European Journal of Therapeutics最新文献

{"title":"The Horrible Scenario in Cath Lab: Percutaneous Management of Guide Wire Entrapment During Coronary Intervention","authors":"Serhat Kesriklioğlu, A. Şahin, Yakup Alsancak","doi":"10.58600/eurjther1956","DOIUrl":"https://doi.org/10.58600/eurjther1956","url":null,"abstract":"Dear Editor, Advancements in invasive coronary angiography and accumulated experience have improved the success of interventions in challenging coronary artery lesions and associated complications. However, the approach and success in managing rare complications such as guide wire entrapment depend on the patient's hemodynamic status, continuity of coronary flow, capabilities of the angiography laboratory and the operator's expertise. In this letter, we present a case of guide wire entrapment during coronary intervention, the difficulties encountered during percutaneous removal attempts, and the finally applied conservative approach. Patient Information A 56-year-old male, known for active smoking and a history of three-vessel coronary bypass surgery four years ago, presented with pressing chest pain. The patient had undergone coronary angiography (CAG) a year ago, and medical follow-up was recommended. Due to the diagnosis of unstable angina pectoris, the patient underwent another angiography. Following the stent implantation for significant stenosis after the anastomosis in the saphenous-LAD graft, attempts to retrieve the guidewire resulted in stent deformation (Fig. 1) and entrapment. Despite efforts to retract the guidewire, it was unsuccessful. Subsequently, the case was urgently taken over, maintaining the catheter and guidewire in a sterile manner (Fig. 1). After obtaining cardiovascular surgical consultations, a decision was made to reattempt the procedure through percutaneous coronary intervention. After ensuring proper field cleanliness, the procedure began by confirming the absence of catheter thrombus. It was observed that there was no distal flow in the first images (Fig. 2). Attempts to enter the stent with a 1.0x12 mm Artimes balloon were unsuccessful, and after the balloon's deformation, a second attempt was made with another balloon but was also unsuccessful. Microcatheters were used to enter the stent, but they got trapped, and only after various manipulations, the microcatheter could be retracted. Subsequent attempts with PT-2 and Fielder XT-A Guidewires for the buddy wire technique were unsuccessful due to entrapment between stent struts (Fig. 1). Considering the thinness of the distal vessel and the chronic near 99% stenosis similar to previous CAG images, it was decided to attempt distal wire detachment due to the high surgical risk in this patient. However, despite attempts, the wire did not detach. During the wire retraction, the heart shadow on fluoroscopy moved, and the patient experienced severe pain. Since repeated pull-backs were unsuccessful, consecutive and prolonged torques were applied to the wire, resulting in distal wire fracture (Fig. 2). Echocardiographic control showed no effusion. The patient was transferred to the coronary intensive care unit. Following one day in the intensive care unit and two days in the cardiology service without symptoms, the patient was discharged with dual antiplatelet therapy. No a","PeriodicalId":42642,"journal":{"name":"European Journal of Therapeutics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139166139","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}

{"title":"Is the Text of Ibn Lūqā “A New Evidence” on Pulmonary Circulation Discovery?","authors":"A. Acıduman, Abdullah Yıldız, Kemal Tuzcu, Hicabi Kırlangıç","doi":"10.58600/eurjther1913","DOIUrl":"https://doi.org/10.58600/eurjther1913","url":null,"abstract":"Objective: The discovery of the pulmonary circulation is one of the most important issues in the history of medicine. Recently, an article appeared comprising an assertion that this discovery may have been made before Ibn al-Nafīs by Qusṭā b. Lūqā. The purpose of our study is to examine the text of Qusṭā b. Lūqā to ascertain whether it offers “new evidence” on the discovery of pulmonary circulation. Methods: A comprehensive analysis of the text Qusṭā b. Lūqā and its different copies referenced for the discovery made by Qusṭā b. Lūqā has been made regarding the history of medicine. Results: While Qusṭā b. Lūqā’s text contains detailed descriptions of cardiovascular anatomy, the terminologies and concepts employed were consistent with the prevailing medical knowledge of his time. From the perspective of the history of medicine, it can be said that Qusṭā b. Lūqā’s text does not sufficiently differentiate from those of his predecessors’ regarding the issue of pulmonary circulation. In addition, Qusṭā b. Lūqā mentions the sources he used in his text and does not explicitly claim that he made a discovery different from them. Conclusion: With the available findings, it is difficult for now to say that Qusṭā b. Lūqā discovered the pulmonary circulation in the referenced text.","PeriodicalId":42642,"journal":{"name":"European Journal of Therapeutics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139170857","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}

