Cosm 2016 Program Guide 2016 Program Guide
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Oral and Maxillofacial Surgery
Reference Operation Groups Wisdom Teeth - Surgical (200) Third molar(s) Surgical Extraction Third molar(s) - Other Third Molar(s) Surgical Extraction - Distal Third Molar(s) Surgical Extraction - Horizontal Third Molar(s) Surgical Extraction - Mesial Third Molar(s) Surgical Extraction - Oblique/Atypical Third Molar(s) Surgical Extraction - Vertical Removal of 8 after failed coronectomy Coronectomy Coronectomy (Intentional Partial Odontectomy) Coronectomy (Intentional Partial Odontectomy) - Distal Coronectomy (Intentional Partial Odontectomy) - Horizontal Coronectomy (Intentional Partial Odontectomy) - Mesial Coronectomy (Intentional Partial Odontectomy) - Oblique/Atypical Coronectomy (Intentional Partial Odontectomy) - Unspec. Tooth Coronectomy (Intentional Partial Odontectomy) - Vertical Extractions inc simple 8s (200) Third molar - simple extraction Extraction - simple Extraction - surgical Root - surgical removal Clearance - full Clearance - lower Extraction - multiple Root - simple elevation Extraction - aided by division of roots using drill Extraction - primary dentition tooth Dental Abscess Drainage i/o & e/o (50) Incision & Drainage I/O (Abscess) Incision & Drainage E/O(Abscess) Exploration of Tissue Spaces & Drainage Extraoral drainage of lesion of skin of head / neck Cysts (30) Enucleation of Cyst Biopsy and marsupialisation of cyst Other - Cyst Biopsy and decompression of cyst - placement of drain e.g. grommet Biopsy of cyst Aspiration of cyst contents for cytology/analysis Exposure of teeth/removal of canines (15) Extraction -
Development of Acellular Dermal Matrix from Skin of Different Species of Animals Using Biological Detergents and Enzymes Combinations
Central JSM Burns and Trauma Bringing Excellence in Open Access Research Article *Corresponding author Naveen Kumar, Division of Surgery, Indian Veterinary Research Institute, Izatnagar, Uttar Pradesh, Pin: 243122, Development of Acellular India, Email: Submitted: 11 July 2016 Dermal Matrix from Skin of Accepted: 27 July 2016 Published: 29 July 2016 Copyright Different Species of Animals © 2016 Kumar et al. Using Biological Detergents and OPEN ACCESS Keywords • Acellular dermal matrix Enzymes Combinations • Decellularization • Rabbit Sanjay Purohit, Naveen Kumar*, Ashok Kumar Sharma, and Anil • Pig Kumar Sharma • Goat • Sheep Division of Surgery, Indian Veterinary Research Institute, India • Buffalo Abstract Decellularized tissues have been successfully used in a variety of tissue engineering/ regenerative medicine applications, and the decellularization methods vary as widely as the tissues of interest. The efficiency of cell removal from a tissue is dependent on the origin of the tissue and the specific physical, chemical, and enzymatic methods that are used. Each of these treatments affect the biochemical composition, tissue ultrastructure, and mechanical behavior of the remaining extracellular matrix (ECM) scaffold, which in turn, affect the host response to the material. We have optimized the protocols for making acellular dermal matrix from rabbit, pig, goat, and sheep and buffalo skin using different combinations of ionic and non-ionic biological detergents. INTRODUCTION Any processing step intended to remove cells will alter the native three-dimensional architecture of the ECM. The most Biologic scaffolds derived from decellularized tissues and commonly utilized methods for decellularization of tissues involve organs have been successfully used in both pre-clinical animal a combination of physical and chemical treatments. -
Revision Tracheobronchoplasty: Case Report
