chronic rhinosinusitis surgical management of the obstructed nose

... At the time of surgery, the CT data stored in the computer are registered, along with known points of the patient’s anatomy, after which the computer can then give the surgeon the location of ... Frenkiel 23 Table Classification of Chronic Rhinosinusitis Recurrent acute rhinosinusitis Chronic purulent rhinosinusitis Chronic hyperplastic rhinosinusitis Chronic rhinosinusitis with polyposis ... help in the long-term management of the inflammatory sinus disease Patients are frankly apprised of the high likelihood that further medical therapy will still be required to manage their disease...

Ngày tải lên: 08/08/2014, 20:23

... traversing the posterior triangle In order to minimize the risk of surgical complications during exploration of the ventral aspect of the trapezius, the nerve must be exposed and protected (Figure 1) Surgical ... dissection of the SAN was necessary in all patients to protect the nerve during resection of fascia from the ventral aspect of the trapezius Conclusions The results described herein offer a potentially ... in evaluation and surgical treatment of chronic whiplash syndrome Entrapment of the spinal accessory nerve and/or chronic compartment syndrome of the trapezius muscle may cause chronic debilitating...

Ngày tải lên: 10/08/2014, 10:20

... diagnosis Herein, lies the dilemma for the surgeon because of the nebulous nature of the distinction between these entities in the pre-operative setting The best surgical management of a patient with ... Long-term follow-up of our patient will help to ascertain the safety profile of the approach we employed Systematic work-up and follow-up of patients with mucinous cystadenoma of the appendix should ... interpretation of pathology along with drafting the manuscript MRK conceived the study, helped in the interpretation of the data, drafted the manuscript and provided overall supervision in the project...

Ngày tải lên: 11/08/2014, 12:20

... formation Catheter angiogramartery with complete occlusion of theof Catheter angiogram depicting pseudoaneurysm formation of third part of axillary artery with complete occlusion of the distal ... rare [1,4-7] The majority affect the third part of the artery, due to its position of relative immobility, being tethered by the subscapular and thoracromial arteries [1,8] Most of these injuries ... and control of the subclavian artery above the clavicle (Fig 3A) Simultaneous exposure of the brachial artery in the antecubital fossa was performed and a size Fogarty embolectomy catheter passed...

Ngày tải lên: 11/08/2014, 21:22

... patients (80% of the cohort) Second, RCRI assess specifically the cardiac risk of the patient, not the mortality related to the surgical procedure Accordingly, mortality was 6% to 7% in the patients ... scores of and more A high-risk surgical procedure was performed in a minority of the patients, and the effects of beta-blockade were neutral in these patients References How to reconcile these ... outcome On the contrary, evidence that beta-blockade therapy increased the risk of death in patients with RCRI scores below is much more robust, as this analysis included the vast majority of the patients...

Ngày tải lên: 12/08/2014, 23:20

... and/or surgical removal of the abscesses and fistulas are usually futile.1,14 The success of medical therapies, however, often is limited because of the indolent and recurrent nature of the disease ... widespread of HS in the right gluteal area (C) Excision material of lesion (D) View of defect after excision The duration time of hospitalization was related with the extent and severity of the lesions ... women The mean age at the time of presentation for operative management was 41.2 years (range, 24-58 y) and the average duration of symptomatic disease was 7.3 years (range, 0.9-30 y) None of these...

Ngày tải lên: 26/10/2012, 08:57

... 67 the regulation of proliferation, migration, and differentiation of the epithelial cells [2,12,18,19] Following the surgical treatment of adult periodontitis, the epithelial regeneration of the ... demonstrated a gingivitis grade of or Thanks to the bacteriostatic properties of the tested polymer, a more effective control of the surgical wound no bacterial contamination of the surgical site was observable ... recession, i.e the position of the gingival margin with respect to the cement enamel junction (CEJ); • CAL (clinical attachment level): i.e the position of the attachment in relationship to the CEJ;...

Ngày tải lên: 03/11/2012, 11:35

... Skin incision on the right forearm from the medial aspect of the biceps brachii at the level of the elbow to the midline above the wrist Centre: First stage of the dissection; the pronator teres ... laminectomy Exposure of the left dorsolateral aspect of the conus medullaris on the left side Bottom: Exposure of the left posterolateral aspect of the conus medullaris (a) The rootlets of the selected ... the incision, to mm in depth, down the upper layers of the dorsal horn (d) The line of incision is opened (between the two tips of the bipolar forceps) and reveals its depth and the apex of the...

Ngày tải lên: 01/11/2013, 10:20

... and racing In the early days of my diabetes, it was the consistency that had gone The main issue was not actually the controlling of the diabetes; it had more to with the refueling of my body To ... strongly supported by the growth in the clinical research knowledge base of the effects of diabetes on the physiological response to exercise, on the effect of exercise on the response to hypoglycaemia ... modulated as the duration of the exercise increases and as the intensity of the activity changes Since one of the main fuels for exercise is carbohydrate, glucose utilization by the working muscle...

Ngày tải lên: 14/03/2014, 09:20

... deciding whether to pursue surgical options.55 Cancer is currently the second leading cause of mortality in the US In 2009, it is estimated that there will be 1.5 million new cases of cancer diagnosed.56 ... administration there may be an increased incidence of the development of neutralizing antibodies resulting in reduced efficacy of the medication.10 Glatiramer acetate (Copaxane) is made up of four amino ... characteristic of the disease The new criteria simplify the diagnostic work-up and allow a more rapid diagnosis of MS while maintaining the specificity and/or sensitivity ultimately resulting in the need...

