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Isotretinoin-Induced Peripheral Neuropathy: An Enigma 异维甲酸诱导的周围神经病变:一个谜
Q4 Medicine Pub Date : 2023-09-18 DOI: 10.56609/jac.v41i2.301
A. Yılgor, G. Ozaydin Yavuz, I. H. Yavuz, C. Boyvadoglu, P. Korkmaz, H. S. Inaloz
Isotretinoin, a first-generation nonaromatic retinoid, leads to numerous diseases including eye disorders and neurological, gastrointestinal, psychiatric, metabolic, connective tissue, and musculoskeletal diseases. The aim of this study was to investigate the effects of isotretinoin on peripheral nerve functions. The study included 30 patients that were started on isotretinoin due to nodulocystic acne. A thorough neurological and general examination was performed for each patient by a neurologist both at the beginning and end of the study. Laboratory investigations including complete blood count (CBC), serum biochemical analysis, vitamin B12 levels, thyroid function tests, and urine tests were performed to identify the other factors that may affect the functions of peripheral nerves. A neurophysiological examination was performed using an electroneuromyography (EMG) device. The 30 patients comprised 7 (23.3%) men and 23 (76.7%) women, with a mean age of 21.9±3.56 years. No serious side effect occurred in any patient. No motor or sensory values suggestive of neuropathy were observed in any patient. However, significant differences were found between the pre-and post-treatment sensory and motor values of some nerves. Although it did not cause peripheral polyneuropathy, isotretinoin resulted in alterations in the latency, amplitude, and velocity values of peripheral nerves.
异维甲酸是第一代非芳香类维甲酸,可导致多种疾病,包括眼部疾病、神经系统疾病、胃肠道疾病、精神疾病、代谢疾病、结缔组织疾病和肌肉骨骼疾病。本研究旨在探讨异维甲酸对周围神经功能的影响。该研究包括30名因结节性痤疮而开始服用异维甲酸的患者。在研究开始和结束时,神经科医生对每位患者进行了彻底的神经学和一般检查。实验室检查包括全血细胞计数(CBC)、血清生化分析、维生素B12水平、甲状腺功能检查和尿液检查,以确定可能影响周围神经功能的其他因素。使用神经肌电图(EMG)设备进行神经生理检查。30例患者中男性7例(23.3%),女性23例(76.7%),平均年龄21.9±3.56岁。所有患者均未发生严重副作用。在任何患者中未观察到提示神经病变的运动或感觉值。然而,一些神经的感觉和运动值在治疗前后存在显著差异。虽然它不会引起周围多神经病变,但异维甲酸导致周围神经的潜伏期、振幅和速度值的改变。
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引用次数: 0
Safety and aesthetic outcomes of using fillers with different cross-linking agents. A case report. 不同交联剂填料的安全性和美观性。一份病例报告。
Q4 Medicine Pub Date : 2023-08-29 DOI: 10.56609/jac.v41i2.297
S. Menkes
Of the several dermal fillers developed in recent decades, hyaluronic acid fillers have become the material of choice. They are safe, long-lasting, non-immunogenic, available to most patients, and can be removed with hyaluronidase. Unfortunately, early and delayed complications can also occur after HA filler injection. Below, we present the case of a 42-year-old patient who had complications after the aesthetic procedure using hyaluronic acid dermal fillers in the past. Surprisingly, the treatment performed with hyaluronic acid cross-linked with another cross-linking agent was without complications. The affected places were the chin and malar area. In 2021, after performing augmentation with hyaluronic acid in the chin area, a patient developed swelling, which subsided after using hyaluronidase (Hylase Dessau 300 I.E.) and corticosteroids. The patient repeated the procedure in 2022, where she was administered 2 ml of hyaluronic acid in July 2022. About 3 weeks after injection, oedema and nodules appeared at the injection site in the zygomatic/malar area; after using Prednisone, the changes subsided. In September 2022, 3 ml of PEG-cross-linked hyaluronic acid was successfully performed with no side effects. In the described case, an important role was played by the ability of the hyaluronic acid hydrogel to modulate human immunological functions, which was associated with a very low risk of immune-related side effects and accompanying cellulitic processes.