{"title":"The Relationship Between Breast Volume and Thoracic Kyphosis Angle","authors":"Şenay Bengin Ertem, Ü. A. Malçok","doi":"10.58600/eurjther1907","DOIUrl":"https://doi.org/10.58600/eurjther1907","url":null,"abstract":"Objective: It has been hypothesized that a disproportionate upper body weight caused by macromastia places abnormal stress on the spine, which may lead to skeletal abnormalities. To evaluate whether there is a relationship between breast volume and the thoracic kyphosis angle measured on thorax CT images. Methods: A total of 448 female patients who underwent thoracic CT examinations were included in this study. Breast volume [ml], by using the \"organ segmentation method\"; thoracic kyphosis angles by using Cobb's method were made manually on the workstation. Results: Mean right breast volume was 902.03 ± 376.47 (154.21 - 2366.20 ml), left breast volume was 911.01 ± 383.34 (167.93 - 2894.07 ml), total breast volume was 1810.09 ± 750.82 (354.39 - 5100.68 ml). The total breast volume (p<0.001) and thoracic kyphosis angle (p=0.012)in patients aged 50-69 years were significantly higher than those aged 17-29 years. Larger total breast volume [p<0.001] and thoracic kyphosis angle (p<0.001) values were associated with larger BMI intervals. A significant positive correlation was observed between the total breast volume and thoracic kyphosis angle (r=0.771, p<0.001). Conclusion: Our results showed that the thoracic kyphosis angle significantly increased in parallel with a larger total breast volume, and that total breast volume was an independent risk factor for thoracic kyphosis angle. The manual organ segmentation method we used was found to be reliable and easy to apply, but time-consuming technique for calculating BV.","PeriodicalId":42642,"journal":{"name":"European Journal of Therapeutics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139170736","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}

{"title":"Investigation of the Effects of Remote Online Exercise Training in Individuals Self-Isolating at Home Due to COVID-19 Disease: A Randomized Controlled Study","authors":"G. bargi, Ayşe Sezgi Kızılırmak Karataş, Elif Şahin","doi":"10.58600/eurjther1931","DOIUrl":"https://doi.org/10.58600/eurjther1931","url":null,"abstract":"Objective: Effectiveness of a 4-week telerehabilitation program including thoracic expansion exercises (TEE), non-specific general body exercises (NSGBE), and physical activity recommendations (PAR) which started at quarantine in individuals with acute mild-COVID-19 was investigated in current study.\u0000Methods: This is a randomized controlled study which was performed between May 2021 and February 2022. Adult individuals with acute mild-COVID-19 were randomly grouped as training (TG) (telerehabilitation program under supervision for 3 days/week) and control (CG) (home program including TEE and PAR). Dyspnea (Modified Borg Scale and Modified Medical Research Council Dyspnea Scale), chronic fatigue (Checklist Individual Strength Questionnaire), anxiety and depression (Hospital Anxiety and Depression Scale), balance (Berg Functional Balance Scale) and lower body strength (a 30-s chair stand test) were evaluated remotely in the individuals before and after a 4-week follow-up.\u0000Results: Baseline characteristics and balance scores were similar between groups (p>0.05). After 4-week from baseline, there were no significant differences in dyspnea, chronic fatigue, anxiety, depression, balance, and lower body strength between the groups (p>0.05). However, as dyspnea, chronic fatigue, anxiety, and depression scores decreased, lower body strength increased significantly within TG after follow-up (p<0.05). Dyspnea, chronic fatigue, and anxiety scores decreased while lower body strength increased significantly within CG after follow-up (p<0.05).\u0000Conclusion: Dyspnea, severe fatigue, anxiety, and depression are commonly observed in individuals with mild-COVID-19 in the acute period. In these individuals, dyspnea perception, chronic fatigue, anxiety, depression, and functional performance improve after a 4-week light-intensity online tele-program applied either supervised or unsupervised. Mild exercises and PAR are safe and effective in these individuals.","PeriodicalId":42642,"journal":{"name":"European Journal of Therapeutics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138960282","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}

