Successful Endovascular Treatment of Post-Traumatic Carotid -Cavernous Fistula of Flow-Diverter Stents
AA Sufianov, SM Karasev, RR Khafizov and RA Sufianov
Article Type: Case Report | First Published: November 04, 2019
Carotid - cavernous fistulas (CCF) are spontaneous or acquired communications between the internal carotid artery (ICA) and the cavernous sinus, which can be classified as direct or indirect. Direct fistulas between the internal carotid artery and the cavernous sinus can occur due to trauma, ruptures of intracavernous carotid artery aneurysms, collagen deficiency syndromes, stratification of arteries, fibromuscular dysplasia, and direct surgical trauma. Symptoms caused by CCF are associated with their size, duration, location, direction of the venous outflow, as well as the presence of arteria...
The Clever Deception by Silicone Gel-filled Breast Implant Manufacturers Regarding the Phenomenon of Gel Bleed
Arthur E Brawer, MD
Article Type: Commentary | First Published: November 08, 2019
From April of 1992 through November of 2006 a moratorium existed in the USA prohibiting the use of silicone gel-filled breast implants for routine cosmetic enhancement. This mandate, implemented by the Food and Drug Administration (FDA), centered around escalating claims of device-related systemic illness affecting hundreds of thousands of recipients who had these devices placed in their bodies during the 1970's and the 1980's. Varied theories of disease causation were proposed by numerous researchers, all of whom relied on the routine occurrence of silicone gel microdispersion to distant anat...
The Bone in Renal Transplant Recipients-A Nephrological and Orthopedic Review
Natacha Rodrigues, Filipe Rodrigues, Alice Santana and Pedro Neves
Article Type: Review Article | First Published: October 21, 2019
The definition of Chronic Kidney Disease - Mineral Bone Disorder (CKD-MBD) has suffered significant changes over the last decade as our knowledge on the matter grows. The complexity of this subject is even bigger if you consider renal transplant recipients (RTRs) - they already have a legacy of CKD-MBD previous to transplant, their bones will be under the direct and indirect effects of immunosuppression and they will develop CKD-MBD secondary to their graft (dis) function. All these issues occur in addition to the risk factors of the general population for bone disease. Diagnosis and managemen...
Usefulness of P16 and KI67 Immunostaining in Cervical Smear Cytology in Guatemalan Women: A Cross-Sectional Study
Alberto Garcia, MD, PhD, Angel Velarde, MD, MSCE, Francisco Quereda, MD, PhD, Jaume Ordi, MD, PhD, Orlando Rodas, MD, PhD, Erick Soch, MD, H Arturo Morales, MD, Federico Nave and Carlos Lopez, MD
Article Type: Original Research | First Published: October 18, 2019
Conventional cytology is an economic method for screening abnormalities in cervical smears, but with implications in false positive and false negative as compared to better detection of transformed cells with the Dual staining P16/KI67 proteins in cervical smears, therefore, we evaluate the validity and reproducibility of cytology with double staining of P16 and KI67 as compared to conventional cytology in cervical smears. Participants were 210 Guatemalan women with abnormalities in conventional cytology (ASCUS, AGUS, ASCH, LSIL, HSIL, and cervical cancer) that consulted from 2013-2014 to the ...
Preoperative Computed-Tomography for Endoscopic Sinus Surgery: A Simplified Checklist
Saad M Alshammari, MD and Nada A Alshaikh, MD
Article Type: Research Article | First Published: October 21, 2019
Endoscopic sinus surgery (ESS) gained growing popularity with indications expanding beyond rhinosinusitis. Preoperative high-resolution computed tomography (CT) scan is essential in providing the surgical map for surgeons. In addition of being a diagnostic imaging technique, it gives valuable information about origin, nature and extension of the pathology to adjacent structures. Therefore, preoperative review of para-nasal sinuses (PNS) CT scan is crucial in order to perform successful and complete surgery with avoidance of complications. Variable preoperative CT checklists were published in l...
