40,070 results match your criteria Ptosis Adult


The role of tenascin-X in the uterosacral ligaments of postmenopausal women with pelvic organ prolapse: an immunohistochemical study.

Int Urogynecol J 2018 Dec 10. Epub 2018 Dec 10.

Department of General Gynecology and Gynecologic Oncology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.

Introduction And Hypothesis: Abnormalities of connective tissue structure or its repair mechanism may predispose women to pelvic organ prolapse (POP). We hypothesized that the expression of tenascin-X in the uterosacral ligament of postmenopausal women with symptomatic POP is increased compared with postmenopausal women without POP. Furthermore, we identified clinical risk factors associated with POP in our study population. Read More

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December 2018

[The trend towards full-endoscopic decompression : Current possibilities and limitations in disc herniation and spinal stenosis].

Authors:
S Ruetten M Komp

Orthopade 2018 Dec 7. Epub 2018 Dec 7.

Zentrum für Wirbelsäulenchirurgie und Schmerztherapie, Zentrum für Orthopädie und Unfallchirurgie der St. Elisabeth Gruppe - Katholische Kliniken Rhein-Ruhr, St. Anna Hospital Herne/Universitätsklinikum, Marien Hospital Herne/Marien Hospital Witten, Hospitalstr. 19, 44649, Herne, Deutschland.

Background: The most frequent causes of degenerative constrictions of the spinal canal are disk herniations and spinal stenoses. The lumbar and cervical spine is the most affected.

Surgical Procedures: After conservative treatments have been exhausted, surgical intervention may be necessary. Read More

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December 2018

[Cerebral ptosis. Analysis of six cases].

Rev Med Chil 2018 Aug;146(8):857-863

Departamento Ciencias Neurológicas, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

Background: Cerebral ptosis is understood as the bilateral paralysis of eyelid elevation linked to a stroke or hemorrhage of the middle cerebral artery (MCA). It is a transient condition, independent of the evolution of the lesion.

Aim: To analyze six patients with the condition. Read More

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New Approach to Oncoplastic Breast Conservation: Combining Autologous Volume Replacement and the Wise-pattern Mammaplasty.

Plast Reconstr Surg Glob Open 2018 Oct 16;6(10):e1987. Epub 2018 Oct 16.

Georgia Breast Surgery, Lawrenceville, Ga.

Background: Oncoplastic breast-conserving surgery describes a set of techniques that allow for generous oncological resection with immediate tumor-specific reconstruction. These techniques are classically divided into either volume displacement (local breast flaps and or reduction mammaplasty/mastopexy strategies) versus volume replacement strategies (transfer of autologous nonbreast tissue from a local or distant site and, less commonly, implant placement). There have been few descriptions of merging these 2 classical approaches to facilitate breast-conserving surgery. Read More

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October 2018

Synchronous Surgical Treatment of Lower Eyelid Involutional Entropion and Ptosis.

Case Rep Ophthalmol Med 2018 11;2018:2478646. Epub 2018 Nov 11.

424 General Military Training Hospital of Thessaloniki, Thessaloniki, Greece.

Background: Involutional entropion and upper eyelid ptosis are common eyelid diseases in the elderly population. They represent a frequent cause of discomfort and often result in significant visual and functional impairment. The surgical management of these disorders includes various treatment options and techniques and is usually carried out in multiple time sessions. Read More

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November 2018

An epidemiologic study on symptomatic pelvic organ prolapse in obese Chinese women: a population-based study in China.

Diabetes Metab Syndr Obes 2018 16;11:761-766. Epub 2018 Nov 16.

Department of Gynecology and Obstetrics, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, People's Republic of China,

Background: The aim of this study was to investigate the prevalence and risk factors of symptomatic pelvic organ prolapse in obese Chinese women.

Subjects And Methods: We performed a secondary analysis of 3,105 obese women from an observational cross-sectional study conducted between February 2014 and March 2016 in Mainland China. The obesity standard in our study was the Chinese standard (body mass index ≥28). Read More

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November 2018

Intraoperative disc prolapse during percutaneous endoscopic lumbar discectomy.

