surgical instruments in revision endoscopic sinus surgery

... (AAO/HNS) Clinical practice guideline on adult sinusitis Rosenfeld RM Otolaryngology-Head and Neck Surgery (2007) 137, 365-377 Definition of rhinosinusitis • Rhinosinusitis – The term rhinosinusitis ... Sinus Anatomy Review Paranasal Sinuses Paranasal Sinuses Sinus CT scan (coronal cut) Sinus CT scan (axial cut) Objectives • • • • Define chronic rhinosinusitis (CRS) Review ... drainage of the affected sinus • Intraoperative image guidance may be used – revision sinus surgery – diffuse nasal polyposis – abnormal anatomy Surgical management • Minimally invasive sinus surgery...

Ngày tải lên: 16/03/2014, 14:20

... Medicine 2006, 2:29 cause remains uncertain The diagnosis is usually made by CT imaging of the paranasal sinuses Endoscopic sinus surgery is an effective treatment modality for maxillary sinus ... obstructed causing the expansion of the sinuses (Fig 1, 2, 3) There was bulging of the medial wall of the maxillary sinus in three patients, eroding the superior wall and bulging into the orbit in one ... Neck Surgery 1997, 117:18-21 Busaba NY, Kieff D: Endoscopic sinus surgery for inflammatory maxillary sinus disease Laryngoscope 2002, 112:1378-1383 Har-el G: Endoscopic management of 108 sinus...

Ngày tải lên: 11/08/2014, 23:22

... technique and bearing in mind the contraindications, more than 90% of the children can nowadays be extubated without problems In spite of the progress, in children undergoing single-step surgical therapy ... intubation over several days as an intratracheal splinting An external splinting by metallic microplates in the surgical tracheal reconstruction was described first time by Zalzal and Deutch in ... of a slight velopharyngeal insufficiency in humans [107] Ophof et al implanted skin substrates after cell seeding with oral keratinocytes in vitro into palatinal wounds in dogs as a model for closure...

Ngày tải lên: 25/10/2013, 08:20

... strengthening the passthrough from policy to deposit and lending interest rates These findings, more generally support the use of RRs as a policy instrument in an inflation-targeting regime in terms ... than marginal RRs, as they may be more strenuous for financial institutions Finally, monetary and macroprudential instruments, including RRs, appear to have complemented each other in recent ... for managing the credit cycle in a broad context In the upswing, hikes in RRs may increase lending rates, slowdown credit, and limit excess leverage of borrowers in the economy, thus acting as...

Ngày tải lên: 06/03/2014, 04:21

... 66   Insufficient Quality and/or Quantity of Healed Graft   167 67   Implant Failure in the Augmented Sinus   167 68   Chronic Infection/Sinusitis   168 69   Infection of All Paranasal Sinuses/Intracranial ... and medical instruments A pioneer in all fields of surgery, Al-Zahrawi conceived and developed innumerable surgical techniques and instruments and, in 1000 CE, published the first surgical encyclopedia, ... 52   Perforation of the Sinus Membrane During Osteotomy   153 53   Perforation of the Sinus Membrane During Elevation   154 54   Incomplete Elevation   161 55   Bleeding During Membrane Elevation  ...

Ngày tải lên: 08/03/2014, 15:20

... plush lining Those finding such instruments in Bloodletting Instruments in the National by Audrey Davis and Toby Appel their attic or in a collection of antiques, even if they can determine that ... bloodletting, that is, the opening of an artery, or more commonly a vein, and (2) those instruments used in local bloodletting Instruments in the first category include lancets, spring lancets, ... the fingers to insure puncturing the vein.[53] The incisions were made diagonally or parallel to the veins in order to minimize the danger of cutting the vein in two.[54] For superficial veins,...

Ngày tải lên: 23/03/2014, 17:20

... Hankins M: How discriminating are discriminative instruments? Health and quality of life outcomes 2008, 6(1):36 Kirshner B, Guyatt G: A methodological framework for assessing health indices Journal ... estimating reliability are inappropriate for assessing this property of discriminative measures, as described by Kirshner and Guyatt [4] http://www.hqlo.com/content/6/1/82 References Hankins M: ... second property of a discriminative instrument is a cross sectional relationship with a theoretical criterion or prediction, and again, in none of the examples offered by Hankins we see this very important...