Alternative Technique for Suture in Surgeries of Mandibles
Geninho Thome, Thomas Berry, Larissa Carvalho Trojan, Carolina Accorsi Cartelli, Marcos Boaventura de Moura and Sergio Rocha Bernardes
Article Type: Case Report | First Published: October 28, 2019
The surgical procedure for dental implants presents predictable long-term results. An important part of the surgical procedure is suture, which plays an important role in healing, reconstructing and remodeling soft tissue and promoting hemostasis of the region. The purpose of this case report is to introduce an alternative technique for performing suture in implant surgery of lower total arch. Four implants were placed in the patient’s jaw, all with a minimum torque of 60 Ncm. A small perforation it is performed in the lingual/buccal face of alveolar bone, between implants previously placed,...
Clinical Trial on the Influence of the Consumption of Dyes during Supervised and Domestic Tooth Bleaching
Natalia Maria Velozo dos Santos, Fernanda Buccolo Losada and Renata Pedrosa Guimaraes
Article Type: Research Article | First Published: October 21, 2019
The demand for a harmonious smile and with whiter teeth is currently one of the main reasons that lead the patient to look for a dental treatment, since the appearance of the smile has great relevance on the psychological and interpersonal aspects. The chromatic change of teeth happens due to extrinsic and intrinsic factors. Changes in intrinsic origin may happen due to systemic diseases, changes in tooth formation, dental trauma, pulpal necrosis, drug use, fluorosis and by the dental aging process itself. Among the extrinsic factors are: Smoking, medications such as Chlorhexidine, accumulatio...
Mylohyoid Flap and Platelet Rich Fibrin in the Treatment of Medication Related Osteonecrosis of the Jaws
Michael Erlichman, DDS, Pooja Gangwani, DDS, MPH and Sneha Shah, DMD
Article Type: Case Series | First Published: November 07, 2019
Bisphosphonate medications are widely prescribed for the treatment of osteoporosis and cancer metastases to bone. However, these medications are among a list of agents which are implicated in medication related osteonecrosis of the jaw (MRONJ). A variety of non-surgical and surgical approaches are indicated in the treatment of this condition, depending on disease severity. This case series demonstrates the success of the mylohyoid flap in combination with platelet rich fibrin (PRF) in achieving closure of necrotic bony defects....
Dental Rehabilitation in Class III Anomaly with Oligodontia after Palatal Distraction and Osteotomy under Cone-Beam CT Assistance
Manfred Nilius, MD, DDS, MSc, Günter Lauer, MD, DMD, PhD and Matthias C Schulz, DMD, PhD
Article Type: Original Article | First Published: October 28, 2019
Rehabilitation of angle class III deformity concomitant with oligodontia with great functional, esthetic and social impairment for the patient needs a combined orthodontic-surgical treatment. To achieve secure, quick and stable dental and facial rehabilitation, backward planning with cone-beam CT navigation best supports the multidisciplinary approach. Here we show longtime stability of more than 5 years after thoroughly planning, bimaxillary osteotomy with an implant guided transpalatal distractor (Surgi-Tec All-in-One), conceptional extractions and alveolar augmentation in a male patient wit...
Endovascular Management of Refractory Puerperal Hematomas: A Case Report and Review of the Literature
Simon Bradette, MD, FRCPC, Melissa Marien, MD, PGY-3, Melanie Rousseau, MD, FRCPC, Mathieu Beland, MD, FRCPC and Catherine Lalonde, MD, FRCPC
Article Type: Case Report | First Published: November 06, 2019
Pelvic hematomas can be a serious complication of vaginal delivery. They can be associated with significant morbidity related to blood loss, infection, surgery and blood product transfusion. Reported incidence varies from 1/300 to 1/1500. Operative vaginal delivery and episiotomy are among the most common risk factors associated with puerperal hematomas, but they may also occur in the absence of laceration of the surrounding tissue. They are classified as vulvar, vaginal, vulvovaginal or retroperitoneal. The majority of puerperal hematomas are vulvovaginal and can involve either branches of th...