World Neurosurg 2018 Dec 6. Epub 2018 Dec 6.

Department of Neurosurgery, The Leon Wiltse Memorial Hospital, Suwon, Korea.

Background: Percutaneous endoscopic lumbar discectomy (PELD) has become popular and is regarded as an alternative treatment for lumbar disc herniation (LDH). Although the indication has expanded with remarkable evolution of the technique, sometimes unexpected experiences have been faced during PELD. De novo disc prolapse was reported for the first time during the PELD. Read More

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December 2018
1 Read

Prevalence and Awareness of Pelvic Floor Disorders in Adolescent Females Seeking Gynecologic Care.

J Pediatr Adolesc Gynecol 2018 Dec 5. Epub 2018 Dec 5.

Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama.

Objective: To determine the prevalence and awareness of pelvic floor disorder (PFD) symptoms among adolescent females.

Design: Cross-sectional study via a written, anonymous survey of adolescents. The survey was composed of validated measures for determination of symptom prevalence. Read More

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December 2018

Epiglottopexy by external puncture for epiglottic prolapse in severe laryngomalacia. A novel technique.

Eur Ann Otorhinolaryngol Head Neck Dis 2018 Dec 4. Epub 2018 Dec 4.

Department of pediatric thoracic surgery, Hospital Infantil de México, Federico Gómez, Mexico.

Introduction: Laryngomalacia (LM) is the first cause of stridor in infants. 10 to 20% of patients with LM may require surgery due to the development of severe symptoms. Supraglottoplasty is the most commonly performed surgery for severe LM. Read More

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December 2018

Systematic review of outcomes and complications in nonimplant-based mastopexy surgery.

J Plast Reconstr Aesthet Surg 2018 Nov 9. Epub 2018 Nov 9.

Department of Plastic, Reconstructive and Aesthetic Surgery, Lausanne University Hospital, Lausanne, Switzerland.

Background: Mastopexy is one of the most performed cosmetic surgery procedures in the U.S. Numerous studies on mastopexy techniques have been published in the past decades, including case reports, retrospective reviews, and prospective studies. Read More

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November 2018

Should We Always Use Antibiotics after Urodynamic Studies in High-Risk Patients?

Biomed Res Int 2018 5;2018:1607425. Epub 2018 Nov 5.

2nd Department of Gynaecology, Medical University of Lublin, Lublin, Poland.

Aim: The aim of this observational study was to evaluate the effectiveness of a phytotherapic drug (Canephron N) in preventing urinary tract infection (UTI) in high-risk women undergoing urodynamic studies (UDS).

Methods: The study protocol was approved by the local institutional ethical committee. Adult women with at least one risk factor for acquiring UTI (defined as: age over 70, elevated postvoid residual urine>100 ml, recurrent UTI, pelvic organ prolapse (POP) ≥II in POP-Q scale, and neurogenic bladder) had received after UDS either a single oral dose of fosfomycin trometamol (FT) (3 grams) or a phytodrug containing centaury herb, lovage root, and rosemary leaves (5 ml taken orally three times daily for one week). Read More

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November 2018
2 Reads

Efficacy of mace (Arils of Houtt) plus PFMT on symptoms in mixed urinary incontinence: a randomized placebo-controlled trial.

Integr Med Res 2018 Dec 26;7(4):307-315. Epub 2018 Oct 26.

Department of Amraze Niswan wa Ilmul Qabalat (Gynecology and Obstetrics), National Institute of Unani Medicine, Bengaluru, India.

Background: It is not only to evaluate the efficacy and safety of mace (Arils of Houtt) but also to compare pelvic floor muscle training vs. pelvic floor muscle training (PFMT) for improving symptoms and health-related quality of life (HRQoL) of woman with mixed urinary incontinence (MUI).

Methods: A prospective, single-blind randomized controlled study was conducted. Read More

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December 2018
1 Read

Horner Syndrome Due to Spontaneous Internal Carotid Artery Dissection.

Cureus 2018 Sep 28;10(9):e3382. Epub 2018 Sep 28.

Neurology, University of Missouri, Columbia, USA.