在近几十年来开发的几种真皮填充剂中,透明质酸填充剂已成为首选材料。它们安全、持久、无免疫原性,对大多数患者可用,并且可以用透明质酸酶去除。不幸的是,早期和延迟的并发症也可能发生在HA填充剂注射后。下面,我们报告一位42岁的患者,在过去使用透明质酸皮肤填充物进行美容手术后出现并发症。令人惊讶的是,透明质酸与另一种交联剂交联治疗没有并发症。受累部位为下巴和颧部。2021年,一名患者在下巴区域进行透明质酸填充后出现肿胀,在使用透明质酸酶(Hylase Dessau 300)和皮质类固醇后肿胀消退。该患者于2022年重复了该程序,并于2022年7月给予2毫升透明质酸。注射后约3周,颧骨/颧区注射部位出现水肿和结节;使用强的松后,这种变化消退。2022年9月,3毫升聚乙二醇交联透明质酸成功进行,无副作用。在上述案例中,透明质酸水凝胶调节人体免疫功能的能力发挥了重要作用,这与免疫相关副作用和伴随的纤维素化过程的风险非常低有关。
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引用次数: 0
Overview of hyaluronic acid and its development as dermal fillers gel 透明质酸及其作为真皮填充凝胶的研究进展
Q4 Medicine Pub Date : 2023-08-01 DOI: 10.56609/jac.v41i2.294
N. Elmahdawi
Since the late 1990s, when the first commercially available hyaluronic acid-based tissue filler appeared, HA fillers have become the “product of choice” of soft tissue augmentation due to their favourable safety profile and minimally invasive nature of the treatment. Recent years have increased the popularity of HA fillers among doctors and patients and the number of available HA fillers and indications for aesthetic treatments. Due to the greater availability, and growing awareness among patients, HA filler treatments have become one of the most frequently performed cosmetic procedures worldwide. For several decades, we have been observing the development and progress of improving fillers to increase the safety and effectiveness of performed treatments.
自20世纪90年代末以来,当第一个商业上可用的透明质酸组织填充物出现时,透明质酸填充物已成为软组织增强的“首选产品”,因为它们具有良好的安全性和微创性。近年来,医生和患者对HA填充物的使用越来越多,可用的HA填充物的数量和美容治疗的适应症也越来越多。由于更大的可用性和越来越多的患者意识,透明质酸填充治疗已成为世界范围内最常用的整容手术之一。几十年来,我们一直在观察改善填充剂的发展和进步,以提高治疗的安全性和有效性。
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引用次数: 0
Agaric extract and colloidal silver promote skin health and wound repair 木耳提取物和胶体银促进皮肤健康和伤口修复
Q4 Medicine Pub Date : 2023-07-12 DOI: 10.56609/jac.v41i2.291
G. Ruggiero, S. Cataldi, M. Mandarano, E. Albi
Group D vitamins are a family of micronutrients essential for the health of numerous organs and systems. The family members come from different sources. In particular, UV irradiation forms ergocalciferol (vitamin D2) in some plants, predominantly in fungi. Differently, cholecalciferol (vitamin D3) is synthesised in the skin of animals by UV irradiation of 7-dehydrocholesterol. Consequently, humans synthesise vitamin D3 and introduce the same vitamin to foods of animal origin and vitamin D2 to foods of plant origin. The pre-hormonal forms, cholecalciferol and ergo cholecalciferol are converted to active compounds via a 2-step enzymatic dihydroxylation in the liver and kidney to synthesise the active form of vitamin D, calcitriol. It has recently been demonstrated that the skin possesses the hydroxylases responsible for activating vitamin D directly in the keratinocytes. We have previously demonstrated the effectiveness of vitamin D3 combined with silver nanoparticles in wound healing in vitro. The aim of the present work was to establish whether vitamin D2 could have a similar effect to vitamin D3. Therefore, we used the same combination of vitamin D+ silver nanoparticles by substituting vitamin D3 for vitamin D2. We demonstrated that the effect of vitamin D2 on wound repair is very similar to that of vitamin D3. Indeed vitamin D2 induces an even stronger effect suggesting the possible future use of the combination of vitamin D2 + silver nanoparticles for the repair of skin damage, not only repair of wounds, but also atopic dermatitis, irritative pathologies such as diaper area dermatitis, actinic dermatitis, minor burns, folliculitis, and other skin wounds such as umbilical stump care. Possible applications were discussed.
