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After a century of controversies, we are still not certain on the relationship between airway volume and facial morphology.
To measure nasopharyngeal airway volume and compare it among different skeletal patterns.
Forty five CBCT scans of patients between sixteen to twenty five years were used in the study. The nasopharyngeal airway was divided into upper, middle and lower segments. CBCT images were grouped into skeletal class I, class II and class III.
There was highly significant difference in upper (p=0.001) and middle pharyngeal airway volume (p<0.001) among 3 skeletal groups. Lower pharyngeal airway volume was also statistically significant (p=0.051) among 3 groups. Total pharyngeal airway volume did not show any significant correlation.
Nasopharyngeal airway volume seems to play a role in different skeletal patterns.
Nasopharyngeal airway volume seems to play a role in different skeletal patterns.
Cognitive problems in patients with obstructive sleep apnea have been suspected since the 1980s. Several studies have investigated different cognitive domains. A similar widespread survey has not been done in the Bulgarian population.
This study aimed to evaluate global cognitive functioning and memory function in patients with obstructive sleep apnea and to examine the potential influence of comorbidities on cognitive functions.
The study examined the neurocognitive profile of 103 consecutive patients newly diagnosed with OSA and 31 healthy controls. A list of inclusion and exclusion criteria was developed. Sleep breathing was examined in both groups. The other methods were a medical history of patients, clinical examination, neuropsychological assessment, statistical analysis.
The study found that the global cognitive functioning of patients with OSA and the memory function was impaired. Short-term memory has been found affected predominantly. Only obesity was distinguished as a major factor relevant to the severity of cognitive changes in the study group. A statistically significant difference between the groups with and without obesity was found for the applied memory tests, except for the delayed recall and word recognition. The duration of exposure to hypoxia and sleep fragmentation is important for the severity of cognitive deficits. The results confirmed this theory showing that this factor is among the major severity factors.
The study found that the global cognitive functioning of patients with OSA, as well as memory function, were impaired. The role of comorbidities is complex and far from clear.
The study found that the global cognitive functioning of patients with OSA, as well as memory function, were impaired. The role of comorbidities is complex and far from clear.
Laser doppler flowmetry is a non-invasive method of measuring microcirculatory blood flow in tissue. Using laser doppler flowmetry Moor VMS-LDF1-HP and CP1T-HP probe combined with Moor VMS-PC software to evaluate the state of the periapical lesion (cyst) before nonsurgical endodontic treatment with bioceramics (Well Root SP™) and compare it to a healthy vital tooth of the same type with no periapical lesions. Later the bony crypt of the cyst was evaluated with Moor VMSLDF1-HP and VP7BS-HP probe during periapical surgery after the cyst was ablated with Er YAG laser Lite Touch™ (Sineron, Israel) and retrogradely obturated with TheraCal LC®. Then the cyst received a bioceramic bone graft. To our knowledge, this is the first time laser doppler has been used during periapical surgery to evaluate tissue perfusion. Lesion type was confirmed with a histological examination after surgery.
Evaluate tissue perfusion of a periapical lesion before nonsurgical treatment and during surgical endodontic treatment with ErYcal dynamics of microcirculatory tissue changes as well as evaluate and compare different methods and materials for treatment of apical periodontitis.The anatomical area of the extrahepatic bile ducts exhibits plethora of anatomic variants. The detailed study and comprehension of anatomic variations of extrahepatic bile ducts is a prerequisite in order to avoid the intraoperative biliary or tract damages, but they are also necessary for the targeted treatment of any complications. Gallbladder agenesis is a rare congenital anomaly of the biliary tree with an estimated incidence of 0.007-0.027% in surgical series which is much lower compared to the incidence of other gallbladder anomalies. It may be asymptomatic, but sometimes is associated with symptoms such as upper quadrant abdominal pain, which may be mistaken for cholecystitis and can lead the patient to the operating room. We present a case of a 30-year-old male patient without any significant past medical history presented with a 2-year history of upper abdominal complaints, dyspepsia, epigastric abdominal pain and weight loss, normal laboratory workup and unclear radiological signs which led him to exploratory laparoscopy due to the patient's chronic symptoms, in order to exclude the presence of another underlying pathologic process. In addition to our case presentation, a relative review of literature was conducted. learn more As a conclusion, examinations, such as transabdominal ultrasonography, may be misleading and MCRP should be the principal method of investigation to establish a presumptive diagnosis. However, in cases with a strong suspicion for a different underlying pathology, further investigation with exploratory laparoscopy may be warranted.We report an extremely rare case of an 82-year-old woman with pseudoaneurysm of the brachial artery developed 22 months after a plate osteosynthesis with angularly stable locking plates for the proximal humerus. The condition was initially misdiagnosed as a tumor by the attending physician, and the patient was referred to an oncological unit. The case was successfully managed by a multidisciplinary team consisting of orthopedic and vascular surgeons.An up-to-date review of the available literature is also provided. The pseudo-aneurysms of the axillary and the distal peripheral arteries of the upper limb are a rare but potentially dangerous complication because the thromboembolism could lead to gangrene and amputation of the extremity. Despite casuistic, they should be taken into consideration in the differential diagnosis after plate osteosynthesis. Proper operative technique and constant vigilance when orthopedic implants are used are of paramount importance, which is actually the emphasis of this report.
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