Horner syndrome is a constellation of neurological findings consisting of ipsilateral ptosis, miosis, and anhidrosis. Partial Horner syndrome, comprising ipsilateral ptosis and miosis in the absence of anhidrosis, is a well-documented but uncommon manifestation of internal carotid artery dissection. We report the case of a 42-year-old male patient who presented with ipsilateral ptosis and miosis and was subsequently diagnosed with internal carotid artery dissection. Read More

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September 2018

Review of Ocular Manifestations of Joubert Syndrome.

Genes (Basel) 2018 Dec 4;9(12). Epub 2018 Dec 4.

Department of Ophthalmology, Stanford University School of Medicine, 1651 Page Mill Road, Palo Alto, CA 94305, USA.

Joubert syndrome is a group of rare disorders that stem from defects in a sensory organelle, the primary cilia. Affected patients often present with disorders involving multiple organ systems, including the brain, eyes, and kidneys. Common symptoms include breathing abnormalities, mental developmental delays, loss of voluntary muscle coordination, and abnormal eye movements, with a diagnostic "molar tooth" sign observed by magnetic resonance imaging (MRI) of the midbrain. Read More

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December 2018
1 Read

Type of pelvic disease as a risk factor for surgical site infection in women undergoing hysterectomy.

J Minim Invasive Gynecol 2018 Nov 30. Epub 2018 Nov 30.

The Ottawa Hospital Research Institute, 725 Parkdale Avenue, Ottawa ON, K1Y 4E9.

Study Objective: To quantify the relationship between type of benign pelvic disease and risk of surgical site infection (SSI) after hysterectomy DESIGN: Retrospective Cohort (Classification II-2) SETTING: Hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) PATIENT(S): Women who underwent hysterectomy from 2006-2015 and recorded in NSQIP database INTERVENTION: None MEASUREMENTS AND MAIN RESULTS: SSI risk was compared for type of benign pelvic diseases, patient characteristics (age, race and selected comorbidities) and process of care variables (admission status, type of hysterectomy, and operative time). Among a total of 125,337 women who underwent hysterectomy, 2.48% developed SSI. Read More

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November 2018

Anterior and middle pelvic organ prolapse repair using a six tension-free strap low weight transvaginal mesh: long-term retrospective monocentric study of 311 patients.

J Gynecol Obstet Hum Reprod 2018 Nov 30. Epub 2018 Nov 30.

Hôpital Privé Sainte Marie, Groupe Ramsay General de Sante, Chalon sur Saône, France. Electronic address:

Introduction: Treatment of pelvic organ prolapse is an important public health issue due to the ageing population. The Food and Drug Administration, in 2011, issued a warning on complications after transvaginal insertion of high weight mesh. We evaluated a 6 tension-free straps, light prosthesis made from polypropylene monofilaments. Read More

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November 2018

Cognitive changes in older women after urogynaecological surgery.

Ginekol Pol 2018 ;89(11):587-592

Frauenzimmer Bern AG, Bern, Switzerland.

Objectives: The need for pelvic floor surgery will increase with an aging population in the future. Aim of this prospective study was to evaluate the evolution of cognitive function in elderly women after urogynaecological surgery.

Material And Methods: Between 2010 and 2014, 51 female patients 70 years and older who underwent urogynaecological surgery participated in this study. Read More

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January 2018

Prospective evaluation of paravaginal defect repair with and without apical suspension: a 6-month postoperative follow-up with MRI, clinical examination, and questionnaires.

Int Urogynecol J 2018 Dec 1. Epub 2018 Dec 1.

Department of Obstetrics and Gynaecology, Aarhus University Hospital, Aarhus, Denmark.

Introduction And Hypothesis: Paravaginal defect (PVD) has been suggested as one of the main contributors to the development of prolapse in the anterior vaginal wall (AVW). We aimed to evaluate the descent of pelvic organs, presence of vaginal H configuration, and pubococcygeus (PC) muscle defect by pelvic magnetic resonance imaging (MRI), together with subjective symptoms of prolapse, before and 6 months after PVD repair. We also aimed to evaluate risk factors of recurrence. Read More

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December 2018

Exposure, entropion, and bilateral corneal ulceration in a newborn as a manifestation of chromosome 22 q11.2 duplication syndrome.

