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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.

Clin. Pract., Volume 4, Issue 3 (October 2014) – 11 articles

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830 KiB  
Case Report
Accidental Intraoral Formalin Injection: A Rare Case Report
by Ramakant Dandriyal, Kolly Yada Giri, Sarwar Alam and Aishwarya Pratap Singh
Clin. Pract. 2014, 4(3), 686; https://doi.org/10.4081/cp.2014.686 - 18 Dec 2014
Cited by 9 | Viewed by 1305
Abstract
Formalin is a hazardous chemical that needs cautious handling and special storage. Owing to its disinfectant and fixative (i.e. for preserving pathologic tissue specimens in histopathology) properties, it is widely used in dentistry. Although, the terms formaldehyde and formalin are often confused [...] Read more.
Formalin is a hazardous chemical that needs cautious handling and special storage. Owing to its disinfectant and fixative (i.e. for preserving pathologic tissue specimens in histopathology) properties, it is widely used in dentistry. Although, the terms formaldehyde and formalin are often confused as being identical, these are different as to the concentrations of the primary component i.e. formaldehyde. In fact, the common fixative available as 10% neutral buffered formalin is actually a 4% solution of formaldehyde (i.e., a 10% solution made from a 37-40% commercially pure formaldehyde solution). This case report describes an unfortunate case of accidental injection instead of local anesthetic, of formalin into the pterygomandibular space in a 35-year old woman during inferior alveolar nerve block for surgical removal of impacted lower right third molar and its successful management by cautious debridement (under both local and general anesthesia) and empirical drug therapy (utilizing analgesics and antibiotics). Full article
630 KiB  
Case Report
Conservative Surgical Approach and Aesthetic Management of a Focal Gingival Hyperplastic Lesion
by Anand Mohan, Lokesh Kumar, Priyanka K. Cholan and Niroshini Rajaram
Clin. Pract. 2014, 4(3), 679; https://doi.org/10.4081/cp.2014.679 - 18 Dec 2014
Viewed by 520
Abstract
Focal reactive hyperplastic lesions of the gingiva are quite common soft tissue enlargements of the oral cavity. Presence of local factors, tissue irritation and endocrinal discrepancies contribute to its etiology. The fact that these lesions are caused by diverse pathological conditions and its [...] Read more.
Focal reactive hyperplastic lesions of the gingiva are quite common soft tissue enlargements of the oral cavity. Presence of local factors, tissue irritation and endocrinal discrepancies contribute to its etiology. The fact that these lesions are caused by diverse pathological conditions and its histo-pathological resemblances poses a great diagnostic challenge. Due to the site predilection of the these lesions to the maxillary anterior region, this article presents a case report of focal gingival hyperplastic lesion in the anterior maxillary region and its conservative management leading to pleasing results and soft tissue esthetics. Full article
502 KiB  
Letter
Reply to: Clinical Evaluation of the Ability of a Proprietary Scoliosis Traction Chair to De-Rotate the Spine: 6-month Results of Cobb Angle and Rotational Measurements
by Mark W. Morningstar
Clin. Pract. 2014, 4(3), 739; https://doi.org/10.4081/cp.2014.739 - 11 Dec 2014
Viewed by 436
Abstract
Thank you for the opportunity to allow us to address the comments and concerns raised by Donzelli et al. [...] Full article
503 KiB  
Letter
Reply to: Clinical Evaluation of the Ability of a Proprietary Scoliosis Traction Chair to De-Rotate the Spine: 6-month Results of Cobb Angle and Rotational Measurements
by Mark W. Morningstar
Clin. Pract. 2014, 4(3), 738; https://doi.org/10.4081/cp.2014.738 - 11 Dec 2014
Viewed by 469
Abstract
Thank you for the opportunity to allow us to address the comments and concerns raised by Woggon and Woggon. [...] Full article
500 KiB  
Letter
Reply to: Clinical Evaluation of the Ability of a Proprietary Scoliosis Traction Chair to De-Rotate the Spine: 6-Month Results of Cobb Angle and Rotational Measurements
by Sabrina Donzelli, Fabio Zaina, Alessandra Negrini, Michele Romano and Stefano Negrini
Clin. Pract. 2014, 4(3), 726; https://doi.org/10.4081/cp.2014.726 - 11 Dec 2014
Cited by 1 | Viewed by 503
Abstract
We read with interest the paper entitled Clinical evaluation of the ability of a proprietary scoliosis traction chair to de-rotate the spine: 6-month results of Cobb angle and rotational measurements by Stitzel et al. (doi: 10.4081/cp.2014.642) published recently as a brief report in [...] Read more.
