Reconstruction of Craniectomy for Microvascular Decompression with Autologous Particulate Bone

2021 ◽  
Author(s):  
Weichao Liu ◽  
Ye Yuan ◽  
Nanxiang Xiong ◽  
Qiangping Wang ◽  
Fangcheng Zhang ◽  
...  
Keyword(s):  
Microvascular Decompression ◽  
Surgical Site Infections ◽  
Good Effect ◽  
Study Objective ◽  
Cranial Defect ◽  
Long Term Follow Up ◽  
Power Drill ◽  
Better Than

Abstract Background and Study Objective Cranioplasty after microvascular decompression (MVD) is important for preventing postoperative complications such as headache. Autologous particulate bone is a common material for cranioplasty. The purpose of this study was to evaluate the effect of using autologous particulate bone to reconstruct the cranial defect produced by MVD. Patients and Methods Data were collected from January 2013 to December 2016 from 243 patients who underwent suboccipital retrosigmoidal craniectomy for MVD. The patients were then further divided into two groups: in the first group (from January 2013–October 2015), a cranioplasty was performed using a combination of bone dust (taken from a power drill) and particulate bone (harvested with a rongeur); in the second group (from November 2015–December 2016), the cranial defect was reconstructed using particulate bone alone. Healing of the cranial defect was observed during the follow-up. Results Early postoperative computed tomography (CT), performed during the hospital stay, revealed that the filling of the cranial defects of the first group was better than that of the second group. In addition, surgical-site infections (SSIs) occurred in 13 patients in the first group (9.92%) versus 2 patients in the second group (1.79%). The SSI rate of the first group was significantly higher than that of the second group (p < 0.05). Long-term follow-up CT demonstrated that the average reconstruction rate ((volume of the reconstruction area)/(volume of the cranial defect) × 100%) was 47.88% for the first group and 43.94% for the second group (p > 0.05). Conclusion The use of autologous particulate bone to reconstruct cranial defects after MVD has a good effect and is thus a useful and valuable technique. Bone dust may result in a higher incidence of SSI.

Microvascular decompression as a surgical management for trigeminal neuralgia: long-term follow-up and review of the literature

2008 ◽  
Vol 32 (1) ◽  
pp. 87-94 ◽  
Author(s):  
Serdar Kabatas ◽  
Aykut Karasu ◽  
Erdinc Civelek ◽  
Akin P. Sabanci ◽  
Kemal T. Hepgul ◽  
...  
Keyword(s):  
Trigeminal Neuralgia ◽  
Surgical Management ◽  
Microvascular Decompression ◽  
Review Of The Literature ◽  
Long Term Follow Up

Esthetic Restorative Options for Pulpotomized Primary Molars: A Review of Literature

2011 ◽  
Vol 36 (2) ◽  
pp. 123-126 ◽  
Author(s):  
Marcio Guelmann ◽  
Joseph Shapira ◽  
Daniela Silva ◽  
Anna Fuks
Keyword(s):  
Hybrid Composites ◽  
Primary Molars ◽  
Glass Ionomer ◽  
Limited Information ◽  
Resin Modified Glass Ionomer ◽  
Alternative Materials ◽  
Long Term Follow Up ◽  
Better Than

Objective: The goal of this manuscript was to review the existing literature in regards to esthetic options to restore pulpotomized primary molars. Study design: A pubmed literature search has been performed and all relevant studies were assessed. Results: Two laboratory, 3 restrospective and 4 prospective clinical studies were found, reviewed and analyzed. Conclusions: Based on the limited information available, we concluded that tooth colored and bonded restorations showed promising results as alternative materials to replace stainless steel crowns after pulpotomies in primary molars. Hybrid composites tend to perform better than compomers. Resin modified glass ionomer cements demonstrated excellent marginal seal and retention. More long-term follow up studies are necessary until more definitive recommendations can be made.

LONG TERM FOLLOW-UP OF CHRONIC HBV INFECTION: ANY TREATMENT IS BETTER THAN NO TREATMENT?

