Pub Date : 2023-01-01DOI: 10.21608/svuijm.2022.157510.1387
Alaa M.A. Gaber, S. Saied, M. A., Ahmed Ali
Background: Cleft lip & palate are among most common congenital craniofacial malformations, with global incidence of 1/1000 live births. Goal of surgical repair is to enhance function & aesthetic presence of lip while providing appropriate anatomical reconstruction. Over time, numerous methods for cleft lip repair have been characterized. Ideal lip repair has symmetrical nasolabial folds & alae of nose on sides, natural-looking philtrum & Cupid's bow in both static & dynamic states, & hidden scar. Objectives : The purpose of this study is to compare esthetic results between Mohler & Fisher technique in unilateral cleft lip healing. Patients and methods: Prospective, randomized controlled research of 30 studied cases with unilateral cleft lip & palate was performed; divided into two groups (Mohler and Fisher groups), admitted to Plastic Surgery Department; Qena University Hospital from May 2021 to April 2022 (one year duration). Studied cases with microform cleft lip, syndromic cases, & non- compliant studied cases for photography and follow up were excluded. Anthropometric measurements were taken manually and valuation of quality of cleft lip repair was performed based on Steffensen's grading criteria. Results : Anthropometric measurements were taken postoperatively from patients photos and compared with the preoperative measurements taken manually and these measurements were compared between the two groups. Lip height and vermilion height were higher in Fisher group likened to Mohler group; however, there is no significant lip width and alar base length. Outcomes between the two groups were compared according to Steffensen's criteria, it showed that good outcomes were more frequent in Fisher group compared to Mohler group but without statistically significant difference. Assessment of patient satisfaction was compared between the two groups; it was more excellent score in Fisher's group than in Mohler's group. Conclusion : Fisher technique was more favorable than Mohler technique. This was revealed from our results according to Steffensen's grading criteria. Also, patient satisfaction from esthetic outcomes was more desirable in Fisher than Mohler repair for a long time follow up.
{"title":"Comparative Study between Mohler (Modified Millard) and Fisher Techniques in Unilateral Cleft Lip Repair","authors":"Alaa M.A. Gaber, S. Saied, M. A., Ahmed Ali","doi":"10.21608/svuijm.2022.157510.1387","DOIUrl":"https://doi.org/10.21608/svuijm.2022.157510.1387","url":null,"abstract":"Background: Cleft lip & palate are among most common congenital craniofacial malformations, with global incidence of 1/1000 live births. Goal of surgical repair is to enhance function & aesthetic presence of lip while providing appropriate anatomical reconstruction. Over time, numerous methods for cleft lip repair have been characterized. Ideal lip repair has symmetrical nasolabial folds & alae of nose on sides, natural-looking philtrum & Cupid's bow in both static & dynamic states, & hidden scar. Objectives : The purpose of this study is to compare esthetic results between Mohler & Fisher technique in unilateral cleft lip healing. Patients and methods: Prospective, randomized controlled research of 30 studied cases with unilateral cleft lip & palate was performed; divided into two groups (Mohler and Fisher groups), admitted to Plastic Surgery Department; Qena University Hospital from May 2021 to April 2022 (one year duration). Studied cases with microform cleft lip, syndromic cases, & non- compliant studied cases for photography and follow up were excluded. Anthropometric measurements were taken manually and valuation of quality of cleft lip repair was performed based on Steffensen's grading criteria. Results : Anthropometric measurements were taken postoperatively from patients photos and compared with the preoperative measurements taken manually and these measurements were compared between the two groups. Lip height and vermilion height were higher in Fisher group likened to Mohler group; however, there is no significant lip width and alar base length. Outcomes between the two groups were compared according to Steffensen's criteria, it showed that good outcomes were more frequent in Fisher group compared to Mohler group but without statistically significant difference. Assessment of patient satisfaction was compared between the two groups; it was more excellent score in Fisher's group than in Mohler's group. Conclusion : Fisher technique was more favorable than Mohler technique. This was revealed from our results according to Steffensen's grading criteria. Also, patient satisfaction from esthetic outcomes was more desirable in Fisher than Mohler repair for a long time follow up.","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73640709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/svuijm.2022.156560.1381
K. A. Abdel Baseer, A. Mohammed, Yasmine Muhammed Esmail, Heba M. Qubaisi
{"title":"Relation between vitamin D deficiency and recurrent acute diarrhea in children under the age of five years in Qena university hospitals","authors":"K. A. Abdel Baseer, A. Mohammed, Yasmine Muhammed Esmail, Heba M. Qubaisi","doi":"10.21608/svuijm.2022.156560.1381","DOIUrl":"https://doi.org/10.21608/svuijm.2022.156560.1381","url":null,"abstract":"","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"403 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72608637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/svuijm.2023.187360.1495
H. Ibrahim, Randa Abd Al-Naser Hussien Kamel, M. Abu El-Hamd, Eisa Hegazy