We read with interest the paper entitled Clinical evaluation of the ability of a proprietary scoliosis traction chair to de-rotate the spine: 6-month results of Cobb angle and rotational measurements by Stitzel et al. (doi: 10.4081/cp.2014.642) published recently as a brief report in the Journal Clinics and Practice. [...] Full article
506 KiB  
Letter
Reply to: Clinical Evaluation of the Ability of a Proprietary Scoliosis Traction Chair to De-Rotate the Spine: 6-Month Results of Cobb Angle and Rotational Measurements
by A. Joshua Woggon and Dennis Woggon
Clin. Pract. 2014, 4(3), 725; https://doi.org/10.4081/cp.2014.725 - 11 Dec 2014
Cited by 2 | Viewed by 500
Abstract
We appreciate the efforts of Stitzel et al. (doi: 10.4081/cp.2014.642) in publishing an article on CLEAR Institute’s proprietary Scoliosis Traction Chair (STC). [...] Full article
569 KiB  
Case Report
Conservative Management of Penile Trauma May Be Complicated by Abscess Formation
by Athanasios Bantis, Petros Sountoulides, Christos Kalaitzis and Savas Deftereos
Clin. Pract. 2014, 4(3), 648; https://doi.org/10.4081/cp.2014.648 - 25 Nov 2014
Viewed by 582
Abstract
Blunt penile trauma during sexual activity, although highly underreported due to the associated patient embarrassment, constitutes a real urological emergency requiring immediate attention and possibly early surgical intervention. We report a case of a 58-year old man who presented with penile pain following [...] Read more.
Blunt penile trauma during sexual activity, although highly underreported due to the associated patient embarrassment, constitutes a real urological emergency requiring immediate attention and possibly early surgical intervention. We report a case of a 58-year old man who presented with penile pain following excessive masturbation. Although there were no clinical signs of penile deformity or hematoma, magnetic resonance imaging revealed the presence of a rupture in the tunica albuginea. The patient opted for non-surgical management and his recovery period was complicated by the formation of an abscess at the site of the albugineal tear thus prolonging his hospital stay. The abscess was surgically drained and the patient reports to have normal erections at 3-month follow up. Full article
761 KiB  
Case Report
Pelvic Neurofibroma
by Girish D. Bakhshi, Mukund B. Tayade, Rajesh B. Yadav, Kavita V. Jadhav, Sachin S. Shenoy and Margi V. Amin
Clin. Pract. 2014, 4(3), 660; https://doi.org/10.4081/cp.2014.660 - 24 Nov 2014
Cited by 4 | Viewed by 537
Abstract
A 58-year old male presented with a hard lump in lower abdomen extending into pelvis. Clinical examination and computed tomography scan revealed pelvic retroperitoneal mass. Patient underwent exploratory laparotomy - revealing a well encapsulated retroperitoneal mass extending up to coccyx, posterior to the [...] Read more.
A 58-year old male presented with a hard lump in lower abdomen extending into pelvis. Clinical examination and computed tomography scan revealed pelvic retroperitoneal mass. Patient underwent exploratory laparotomy - revealing a well encapsulated retroperitoneal mass extending up to coccyx, posterior to the urinary bladder. It had displaced the recto-sigmoid colon and urinary bladder to the right. Histopathological findings revealed a neurofibroma. Pelvic neurofibromas are known to arise from certain pelvic organ. However, present case ruled out any organ involvement both on imaging and intraoperatively. This shows that these tumors can arise de novo also. A brief case report and review of literature is presented. Full article
670 KiB  
Case Report
Technique and Role of Embolization Using Ethylene Vinyl-Alcohol Copolymer before Carotid Body Tumor Resection
by Rajiv Thakkar, Umair Qazi, Young Kim, Elliot K. Fishman, Frank J. Veith and Mahmoud B. Malas
Clin. Pract. 2014, 4(3), 661; https://doi.org/10.4081/cp.2014.661 - 19 Nov 2014
Cited by 4 | Viewed by 668
Abstract
A 45-year old female referred for a large carotid body tumor resection. The tumor was encasing the internal (ICA) and external carotid arteries (ECA). She underwent angiogram and embolization of the ascending pharyngeal artery and a distal branch of the ECA using ethylene [...] Read more.