Ngày tải lên: 18/06/2014, 19:20

... [6], in which the dichotomous scoring method of the GHQ-12 was found to be less discriminating than the Likert scoring method, were 'well expected' This again suggests that an index of discrimination ... Kingdom References Hankins M: How discriminating are discriminative instruments? Health and Quality of Life Outcomes 2008, 6(1):36 Kirshner B, Guyatt G: A methodological framework for assessing ... discriminating between individuals than dichotomous items' In fact, this is not always true: for example, the variant dichotomous scoring method for the GHQ-12 [7] can result in greater discrimination...

Ngày tải lên: 18/06/2014, 19:20

... distal flutes to minimize the bending stiffness associated with larger sizes Two stem diameters, 15 mm and 18 mm, were chosen for testing in order to eliminate the confounding variable introduced by ... was mounted in an Instron servohydraulic testing machine (Model 1321, Instron, Canton, Massachusetts) so the long axis of the femoral stem, the rotational axis of the Instron machine and the ... compared to line-to-line reaming However, the femoral components were implanted into femoral specimens with retention of the proximal metaphysis, incorporating proximal fixation into the biomechanical...

Ngày tải lên: 20/06/2014, 00:20

... been declining [9] in recent years and this may be due to technically challenging surgery and difficulties in the accurate placement of the implants, which is key to a successful clinical outcome ... was not significant using a Fisher exact test Comparing the Kennedy zones in our previous and present study, we found that the measurements matched in 10 knees, differing in 13 cases Of the 13 ... higher variance in the non-navigated group, with a SD 22.5% in the non-navigated group versus 15.1% in the navigated group Examining Kennedy zones, 16 knees were well aligned (in zone and zone...

Ngày tải lên: 20/06/2014, 04:20

... stripped or if difficulty is incurred during attempted extraction In these situations we can use pliers, small trephines or screw removal instruments to remove the remaining part of the screw After ... loss, surgeons have begun retaining the well-fixed component in situ by exchanging the polyethylene liner while attempting to encourage bone formation through grafting the defects with bone or ... blasted into the polyethylene surface The coating promotes osseointegration Stability of the cup is provided by two anchoring pegs on the weight bearing part on its outer surface The inclination...

Ngày tải lên: 20/06/2014, 04:20

... been declining [9] in recent years and this may be due to technically challenging surgery and difficulties in the accurate placement of the implants, which is key to a successful clinical outcome ... was not significant using a Fisher exact test Comparing the Kennedy zones in our previous and present study, we found that the measurements matched in 10 knees, differing in 13 cases Of the 13 ... higher variance in the non-navigated group, with a SD 22.5% in the non-navigated group versus 15.1% in the navigated group Examining Kennedy zones, 16 knees were well aligned (in zone and zone...

Ngày tải lên: 20/06/2014, 07:20

... stripped or if difficulty is incurred during attempted extraction In these situations we can use pliers, small trephines or screw removal instruments to remove the remaining part of the screw After ... loss, surgeons have begun retaining the well-fixed component in situ by exchanging the polyethylene liner while attempting to encourage bone formation through grafting the defects with bone or ... blasted into the polyethylene surface The coating promotes osseointegration Stability of the cup is provided by two anchoring pegs on the weight bearing part on its outer surface The inclination...

Ngày tải lên: 20/06/2014, 07:20

... designing the study, analyzing the data, interpreting the findings, in addition to writing the paper and commenting on the drafts CL was responsible for data analysis, interpretation of findings ... study, interpretation of findings, as well as commenting on the drafts of the paper SN was responsible for designing the study, collecting the data, interpreting the findings, and commenting on ... consisting of nine items including difficulties bending forward, impairment in physical activities, groin pain, and numbness and the Gall Symptoms Checklist (GSCL; [18]; based on the gastrointestinal...