{"title":"Immunotherapy with Intralesional Candida Albicans Antigen in Plane Warts","authors":"H. Ibrahim, Randa Abd Al-Naser Hussien Kamel, M. Abu El-Hamd, Eisa Hegazy","doi":"10.21608/svuijm.2023.187360.1495","DOIUrl":"https://doi.org/10.21608/svuijm.2023.187360.1495","url":null,"abstract":"","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"223 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76294131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/svuijm.2022.158897.1396
Mostafa Mohammed Khodary, Heba Abdelatef Elamin, A. Abdellah
Background : Missed Abortion is non-viable intrauterine pregnancy with either an empty gestational sac or a gestational sac contains an embryo without fetal heart activity. Objectives : The aim of this study was to compare effect of misoprostol with clomiphene citrate, misoprostol with letrozole and misoprostol alone in terminating first trimester missed abortion. Patients and methods: This randomized clinical trial was included patients with missed abortion attending to our outpatient clinic at South Valley University Hospital, Department of Obstetrics and Gynecology. Fifteen patients were excluded during the follow-up period; hence, 37 patients per group were included in the final analysis. They divided into three groups: Interventional group (A): received 5mg letrozole ; Group (B): received 100 mg clomiphene citrate and Group (C): Control group received calcium carbonate . Then all patients received two doses of 800 microgram misoprostol orally. Results : As regard outcome among the three studied groups. The results showed that 21.6% cases in group (A) showed failure in management with six cases needed surgical evacuation and two cases completed treatment on misoprostol, 32.4% cases in group(B) showed failure in management with ten cases needed surgical evacuation and two cases completed treatment on misoprostol and 37.8% cases in group(C) showed failure in management with ten cases needed surgical evacuation and four cases completed treatment on misoprostol. Conclusion : Letrozole pre-treatment with misoprostol increases efficacy of misoprostol in induction of complete abortion of non-viable first trimester pregnancy with no evident side effects.
{"title":"Comparison between clomiphene citrate and letrozole pretreatment with misoprostol versus misoprostol alone for induction of missed abortion in first trimester","authors":"Mostafa Mohammed Khodary, Heba Abdelatef Elamin, A. Abdellah","doi":"10.21608/svuijm.2022.158897.1396","DOIUrl":"https://doi.org/10.21608/svuijm.2022.158897.1396","url":null,"abstract":"Background : Missed Abortion is non-viable intrauterine pregnancy with either an empty gestational sac or a gestational sac contains an embryo without fetal heart activity. Objectives : The aim of this study was to compare effect of misoprostol with clomiphene citrate, misoprostol with letrozole and misoprostol alone in terminating first trimester missed abortion. Patients and methods: This randomized clinical trial was included patients with missed abortion attending to our outpatient clinic at South Valley University Hospital, Department of Obstetrics and Gynecology. Fifteen patients were excluded during the follow-up period; hence, 37 patients per group were included in the final analysis. They divided into three groups: Interventional group (A): received 5mg letrozole ; Group (B): received 100 mg clomiphene citrate and Group (C): Control group received calcium carbonate . Then all patients received two doses of 800 microgram misoprostol orally. Results : As regard outcome among the three studied groups. The results showed that 21.6% cases in group (A) showed failure in management with six cases needed surgical evacuation and two cases completed treatment on misoprostol, 32.4% cases in group(B) showed failure in management with ten cases needed surgical evacuation and two cases completed treatment on misoprostol and 37.8% cases in group(C) showed failure in management with ten cases needed surgical evacuation and four cases completed treatment on misoprostol. Conclusion : Letrozole pre-treatment with misoprostol increases efficacy of misoprostol in induction of complete abortion of non-viable first trimester pregnancy with no evident side effects.","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"58 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77570158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The Green Light Laser HPS 120W is a widely used procedure nowadays. The latest machines offer major improvements on the first prototypes in terms of speed, efficiency, safety and total PSA and f/t PSA ratio changes postoperatively in BPH patients after using GREENLIGHT HPS 120W. Objectives : The objective of this study was to analyse the safety, and efficacy of the new technology, the HPS- 120W Green Light Laser in the management of patients who were symptomatic because of BPH postoperatively Patients and methods : A total of 38 patients who underwent the Green Light Laser PVP at our institution were studied. Serum prostrate-specific antigen level changes were observed postoperatively after 1 month. Results: The average age of the patients was 63.93 years, range 58-72. The Total average IPSS score was 21.88, range of 18-27. The average PSA level of patients in our study after 1month was 2.25ng/dl and prostate size of 65.82ml. An average IPSS score measured after 1 month of surgery was 10.05 with a range of 7-13, drop in IPSS score was 11.83 (21.88-10.05) while the average PVR measured after 1 month of surgery was 29.82ml with a range of 18-45ml and average Q max measured after 1 month of surgery was 20.55ml/s with a range of 17.8-24.7ml/s, an increase in Q max was 12.56ml/s (20.55-7.99). Conclusions: Our study shows that the Green Light HPS 120W Laser is safe and efficacious for the management of BPH.