{"title":"Micro-Computed Tomographic Evaluation of the Sealing Quality and Bond Strength of Different MTA Apical Plugs","authors":"Taibe Tokgöz Kaplan, M. Botsalı","doi":"10.58600/eurjther1919","DOIUrl":"https://doi.org/10.58600/eurjther1919","url":null,"abstract":"Objective: This study aimed to compared the effects of different placement techniques to the sealing quality of mineral triokside aggregate (MTA) apical plugs at apexification technique by micro-computed tomography (micro-CT) and compared the bond strength to root dentin of an injectable MTA (BIOfactor MTA), MTA Angelus and AH Plus. Methods: Sixty dentinal root slices were obtained from 20 maxillary centrals.A canal-like hole was drilled into each slices canal space.The samples were divided into 3 groups (n=20).All materials were delivered into the holes. Push-out tests were performed and fracture types were analysed with a strereomicroscope. In the second part of the study,72 maxillary central teeth with standardised artificial divergent open apex were divided into 4 groups; MTA Angelus and BIOfactor MTA were mixed mechanically, and introduced to form 4 mm thick apical plugs by hand condensation or indirect-ultrasonic activation for 10 seconds. Incidence of external voids between dentin walls and MTA apical plugs and porosity inside MTA were determined by volumetric analysis with micro-CT. Results: No significantly difference was found between the bond strength values of the materials (p:0.370; p>0.05).The external voids and porous voids are similar in both MTA (p: 0.685; p>0.05).When indirect-ultrasonic activation was applied,there was significantly less porosity statistically than hand condensation (p:0.00; p<0.05). Conclusion: MTA Angelus and BIOfactor MTA materials showed similar results in terms of bond strength to root dentin, fracture types, adaptation to dentin walls and structural porosity rate. Both MTA materials showed less structural porosity when placed by indirect ultrasonic activation technique compared to manual condensation.","PeriodicalId":42642,"journal":{"name":"European Journal of Therapeutics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139174470","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}

{"title":"Cross-cultural Adaptation of the Activity Questionnaire for Adults and Adolescents into Turkish and Investigation of its Validity and Reliability","authors":"Akın Süzer, Özlem Çinar Özdemir","doi":"10.58600/eurjther1898","DOIUrl":"https://doi.org/10.58600/eurjther1898","url":null,"abstract":"Objective: The Activity Questionnaire for Adults and Adolescents (AQuAA) is used to evaluate physical activity (PA) levels in different age groups. Its validity and reliability in the Turkish language have not been studied yet. This study aims to adapt the AQuAA into Turkish and to investigate its validity and reliability.\u0000Methods: A total of 124 volunteers were included in the study. After the Turkish adaptation of AQuAA, the AQuAA-Tr version was administered to the volunteers for test-retest reliability twice, with an interval of two weeks, and the International Physical Activity Questionnaire Short Form (IPAQ-SF) for criterion validity. For construct validity, the step counts of the volunteers were followed for two weeks with the Samsung Health® smartphone pedometer application. The reliability of the AQuAA-Tr was evaluated with intra-class correlation coefficients (ICC). Spearman correlation coefficients (r) were used to analyze the relationships between continuous variables.\u0000Results: A total of 72 adolescents (51 females and 21 males, mean age 14.5 ± 0.1 years) and 52 young adults (32 females and 20 males, mean age 25.8 ± 1.3 years) participated in the test-retest reliability and criterion validity study. Thirty-four adolescents (26 female, 8 male, mean age 14.7 ± 0.2 years) and 39 young adults (27 female, 12 male, mean age 25.6 ± 1.5 years) were included in the construct validity study. The test-retest reliability of the questionnaire was in the range of strong to very strong (ICC = 0.704 to 0.982) in adolescents and moderate to strong (ICC = 0.606 to 0.851) in adults for different levels of PA. In the context of the criterion validity, although there were moderate to strong correlations (r = 0.413 to 0.768) between some PA levels of the IPAQ-SF and AQuAA-Tr in adolescents and moderate correlations (r = 0.422 to 0.525) in adults, the correlations were mostly weak or negligible. In relation to construct validity, although there were moderate correlations (r = 0.435 to 0.504) between the Samsung Health® data and some PA levels of the AQuAA-Tr in adults, the correlations were mostly weak or negligible. There were no correlations between the Samsung Health® data and AQuAA-Tr in adolescents.\u0000Conclusion: The reliability of the AQuAA-Tr was confirmed in both adolescents and adults. However, the criterion and construct validity of the AQuAA-Tr were not confirmed for either adolescents or adults. Introducing a PA questionnaire, which can provide detailed information about sedentary, light, moderate, and vigorous PA scores separately and total PA scores and allows the evaluation of PA in different categories, into our language is considered beneficial. Yet, the results of AQuAA-Tr should be interpreted carefully in the clinic.","PeriodicalId":42642,"journal":{"name":"European Journal of Therapeutics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138964439","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}