D族维生素是一个微量营养素家族,对许多器官和系统的健康至关重要。家庭成员来自不同的来源。特别是,紫外线照射在一些植物中形成麦角钙化醇(维生素D2),主要在真菌中形成。不同的是,胆钙化醇(维生素D3)是通过7-脱氢胆固醇的紫外线照射在动物皮肤中合成的。因此,人类合成维生素D3,并将相同的维生素引入动物来源的食物,将维生素D2引入植物来源的食物。激素前形式的胆钙化醇和麦角胆钙化醇在肝脏和肾脏中通过两步酶促二羟基化转化为活性化合物,合成维生素D的活性形式骨化三醇。最近已经证明,皮肤具有负责直接在角质形成细胞中激活维生素D的羟化酶。我们之前已经证明了维生素D3与银纳米颗粒在体外伤口愈合中的有效性。本研究的目的是确定维生素D2是否具有与维生素D3相似的作用。因此,我们使用相同的维生素D+银纳米颗粒的组合,用维生素D3代替维生素D2。我们证明维生素D2对伤口修复的作用与维生素D3非常相似。事实上,维生素D2诱导了更强的效果,这表明维生素D2+银纳米颗粒的组合在未来可能用于修复皮肤损伤,不仅修复伤口,还修复特应性皮炎、刺激性病理如尿布区皮炎、光化性皮炎、轻微烧伤、毛囊炎和其他皮肤伤口如脐带残端护理。讨论了可能的应用。
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引用次数: 0
Fat tissue reduction by depurative diet and compressive microvibration with spheres of variable density 通过净化饮食和可变密度球体压缩微振动减少脂肪组织
Q4 Medicine Pub Date : 2023-07-11 DOI: 10.56609/jac.v41i2.290
B. Diffidenti, S. Vannuccini, G. Cavalletti, P. L. Rossi, E. Caradonna, P. Bacci
Society is characterised by a substantial increase in overweight and obesity, with progressive diseases such as diabetes, lipolymphedema and lipoedema. Many experiences have demonstrated the sensitivity of the subcutaneous adipose tissue utilising non-invasive mechanical treatments. This study aims to study the sensitivity of the subcutaneous adipose layer of the abdomen using compressive microvibration treatments with spheres of variable density. Thirty patients were followed between the period from 10th January to the 30th May 2022. Fifteen patients were treated with twelve compressive microvibration sessions with variable density spheres, and the other fifteen with the same treatment associated with a nutritional purification program. All patients were studied with clinical/instrumental examinations and evaluations in compliance with ethical and deontological standards. All patients showed improvements in the single treatment and the treatment associated with the nutritional program. The reduction of subcutaneous adipose tissue observed with the treatment of compressive microvibration with spheres of variable density indicates a direct stimulation of the biochemical and biophysical structures that regulate the cellular biology of adipose tissue, with metabolic action induced by the vibrations.