Am J Ophthalmol Case Rep 2019 Mar 4;13:16-19. Epub 2018 Nov 4.

Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, MA, USA.

Purpose: Chromosome 22q11.2 micro-duplication syndrome (MDS), is a rare autosomal dominant condition, with a highly variable phenotype that ranges from unremarkable and asymptomatic, to fatal due to cardiovascular defects. Hypertelorism, downslanting palpebral fissures, superior displacement of the eyebrows, and ptosis are the most commonly reported ocular manifestations. Read More

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Hypoxia-Inducible Factor 1-α (HIF-1α) Induces Apoptosis of Human Uterosacral Ligament Fibroblasts Through the Death Receptor and Mitochondrial Pathways.

Med Sci Monit 2018 Dec 3;24:8722-8733. Epub 2018 Dec 3.

Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, Shandong, China (mainland).

BACKGROUND Hypoxia induces cell apoptosis in the uterosacral ligaments of patients with pelvic organ prolapse by upregulation of hypoxia-inducible factor-1α (HIF-1α). This study aimed to investigate the effects of HIF-1α on human uterosacral ligament fibroblasts (hUSLFs) following treatment with the chemical inducer of hypoxia, cobalt chloride (CoCl2), and to explore the underlying mechanisms. MATERIAL AND METHODS Ten women who underwent hysterectomy for benign disease provided uterosacral ligament tissue for cell extraction. Read More

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December 2018
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[How I do… easily a vaginal sacrospinous colpopexy using an isthmic posterior mesh].

Gynecol Obstet Fertil Senol 2018 Nov 29. Epub 2018 Nov 29.

Département de gynécologie, hospices civils de Lyon, hôpital Femme-Mère-Enfant, HFME, 59, boulevard Pinel, 69000 Lyon, France.

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November 2018
2 Reads

Retrobulbar anaesthesia for adjustable strabismus surgery in adults: a prospective observational study.

Can J Ophthalmol 2018 Dec 5;53(6):621-626. Epub 2018 Apr 5.

Department of Ophthalmology, McGill University, Montréal, Qué.

Objective: To characterize the ocular response to retrobulbar anaesthesia and to evaluate the efficacy of retrobulbar anaesthesia for adjustable strabismus surgery in adults.

Design: Prospective observational study.

Participants: Adult patients undergoing adjustable strabismus surgery under retrobulbar anaesthesia. Read More

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December 2018

Mycobacterium genavense Infection in a Domestic Ferret (Mustela putorius furo).

Top Companion Anim Med 2018 Dec 10;33(4):119-121. Epub 2018 Oct 10.

Istituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia Romagna (IZSLER), 25124 Brescia, Italy.

Mycobacterium genavense infection was diagnosed in an adult ferret with ptosis of the left eye, a proliferative lesion of the conjunctiva of the nictitating membrane, conjunctival swelling, and tumefaction of the periorbital tissues with a watery ocular discharge and the presence of a retrobulbar mass. The diagnosis was based on characteristic cytology of the retrobulbar mass and left mandibular lymph node that revealed granulomatous inflammation. Ziehl-Neelsen staining showed the presence of positive acid-fast bacilli in the cytoplasm of the macrophages. Read More

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December 2018

Proteomics of Uterosacral Ligament Connective Tissue from Women With and Without Pelvic Organ Prolapse.

Proteomics Clin Appl 2018 Dec 5:e1800086. Epub 2018 Dec 5.

The Key Laboratory of Reproductive Genetics (Zhejiang University), Ministry of Education, Hangzhou, China.

Purpose: Damage to the uterosacral ligaments is an important contributor to uterine and vaginal prolapse. The aim of this study was to identify differentially expressed proteins in the uterosacral ligaments of women with and without pelvic organ prolapse and analyze their relationships to cellular mechanisms involved in the pathogenesis of pelvic organ prolapse.