{"title":"Imaging of the Ethmomaxillary Sinus, its Prevalence, and Evaluation of its Relationship with Chronic Rhinosinusitis","authors":"Melike Taşci, Z. Fazlıoğulları, B. Ulusoy, M. Durmaz, Vedat Uslu, N. Unver Dogan, A. Karabulut","doi":"10.58600/eurjther1891","DOIUrl":"https://doi.org/10.58600/eurjther1891","url":null,"abstract":"Objective: The presence of an ethmomaxillary sinus (EMS) may increase the susceptibility to inflammatory paranasal sinus diseases such as chronic rhinosinusitis (CRS) and cause difficulties in surgical interventions to the paranasal sinuses. Therefore, this study aimed to examine the EMS in patients with and without CRS. Methods: The study included 150 patients (300 sides) diagnosed with CRS by the ear–nose–throat clinic and 151 individuals (302 sides) without CRS. Paranasal sinus computed tomography images were reviewed retrospectively. The presence of an EMS (bilateral or not) and its relationship with age and sex were examined. The severity of CRS was determined with the Lund–Mackay scoring system, and its relationship with EMS was evaluated. Results: The EMS was detected in 7 patients (7/301, 2.32%) and 9 sides (9/602, 1.49%) of 301 patients (602 sides) included. The incidence in the CRS group was 2.6%. Three cases were unilateral, and one was bilateral. The incidence in the control group was 1.98%, two cases were unilateral, and one was bilateral. According to the Lund–Mackay scoring system, the mean CRS severity was 8.62 (±5.47). Its severity was 5.25 (±3.94) in the EMS group and 8.71 (±5.48) in the non-EMS group. Conclusion: No statistically significant difference was found between the groups with and without CRS in terms of the presence of EMS (p = 0.723). No evidence reveals that EMS increased the severity of CRS.","PeriodicalId":42642,"journal":{"name":"European Journal of Therapeutics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139175189","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}

{"title":"Alternative Approach in Colorectal Anastomotic Stricture: Bougie Dilatation","authors":"A. K. Taşkın","doi":"10.58600/eurjther1920","DOIUrl":"https://doi.org/10.58600/eurjther1920","url":null,"abstract":"Dear Editor, Anostomotic stricture (AS) is seen in 2-30% of patients after colorectal surgery. Various factors such as tissue ischaemia, anastomotic leakage and radiotherapy have been suggested in its pathogenesis [1,2]. Endoscopic methods (balloon dilatation, bougie dilatation, stents, endoscopic electroincision), digital dilatation, surgical methods (stapler stricturoplasty, transanal circular stapler resection, transabdominal redo-anastomosis) and corticosteroids are used in AS [3,4]. Surgery is generally preferred in complete/near complete AS [1]. Stents; the benefit of stents in AS after oncological surgery has not been shown [3]. However, Philip BC Pangg et al. treated near-total AS non-operatively with the colonic/rectal endoscopic ultrasound (EUS) anastomosis technique and a hot lumen metallic stent [5]. We applied 3-stage bougie dilation to the patient with near complete anastomotic stricture. A 59-year-old female patient who underwent laparoscopic anterior resection due to sigmoid colon tumor was followed up with complaints of abdominal swelling, intermittent abdominal pain and difficulty in defecation. One month later, when colonoscopy was performed, near complete anastomotic stricture was observed. Bougie dilatation was performed with maloney flexible bougie dilators under wire guidance. Bougie dilatation was performed 3 times with fifteen days intervals. After the first (33, 36 and 42 F) and the second bougie dilatation (36, 42 F), the upper segment of the anastomotic stricture was reached by gastroscopy. After dilatation with a bougie (42, 45 F) for the third time, the colonoscope was easily passed through the anastomosis line to the upper segment. Six months later, colonoscopy was performed and the proximal part of the anastomosis was easily passed without the use of bougie dilators. Balloon dilatation is the first method used in AS. However, several repetitions are necessary for the success of the procedure. In addition, the risk of perforation increases when the stricture diameter is <5 mm and length >1 cm. The chances of success in AS are lower compared to bougie dilatation. Endoscopic electroincision is recommended in failure of balloon dilatation. Digital dilatation: used in distal anorectal anostamotic strictures. Corticosteroid application: very large studies are not available. Bougie dilatation in AS provides tactile feedback, allowing the amount of resistance to the passage of the dilator to be estimated and perforation to be avoided. Bougie dilatation method is simple, inexpensive and low risk of complications. Especially Maloney flexible silicone bougie minimise the risk of complications. Bougie dilatators can remain intact for many years and can be reused. But balloon dilatators are not reused. Surgical methods are used in 3-4% (complete/near complete AS) in the failure of endoscopic methods. But mortality risk is high [1,4-6]. Therefore, the alternative method of Philip BC Pang et al. can be applied [5]. However, due t","PeriodicalId":42642,"journal":{"name":"European Journal of Therapeutics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139173995","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}