{"title":"Prostrate-specific antigen level following 120W Green light High Performance System Laser Photoselective Vaporisation Prostatectomy (PVP) & its efficacy and safety of PVP in Benign Prostatic Hyperplasia (BPH)","authors":"Gawali Santosh Raghunath, Kranti Santosh Sorte Gawali, Avinash Jadhao","doi":"10.21608/svuijm.2022.154561.1365","DOIUrl":"https://doi.org/10.21608/svuijm.2022.154561.1365","url":null,"abstract":"Background: The Green Light Laser HPS 120W is a widely used procedure nowadays. The latest machines offer major improvements on the first prototypes in terms of speed, efficiency, safety and total PSA and f/t PSA ratio changes postoperatively in BPH patients after using GREENLIGHT HPS 120W. Objectives : The objective of this study was to analyse the safety, and efficacy of the new technology, the HPS- 120W Green Light Laser in the management of patients who were symptomatic because of BPH postoperatively Patients and methods : A total of 38 patients who underwent the Green Light Laser PVP at our institution were studied. Serum prostrate-specific antigen level changes were observed postoperatively after 1 month. Results: The average age of the patients was 63.93 years, range 58-72. The Total average IPSS score was 21.88, range of 18-27. The average PSA level of patients in our study after 1month was 2.25ng/dl and prostate size of 65.82ml. An average IPSS score measured after 1 month of surgery was 10.05 with a range of 7-13, drop in IPSS score was 11.83 (21.88-10.05) while the average PVR measured after 1 month of surgery was 29.82ml with a range of 18-45ml and average Q max measured after 1 month of surgery was 20.55ml/s with a range of 17.8-24.7ml/s, an increase in Q max was 12.56ml/s (20.55-7.99). Conclusions: Our study shows that the Green Light HPS 120W Laser is safe and efficacious for the management of BPH.","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80123538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/svuijm.2022.181455.1473
Nirupoma Bag, Indrani Das, M. Waliullah, Dipsikha Manna, Sarmishtha Chatterjee
{"title":"Study of Association between BMI and HbA1c Level in Newly-Diagnosed Type-2-Diabetes-Mellitus Patients","authors":"Nirupoma Bag, Indrani Das, M. Waliullah, Dipsikha Manna, Sarmishtha Chatterjee","doi":"10.21608/svuijm.2022.181455.1473","DOIUrl":"https://doi.org/10.21608/svuijm.2022.181455.1473","url":null,"abstract":"","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90689296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/svuijm.2023.181959.1476
Islam A. Shaboob, I. Mostafa
Background: Traumatic brain injury (TBI) might be associated with postoperative (PO) disturbed cognitive function (CF). However, this may be ameliorated on using of anesthetic with preventive ability. Objectives : To evaluate the outcomes of patients undergoing emergency craniotomy who received perioperative dexmedetomidine (DEX) versus plain saline infusions as a placebo. Patients and methods: 76 patients were randomly divided into DEX and P groups; DEX loading dose (0.6-µg/kg) was followed by DEX infusion 0.3-ml and 0.1-ml/kg/h during and for 24-h PO. Blood samples (S1-3) were collected for ELISA estimation of serum levels of interleukin (IL)-6, tumor necrosis factor-α (TNF - α), malondialdehyde (MDA), and superoxide dismutase (SOD) . CF was assessed 48-hr, 1-wk, 2-wk, and 4-wk PO using the Mini-Mental State Examination (MMSE) . Results: At end of surgery, heart rate (HR) was significantly lower with DEX, while mean arterial pressure (MAP) was significantly lower in all patients with significantly lower MAP measures with DEX. Serum levels of TNF-α, IL -6, and MDA were increased; while SOD levels were decreased with placebo than with DEX infusions. Patients' frequency among CF impairment grades and mean MMSE score showed significant differences in favor of DEX till 4-wk PO. Statistical analyses defined high serum levels of TNF-α and MDA in S3 samples at 24 -h as the significant sensitive predictors for low MMSE score at 48-h PO. Conclusion: TBI-induced inflammatory and oxidative stresses impaired CF that were aggravated by surgery. Perioperative DEX infusion ameliorated the inflammatory and oxidative responses to surgery for TBI and significantly improved CF to placebo infusion.