Experimental Design: Uterosacral ligament connective tissue from four patients with pelvic organ prolapse and four control women underwent iTRAQ analysis followed by Ingenuity Pathway Analysis of differentially expressed proteins. Read More

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December 2018

Treatment of vaginal vault prolapse in The Netherlands: a clinical practice survey.

Int Urogynecol J 2018 Dec 4. Epub 2018 Dec 4.

Department of Gynaecology and Obstetrics, Máxima Medical Centre, De Run 4600, 5500 MB, Veldhoven, The Netherlands.

Introduction And Hypothesis: A great variety of conservative and surgical procedures to correct vaginal vault prolapse have been reported. The aim of this study was to describe practice pattern variation-the difference in care that cannot be explained by the underlying medical condition-among Dutch gynecologists regarding treatment of vaginal vault prolapse.

Methods: A clinical practice survey was conducted from March to April 2017. Read More

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December 2018
6 Reads

Solitary rectal ulcer syndrome complicating sessile serrated adenoma/polyps: A case report and review of literature.

World J Clin Cases 2018 Nov;6(14):820-824

Department of Pathology, Fudan University Shanghai Cancer Center, Shanghai 200032, China.

Solitary rectal ulcer syndrome (SRUS) is a rare benign condition, which can mimic many other diseases because of their similarities in clinical, endoscopic and histological features. Sessile serrated adenoma/polyp (SSA/p) is a premalignant lesion in the colon and rectum. The misdiagnosis of SSA/p in SRUS patients has been noted, but the case of SRUS arising secondarily to SSA/p has been rarely reported. Read More

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November 2018
1 Read

The Eye Opener: Finding and Targeting the Midbrain Lesion.

Neuroophthalmology 2018 Oct 9;42(5):316-317. Epub 2018 Jan 9.

Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Lesions of the central nucleus of the third cranial nerve in midbrain leads to bilateral ptosis. We present a case of a 14 year old boy, who was found to have B/L non-correctable ptosis and medial rectus palsy. There was a ring enhancing lesion in the midbrain in contrast MRI which resolved with treatment. Read More

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October 2018
1 Read

Effects of Stapled Hemorrhoidopexy on Anorectal Function: A Prospective Randomized Controlled Trial.

Iran J Med Sci 2018 Nov;43(6):581-586

Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Stapled hemorrhoidopexy is a safe and acceptable alternative to traditional hemorrhoidectomy with shorter hospital stay, better satisfaction, and less postoperative pain. There have, however, been reports on early and late complications. Therefore, the present study was designed to assess the impact of stapled hemorrhoidopexy on anorectal function and continence. Read More

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November 2018
2 Reads

Infective endocarditis complicated with nonobstructive ST elevation myocardial infarction related to septic embolism with intracranial hemorrhage: A case report.

Medicine (Baltimore) 2018 Nov;97(48):e13089

Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital.

Rationale: Infective endocarditis (IE) complicated with obstructive ST elevation myocardial infarction (STEMI) has been reported in the literature and which were mostly related to coronary artery embolism, obstruction, or compression. However, there has been no reported case discussing about IE complicated with nonobstructive STEMI.

Patient Concerns: In this report, we report a 38-year-old female suffering from intermittent fever and was later diagnosed as IE. Read More

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November 2018
1 Read

Meshes in a mess: Mesenchymal stem cell-based therapies for soft tissue reinforcement.

Acta Biomater 2018 Nov 27. Epub 2018 Nov 27.

Stem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre, Ctra. N-521, km 41.8, 10071 Cáceres, Spain; CIBER de Enfermedades Cardiovasculares, Avenida Monforte de Lemos, 3-5. Pabellón 11. Planta 0, 28029 Madrid, Spain.

Surgical meshes are frequently used for the treatment of abdominal hernias, pelvic organ prolapse, and stress urinary incontinence. Though these meshes are designed for tissue reinforcement, many complications have been reported. Both differentiated cell- and mesenchymal stem cell-based therapies have become attractive tools to improve their biocompatibility and tissue integration, minimizing adverse inflammatory reactions. Read More

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November 2018
4 Reads

Three-dimensional finite element analysis of the pelvic organ prolapse: A parametric biomechanical modeling.

Neurourol Urodyn 2018 Nov 29. Epub 2018 Nov 29.