4 Case Report Page 1 of 4 Revision tracheobronchoplasty: case report Ammara A. Watkins, Jennifer L. Wilson, Mihir Parikh, Adnan Majid, Sidhu P. Gangadharan Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess, Harvard Medical School, Boston, MA, USA Correspondence to: Sidhu P. Gangadharan, MD. Chief, Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, 185 Pilgrim Rd. W/DC 201 Boston, MA 02215, USA. Email: [email protected]. Abstract: Tracheobronchoplasty, or posterior splinting of the airway with mesh, is a durable solution for patients with severe tracheobronchomalacia (TBM). Recurrent symptoms of TBM following tracheobronchoplasty are uncommon; however, when they occur can have significant impact on quality of life. Appropriate management of recurrent TBM requires a systematic and multidisciplinary collaborative approach. We present a patient with postoperative symptom recurrence requiring revisional tracheobronchoplasty to highlight the complexity of the disease’s presentation, workup and treatment. Keywords: Reoperative; revision; tracheobronchoplasty; tracheobronchomalacia (TBM); case report Received: 06 October 2019; Accepted: 18 December 2019; Published: 25 November 2020. doi: 10.21037/ccts.2019.12.14 View this article at: http://dx.doi.org/10.21037/ccts.2019.12.14 Introduction her tracheobronchoplasty she reported recurrent wheezing, cough and shortness of breath. By four years following Tracheobronchomalacia is an increasingly recognized her operation, the progressive symptoms considerably abnormality of the central airway that can cause dyspnea, impacted her quality of life. She was unable to walk 2 cough, recurrent respiratory infections and respiratory blocks without shortness of breath and had been admitted insufficiency (1,2). The hallmark of the disease is expiratory at least six times in the past year due to respiratory distress. -
Schedule of Charges 2018-19
EMERGENCY Schedule of Charges 2018-19 Index Policy and guidelines 00 Package Inclusions & Exclusions 00 Department of Cardiac Sciences 00 - Cardiology 00 - CTVS 00 Department of Women & Child Care 00 - Obs & Gynae 00 - Paediatrics 00 Department of Neuro Sciences 00 - Neurology 00 - Neuro sciences 00 Department of Orthopaedics & Joint Replacement 00 - Orthopaedics 00 Department of Renal Sciences (header in one page) 00 - Nephrology 00 - Urology 00 Department of Oncology Sciences 00 - Medical Oncology 00 - Onco Surgery 00 - Radiation Oncology 00 Department of Gastroenterology 00 - Medical Gastroenterology 00 Other departments and services 00 - GI General Surgery Sciences 00 - Vascular Surgery 00 - Plastic Surgery 00 - ENT 00 - Ophthalmology 00 - Critical Care 00 - Pulmonology 00 - Anaesthesia & Pain Management 00 - IVF 00 - Psychiatry 00 - Internal medicine & Diabetes 00 - Dermatology 00 - Dental 00 - Emergency 00 - Consultation 00 - Lab diagnostics 00 - Radiology 00 - Nuclear Medicine 00 - Physiotherapy 00 - Administration 00 - In Patient Services 00 - Medical Equipment 00 - Yoga 00 - Home Care 00 1 Policy and Guidelines 1. Outpatient Consultation: OPD Consultation charges shall follow the following Bands: Bands Slab (Rs.) Speciality Consultants 700 Super Speciality Consultants 900 2. Registration Charges a) Rs. 150 per registration to be charged from all patients coming to Manipal Hospital for the first time. b) One follow-up visit for OPD is free within 3 days and One Post-op discharge visit is free within 7 days. 3. Admission & Documentation Charges One time admission charges of Rs 1000 to be charged for every IP admissions except Daycare and New Borns. In case TPA patient, Documentation charges ofRs500 be extra for filing and applicable for all admission except Day Care and New Borns. -
Detection and Diagnosis of Large Airway Collapse: a Systematic Review
Early View Review Detection and diagnosis of large airway collapse: a systematic review Alexandros Mitropoulos, Woo-Jung Song, Fatma Almaghlouth, Samuel Kemp, Michael Polkey, James Hull Please cite this article as: Mitropoulos A, Song W-J, Almaghlouth F, et al. Detection and diagnosis of large airway collapse: a systematic review. ERJ Open Res 2021; in press (https://doi.org/10.1183/23120541.00055-2021). This manuscript has recently been accepted for publication in the ERJ Open Research. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJOR online. Copyright ©The authors 2021. This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contact [email protected] DETECTION AND DIAGNOSIS OF LARGE AIRWAY COLLAPSE: A SYSTEMATIC REVIEW Mitropoulos Alexandros1, Song Woo-Jung3, Almaghlouth Fatma2, Kemp Samuel1,2, Polkey I Michael1,2, Hull H James1,2 1Department of Respiratory Medicine, Royal Brompton Hospital, London, UK. 2National Heart and Lung Institute, Imperial College, London, UK. 3Department of Allergy and Clinical Immunology, Asan Medical Centre, University of Ulsan College of Medicine, Seoul, Korea Corresponding author: Dr James H Hull FRCP PhD Department of Respiratory Medicine, Royal Brompton Hospital London, SW3 6HP E-mail: [email protected] -
