Sialendoscopic Approach in Management of Juvenile Recurrent Parotitis
AbstractTo assess the role of sialendoscopy as a diagnostic and therapeutic modality in juvenile recurrent parotitis. Juvenile recurrent parotitis (JRP) is the second most frequent salivary gland disease in childhood and is characterized by recurrent non suppurative and non obstructive parotid inflammation. These attacks influence the quality of life and can even lead to gland destruction, and there are no definitive treatment to avoid them. Sialendoscopic dilatation is emerging as the new treatment modality in this aspect. Study design: retrospective study. Study setting: Department of Otorhinolaryngology in tertiary care hospital. 17 cases of juvenile recurrent parotitis (i.e. children of age group 3–11 years presenting with complaints of recurrent parotid region swelling and pain, sometimes associated with fever) were includ ed in the study during October 2012–September 2015. All cases underwent sialendoscopy under general anaesthesia. Diagnostic (classifying the ductal lesion) and interventional sialendoscopic procedure (dilatation with instillation of steroid) were carried out in single sitting. Follow up was done f or a minimum of 6 months (range 6–36 months). 17 patients with mean age of 5.6 years and gender distribution of 47:53 (boys:girls) underwent sialendoscopy for JRP. 8 patients presented with unilateral parotitis and 9 with bilateral. The mean number of attacks in previous 1 year were 9.2. Avera ge time for proce...
Authors: Gentile E, Ricci K, Delussi M, Brighina F, de Tommaso M Abstract Previous studies indicated changes of motor cortex excitability in fibromyalgia (FM) patients and the positive results of transcranial stimulation techniques. The present study aimed to explore the metabolism of motor cortex in FM patients, in resting state and during slow and fast finger tapping, using functional Near-Infrared Spectroscopy (fNIRS), an optical method which detects in real time the metabolism changes in the cortical tissue. We studied 24 FM patients and 24 healthy subjects. We found a significant slowness of motor speed in FM ...
The indications for cryoablation in pediatric patients has been slowly growing over the last few years. Vascular anomalies and solid tumors are being treated with this modality. However, cryoablation can be associated with local complications. This is of high relevance in children due to smaller body surface area, more compact anatomy and less subcutaneous fat. Additionally, these patients have lower tolerance to pain and inflammation. It is critical to understand these factors when using cryoablation to treat pediatric patients.
Knee OA is a common cause of pain and disability, with many patients relying on chronic pain medications and/or joint injections. These options unfortunately result in short-term relief, or have associated increased morbidity, and knee replacement surgery may ultimately be performed. Researchers have postulated that synovial neovascularity develops as a result of inflammation and subsequently leads to knee pain. While previous overseas reports of success with GAE have been published, we present our final results from a prospective US multicenter clinical trial.
Previously treated vertebral osteomyelitis patients presenting with worsening back pain and weakness, undergo repeat imaging which can demonstrate worsening focal destruction of vertebrae. These findings are often interpreted as ongoing infection, resulting in a repeat image-guided biopsy. We sought to determine the imaging features of persistent/recurrent infections from worsening destruction of vertebral bodies due to mechanical factors.
The aim of our work is to compare two different minimally invasive, outpatient procedure for the treatment of contained lumbar disc protrusions using Percutaneous Targeted Disc Decompression (TDD) vs Percutaneous Disc Decompression (PDD) in patients presenting contained lumbar disc herniation confirmed with MR imaging.
Thirty percent of Americans have low back pain (LBP) at any given time, leading to approximately 50 million physician visits in the U.S. annually. Chronic low back pain (CLBP) can be difficult to diagnose and treat using either non-surgical therapies or surgical interventions. Antonacci et al. proposed that some pain previously ascribed to the disc actually emanates from the vertebral endplate nociceptors which communicate to the CNS through the basivertebral nerve (BVN).1 The purpose of the present study is to report the 2-year clinical outcomes for CLBP patients treated with radiofrequency (RF) ablation of the BVN in a r...
To evaluate the impact of the temporary presence of IVC filters on the Villalta score (VS, a widely used scoring system for assessing post-thrombotic syndrome (PTS) severity). The maximum score is 33; 5 symptoms (pain, cramps, heaviness, pruritus and paresthesia) and 6 signs (pre-tibial edema, skin induration, hyperpigmentation venous ectasia, redness, and pain during calf compression) are evaluated on a 0-3 scale (absent, mild, moderate, severe).
To evaluate the current distribution of “evaluation and management” (E&M) services rendered by interventional radiologists (IR), interventional cardiologists (IC) and pain management specialists (PM) for Medicare beneficiaries in 2016 and to compare the current status with the historical data.
There are no reported descriptions of motor nerve cryoablation in humans. As a result, physicians faced with inadvertent motor nerve cryoablation during palliative or therapeutic procedures for established indications are forced to rely on preclinical studies to manage patient expectations. (1, 2) In addition, potential applications of motor nerve cryoablation, such as for management of spasticity and pain, have been avoided because of the unknown prognosis following cryoneurolysis of mixed or motor nerves.
Ultrasound image-guided procedures (USGP) are common and often cause mild to moderate pain both during the procedure and during lidocaine injection. This 110 participant randomized clinical trial evaluated the effectiveness of vapocoolant topical anesthetic application prior to lidocaine injection at reducing pain during the USGP.