{"title":"Perioperative Dexmedetomidine Infusion might improve Postoperative Cognitive Function Recovery in Traumatic Brain Injury Patients","authors":"Islam A. Shaboob, I. Mostafa","doi":"10.21608/svuijm.2023.181959.1476","DOIUrl":"https://doi.org/10.21608/svuijm.2023.181959.1476","url":null,"abstract":"Background: Traumatic brain injury (TBI) might be associated with postoperative (PO) disturbed cognitive function (CF). However, this may be ameliorated on using of anesthetic with preventive ability. Objectives : To evaluate the outcomes of patients undergoing emergency craniotomy who received perioperative dexmedetomidine (DEX) versus plain saline infusions as a placebo. Patients and methods: 76 patients were randomly divided into DEX and P groups; DEX loading dose (0.6-µg/kg) was followed by DEX infusion 0.3-ml and 0.1-ml/kg/h during and for 24-h PO. Blood samples (S1-3) were collected for ELISA estimation of serum levels of interleukin (IL)-6, tumor necrosis factor-α (TNF - α), malondialdehyde (MDA), and superoxide dismutase (SOD) . CF was assessed 48-hr, 1-wk, 2-wk, and 4-wk PO using the Mini-Mental State Examination (MMSE) . Results: At end of surgery, heart rate (HR) was significantly lower with DEX, while mean arterial pressure (MAP) was significantly lower in all patients with significantly lower MAP measures with DEX. Serum levels of TNF-α, IL -6, and MDA were increased; while SOD levels were decreased with placebo than with DEX infusions. Patients' frequency among CF impairment grades and mean MMSE score showed significant differences in favor of DEX till 4-wk PO. Statistical analyses defined high serum levels of TNF-α and MDA in S3 samples at 24 -h as the significant sensitive predictors for low MMSE score at 48-h PO. Conclusion: TBI-induced inflammatory and oxidative stresses impaired CF that were aggravated by surgery. Perioperative DEX infusion ameliorated the inflammatory and oxidative responses to surgery for TBI and significantly improved CF to placebo infusion.","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80952988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/svuijm.2023.190053.1511
A. Sakr, Shereen M. Abdul Wahab, B. Sakr, Mohamed Abdelfattah
{"title":"Bariatric Surgery versus Dieting Regimen and Lifestyle change as a modality to improve Ovarian Function in Clomiphene-resistant PCOS Women","authors":"A. Sakr, Shereen M. Abdul Wahab, B. Sakr, Mohamed Abdelfattah","doi":"10.21608/svuijm.2023.190053.1511","DOIUrl":"https://doi.org/10.21608/svuijm.2023.190053.1511","url":null,"abstract":"","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84607383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/svuijm.2022.160181.1402
E. Said, K. H. Mosallam, A. Maala, Mohammed Fathy Amin
Background: Coronal deformities around the knee are most commonly presented in paediatric orthopaedic. Physiological deformities are most often managed conservatively, but severe deformities that cause pain and dysfunction require surgical intervention with acute correction (osteotomy), or gradually by hemiepiphyseodesis. Objectives: The main objective of this prospective study is to assess and compare short term results following correction by osteotomy versus 8-plate hemiepiphyseodesis. Patients and Methods: 30 skeletally immature patient, aged (3-14 years); presented with angular deformities, 15 patient undergone corrective osteotomy for acute correction of the deformity, 15 patients had 8 plate hemiepiphyseodesis. Results: The follow-up of both groups was every 3 months till 1 year post-operative. At 12-month follow-up, no statistically significant differences were observed between groups in radiographic parameters in patients with varus and valgus deformities (Independent sample t test, P > .05). At last follow-up, both groups showed statistically significant improvement in all radiographic parameters in patients with varus and valgus deformities (Repeated Measure ANOVA, P < .05). Conclusion: This study showed no statistically significant difference in radiographic parameters between acute correction by osteotomies , and gradual correction by guided growth at 1 year follow up.