School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.

Aims: To evaluate the role of soft tissue and ligaments damage and level of pelvic muscles activation versus intra-abdominal pressure, on pelvic organ prolapse.

Methods: This was a computational modeling based on the finite element analysis. Three pelvic muscles, four pelvic ligaments, and three organs (urethra, vagina, and rectum) were simulated. Read More

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November 2018

Post-operative nerve injuries after cervical spine surgery.

Int Orthop 2018 Nov 29. Epub 2018 Nov 29.

Department of Orthopaedic Surgery, Columbia University, New York, NY, USA.

Although relatively rare, post-operative nerve injuries may occur after cervical spine procedures. The most common post-operative neural disorder is C5 nerve palsy. The risk factors for C5 nerve palsy are male gender, OPLL, and posterior cervical approaches. Read More

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November 2018
4 Reads

The kissing puncta: an under-reported and stubborn cause of epiphora.

Eye (Lond) 2018 Nov 29. Epub 2018 Nov 29.

Oxford Eye Hospital, John Radcliffe Hospital, Oxford, UK.

Background: 'Kissing puncta' (KP) or punctal apposition is an anatomical phenomenon sparsely reported in the English literature. We describe our experience of managing chronic epiphora in patients with punctal apposition.

Methods: A retrospective audit of five patients (nine eyes) with KP associated with epiphora. Read More

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November 2018

Safety and Efficacy of EB-001, a Novel Type E Botulinum Toxin, in Subjects with Glabellar Frown Lines: Results of a Phase 2, Randomized, Placebo-Controlled, Ascending-Dose Study.

Plast Reconstr Surg 2018 Dec;142(6):847e-855e

Newport Beach and Fremont, Calif. From Medical Associates; the Center for Dermatology Clinical Research, Inc.; and Bonti, Inc.

Background: Botulinum neurotoxins, which are widely used commercially for therapeutic and cosmetic applications, have historically belonged to serotypes A and B. Serotype E has a distinct profile with a faster onset and shorter duration of effect. EB-001 is a proprietary formulation of serotype E in development for aesthetic (cosmetic) and therapeutic uses. Read More

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December 2018

Horner Syndrome After Anterior Revision Surgery for Cervical Spondylotic Myelopathy: A Very Rare Complication: A Case Report.

JBJS Case Connect 2018 Nov 28. Epub 2018 Nov 28.

Spinal Unit, Department of Orthopaedics, Centro Hospitalar do Porto-Hospital Geral de Santo António, Porto, Portugal.

Case: We report a case of postoperative left-sided Horner syndrome (blepharoptosis, miosis, and anhidrosis) after revision surgery for cervical spondylotic myelopathy. A C4 corpectomy and an anterior cervical fusion from C3 to C5 were performed through a left longitudinal approach in a patient with a surgical history of an anterior discectomy and a fusion from C5 to C6. One year after the revision surgery, the patient had recovered from the anhidrosis and the miosis, but the blepharoptosis was not fully resolved. Read More

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November 2018
1 Read

Pelvic Pain and Apical Prolapse Surgery: A Population-Based Retrospective Cohort Study.

Female Pelvic Med Reconstr Surg 2018 Nov 27. Epub 2018 Nov 27.

Obstetrics and Gynecology and.

Objectives: The aims of this study were to evaluate the association of preoperative pelvic pain with operative characteristics and the association of patient and operative characteristics with postoperative pain.

Methods: This is a retrospective cohort study utilizing Clinformatics DataMart, a large national commercial insurance database. We collected data for patients older than 18 years who underwent apical prolapse surgery between January 2005 and December 2014. Read More

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November 2018

Pelvic Organ Prolapse Symptoms in American Samoan Women.

Female Pelvic Med Reconstr Surg 2018 Nov 27. Epub 2018 Nov 27.

International Health Institute, and Department of Epidemiology, Brown University School of Public Health, Providence RI.

