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Parry-Romberg syndrome (PRS), also known as progressive hemifacial atrophy, is a rare condition characterized by unilateral degeneration of facial tissues. This case report details the anesthetic management of a 16-year-old female with PRS scheduled for elective dental surgery. The patient's facial asymmetry and restricted mouth opening posed significant challenges for airway access, necessitating a customized anesthetic plan. Despite difficulties with visualization and nasal intubation due to anatomical limitations, the airway was successfully managed using video laryngoscopy and blind nasal intubation. The procedure proceeded without complications, and the patient had an uneventful recovery. This case highlights the importance of individualized planning in patients with complex craniofacial abnormalities.
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http://dx.doi.org/10.7759/cureus.89051 | DOI Listing |
Foot Ankle Int
September 2025
Department of Orthopaedic Surgery, St. Luke's University Health Network, Bethlehem, PA, USA.
Background: In response to the opioid epidemic, many surgical specialties have adopted nonopioid pain management strategies. Ultrasound (US)-guided peripheral nerve blocks (PNBs) are effective in reducing pain and opioid consumption postsurgery. Liposomal bupivacaine (LB), shown effective in shoulder surgery, was approved in November 2023 for use in US-guided lower extremity blocks.
View Article and Find Full Text PDFNan Fang Yi Ke Da Xue Xue Bao
August 2025
Guangzhou Twelfth People's Hospital, Guangzhou 510700, China.
Objectives: To explore the efficacy of DSA-guided intrathecal drug delivery system combined with Acupoint Therapy for management of cancer pain and provide reference for its standardized clinical application. Methods and.
Results: Recommendations were formulated based on literature review and expert group discussion, and consensus was reached following expert consultation.
Nan Fang Yi Ke Da Xue Xue Bao
August 2025
School of Basic Medical Sciences, Wuhu 241002, China.
Objectives: To analyze the differences in the prognosis of gastric signet ring cell carcinoma (SRCC) among different races using the US Surveillance Epidemiology and End Results (SEER) database and The Cancer Genome Atlas (TCGA) database.
Methods: We analyzed the data of patients with gastric SRCC from the SEER database from 2000 to 2020, and divided the patients into cohorts of whites, blacks, Asians or Pacific Islanders, American Indians/Alaska Natives according to their race. The prognosis and treatment of the cohorts were evaluated using baseline demographic analysis, Kamplan-Meier survival curve, and nomogram analysis.
Turk J Anaesthesiol Reanim
September 2025
Ankara University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Ankara, Türkiye.
Objective: Procedural sedation management in geriatric patients undergoing cystoscopy requires careful monitoring due to age-related physiological changes and increased sensitivity to anaesthetic agents. Although both target-controlled infusion (TCI) and conventional total intravenous anaesthesia (TIVA) techniques with propofol are commonly used methods for sedation, their comparative effectiveness and safety in this population remain subjects of ongoing investigation. This study aims to compare the effectiveness of the two techniques in terms of time to induction, recovery time, hemodynamic stability, airway intervention requirements, and propofol consumption.
View Article and Find Full Text PDFMed Sci Monit
September 2025
Department of Anesthesiology and Reanimation, Bursa Yüksek Ihtisas Training and Research Hospital, University of Health Science, Bursa, Turkey.
BACKGROUND Pregnancy-related anatomical and physiological changes, such as mucosal edema and increased oxygen demand, heighten risk of difficult airway, especially under general anesthesia. This study compared effects of spinal and general anesthesia on postoperative airway assessment tests in cesarean deliveries. We hypothesized upper airway changes can occur depending on anesthesia technique.
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