{"title":"The Accuracy of Different Apex Locator Systems in Detecting Root Perforations in the Presence of Different Irrigation Solutions","authors":"Oğuz Burhan Çetinkaya, Emre Çulha, Uğur Aydın","doi":"10.58600/eurjther1936","DOIUrl":"https://doi.org/10.58600/eurjther1936","url":null,"abstract":"Objective: One of the most studied topics in electronic apex locators (EALs) is the effect of root canal condition on the accuracy of EALs. In this study, the accuracy of Root ZX Mini, Raypex 6, and Apex ID in detecting root perforation was evaluated in a dry environment and in the presence of saline, ethylenediamine tetraacetic acid (EDTA), and sodium hypochlorite (NaOCl) solutions.\u0000Methods: The mesiobuccal roots of 64 human maxillary first molars were selected for the study. These root canals were perforated from buccal root surface using a #1 Freze Beutherlock Peeso to form a 0.4 mm cavity. After perforation, the area where #40 K type file appeared was recorded as the actual length (AL) and the length measured by EAL devices both in dry canals and in the presence of solutions was recorded as the electronic measurement (EL). All electronic measurements were statistically compared with the actual length.\u0000Results: All EALs achieved AL-consistent results on EL measures. Consistency was determined using Root ZX Mini measurements in dry canals and canals irrigated with saline. The consistency of EL and AL conducted with Raypex 6 and Apex ID in canals irrigated with NaOCl, saline, and EDTA was found. There was a statistically significant difference in ELs with irrigation solutions among all EALs (p<0.05). In the dry environment, there was no statistically significant difference between the EALs (p>0.05). A consistency was discovered between ELs generated with the Root ZX Mini and ALs in both dry and saline-irrigated canals. Consistency was observed between ELs measured with Raypex 6 and Apex ID and ALs in canals irrigated with NaOCl, saline, and EDTA.\u0000Conclusion: The accuracy rates of the EALs used in this research were 97%–100% in the 1 mm range and 83%–92% in the 0.5 mm range. Despite the fact that ALs and ELs differed statistically significantly at the 0.05 level, these variations weren't thought to be clinically relevant. In the presence of conditions with different electro conductors, EALs from different generations may be used safely, and in a range of canal situations, these devices can yield measurements that are most similar to the AL.","PeriodicalId":42642,"journal":{"name":"European Journal of Therapeutics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138966534","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}

{"title":"A Scoping Review of the Role and Limitations of Surgical Versus Non-Surgical Management of Dentofacial Deformities","authors":"R. Grillo, Alexandre Meireles Borba, Y. Slusarenko da Silva, Mariana Aparecida Brozoski Aparecida Brozoski","doi":"10.58600/eurjther1933","DOIUrl":"https://doi.org/10.58600/eurjther1933","url":null,"abstract":"Objectives: The amount of dermal filler procedures is increasing. Some patients opt to undergo dermal fillers instead of orthognathic surgery to treat unesthetic complaints from dentofacial deformities. The aim of this work is to carry out a literature review with regard to a comparison of role and limitations between aesthetic indications of orthognathic surgery and dermal fillers.\u0000Methods: A scoping review was performed according to the PRISMA-ScR guidelines on Pubmed, Web of Science and Google Scholar. A second search was conducted to highlight topics very close subjects to the main subject: the importance of social media and measures to avoid litigation in facial aesthetics.\u0000Results: Literature on the subject is very rare. Clinical facial analysis is fundamental to both procedures. Although patients wishes are important issues, facial analysis cannot be neglected due to its objectivity. Body dysmorphic disorder is considered a contraindication for both procedures. Social media is important in patient decision-making, but should not influence treatment planning by experts. Preventing litigation or reducing financial and reputational damage can be accomplished with a few simple steps.\u0000Conclusions: A helpful list of indications and particularly contraindications for orthognathic surgery and dermal fillers was drawn up. Dermal fillers must not substitute orthognathic surgery. Further studies are urgently needed to discuss this contemporary issue.","PeriodicalId":42642,"journal":{"name":"European Journal of Therapeutics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138966322","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}