Objectives: American Samoa has one of the highest rates of obesity worldwide, making it a population at high risk for pelvic organ prolapse (POP). The primary objective of this study was to describe the presence of POP symptoms and associated degree of bother in American Samoan women. The secondary objective was to determine which characteristics are associated with POP symptoms in this cohort. Read More

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November 2018
2 Reads

Partial Stapled Hemorrhoidopexy Versus Circumferential Stapled Hemorrhoidopexy for Grade III to IV Prolapsing Hemorrhoids: A Randomized, Noninferiority Trial.

Dis Colon Rectum 2018 Nov 26. Epub 2018 Nov 26.

Background: Long-term outcomes and efficacy of partial stapled hemorrhoidopexy are not known.

Objective: The purpose of this study was to compare the long-term clinical efficacy and safety of partial stapled hemorrhoidopexy with circumferential stapled hemorrhoidopexy.

Design: This was a parallel group, randomized, noninferiority clinical trial. Read More

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November 2018

Patient satisfaction with joint colorectal-urogynaecology pelvic floor surgery

Ir Med J 2018 May 10;111(5):759. Epub 2018 May 10.

Pelvic Floor Centre, St. Michael’s Hospital, Dún Laoghaire, Dublin, Ireland

Introduction Pelvic floor dysfunction is a global term used to describe conditions such as pelvic organ prolapse, and faecal or urinary incontinence. The Pelvic Floor Centre is a multi-disciplinary clinic for pelvic floor dysfunction. The aim of this study was to assess patient satisfaction following joint colorectal-urogynaecology surgery in the Pelvic Floor Centre. Read More

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May 2018
2 Reads

VCP myopathy: A family with unusual clinical manifestations.

Muscle Nerve 2018 Nov 29. Epub 2018 Nov 29.

Department of Neuromuscular Disease, The Third Hospital of Hebei Medical University, 139# Ziqiang Road, Shijiazhuang City, Hebei Province, 050051, P. R. China.

Introduction: Valosin-containing protein (VCP) variants that affect muscle, bone, and the nervous system are termed multisystem proteinopathy. VCP myopathy is manifested as limb-girdle weakness, distal weakness and scapuloperoneal weakness.

Methods: We reviewed clinical, genetic, and muscle biopsy data from 6 members of a family with VCP myopathy. Read More

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November 2018

A Case of Single Atrium, Mitral Valve Prolapse Spontaneously - Closed Inlet VSD with Polydactyly.

Mymensingh Med J 2018 Oct;27(4):894-897

Dr Ranjan Kumar Majumder, Department of Cardiology, Kumudini Women's Medical College, Mirzapur, Tangail, Bangladesh.

Single Atrium is a complex cardiac anomaly and generally a component of certain congenital syndromes. It is extremely rare for SA to be observed as an isolated defect. We report here a 14 year-old male patient with SA with MVP with spontaneously-closed inlet-VSD with polydactyly. Read More

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October 2018

Primary Non-Hodgkin Lymphoma of Sphenoid Sinus Involving Cavernus Sinus and Clivus with Isolated 3rd Nerve Palsy.

Mymensingh Med J 2018 Oct;27(4):888-893

Dr Dhiman Chowdhury, Associate Professor, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh; E-mail: dhiman_ns@ yahoo.com.

Lymphomas are group of malignant neoplasm having origins from lymphoreticular cells. B cell Non Hodgkin Lymphoma (BNHL) of sphenoid sinus as primary site for lymphomas are very rare and whenever involves comes usually with ocular manifestations. The proximity of the lesion to optic nerve and cavernous sinus present a high risk of developing unilateral ophthalmoplegia or even blindness. Read More

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October 2018
6 Reads

Mitral Valve Prolapse and Sudden Cardiac Death: A Systematic Review.

J Am Heart Assoc 2018 Dec;7(23):e010584

1 Department of Cardiology Austin Health University of Melbourne Melbourne Australia.

Background The relationship between mitral valve prolapse ( MVP ) and sudden cardiac death ( SCD ) remains controversial. In this systematic review, we evaluate the relationship between isolated MVP and SCD to better define a potential high-risk subtype. In addition, we determine whether premortem parameters could predict SCD in patients with MVP and the incidence of SCD in MVP . Read More

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December 2018
1 Read

Long-Term Follow-Up of a Patient with Spondylodiscitis after Laparoscopic Sacrocolpopexy: An Unusual Complication with a Review of the Literature.