Surgery for Lung Cancer and Malignant Pleural Mesothelioma
Surgery for Lung Cancer and Malignant Pleural Mesothelioma Mir Alireza Hoda, MD PhD Associate Professor for Surgery Clinical Director Surgical Thoracic Oncology Program & Translational Thoracic Oncology Laboratory Division of Thoracic Surgery Department of Surgery Comprehensive Cancer Center Medical University of Vienna 5th ESO-ESMO Eastern Europe and Balkan Region Masterclass in Medical Oncology – Session LUNG CANCER AND MESOTHELIOMA Current affiliation West German Lung Center & West German Cancer Center Department of Thoracic Surgery and Thoracic Endoscopy (Director: Prof. Dr. Clemens Aigner) Disclosure . I have no, real or perceived, direct or indirect conflicts of interest that relate to this presentation. Summary provided in: ESMO Thoracic Tumors: Essentials for Clinicians Chapter 5 Hoda & Klepetko available at Oncology PRO or by...... [email protected] [email protected] Surgery for lung cancer AGENDA Overview Surgery for early stage NSCLC Surgery for locally advanced disease Surgery for oligometastatic disease Palliative treatment options Role of surgery in SCLC Summary Male Female Lung Cancer Mortality since 1930 Classical treatment protocol for Lung cancer Stage TNM IA T1N0M0 IB T2N0M0 IIA Surgery T1N1M0 IIB T2N1M0 T3N0M0 IIIA T1-3N2M0 T3N1M0 Chemo/Radio IIIB T1-3N3M0 T4anyNM0 Modern Treatment Algorithm for Lung cancer Stage IA IB IIA IIB Surgery Adjuvant Chemotherapy IIIA1-2 IIIA3 neoadjuvant Radiotherapy + Second-line treatment Responders Chemotherapy IIIA4 - B - Responders IV Non Surgery for early stage NSCLC Standard of care: Lobectomy + mediastinal lymph node dissection (MLND) Standard of care – new developments • Minimal invasive resesctions (incl.awake) • Sublobar resection (limited resections) • Parenchyma sparing options Minimal invasive surgery (MIS) Video assisted thoracic surgery (VATS) VATS: uniportal (Gonzalez-Rivas et al, 2013) VATS: 3-portal (Hansen et al, 2011) Robotic assisted thoracic surgery (RATS) Awake VATS for SPN RCT n=60 Epidural anaesthesia vs GA+DLI 0% mortality Pompeo et al, ATS 2004 Lobectomy: MIS vs. -
Inside Surgery
HOME << | >> NOVEMBER / DECEMBER News from the Roberta and Stephen R. Weiner Department of Surgery 2011 at Beth Israel Deaconess Medical Center Volume 1, No. 2 THIS NEWSLETTER IS INTERACTIVE The table of contents, web addresses, and e-mail addresses in this newsletter are interactive. INSIDE SURGERY IN THis issUE Research Scholarship Honors Douglas Hanto, MD, PhD 1 Scholarship Honors Douglas Hanto, MD, PhD ed Boylan’s first encounter with BIDMC was unequivocally 2 New Leadership Structure T positive — 24 years ago, his third 3 Richard Whyte, MD, Assumes child and only daughter, Carolina New Vice Chair Position (“Nina”), was born at the hospital. Quality Team Grows The Concord resident’s recent 4 In Memoriam experiences at the hospital have, “Looking Back” — Photos from unfortunately, been considerably Our Archives less so. Last year, Nina was 5 “The Question I Own” — diagnosed with advanced liver Wolfgang Junger, PhD cancer at BIDMC, and began a 6 Research Notes long and arduous journey that Save the Date continues to this day. 7 “Alumni Spotlight” — Transplant Following her diagnosis, Surgeon Amy Evenson, MD Nina’s only chance at beating her Douglas Hanto, MD, PhD, Chief of Transplantation 8 News Briefs cancer was the surgical removal of a large liver tumor, which Douglas 10 Urology’s Mission to Cape Verde Hanto, MD, PhD, Chief of the Division of Transplantation, performed in January 11 Sidhu Gangadharan, MD, 2011. Nina fared very well until, four months later, follow-up tests revealed that the Named Division Chief cancer had spread. After three months of chemotherapy this summer, Nina underwent New Faculty: Erik Folch, MD a second operation in late September to remove tumors in her lungs and abdomen. -
Absence of Uvula: an Accidental Or an Incidental Finding. J Human Anat
