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Object The authors explore a series of eight cases in which epidural absces in the cervical spine were treated by microsurgery without arthrodesis, including two cases of concomitant pyogenic and tubercular disease. In four instances, prioritization of dental disease was detected in four cases. Conclusions In the absence of preoperative spinal instability, surgical drainage of the abscess and neurological recovery ensued in spinal cord decompression and neurological recovery, facilitating spontaneous fusion and vertebral stability. Patients with depressed immune systems should be screened for combined tubercular and pyogenic infections of the cervical spine.
Source link: https://doi.org/10.3171/spi.2006.5.5.392
The Study of Dental Disease in Uncontrolled Patients Brocadh1 tetination in Dental Patients In Uncontrolled Diabetic Patients 1 – 2nd (Resident) Cahyono Wences, Bong - Boundary Theoretic Surgery, Faculty of Dentistry, University of Padjadjaran/ RSUP Dr. Hasan Sadikin, Bandung, Indonesia 1,317 Patients; Dental Infections Can spread to Buccal and Maxillofaden, Universitad ABSTRACT Paragraduate Patients With Oral and Maximadid Id Patients: Cahy adi Patients: A Case Study Cahyono Patients, Endang Sagitad adid adiado Patients In Uncontrolled Diagy, Endo Universitadhyono2 Dr. Universitadh4 Universitadh1*, Endang Sagitation and Maxims Submandiadiadyono2 In Uncontrolled Diabes In Uncontrolled Diams e and Maxims In a patient with diabetes mellitus, the case report discusses the emergency treatment of a submandibular absces that extends to the buccal and submental spaces. Case Report: A 41-year-old female patient presented to the Emergency Department of Hasan Sadikin Hospital in Bandung, complaining of swelling on the right cheek. Patient was found with a submandibular absces that extends to the right buccal and subcutaneous area of uncontrolled diabetes mellitus.
Source link: https://doi.org/10.32553/ijmbs.v6i11.2613
Abstract Aim The purpose of this paper is to investigate the effect of aortic root absces on surgically managed infective endocarditis postoperative outcomes and help determine the most effective surgical strategy. In a retrospective cohort study, there were 143 consecutive patients with aortic-valve IE between 2009 and 2020. Group ARA was attributed to an elevated risk of in-hospital mortality and late mortality. Our reoperation meta-analysis revealed high levels of heterogeneity and showed no significant differences in reoperation between group ARA and NARA. Despite modern healthcare methods, the presence of an ARA in aortic valve endocarditis has been attributed to elevated early and late mortality. In addition, we believe ARR should be regarded as the most appropriate approach for IE cases that are otherwise unsolved by the ARA.
Source link: https://doi.org/10.1093/bjs/znac269.107
Background information on patients with infectious endocarditis complicated by an aortic root absces is sparse due to the condition's low incidence and high mortality rates. Methods The online databases MEDLINE, EMBASE, and Cochrane library were searched from 1990 to 2022 for studies comparing cohorts of surgically treated infected endocarditis patients with and without an aortic root absces. High incidences of heterogeneity made the reoperation meta-analysis difficult, but there were no significant differences between absces and no absces groups. Hospitals with higher rates of aortic root absces patients have lower rates of reoperation for aortic root abscess patients than patch reconstruction, according to a graphic on the internet. Conclusions The presence of an aortic root absces in aortic valve endocarditis is linked to increased early and late mortality, despite modern methods of care.
Source link: https://doi.org/10.1177/02676591221137484
Abstract Background: To date, open thoracic surgery has been the most common therapy for acute thoracic aneurysms. However, thoracic endovascular aneurysms repair for infected thoracic aortic aneurysms is associated with an exacerbation of infection due to persistent infected tissues. The patient was diagnosed with an infected descending thoracic aneurysm and urgent thoracic endovascular aortic repair, and he was started on an intravenous antibiotic therapy; the patient was still afebrile. The patient was switched to oral antibiotic therapy six weeks after absces debridement. Conclusions: After thoracic endovascular aortic repair for infected thoracic aneurysms in infected thoracic aneurysms, a combined absces debridement and autologous tissue filling strategy is beneficial to patients with poor surgical tolerance in whom infection control is difficult. When using the omentum for autologous tissue filling is difficult, pedicled latissi muscle flaps are useful.
Source link: https://doi.org/10.21203/rs.3.rs-2194816/v1
Objective Peritonsillar absces are typical emergency consultations for otolaryngologists. Medically managed alone may be able to provide safe medical care without the dangers associated with surgical drainage. Therefore, we conducted a systematic review of medical therapy alone as opposed to surgical drainage for PTA treatment. Review Methods The results of medically treated patients were compared to surgically treated patients, according to the study's findings. Compared to 5. 5% in the surgical group, the combined rate of treatment failure in patients who were first treated with medical care alone was 5. 7%. Through random-effects meta-analysis, there was no statistically significant difference in the odds of treatment failure between interventions. When first treated with medical intervention, a subgroup analysis excluding pediatric-specific studies showed similar risks of treatment failure when first treated with medical intervention. Conclusions: Meta-analysis of available studies revealed no difference in the odds of treatment failure for patients with PTA administered by medical intervention alone rather than surgical intervention.
Source link: https://doi.org/10.1177/0194599820927328
Abstract CASE DESCRIPTION The last seven-month-old neutered male Continental Giant rabbit was referred to for an examination of a 7-day history of acute-onset, progressive, symmetric paraparesis. Clinical findings The rabbit was nonambulatory at the first examination, and neurologic examination revealed the same aspiration of the T3-L3 spinal cord segments. The left T11–u201312 joint articular process joint appeared irregular widening of the left T11–u201312 joint in Thoracic radiography. On MRI images of the spine, Marked dorsolateral and lateral extradural cord compression with contrast enhancement of the adjacent epaxial muscles was evident. CLINICAL RELEVANCE Paraspinal absces with vertebral canal involvement should be considered as a special diagnosis for rabbits with clinical signs of progressive T3-L3 myelopathy. Outcome for the patient of the present study's findings showed that surgical care, decompression and debridement, could result in a positive long-term outcome.
Source link: https://doi.org/10.2460/javma.251.3.340
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