudert
BACKGROUND: Desmoplastic fibroma (DF) is an extremely rare locally aggressive bone tumor with an incidence of 0.11% of all primary bone tumors. The typical clinical presentation is pain and swelling above the affected area. The most common sites of involvement are the mandible and the metaphysis of long bones. Histologically and biologically, desmoplastic fibroma mimics extra-abdominal desmoid tumor of soft tissue. CASE PRESENTATION AND LITERATURE REVIEW: A case of a 27-year old man with DF in the ilium, including the clinical, radiological and histological findings over a 4-year period is presented here...
2013: Open Orthopaedics Journal
Chiara Pavoni, Manuela Mucedero, Giuseppina Laganà, Valeria Paoloni, Paola Cozza
BACKGROUND: When the incisors do not erupt at the expected time, it is crucial for the clinician to determine the etiology and formulate an appropriate treatment plan. AIM: THE AIM OF THIS REPORT IS TO PROVIDE USEFUL INFORMATION FOR IMMEDIATE DIAGNOSIS AND MANAGEMENT OF IMPACTED MAXILLARY INCISORS USING THE INTERCEPTIVE TREATMENT: removal of obstacles and rapid maxillary expansion (RME). DESIGN: An accurate diagnosis may be obtained with clinical and radiographic exam such as panoramic radiograph, computerized tomography (CT) and cone beam computerized tomography (CBCT)...
July 2012: Annali di Stomatologia
Gemma C Lewis, Stephanie A Crapo, Jefferson G Williams
The venous and/or arterial vasculature may be accessed for fluid resuscitation, testing and monitoring, administration of blood product or medication, or procedural reasons, such as the implantation of cardiac pacemaker wires. Accessing the vascular system is a common and often critically important step in emergency patient care. This article reviews methods for peripheral, central venous, and arterial access and discusses adjunct skills for vascular access such as the use of ultrasound guidance, and other forms of vascular access such as intraosseus and umbilical cannulation, and peripheral venous cut-down...
February 2013: Emergency Medicine Clinics of North America
Maria Giulia Cristofaro, Amerigo Giudice, Francesco Conforti, Valeria Zuccalà, Ida Barca, Davide Caruso, Mario Giudice
Angiosarcoma (AS) is a rare non-epithelial malignant neoplasm arising from neoplastic vascular degeneration of endothelial cells. It usually occurs in soft tissue and skin. The incidence, according to American authors, is 1% of all soft tissue sarcomas. About 50% of AS is localized in head and neck region (scalp and face skin) and represents less than 1% of all malignancies of this district; the primitive intra- oral localization is rare, even rarer intraosseous development of AS in jaw bones. The Authors report a case of a mandibular intraosseus angiosarcoma with different peculiarities: the rarity of the location and mode of occurrence; in addition they have focused on clinical-histopathological and immunohistochemical charateristics...
November 2012: Annali Italiani di Chirurgia
Marzena Dominiak, Katarzyna Łysiak-Drwal, Leszek Solski, Bogusława Żywicka, Zbigniew Rybak, Tomasz Gedrange
BACKGROUND: In most cases, the natural healing of intrabony defects only leads to restoration of tissue continuity without differentiation and function. However, repair is not regarded to be an optimal treatment method, as confirmed in many clinical cases. Thus it is important to choose a surgical procedure which makes it possible to achieve restitution ad integrum of the bone structure. The choice of the GBR technique is crucial, in terms of the clinical conditions and limitations resulting from the use of a particular material...
November 2012: Annals of Anatomy, Anatomischer Anzeiger: Official Organ of the Anatomische Gesellschaft
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