社会的特点是超重和肥胖大幅增加,并伴有进行性疾病,如糖尿病、脂性水肿和脂性水肿。许多经验已经证明了使用非侵入性机械治疗皮下脂肪组织的敏感性。本研究旨在研究可变密度球压缩微振动治疗腹部皮下脂肪层的敏感性。在2022年1月10日至5月30日期间对30名患者进行了随访。15名患者接受了12次可变密度球体的压缩微振动治疗,另外15名患者接受了与营养净化计划相关的相同治疗。所有患者均接受符合伦理和道义标准的临床/仪器检查和评估。所有患者在单一治疗和与营养方案相关的治疗中均表现出改善。用可变密度球体进行压缩微振动治疗后观察到的皮下脂肪组织的减少表明,通过振动诱导的代谢作用,直接刺激了调节脂肪组织细胞生物学的生化和生物物理结构。
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引用次数: 0
Characterization of Adipose-Derived Mesenchymal Stem Cells from tissue harvested with the guided SEFFI technique and co-cultured with calcium hydroxyapatite 脂肪来源的间充质干细胞的特性研究用SEFFI引导技术从组织中获得并与羟基磷灰石钙共培养
Q4 Medicine Pub Date : 2023-06-22 DOI: 10.56609/jac.v41i2.288
F. Melfa, A. Gennai, G. Carfagna, B. Bovani, D. Piccolo, M. Colli, M. Baldessin, D. Siragusa
Increased interest in regenerative medicine in the last few years was registered. In parallel, a progressive increase in injectable calcium hydroxylapatite (CaHA) applications has been observed due to its applications in skin rejuvenation. This study combined micro fragmented fatty tissue (FAT) grafting with the CAHA filler procedure to observe the biological effect on FAT. Each sample of micro fragmented adipose tissue harvested using the guided  Superficial Enhanced Fluid Fat Injection (guided SEFFI) technique were collected from 5 patients. The 5 samples were divided into aliquots to create two different experimental conditions: FAT and FAT combined with CaHA (FAT + R). Afterwards, the cellularity of mesenchymal phenotype and the in vitro differentiation capacity in mesenchymal lineages were assessed in both experimental conditions, FAT and FAT+R. Despite low cellularity observed for FAT+R compared to FAT, isolated cells could grow and expand in culture in both experimental conditions, thus proving their proliferative ability. Cells were proved to differentiate towards mesenchymal lineages, expressing mesenchymal markers by flow cytometry analysis. Combining emulsified harvested tissue prepared with guided SEFFI technique with CaHA products can be exploited to counteract the loss of volume and skin ageing of the human face and body. This approach to regenerative aesthetic treatment is a promising treatment for facial antiaging therapy.
在过去的几年里,人们对再生医学越来越感兴趣。同时,由于羟基磷灰石钙(CaHA)在皮肤年轻化方面的应用,其注射应用也在逐步增加。本研究将微碎片脂肪组织(FAT)移植术与CAHA填充术相结合,观察其对FAT的生物学效应。采用引导表面强化液体脂肪注射(guided SEFFI)技术采集5例患者的微碎片化脂肪组织样本。将5个样品分成等份,分别建立FAT和FAT联合CaHA (FAT +R)两种不同的实验条件,然后在FAT和FAT+R两种实验条件下,评估间充质细胞表型的细胞结构和间充质细胞系的体外分化能力。尽管与FAT相比,FAT+R的细胞密度较低,但在两种实验条件下,分离的细胞都能在培养中生长和扩增,从而证明了它们的增殖能力。流式细胞术分析证实细胞向间充质谱系分化,表达间充质标记物。将引导SEFFI技术制备的乳化收获组织与CaHA产品相结合,可以用来抵消人类面部和身体的体积损失和皮肤老化。这种再生美容治疗方法是一种很有前途的面部抗衰老治疗方法。
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引用次数: 0
Evaluation of the effectiveness of non-invasive methods of compressive microvibration and ablative sensory microvibration on local areas with excess fat deposits in volunteers of different age groups 不同年龄组志愿者局部脂肪沉积过多区域压缩性微振动和消融性感觉性微振动非侵入性方法的有效性评估
Q4 Medicine Pub Date : 2023-05-29 DOI: 10.56609/jac.v41i2.278
V. Metelin, A. A. Fomicheva, Z. Kardashova, P. Bacci, I. Vasilenko