A 45-year old female referred for a large carotid body tumor resection. The tumor was encasing the internal (ICA) and external carotid arteries (ECA). She underwent angiogram and embolization of the ascending pharyngeal artery and a distal branch of the ECA using ethylene vinyl-alcohol copolymer (EVOH). Two days later, surgical resection of the tumor with regional lymph node dissection was performed along with an interposition reversed vein graft anastomosis between the mid common carotid and distal ICA. Carotid body tumor devascularization of the tumor can be performed using EVOH delivered through transarterial and percutaneous routes. Embolization may facilitate surgical resection and decrease blood loss but does not decrease the rate of neurological complications. Embolization can be performed by the vascular surgeon before a large carotid body tumor resection with minimal migration and or stroke risk. Full article
745 KiB  
Case Report
Moderate Hemoptysis Caused by Hughes-Stovin Syndrome
by Sahar El Aoud, Faten Frikha, Mouna Snoussi and Zouhir Bahloul
Clin. Pract. 2014, 4(3), 647; https://doi.org/10.4081/cp.2014.647 - 6 Nov 2014
Cited by 11 | Viewed by 660
Abstract
Hughes and Stovin first reported a syndrome consisting of multiple pulmonary artery aneurysms and venous thrombosis in 1959. Here, we encountered a 42-year old woman who had hemoptysis revealing a Hughes- Stovin syndrome. Helical computed tomography showed multiple pulmonary artery aneurysms with pulmonary [...] Read more.
Hughes and Stovin first reported a syndrome consisting of multiple pulmonary artery aneurysms and venous thrombosis in 1959. Here, we encountered a 42-year old woman who had hemoptysis revealing a Hughes- Stovin syndrome. Helical computed tomography showed multiple pulmonary artery aneurysms with pulmonary thromboembolism. The patient was treated with steroid therapy, cyclophosphamide and anticoagulation with a good response. Full article
572 KiB  
Case Report
Outcome of Patients with Infective Endocarditis Who Were Treated with Extracorporeal Membrane Oxygenation and Continuous Renal Replacement Therapy
by Santhosh G. John, Preethi William, Sangeetha Murugapandian and Bijin Thajudeen
Clin. Pract. 2014, 4(3), 670; https://doi.org/10.4081/cp.2014.670 - 30 Oct 2014
Cited by 6 | Viewed by 636
Abstract
Infective endocarditis is a potentially life threatening condition. It is associated with high mortality and morbidity resulting mostly due to cardiorespiratory failure. Extracorporeal membrane oxygenation is a modality of treatment used to support hypoxic respiratory failure especially in patients who are already on [...] Read more.
Infective endocarditis is a potentially life threatening condition. It is associated with high mortality and morbidity resulting mostly due to cardiorespiratory failure. Extracorporeal membrane oxygenation is a modality of treatment used to support hypoxic respiratory failure especially in patients who are already on mechanical ventilation. Continuous renal replacement therapy is added mainly for maintaining fluid and electrolyte balance. Here we report a case series of patients diagnosed with infective endocarditis who were treated with combined extracorporeal membrane oxygenation and continuous renal replacement therapy. Three patients in the age group 20-60 years were admitted with clinical features suggestive of infective endocarditis. During the course of hospital stay they developed cardiorespiratory failure requiring mechanical ventilation and extracorporeal membrane oxygenation support for refractory hypoxia. It was complicated by heart failure, renal failure and fluid overload which required initiation of continuous renal replacement therapy. All the three patients succumbed in spite of the aggressive treatment. In addition to the role played by each complication, delayed start of continuous renal replacement therapy might have also contributed to the high mortality. Early initiation of continuous renal replacement therapy for management of fluid overload needs to be considered in the management of these critically ill patients. Full article
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