Urol Int 2018 Nov 28:1-5. Epub 2018 Nov 28.

Department of Obstetrics and Gynecology, Division of Urogynecology, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey.

Sacrocolpopexy is the gold standard treatment for apical compartment prolapse with reported success rates of 78-100%. Spondylodiscitis is a rare complication of sacrocolpopexy and includes a spectrum of spinal infections such as discitis, osteomyelitis, epidural abscess, meningitis, subdural empyema, and spinal cord abscess. Here we report a case of spondylodiscitis following laparoscopic sacrocolpopexy with long-term follow-up and discuss management of spondylodiscitis after abdominal sacrocolpopexy, with a review of the literature. Read More

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November 2018
1 Read

Mitral valve prolapse.

Expert Rev Cardiovasc Ther 2018 Nov 28. Epub 2018 Nov 28.

a Barts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Trust , London , UK.

Introduction: Mitral valve prolapse is a common valve pathology with a spectrum of disease from isolated prolapse to myxomatous, multi-scallop Barlow's disease. The main complications relate to progression of mitral regurgitation, endocarditis, sudden death and stroke. The timing of intervention in patients with asymptomatic severe mitral regurgitation is controversial. Read More

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November 2018
1 Read

Levator Pull-Out Suture Technique for Immediate Postoperative Correction of Eyelid Asymmetry After Ptosis Surgery in Asians.

Aesthetic Plast Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Plastic Surgery, ID Hospital, 142 Dosan dae-ro, Gangnam-gu, Seoul, 06039, Korea.

Background: Postoperative eyelid asymmetry is the most common complaint of patients after undergoing blepharoplasty and ptosis correction surgery. Calibrating eyelid asymmetry during ptosis correction surgery is still difficult for surgeons despite the development of innovative procedures. Our levator pull-out suture technique for correcting postoperative eyelid asymmetry after ptosis surgery is introduced. Read More

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November 2018
1 Read

Evaluation of COLIA1-1997 G/T polymorphism as a related factor to genital prolapse.

Int Urogynecol J 2018 Nov 27. Epub 2018 Nov 27.

Department of Urogynecology and Vaginal Surgery within the Discipline of Gynecology at the ABC Medical School, Santo André, SP, Brazil.

Introduction And Hypothesis: Pelvic organ prolapse has a multifactorial etiology. There is increasing evidence that genetic factors greatly impact its development. This study aimed to evaluate the possible relation of the collagenous polymorphism -1997 G/T with genital prolapse in Brazilian women. Read More

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November 2018

The Effect of Medical Consultation on Patients' Concerns Regarding Vaginal Mesh Use in Pelvic Reconstructive Surgery.

J Obstet Gynaecol Can 2018 Oct 25. Epub 2018 Oct 25.

Division of Urogynecology, Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON. Electronic address:

Objective: This study sought to determine patients' background knowledge and attitudes towards the use of mesh in pelvic floor reconstructive surgery (PFRS) and the effect of medical consultation on their knowledge and attitudes about mesh use.

Methods: New urogynecology patients seen for pelvic organ prolapse and/or stress urinary incontinence were asked to complete pre-consultation questionnaires involving 12 questions on demographics and knowledge, attitudes, and concerns about the use of vaginal mesh. If PFRS was discussed, a post-consultation questionnaire was administered. Read More

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October 2018

Sensory Changes in Periocular Skin After Upper Eyelid Surgery.

J Craniofac Surg 2018 Nov 22. Epub 2018 Nov 22.

Department of Ophthalmology, Meir Medical Center, Kfar Saba.

The aim of this interventional, prospective study is to estimate the change in periocular cutaneous sensation after upper eyelid surgery. The trial included 48 eyes of 24 patients undergoing upper eyelid blepharoplasty or upper eyelid blepharoplasty and blepharoptosis repair. Eyelid sensation was measured using a Cochet-Bonnet filament-type esthesiometer at 4 predetermined anatomical locations in the upper eyelid. Read More

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November 2018
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