Safety of drainless excision of the submandibular gland

ConclusionThe submandibular gland can be safely excised without the use of a surgical drain, therefore allowing early patient discharge.ResumoIntroduçãoOs drenos percutâneos apresentam várias complicações associadas, incluindo infecção, formação de fístulas, desconforto e permanência hospitalar prolongada.ObjetivoO objetivo deste estudo foi avaliar a segurança da excisão da glândula submandibular sem o uso de drenos cirúrgicos.MétodoAnalisamos o tempo de cirurgia, as complicações pós-operatórias (sangramento, paralisia facial, seroma e necessidade de reexploração de ferida operatória) e a duração da internação hospitalar. A excisão da glândula submandibular por via transcervical foi realizada por dois cirurgiões. Antes do fechamento da incisão, o retalho cutâneo e o leito da ferida operatória foram aproximados utilizando cola hemostática de fibrina (Greenplast-Q PFS KIT®, GC Greencross, Youngin, República da Coréia). Não houve irrigação salina nem uso de dreno percutâneo.ResultadosUm total de 23 pacientes foi submetido à excisão da glândula submandibular. O grupo de estudo consistiu em 14 homens (60,8%) e 9 mulheres (39,2%) (média de idade de 47,6 anos; variaç&at...
Source: Brazilian Journal of Otorhinolaryngology - Category: ENT & OMF Source Type: research

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Authors: Tavares MG, Tedesco-Silva Junior H, Pestana JOM Abstract Early hospital readmission (EHR), defined as all readmissions within 30 days of initial hospital discharge, is a health care quality measure. It is influenced by the demographic characteristics of the population at risk, the multidisciplinary approach for hospital discharge, the access, coverage, and comprehensiveness of the health care system, and reimbursement policies. EHR is associated with higher morbidity, mortality, and increased health care costs. Monitoring EHR enables the identification of hospital and outpatient healthcare weaknesses and t...
Source: Jornal Brasileiro de Nefrologia - Category: Urology & Nephrology Tags: J Bras Nefrol Source Type: research
Matthew FeeneyDeadly misinformation spread across social media long before COVID-19 emerged, but amid the ongoing pandemic attempts to tackle such content are once again in the limelight. These efforts provide an opportunity for classical liberals to emphasize the importance of freedom of association and to prepare for discussions about how private institutions handle misinformation amid a  crisis.Too often we think of the freedom of speech to be a  freedom that protects speakers from government censorship. And while the freedom to speak is a necessary condition for a functioning liberal society it&rsqu...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
We report here a case of isolated peripheral-type facial palsy due to acute bleeding of supratentorial cavernoma. To our knowledge, such case has not yet been reported.
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
We report a case of 23-year-old woman with signs of malocclusion, including pectus excavatum, wrist sign, and thumb sign for Marfan syndrome (MFS) underwent peripheral facial palsy after orthognathic surgery with mandibular advancement. Because cardiovascular, thoracic, and ocular abnormalities were absent, she was suspected of having MFS but not definitively diagnosed. On the other hand, she was diagnosed with a maxillary protrusion with mandibular retrognathism. After presurgical orthodontic treatment, we performed Le Fort I osteotomy and 8 mm advancement by bilateral sagittal split ramus osteotomy. Because the peri...
Source: Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology - Category: ENT & OMF Source Type: research
Conclusion: The infratemporal fossa approach type A with sigmoid sinus tunnel-packing or push-packing technique facilitated the control of bleeding from the inferior petrous sinus and improved the outcomes of microsurgical treatment for jugular paragangliomas.
Source: Otology and Neurotology - Category: ENT & OMF Tags: Tumors of the Ear and Cranial Base Source Type: research
We report a case of 23-year-old woman with signs of malocclusion, including pectus excavatum, wrist sign, and thumb sign for Marfan syndrome (MFS) underwent peripheral facial palsy after orthognathic surgery with mandibular advancement. Because cardiovascular, thoracic, and ocular abnormalities were absent, she was suspected of having MFS but not definitively diagnosed. On the other hand, she was diagnosed with a maxillary protrusion with mandibular retrognathism. After presurgical orthodontic treatment, we performed Le Fort I osteotomy and 8mm advancement by bilateral sagittal split ramus osteotomy. Because the periosteum...
Source: Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology - Category: ENT & OMF Source Type: research
CONCLUSIONS The surgical technique described here seems to be efficient for the early treatment of facial paralysis and results in very little morbidity. PMID: 27035172 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - Category: Neurosurgery Authors: Tags: J Neurosurg Source Type: research
Conclusion A growing number of today’s children suffer from vaccine damage. Most individuals do not make the connection between health problems and vaccines. When asked about the cause of autoimmune disorders, asthma, allergies, diabetes, learning disabilities, attention deficit disorder, autism, and other common childhood diseases and illness, the majority of health care providers advise patients that the causes are unknown. Doctors, including most integrative physicians, fail to make the connection to vaccines. It takes one moment to permanently damage the health of an adult or child, but t...
Source: vactruth.com - Category: Allergy & Immunology Authors: Tags: Logical Michelle Goldstein Top Stories autoimmune disorders gardasil HPV Vaccine Medical Authority vaccine injury Source Type: blogs
Conclusions For petroclival meningiomas extending into the middle fossa, the endoscopic-assisted PIPA approach is safe and straightforward. Familiarity with the retrosigmoid route, the absence of temporal lobe retraction, and early control of the cranial nerves, vessels and brainstem are the principal advantages of the PIPA approach; however, careful patient selection regarding the tumor extension is fundamental to obtaining optimal outcomes.
Source: World Neurosurgery - Category: Neurosurgery Source Type: research
Publication date: July 2015 Source:Journal of Clinical Neuroscience, Volume 22, Issue 7 Author(s): Shunichiro Miki , Eiichi Ishikawa , Tetsuya Yamamoto , Hiroyoshi Akutsu , Masahide Matsuda , Noriaki Sakamoto , Akira Matsumura A 48-year-old man with right hemi-facial palsy and cerebellar ataxia was referred to our hospital. Three years and 10months earlier he had undergone gamma knife radiosurgery (GKRS) at the referring hospital for an 18mm right vestibular schwannoma. Slight tumor enlargement had been observed on MRI performed at the referring hospital 3years after the GKRS. On close follow-up after another 6months an ...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
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