Journal of Human Anatomy ISSN: 2578-5079 Is Uvula Important? Absence of Uvula: An Accidental or an Incidental Finding 1 2 3 4 Vivek J *, Safeer K , Sanjib D and Bhargavi Joshi 1Department of Biochemistry & Basic sciences, Kentucky College of Osteopathic Case Report Volume 3 Issue 2 Medicine, USA Received Date: September 12, 2019 2Department of Anatomy & Embryology, Windsor University School of Published Date: October 21, 2019 Medicine, Saint Kitts and Nevis DOI: 10.23880/jhua-16000142 3Department of Pharmacology, Govt Medical College, Ratlam, India 4Research Volunteer, Windsor University School of Medicine, St Kitts and Nevis *Corresponding author: Vivek Joshi, MD, Associate Professor Biochemistry, Department of Basic Science, Kentucky College of Osteopathic Medicine, 147 Sycamore Street, Hambley Blvd, University of Pikeville (UPike), Pikeville, KY, 41501, USA, Tel : 606-218-5552; Email: [email protected] Abstract Introduction: Absence of the uvula is very rare in the general population, which is mostly acquired secondary to surgery or is rarely congenitally absent since birth. Uvula is a small band of connective tissue, gland and small muscle fibers and is documented to be useful in speech, lubrication and central support of the palatopharyngeal arch during swallowing. Cultural practice of uvulectomy is very common in African countries as a treatment or prophylactic measure for chronic cough or frequent respiratory infection. Congenital absence of uvula is a rare condition and is also accompanied by other genetic abnormalities such as cleft lip or cleft palate. Case Report: This case report is based on an accidental finding in a 20-year-old African-American male who was acting as a standardized patient in a clinical course at a medical college. -
TO GRAFT OR NOT to GRAFT? an UPDATE on GINGIVAL GRAFTING DIAGNOSIS and TREATMENT MODALITIES Richard J
October 2018 Gingival Recession Autogenous Soft Tissue Grafting Tissue Engineering JournaCALIFORNIA DENTAL ASSOCIATION TO GRAFT OR NOT TO GRAFT? AN UPDATE ON GINGIVAL GRAFTING DIAGNOSIS AND TREATMENT MODALITIES Richard J. Nagy, DDS Ready to save 20%? Let’s go! Discover The Dentists Supply Company’s online shopping experience that delivers CDA members the supplies they need at discounts that make a difference. Price compare and save at tdsc.com. Price comparisons are made to the manufacturer’s list price. Actual savings on tdsc.com will vary on a product-by-product basis. Oct. 2018 CDA JOURNAL, VOL 46, Nº10 DEPARTMENTS 605 The Editor/Nothing but the Tooth 607 Letter to the Editor 609 Impressions 663 RM Matters/Are Your Patients Who They Say They Are? Preventing Medical Identity Theft 667 Regulatory Compliance/OSHA Regulations: Fire Extinguishers, Eyewash, Exit Signs 609 674 Tech Trends FEATURES 615 To Graft or Not To Graft? An Update on Gingival Grafting Diagnosis and Treatment Modalities An introduction to the issue. Richard J. Nagy, DDS 617 Gingival Recession: What Is It All About? This article reviews factors that enhance the risk for gingival recession, describes at what stage interceptive treatment should be recommended and expected outcomes. Debra S. Finney, DDS, MS, and Richard T. Kao, DDS, PhD 625 Autogenous Soft Tissue Grafting for the Treatment of Gingival Recession This article reviews the use of autogenous soft tissue grafting for root coverage. Advantages and disadvantages of techniques are discussed. Case types provide indications for selection and treatment. Elissa Green, DMD; Soma Esmailian Lari, DMD; and Perry R. -
360° in Making Acellular and Biocompatiblexenografts For
ISSN 2470-0991 SciO p Forschene n HUB for Sc i e n t i f i c R e s e a r c h Journal of Surgery: Open Access Review Article Volume: 2.6 Open Access Received date: 03 Jun 2016; Accepted date: 15 360° in Making Acellular and Biocompatible Jul 2016; Published date: 20 Jul 2016. Xenografts for Surgical Applications Citation: Satish A, Chandrasekaran J, Indhumathi T, Cherian KM, Ramesh B (2016) 360° in Making Aishwarya Satish, Jaikanth Chandrasekaran, Indhumathi T, Kotturathu Mammen Acellular and Biocompatible Xenografts for Surgical Applications. J Surg Open Access 2(6): doi http:// Cherian and Balasundari Ramesh* dx.doi.org/10.16966/2470-0991.132 Frontier Lifeline Pvt Ltd, R80C, Ambattur Industrial Estate Road, Mugappair, Chennai, India Copyright: © 2016 Satish A, et al. This is an open-access article distributed under the terms *Corresponding author: Balasundari Ramesh, Frontier Lifeline Pvt Ltd, R80C, Ambattur of the Creative Commons Attribution License, Industrial