{"title":"Correction of Coronal Deformities in Pediatric Knees : Guided Growth by 8 plate Versus Corrective Osteotomy","authors":"E. Said, K. H. Mosallam, A. Maala, Mohammed Fathy Amin","doi":"10.21608/svuijm.2022.160181.1402","DOIUrl":"https://doi.org/10.21608/svuijm.2022.160181.1402","url":null,"abstract":"Background: Coronal deformities around the knee are most commonly presented in paediatric orthopaedic. Physiological deformities are most often managed conservatively, but severe deformities that cause pain and dysfunction require surgical intervention with acute correction (osteotomy), or gradually by hemiepiphyseodesis. Objectives: The main objective of this prospective study is to assess and compare short term results following correction by osteotomy versus 8-plate hemiepiphyseodesis. Patients and Methods: 30 skeletally immature patient, aged (3-14 years); presented with angular deformities, 15 patient undergone corrective osteotomy for acute correction of the deformity, 15 patients had 8 plate hemiepiphyseodesis. Results: The follow-up of both groups was every 3 months till 1 year post-operative. At 12-month follow-up, no statistically significant differences were observed between groups in radiographic parameters in patients with varus and valgus deformities (Independent sample t test, P > .05). At last follow-up, both groups showed statistically significant improvement in all radiographic parameters in patients with varus and valgus deformities (Repeated Measure ANOVA, P < .05). Conclusion: This study showed no statistically significant difference in radiographic parameters between acute correction by osteotomies , and gradual correction by guided growth at 1 year follow up.","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74114301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21608/svuijm.2022.165850.1425
Ramakrishna Bezawada, N. M. C., Mutheeswaraiah Y, R. N
Background : Hypocalcemia is one of the major complications following total thyroidectomy that can range in severity from asymptomatic to an acute life-threatening condition. Post-operative hypocalcemia is one of the causes of increased hospital stays and expenses for treatment. Objectives: To evaluate the hypocalcaemia in total thyroidectomy patients concerning the age and gender of patients, and also to evaluate the association between various histological types of thyroid diseases and hypocalcemia. Patients and methods : A retrospective study was conducted to estimate hypocalcaemia in 81 patients who underwent total thyroidectomy at a tertiary care medical institute in Southern India, from January 2016 to December 2016. Clinical, laboratory, radiological, and histopathology data were collected and assessed from the medical records department of the hospital. Results: In this study, all the hypocalcemic patients were females with a mean age of 40.36 Years. 43.2% developed temporary and 3.7% permanent hypocalcemia. Temporary hypocalcemia was more common in adenomatous goiter and permanent hypocalcemia in malignant thyroid diseases. Conclusion: We didn ’ t find any association between hypocalcemia and advancing age. Similarly, we didn ’ t find any association between temporary hypocalcemia to histopathological diagnosis but all the patients with permanent hypocalcemia had malignant disease.
{"title":"The Incidence of Hypocalcemia following Total Thyroidectomy: A Retrospective Study","authors":"Ramakrishna Bezawada, N. M. C., Mutheeswaraiah Y, R. N","doi":"10.21608/svuijm.2022.165850.1425","DOIUrl":"https://doi.org/10.21608/svuijm.2022.165850.1425","url":null,"abstract":"Background : Hypocalcemia is one of the major complications following total thyroidectomy that can range in severity from asymptomatic to an acute life-threatening condition. Post-operative hypocalcemia is one of the causes of increased hospital stays and expenses for treatment. Objectives: To evaluate the hypocalcaemia in total thyroidectomy patients concerning the age and gender of patients, and also to evaluate the association between various histological types of thyroid diseases and hypocalcemia. Patients and methods : A retrospective study was conducted to estimate hypocalcaemia in 81 patients who underwent total thyroidectomy at a tertiary care medical institute in Southern India, from January 2016 to December 2016. Clinical, laboratory, radiological, and histopathology data were collected and assessed from the medical records department of the hospital. Results: In this study, all the hypocalcemic patients were females with a mean age of 40.36 Years. 43.2% developed temporary and 3.7% permanent hypocalcemia. Temporary hypocalcemia was more common in adenomatous goiter and permanent hypocalcemia in malignant thyroid diseases. Conclusion: We didn ’ t find any association between hypocalcemia and advancing age. Similarly, we didn ’ t find any association between temporary hypocalcemia to histopathological diagnosis but all the patients with permanent hypocalcemia had malignant disease.","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73077185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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