The aim of the study was the apparatus of compressive microvibration “Endospheres Therapy® Body” (Registration certificate RZN 2016/3863 of 29 December 2017) used in women with mild to moderate edematous fibrosclerosis (panniculopathy) of peri- and post-menopausal age. The purpose of the project is to evaluate the effectiveness of the non-invasive technique of compressive microvibration in volunteers of different age groups. The basis for the work is the agreement No. 002/2022-n between the GBUZ MO MONIKI named after M.F. Vladimirsky and ItalConsult, LLC of 01.03.2022. The main tasks were: form 3 cohort groups of volunteers in accordance with the criteria agreed with the Customer (mild or moderate edematous fibrosclerosis, as panniculopathy), aged 30 to 44 years old, 45 to 54 years old and 55-65 years old; ensure that all participants receive a course on procedures (12 procedures every other day) regularly and correctly; evaluate the effectiveness of the non-invasive method of compressive microvibration on local areas of excess fat deposits in volunteers of different age groups through subjective testing (with a questionnaire), objective results of laboratory tests (blood test with hormone levels) and instrumental studies (ultrasound examination of the skin of fat trap zones, in abdomen and thighs) and assessment of the microcirculation system. Hypothesis: compressive microvibration generated by the manipulator-cylinder, consisting of 50 spheres of hypoallergenic silicone that generates low-frequency vibrations, makes it possible to activate microcirculation, stimulate lymphatic drainage, increase muscle tone and improve skin trophism. For all study results, mean values (Mean), standard deviations (Std.Dev.), minimum (Minimum), maximum (Maximum) values, and SD confidence of all results were obtained. The difference between the mean values and the variation coefficients was tested using a two-sample Student’s t-test (considering the distribution’s normality). Our results have convincingly demonstrated the effectiveness of the Endospheres Therapy® procedures for treating cellulite, with the effect maintained for at least 60 days after the course of therapy. Instrumental studies confirmed a pronounced improvement in the skin’s condition, microcirculation, cellular metabolism activation, hypoxia reduction and tissue perfusion improvement. Endospheres Therapy® procedures are safe and effective in treating cellulite in the long term without side effects. Patients noted a high degree of satisfaction with the Endospheres Therapy® course, which indicates the quality of the procedures and the level of specialists.
本研究的目的是在围绝经期和绝经后年龄的轻度至中度水肿性纤维硬化症(脂膜炎)妇女中使用压缩微振动装置“Endospheres Therapy®Body”(注册证书RZN 2016/3863,2017年12月29日)。该项目的目的是评估非侵入性压缩微振动技术在不同年龄组志愿者中的有效性。这项工作的基础是以M.F.Vladimirsky命名的GBUZ MO MONIKI与ItaliConsult,LLC于2022年3月1日签订的第002/2022-n号协议。主要任务是:根据客户同意的标准(轻度或中度水肿性纤维硬化症,如脂膜炎),形成3组志愿者,年龄分别为30至44岁、45至54岁和55至65岁;确保所有参与者定期正确地接受程序课程(每隔一天12个程序);通过主观测试(使用问卷)评估压缩微振动非侵入性方法对不同年龄组志愿者局部多余脂肪沉积区域的有效性,实验室测试(激素水平的血液测试)和仪器研究(腹部和大腿脂肪捕获区皮肤的超声检查)以及微循环系统评估的目的结果。假设:由50个产生低频振动的低致敏性硅胶球体组成的机械手圆柱体产生的压缩性微振动,可以激活微循环,刺激淋巴引流,增加肌肉张力,改善皮肤营养。对于所有研究结果,获得了所有结果的平均值(mean)、标准差(Std.Dev.)、最小值(minimum)、最大值(maximum)和SD置信度。平均值和变异系数之间的差异使用两个样本的Student t检验进行检验(考虑到分布的正态性)。我们的研究结果令人信服地证明了Endospheres Therapy®程序治疗脂肪团的有效性,该效果在治疗后至少保持60天。仪器研究证实,皮肤状况、微循环、细胞代谢激活、缺氧减少和组织灌注改善显著改善。Endospheres Therapy®程序在长期治疗脂肪团方面是安全有效的,没有副作用。患者对Endospheres Therapy®疗程的满意度很高,这表明了手术的质量和专家水平。
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引用次数: 1
Transcranial magnetic stimulation treatment for dermotillomania: a multidisciplinary approach focused on circuitries and neuroplasticity 经颅磁刺激治疗皮肤运动狂:一种专注于迂回和神经可塑性的多学科方法
Q4 Medicine Pub Date : 2023-05-29 DOI: 10.56609/jac.v41i2.280
S. Pallanti, G. Gasic, N. Makris, T. Lotti, S. Gerakaris, E. Grassi