Estate Road, Mugappair, Chennai 600101, India, E-mail: [email protected], which permits unrestricted use, distribution, and [email protected] reproduction in any medium, provided the original author and source are credited. Abstract There goes a famous saying - “We can judge the heart of a man by his treatment of animals”. Now these animals help a man save his heart and vital organs through xenografts. The concept for xenograft is an explosive phenomenon in regenerative and tissue engineering. It has a wide application in many fields of medicine-Cardiology, Orthopedics, Dentistry, Gastrointestinology, Opthalmology and Dermatology. This comprehensive review presents in detail the current methods and procedures followed in the preparation of a xenograft. -
Obstructive Sleep Apnea and the Role of Tongue Reduction Surgery in Children with Beckwith-Wiedemann Syndrome (2018)
RESEARCH INSTITUTE Obstructive sleep apnea and the role of tongue reduction surgery in children with Beckwith-Wiedemann syndrome (2018) Christopher M. Cielo, Kelly A. Duffy, Aesha Vyas, Jesse A. Taylor, Jennifer M. Kalish Background Patients with Beckwith-Wiedemann syndrome (BWS) can be affected by a large tongue (macroglossia). Similar to other features of BWS, macroglossia can vary in severity between patients. Studies suggest that children with macroglossia are at an increased risk for obstructive sleep apnea (OSA), a condition that is also highly variable, ranging from mild sleep obstruction to severe respiratory distress. No recommendations regarding OSA management in patients with BWS and macroglossia exist. Purpose This article reviews all available evidence regarding children with Beckwith-Wiedemann Syndrome (BWS) and macroglossia. The prevalence of obstructive sleep apnea (OSA) and management strategies in this population are discussed. Findings Evaluations Children suspected of having BWS and macroglossia should receive the following evaluations. No clear guidelines exist for at what age children should be evaluated. • Clinical Genetics: Any child with a feature suggestive of BWS should be referred to a clinical geneticist, who can evaluate the patient and determine whether the patient meets criteria for a clinical diagnosis of BWS. • Plastic Surgery: Patients with macroglossia should be referred to a plastic surgeon, who can evaluate the size of the tongue to determine whether a tongue reduction surgery is necessary. • Pulmonology: A pulmonologist can evaluate the degree to which the large tongue affects breathing, as an increased tongue size can narrow the airway and cause upper airway obstruction. o Polysomnography (sleep study) is used for evaluation of OSA in children and has been used in certain studies of BWS children to detect the following: moderate- severe OSA, upper airway obstruction, apnea, upper airway resistance, severe desaturation, sleep-disordered breathing, and snoring. -
Outpatient Surgical Procedures – Site of Service: CPT/HCPCS Codes
UnitedHealthcare® Commercial Policy Appendix: Applicable Code List Outpatient Surgical Procedures – Site of Service: CPT/HCPCS Codes This list of codes applies to the Utilization Review Guideline titled Effective Date: August 1, 2021 Outpatient Surgical Procedures – Site of Service. Applicable Codes The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. The listing of a code does not imply that the service described by the code is a covered or non-covered health service. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service. The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. Other Policies and Guidelines may apply. This list contains CPT/HCPCS codes for the following: • Auditory System • Female Genital System • Musculoskeletal System • Cardiovascular System • Hemic and Lymphatic Systems • Nervous System • Digestive System • Integumentary System • Respiratory System • Eye/Ocular Adnexa System • Male Genital System • Urinary System CPT Code Description Auditory System 69100 Biopsy external ear 69110 Excision external ear; partial, simple repair 69140 Excision exostosis(es), external auditory canal 69145 Excision soft tissue lesion, external auditory canal 69205 Removal foreign body from external auditory canal; with general anesthesia 69222 Debridement, mastoidectomy cavity, complex (e.g., with anesthesia or more