Hypertrophy of inferior nasal turbinate is one of the most common causes for nasal obstruction (NO). As diode laser has proven to be as effective as any other lasers, our objective was to study various primary outcomes of its use of diode laser like improvement in NO, intraoperative bleeding, postoperative pain, and rapidity of healing. The study was undertaken to compare the various outcomes by diode laser turbinate reduction (LTR) and conventional partial inferior turbinectomy (PIT). A nonrandomized controlled trial was conducted on 2 groups: One group (30 cases) underwent LTR and PIT was performed in the other group (30 cases). The improvement in NO was measured postoperatively up to 6 months. Intraoperative bleeding was measured and postoperative pain scores were assessed each day up to fifth postoperative day. Lastly, rapidity of healing was evaluated until 6 months. Subjective relief of NO was 90.8% in LTR group, whereas it was 65% in PIT group at 6-month follow-up, which was statistically significant ( P < .05). Pain scores were higher until 5 days in PIT group compared to LTR group ( P = .0001). Intraoperative bleeding mean scores (milliliters) were 8.03 in LTR group compared to 23.29 in PIT group ( P = .00001). Rapidity of healing was faster in LTR group with mean scores of 3.03 weeks in comparison to PIT group where it was 6.33 weeks ( P = .00001). Compared to the conventional technique, the outcomes were better with diode laser and caused less morbidity.
<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The consolidated effects of adenoidectomy alone and adenotonsillectomy on the Waldeyer ring need to be studied in children. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This was a clinical trial with a sample size of 100 in each of the two arms [Group A: adenoidectomy alone, Group B: adenotonsillectomy]. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">It was found that the association between adenoid recurrence (Risk 3 times) and palatine tonsil hypertrophy (Risk 11 times) in Group A patients at 3 and 6 months was extremely significant. Whereas lingual tonsil hypertrophy was found to be highly associated with Group B. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">If adenoidectomy alone is performed, there are high chances of hypertrophy of palatine tonsils, lateral pharyngeal bands and a high risk of adenoid recurrence. If adenoidectomy and tonsillectomy are performed together there is some chance of lingual tonsil hypertrophy. Hence it would be prudent to perform both the surgeries simultaneously in most children for better control of chronic infections and obstructive sleep apnoea </span>symptoms<span lang="EN-IN">.</span></p>
Introduction: Patella fractures account for about 1% of all musculoskeletal injuries. Modified tension band wiring (TBW) is the most commonly used technique for the management of patella fractures. However, all patella fractures are not-amenable to TBW. In this series, we present nine cases managed with open reduction and internal fixation using non-absorbable braided polyester suture (Ethicon Ethibond Excel 5-0) with circumferential stainless-steel wiring. Case Series: This series included nine patients with fractured patella and managed with open reduction and internal fixation with non-absorbable sutures and circumferential wiring. Patient demographics, fracture type, time to union, functional outcome, and complications were recorded. Patients were followed up for minimum of 6 months (11.6 ± 3.7 months). All fractures went on to unite with average fracture healing time of 13.8 weeks. Mean Lyshom and Bostman score were 83 and 25.6, respectively. Seven patients had excellent to good outcome. One each had fair and poor outcomes. One patient developed superficial infection and knee stiffness. Conclusion: Open reduction and fixation with non-absorbable sutures augmented with circumferential wiring are an efficient method for the management of severely comminuted and multi-fragmentary lower pole patella fractures with minimum complications.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.