Ngày tải lên: 20/06/2014, 15:20

... scores indicating more dysfunction Self-administered, interviewer-administered Time to administer: 15 Scaling & scoring/Administration Table 1: Description of quality of life instruments in long-term ... QLQ-BR23; other instruments (IES, LSI, HADS) Selfadministered Perceived social support and uncertainty play a pivotal role in managing or maintaining QoL in Hispanic BCS QLI-CV; other instruments ... 1990 to October 2010 using electronic databases Instruments validated and used in BCS were included in the review In addition, QoL studies in long-term BCS using the validated instruments were reviewed...

Ngày tải lên: 20/06/2014, 16:20

... VII-IX in the lateral costal margin Finally we infiltrate the rectus muscle 18 Updated Topics in Minimally Invasive Abdominal Surgery of abdomen in the epigastric region right under the incision line ... Updated Topics in Minimally Invasive Abdominal Surgery in diameter providing a surgical field area of 11.33 cm2, and another which is 10 cm long but cm in diameter providing to surgical field ... 2011 Printed in Croatia A free online edition of this book is available at www.intechopen.com Additional hard copies can be obtained from orders@intechweb.org Updated Topics in Minimally Invasive...

Ngày tải lên: 27/06/2014, 18:20

... VII-IX in the lateral costal margin Finally we infiltrate the rectus muscle 18 Updated Topics in Minimally Invasive Abdominal Surgery of abdomen in the epigastric region right under the incision line ... Updated Topics in Minimally Invasive Abdominal Surgery in diameter providing a surgical field area of 11.33 cm2, and another which is 10 cm long but cm in diameter providing to surgical field ... 2011 Printed in Croatia A free online edition of this book is available at www.intechopen.com Additional hard copies can be obtained from orders@intechweb.org Updated Topics in Minimally Invasive...

Ngày tải lên: 28/06/2014, 00:20

... gastrointestinal (GI) bleeding 122 gastrointestinal obstruction 341 gastrointestinal scintigraphy 121–2 Gastrointestinal Tumor Study Group and North Central Cancer Treatment Group 308 Gatrointestinal ... percutaneous abscess drainage (PAD) 122–3 radiofrequency ablation (RFA) 123 intestinal stomas 349 intraabdominal hemorrhage 323–4 intraabdominal infections 29 percutaneous drainage 29 intraoperative anastomosis ... index impaired sensorium infections 69–70 surgical site 69–70 urinary tract infections 70 inflatable penile prosthesis (IPP) components 402 Infliximab 193, 338 infrared photocoagulation 181 injectable...

Ngày tải lên: 05/07/2014, 16:20

... Terry C Hicks MD Colon and Rectal Surgery Ochsner Clinic Foundation New Orleans, Louisiana USA M Benjamin Hopkins MD Department of Colon and Rectal Surgery Ochsner Clinic Foundation New Orleans, Louisiana ... Hunt MD Colon and Rectal Surgery Section Division of General Surgery Washington University St Louis, Missouri USA Syed G Husain MD Brown Program in Colon and Rectal Surgery Warren Alpert Medical ... Colon and Rectal Surgery Lahey Clinic Tufts University Burlington, Massachusetts USA Patricia L Roberts MD Department of Colon and Rectal Surgery Lahey Clinic Medical Center Burlington, and Tufts...

Ngày tải lên: 05/07/2014, 16:20

... is indicated in patients having intermediate risk surgery with one or more clinical risk factors or any patient having vascular surgery It is not indicated in patients for low-risk surgery or intermediate ... lapse in obtaining a pregnancy test to result in a lengthy delay in the start of ­ urgery Routine urinalysis to detect disease s (proteinuria, glucosuria, bacteruria), however, is not indicated ... Obtaining a preoperative urinalysis may identify unsuspected urinary tract infection, diabetes, or renal insufficiency However, routine ­ rinalysis is u not recommended preoperatively for most surgical...

Ngày tải lên: 05/07/2014, 16:20