Ngày tải lên: 22/03/2014, 14:20

... of BP BP should be measured with the woman in the sitting position with the arm at the level of the heart (II-2A) An appropriately sized cuff (i.e., length of 1.5 times the circumference of the ... as the objective of statin therapy is to decrease long-term cardiovascular risk, the potential risks of statin therapy (over the nine months of pregnancy) may outweigh the potential benefits of ... Of note, the protocol for women in the MgSO4 arm of the largest of these trials, the Collaborative Eclampsia Trial, did not include administration of benzodiazepines for seizure termination The...

Ngày tải lên: 28/03/2014, 14:20

... in the surgical treatment of spasticity Instead, intrathecal baclofen and selective posterior rhizotomy have emerged as the most commonly recommended neurosurgical therapies Intrathecal baclofen, ... surgery, and the complication rate of these procedures Our goal was to summarize the current status of the field as well as make projections for the next few years Gordon H Baltuch Matthew B Stern ... external segment of the globus pallidus (GPe) and subthalamic nucleus (STN) before it reaches the GPi, whereas the direct pathway projects directly from the putamen to the GPi The majority of GPi output...

Ngày tải lên: 28/03/2014, 22:20

... checks the overall health of the spacecraft Central control of the entire flight system is under control of the flight software running in the RCE, the same architecture as was used for the Mars ... (Flight Software, continued) Task Description The RCE is the key element of the MSL avionics subsystem, which entirely controls the MSL spacecraft Rover flight software is the software in the main ... 2014 In light of the importance of the MSL Project to NASA’s Mars Program, the Office of Inspector General conducted an audit to examine whether the Agency has effectively managed the Project to...

Ngày tải lên: 29/03/2014, 22:20

... estimated the outcome or other variable in the population of interest, regardless of the number of groups in a particular study This approach maximized statistical power and the use of available ... estimates of effect sizes and is the most appropriate given the type of data available Limitations of Available Data Limitations of study design: The overwhelming majority of studies available to the ... comments; the Panel revised the document based on the comments received The guideline was submitted first for approval to the Practice Guidelines Committee of the AUA and then forwarded to the AUA...

Ngày tải lên: 31/03/2014, 13:20

... (a) indicates the position of the esophagus and (b) indicates the position of the trachea Conclusions Despite the complex nature of the anatomy surrounding mediastinal liposarcomas, surgical intervention ... following resection of well differentiated mediastinal liposarcoma (a) indicates the position of the innominate vein and (b) indicates the position of the trachea/larynx Postoperatively the patient was ... reported [1,4] and because of their rarity, there is no consistent approach to management Warranting further study, radiology and chemotherapy alone seem to be insufficient forms of treatment but are...

Ngày tải lên: 09/08/2014, 03:21

... broad-based lesions [12] The benign nature of BGH, and in most cases the lack of significant symptoms, makes endoscopic management of these patients the preferred initial mode of therapy However, if ... However, given the low incidence of these tumors, definitive studies into the etiology are lacking The description of BGH on computed tomography in the literature, particularly in the era of multi-slice ... within the entirety of the specimen The lesion was composed of back to back mature Brunner's glands Discussion Brunner's glands are alkaline-secreting glands located in the submucosal layer of the...

Ngày tải lên: 09/08/2014, 04:21

... to the right psoas muscle We performed a complete excision of the tumor with part of the psoas muscle and part of the adherent nerve Postoperatively, the patient reported hypoesthesia on the ... death Page of (page number not for citation purposes) World Journal of Surgical Oncology 2008, 6:107 In our series we followed the approach of the radical resection of the tumor instead of enucleation ... quadrant to the left iliac crest, with co-existing erosion of the left side of the 4th lumbar vertebra (Fig 1) whereas the bone scan was negative MRI showed the mass to protrude from the 4th lumbar...

Ngày tải lên: 09/08/2014, 07:21

... the time of presentation The skin of the breast was blue at the apex of the mass, and the nipple was massively enlarged and excoriated (Fig 1) On initial presentation, there was no evidence of ... removal of the large tumor These flaps included skin directly overlying the tumor that appeared normal (Fig 2) The superior flap was raised to the level of the clavicle Dissection revealed that the ... the latter of which represents the neoplastic process [3] The presence of an epithelial component differentiates the phyllodes tumor from other stromal sarcomas They make up 0.3 to 0.5% of female...

Ngày tải lên: 09/08/2014, 07:22

... Page of Figure Catheter angiography of the aortic arch (a) Catheter angiography of the aortic arch, 13 months after hybrid surgery shows the stent-graft in place, starting just distal to the origin ... to the origin of the brachiocephalic trunk Note also the good patency of the carotido-carotid bypass There is no opacification of the left subclavian artery (b) After puncturing the left brachial ... thoracoabdominal aneurysm with a diameter of 5.5 cm, ending at the level of the origin of the renal arteries Eleven years ago, the patient also underwent an elective surgical repair for an infrarenal...

Ngày tải lên: 10/08/2014, 09:21

... [10,11] Despite the apparent advantages of Linezolid in the treatment of MRSA infections, concerns about safety and costs of therapy often limit its use Popov et al Journal of Cardiothoracic ... reapplication of VAC therapy was initiated was felt the patient would benefit from removing the remaining two sternal wires Therefore, each sternal wire was removed, the wound was widely debridement of ... observations, Daptomycin may offer a possible new treatment option for surgical management of MRSA sternal wound infection after cardiac surgery combined with surgical therapy In our case the patient was...

Ngày tải lên: 10/08/2014, 09:22