Incidence of Pneumothorax Experienced After Orthognathic Surgery
The purpose of this study is to evaluate the frequency of pneumothorax following orthognathic surgery and describe its clinical presentation. A retrospective analysis of a hospital database was carried out on consecutive patients with normal presurgical clinical assessment, laboratory findings, and chest X-ray who underwent orthognathic surgery from January 2007 to September 2018 in the Department of Oral and Craniomaxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Two patients (0.038%), 1 male (age 20 years) and 1 female (age 32 years), complained of respiratory difficulty and chest pain and were clearly diagnosed with postoperative pneumothorax by radiographic chest X-rays from a sample of 5229 consecutive patients during the study period. Intercostal drainage under local anesthesia was performed immediately and the treatment effects for both patients were satisfactory. The present study findings indicate that although orthognathic surgeries can be safely performed in patients with craniofacial anomalies, some unexpected complications such as pneumothorax may occur. Therefore, accurate postoperative follow-up must be done in every patient to monitor possible clinical complications. Patients who experience respiratory difficulty and postoperative chest pain may have pneumothorax, and once it is diagnosed, treatment should be promptly carried out to eliminate further severe sequelae.
Publication date: Available online 13 December 2019Source: The Annals of Thoracic SurgeryAuthor(s): Hsien-Chi Liao, Shun-Mao Yang, Ming-Hui Hung, Ya-Jung Cheng, Hsao-Hsun Hsu, Jin-Shing ChenAbstractBackgroundAlthough drainage tube placement following thoracoscopic pulmonary resection is considered mandatory, the drainless approach after pulmonary resections may be feasible in selected patients. We aimed to determine whether a drainless approach is safe and associated with shorter hospital stay after thoracoscopic surgery for peripheral lung nodules.MethodsThis single-center, open-label, parallel-group, prospective, randomi...
Conclusion: Both TPVB and ESPB can be effectively used in controlling post-mastectomy pain and reduce intra-operative and post-operative opioid consumption.
Conditions: Analgesia; Postoperative Pain; Pneumothorax Intervention: Procedure: Single Port Video-Assisted Thoracoscopic Surgery Sponsor: Kyungpook National University Hospital Recruiting
ConclusionsSurgery for diaphragmatic endometriosis can be safely performed using a minimally invasive VATS approach, which is feasible and safe even when more extensive diaphragmatic resections are required, and it allows a lower post-operative pain compared to the open approach. Moreover, uniportal VATS approach guarantees similar outcomes with better cosmetic results.
By SAURABH JHA, MD Slumdog TB No one knows who gave Rahul Roy tuberculosis. Roy’s charmed life as a successful trader involved traveling in his Mercedes C class between his apartment on the plush Nepean Sea Road in South Mumbai and offices in Bombay Stock Exchange. He cared little for Mumbai’s weather. He seldom rolled down his car windows – his ambient atmosphere, optimized for his comfort, rarely changed. Historically TB, or “consumption” as it was known, was a Bohemian malady; the chronic suffering produced a rhapsody which produced fine art. TB was fashionable in Victorian Britain...
ConclusionThis case illustrates the difficulties physicians in low-resource settings face in the diagnosis and treatment of TES and the importance of a high index of suspicion as well as a multidisciplinary approach in patient care.
Conclusion: In this case report, a 28-year-old male was treated for thoracic Pott's disease that proved to be metastatic lung adenocarcinoma. To avoid such misdiagnoses in the future, physicians should better differentiate spinal TB from other malignancies that may affect the spine. This study underscores the importance of obtaining at least a chest X-ray in any patient with suspected Pott's disease, irrespective of age, to help rule out lung cancer or other pathologies. PMID: 31768288 [PubMed]
Conclusion: Because of the risk of complications, which make surgical management more difficult, surgical resection of BC is recommended, whatever the age of discovery.
Conclusion: Our data allow to determine following features of the TE: the predominantly right-side localization, the young age of the patients, the cyclic recurrence of the hemoptysis and pain in the chest, the recurrent right-side pneumothorax, the correlation of the onset and/or regression of the radiological symptoms with the beginning and/or end of the menstrual cycle, infertility, pelvic pain, algomenorrhea, and surgeries on the pelvic organs in the anamnesis. In most of our observations, the endometriosis affected the diaphragm and was accompanied by the pneumothorax.Thus, the clinical and morphological hypodiagnosti...
Conclusions: Local pleurodesis plus medical glue assisted APC via MT was effective and more minimally invasive in the treatment of SP caused by subpleural bullae.