Dermotillomania in the Manual for Mental Disorders (DSM5- TR) is included in the chapter "Obsessive-Compulsive Disorders and Related Disorders". Dermotillomania is a disorder characterised by the compulsive damaging of skin tissue through repetitive behaviour. For this reason, patients suffering from this disabling condition are often referred to dermatologists claiming therapy or cosmetic remedies. Repetitive Transcranial Magnetic Stimulation has been approved for the treatment of Obsessive-Compulsive disorder. It has been recently reported to be a promising therapy in other compulsive spectrum disorders, such as trichotillomania and skin picking. According to the "Research Domain Criteria", a circuit-oriented approach targeting the dorsolateral prefrontal cortex to modulate reward and compulsivity circuitries and implied in dermotillomania. A recent report for Obsessive-Compulsive disorder Spectrum Disorders highlights the deleterious effect of inflammation on brain plasticity that affects neuroplasticity and the specific treatment. Given this, some laboratory testing for inflammation has been included in our assessment to reduce the contrast to the therapeutic mechanisms underlying neuroplasticity induced by the Repetitive Transcranial Magnetic Stimulation treatment; this is the first case reporting Repetitive Transcranial Magnetic Stimulation as effective in reducing the dermotillomania to remission. Further studies are needed to validate this proof-of-concept case and this multidisciplinary approach for these disorders, which are not so rare, targeting a brain area highly implicated in the Reward Circuitries.
《精神疾病手册》(DSM5- TR)的“强迫症及相关疾病”一章中包括了皮肤躁狂。脱皮癖是一种以重复性行为对皮肤组织造成强迫性损伤为特征的疾病。出于这个原因,患有这种致残状况的患者经常被转介到皮肤科医生那里,要求治疗或美容疗法。重复经颅磁刺激已被批准用于治疗强迫症。最近有报道称,它是治疗其他强迫性谱系障碍(如拔毛癖和抠皮)的一种很有前景的疗法。根据“研究领域标准”,一种以背外侧前额叶皮层为目标的电路导向方法可以调节皮肤躁狂的奖励和强迫电路。最近一份强迫症谱系障碍的报告强调了炎症对大脑可塑性的有害影响,影响神经可塑性和具体治疗。鉴于此,我们的评估中包含了一些炎症的实验室测试,以减少与重复经颅磁刺激治疗引起的神经可塑性治疗机制的对比;这是第一个报告重复经颅磁刺激有效地减少皮肤躁狂至缓解的病例。需要进一步的研究来验证这个概念验证案例和这种针对这些疾病的多学科方法,这些疾病并不罕见,针对的是与奖励回路高度相关的大脑区域。
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引用次数: 0
Use of Cone Beam Computed Tomography for identification and evaluation of medication-related osteonecrosis of the jaws: a dosimetric and multimodal imaging comparison 锥形束计算机断层扫描在识别和评估药物相关颌骨坏死中的应用:剂量测定和多模式成像比较
Q4 Medicine Pub Date : 2023-04-13 DOI: 10.56609/jac.v41i1.273
M. Barillari, A. Pardo, P. Faccioni, S. Guariglia, C. Cavedon, M. Zarantonello, F. Melloni, P. Zanutto, R. Bettini, G. Mansueto, N. Zerman, F. Lonardi
The aim of this study was to compare Orthopantomograms (OPT) and Computed Tomography (CT) with Cone Beam Computed Tomography (CBCT) in patients with Medication-Related OsteoNecrosis of the Jaws (MRONJ). The study included 25 patients (6 males and 19 females) with MRONJ who had a history of long-term bisphosphonate therapy or one of the recently re-entered MRONJ drugs and underwent OPT, CT and/or CBCT for determination of the extent of disease. We excluded patients with maxillary neoplasia. Considering the presence of early and late signs, OPT was diagnostic in 6 out of 17 cases (35%), while CT and CBCT were diagnostic in 25 out of 25 cases (100%). Analysing the different radiant doses delivered by the selected radiological methods on a phantom, it was found that a more significant effective dose was spread by CT (2.6 mSv) than CBCT (0.164 mSv) or OPT (0.02 mSv). CBCT, from our experience, is a candidate to replace OPT in the first diagnostic step in patients with suspected MRONJ, generating less effective doses and artefacts from metal components than CT.
