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Cosmetic evaluation of surgical scars after external dacryocystorhinostomy

International Journal of Ophthalmology(English edition) 2016年第12期9卷 1745-1750页

作者： Syed Ali Raza Rtzvi Mohammad Saquib Rakesh Maheshwari Yogesh Gupta Zafr Igbal Purleet Maheshwari Institute of Ophthalmology Jawaharlal Nehru Medical College AMU Aligarh.UP 202002 India Department of Oto-Rhino-Laryngology Jawaharlal Nehru Medical College AMU Aligarh.UP 202002 India Department of Oto-Rhino-Laryngology Era's Lucknow Medical College and Hospital Lucknow.UP 226003 India

AIM： To evaluate the surgical scars of external dacryocystorhinostomy （DCR） cosmetically. METHODS： Totally 50 consecutive cases of primary acquired nasolacrimal duct obstruction （PANDO） were included in the study. surgical scars were assessed by the patients and two independent observers at 2, 6 and 12wk postoperatively on the basis of visibility of the scars and still photographs respectively and were graded from 0-3. Kappa test was utilised to check the agreement of scar grading between the two observers. Wilcoxan signed ranks test was used to analyse the improvement of scar ***： Thirty-four （68%） patients graded their incision site as very visible （grade 3） at 2wk. At 6 and 12wk, incision site was observed as grade 3 by 7 （14%） and 1 （2%） patients respectively. Photographic evaluation of patients by 2 observers showed an average score of 2.75, 1.94 and 0.94 at 2, 6 and 12wk respectively. Change in scar grading from grade 3 to grade 0 in consecutive follow-up （2, 6 and 12wk） was found to be highly significant both for the patient as well for the observers （P〈0.0001）.CONCLUSION： The external DCR is a highly effective and safe procedure and in view of low percentage of cases who complained of marked scarring in the present study, thus scarring should not be the main ground for deciding the approach to DCR surgery, even in young cosmetically conscious patients.

关键词： cosmetic surgical scar external dacryocystorhinostomy primary acquired nasolacrimal duct obstruction

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Phosphoglyceride crystal deposition disease requiring differential diagnosis from malignant tumors and confirmed by Raman spectroscopy: A case report

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World Journal of Clinical Cases 2022年第23期10卷 8304-8311页

作者： Yu Ohkura Hironori Uruga Masato Shiiba Shinji Ito Hayato Shimoyama Makiko Ishihara Masaki Ueno Harushi Udagawa Department of Gastroenterological Surgery Toranomon HospitalTokyo 105-8470Japan Department of Diagnostic Pathology Toranomon HospitalTokyo 105-8470Japan Department of Diagnostic Imaging Center Toranomon HospitalTokyo 105-8470Japan

BACKGROUND Phosphoglyceride crystal deposition disease(PCDD)is a rare acquired disease in which phospholipid crystals deposit in bone and soft tissue long after surgery,trauma,or repeated *** SUMMARY A 60-year-old-woman was referred to our department because of multiple abdominal masses after open splenectomy for idiopathic thrombocytopenic purpura 29 years *** the masses showed marked fluorodeoxyglucose(FDG)uptake on ^(18)F-fluorodeoxyglucose positron emission tomography(^(18)F-FDGPET)and were strongly suspected to be malignant *** biopsies were performed,and the abdominal masses were found to be aligned vertically,three in a row,along the tissue layers cut in the patient’s previous *** finding of the specimens showed foreign body granuloma consisting of histiocytes and multinucleated giant cells accumulating around needle-like *** crystals were confirmed as phosphoglyceride by Raman spectroscopy,and PCDD was *** our knowledge,this is the first report of PCDD diagnosed by Raman *** We made a definitive diagnosis of PCDD in a patient with multiple tumors showing marked FDG uptake on ^(18)F-FDG-PET by incisional biopsy and composition analysis using Raman spectroscopy,a method that has not previously been reported for the diagnosis of PCDD.

关键词： Phosphoglyceride crystal deposition disease Raman spectroscopy Positron emission tomography Foreign body granuloma with crystal deposition surgical scar Case report

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