2005 ◽  
Vol 40 (5) ◽  
pp. 685
Author(s):  
A Figueiredo ◽  
S Jacinto ◽  
F Santos ◽  
I Afonso ◽  
J Cabral ◽  
...  
Keyword(s):  
Hbv Infection ◽  
Chronic Hbv Infection ◽  
Long Term Follow Up ◽  
Chronic Hbv ◽  
Better Than

scholarly journals Motor Control Exercise for Persistent, Nonspecific Low Back Pain: A Systematic Review

2009 ◽  
Vol 89 (1) ◽  
pp. 9-25 ◽  
Author(s):  
Luciana G Macedo ◽  
Christopher G Maher ◽  
Jane Latimer ◽  
James H McAuley
Keyword(s):  
Motor Control ◽  
Weighted Mean Difference ◽  
Mean Difference ◽  
Low Back ◽  
Weighted Mean ◽  
Long Term Follow Up ◽  
Control Exercise ◽  
Better Than

BackgroundPrevious systematic reviews have concluded that the effectiveness of motor control exercise for persistent low back pain has not been clearly established.ObjectiveThe objective of this study was to systematically review randomized controlled trials evaluating the effectiveness of motor control exercises for persistent low back pain.MethodsElectronic databases were searched to June 2008. Pain, disability, and quality-of-life outcomes were extracted and converted to a common 0 to 100 scale. Where possible, trials were pooled using Revman 4.2.ResultsFourteen trials were included. Seven trials compared motor control exercise with minimal intervention or evaluated it as a supplement to another treatment. Four trials compared motor control exercise with manual therapy. Five trials compared motor control exercise with another form of exercise. One trial compared motor control exercise with lumbar fusion surgery. The pooling revealed that motor control exercise was better than minimal intervention in reducing pain at short-term follow-up (weighted mean difference=−14.3 points, 95% confidence interval [CI]=−20.4 to −8.1), at intermediate follow-up (weighted mean difference=−13.6 points, 95% CI=−22.4 to −4.1), and at long-term follow-up (weighted mean difference=−14.4 points, 95% CI=−23.1 to −5.7) and in reducing disability at long-term follow-up (weighted mean difference=−10.8 points, 95% CI=−18.7 to −2.8). Motor control exercise was better than manual therapy for pain (weighted mean difference=−5.7 points, 95% CI=−10.7 to −0.8), disability (weighted mean difference=−4.0 points, 95% CI=−7.6 to −0.4), and quality-of-life outcomes (weighted mean difference=−6.0 points, 95% CI=−11.2 to −0.8) at intermediate follow-up and better than other forms of exercise in reducing disability at short-term follow-up (weighted mean difference=−5.1 points, 95% CI=−8.7 to −1.4).ConclusionsMotor control exercise is superior to minimal intervention and confers benefit when added to another therapy for pain at all time points and for disability at long-term follow-up. Motor control exercise is not more effective than manual therapy or other forms of exercise.

scholarly journals Self-Reported Experience of Tinnitus Patients for Different Outpatient Modes

2020 ◽  
Author(s):  
Tao Xiang ◽  
Tao Xu ◽  
Jing Ren ◽  
Jun-mei Pu ◽  
Lu Liu ◽  
...  
Keyword(s):  
Outpatient Service ◽  
Structured Interview ◽  
Observational Study Design ◽  
Long Term Follow Up ◽  
Main Factors ◽  
Decision Making Model ◽  
Interview Questionnaire ◽  
Better Than

Abstract Objective: To explore self-reported experience for different outpatient modes in tinnitus patients.Methods: A observational study design was adopted. Tinnitus outpatients from the otological medicine and routine otolaryngology of our hospital fulfilling the study criteria were enrolled between October 2018 and January 2020. They were examined by semi-structured interview questionnaire. Groups were formed according to the different outpatient modes. The data were analyzed with SPSS 23.0.Results: 193 questionnaires were included; 118 questionnaires of otological medicine outpatients, 75 questionnaires of otolaryngology outpatients. Nearly half of the otological medicine patients (48.3%) said that they communicated for 5–10 minutes with their doctor and a routine otolaryngology outpatient service usually takes 3–5 minutes (61.3%). However, most patients expected a longer time. Patient satisfaction and return visit rate of otological medicine (95.5% and 43.9%) were better than routine otolaryngology (77.3% and 7.1%). The main factors of efficacy considered physician interpretation and guidance.Conclusion: Both outpatient models can give patients a more satisfactory experience. Specialized outpatient service can better fit the shared decision making model, conducive to the rehabilitation and management of tinnitus. However, the long-term follow-up and management of patients still need to be scrutinized and improved continuously.

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