本研究的目的是比较药物相关颌骨骨坏死(MRONJ)患者的正投影断层图(OPT)、计算机断层扫描(CT)和锥形束计算机断层摄影(CBCT)。该研究包括25名MRONJ患者(6名男性和19名女性),他们有长期双磷酸盐治疗史或最近重新使用MRONJ药物之一,并接受了OPT、CT和/或CBCT以确定疾病程度。我们排除了上颌肿瘤患者。考虑到早期和晚期体征的存在,17例中有6例(35%)诊断为OPT,25例中有25例(100%)诊断为CT和CBCT。通过分析所选放射方法在体模上提供的不同辐射剂量,发现CT(2.6 mSv)比CBCT(0.164 mSv)或OPT(0.02 mSv)传播的有效剂量更显著。根据我们的经验,CBCT是在疑似MRONJ患者的第一诊断步骤中取代OPT的候选者,与CT相比,CBCT从金属成分中产生的有效剂量和伪影更少。
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引用次数: 0
Investigation on the accuracy of implant surgery in dynamic navigation: metanalysis and systematic review of literature 动态导航中植入手术准确性的研究:荟萃分析和文献系统综述
Q4 Medicine Pub Date : 2023-04-03 DOI: 10.56609/jac.v41i1.271
U. Luciano, D. De Santis, N. Modena, P. Faccioni, M. Bonioli, M. Magi, A. Iurlaro, C. Alberti, F. Melloni, T. Zambotti, F. Gelpi, N. Zerman, A. Trotolo
  The object of this study was to compare, through meta-analysis, the accuracy in implant placement obtained in Dynamic Navigation (DN) with Static Navigation (SN) and with Conventional Free-Hand Surgery (CS) and to provide some useful clinical parameters to consider during the planning phase of the intervention. A meta-analysis was performed, dividing the selected studies into two groups based on the statistical technique adopted: DN vs CS and DN vs SN. The heterogeneity between the various studies was assessed with the homonymous test and quantified with I2. The results were graphically represented using a forest plot. Egger’s test and funnel plot was used to investigate the “small study effect”. The search was performed through the PubMed database, and the Cochrane Library database identified 448 articles. After applying the inclusion criteria, 14 articles were selected and used for quantitative synthesis (meta-analysis). From the results obtained from this meta-analysis, it can be stated that the DN mode allows for better accuracy than conventional surgery, the most used type of surgery, and is comparable to static navigation, the gold standard for accuracy.
本研究的目的是通过荟萃分析,比较动态导航(DN)、静态导航(SN)和常规徒手手术(CS)中获得的植入物放置的准确性,并提供一些有用的临床参数供干预计划阶段考虑。进行了荟萃分析,根据所采用的统计技术将所选研究分为两组:DN与CS和DN与SN。通过同源性检验评估不同研究之间的异质性,并用I2进行量化。使用森林图以图形方式表示结果。Egger检验和漏斗图用于研究“小研究效应”。通过PubMed数据库进行搜索,Cochrane图书馆数据库确定了448篇文章。在应用纳入标准后,选择14篇文章进行定量综合(荟萃分析)。从这项荟萃分析中获得的结果可以看出,DN模式比最常用的手术类型传统手术具有更好的准确性,并且与准确性的黄金标准静态导航相当。
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Journal of applied cosmetology
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