BACKGROUND AND PURPOSE Although there is a strong biological rationale to electively treat the pelvic nodes during bladder preservation, its clinical benefit is uncertain. This may be explained by the incidental dose received by the nodal regions when treating the bladder alone. This study was conducted to investigate the doses received by the different pelvic nodal regions when the bladder alo...

To cite: Nazarian S, Narayanan A, Chang S. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015212239 DESCRIPTION Obturator herniae are a rare type of abdominal wall herniae, with an incidence of 0.7–1%. They have a high mortality rate of up to 40% due to strangulation, and patients often present with nonspecific symptoms. The clinical presentation varies, dependi...

Acquired surgical defects of the hard or soft palates interfere with the speech pattern and the mechanism of deglutition, and of equal importance, produce a feeling of social insecurity with unfavorable psychological as well as economic consequences. Patients with palatal defects labor under handicaps that cannot be fully appreciated by those with normal palates. The dentist should use his spec...

The Aramany classification system of postsurgical maxillectomy defects is a useful tool for teaching and developing obturator framework designs and enhancing communication among prosthodontists. This article describes a series of Aramany-obturator design templates and discusses the relevant considerations for each. In all situations, a quadrilateral or tripodal design is favored over a linear d...

Maxillary defects resulting from resection involving the maxilla pose unique surgical and prosthetic rehabilitation challenges. Such defects occur as a consequence of congenital malformations, trauma or surgical resection of tumors. Surgical reconstruction of large maxillary defect is seldom tried. The obturator is a prosthesis used to close maxillary defects to restore masticatory and phonetic...

This brief overview of the progress and evolution of philosophies of obturator framework designs was accomplished by hand, as well as via Medline. It begins in 1530 ad with Ambrose Paré who described the first button-shaped sponge and metal obturator, and continues through the formation of the American Academy of Maxillofacial Prosthetics and the development of the specialty. It concludes with ...

The present invention relates to a valve device designed to be implanted in a dysfunctional larynx or in a prosthetic larynx, said device comprising a distal portion forming an annular Support structure and a central portion forming an obturator, characterized in that said obturator comprises i) a peripheral part forming a first valve integral with the annular Support structure in a first hinge...

EFFECTIVENESS OF TRANS-OBTURATOR TAPE (TOT) IN THE TREATMENT URINARY STRESS INCONTINENCE, CASE REPORT

An 80-year-old woman was admitted to the emergency department with progressive abdominal fullness for two days, intermittent abdominal pain, nausea and vomiting. Her relevant medical history included mitral valve replacement 10 years ago with subsequent anticoagulation, type 2 diabetes mellitus, arterial hypertension and chronic renal failure, all of which controlled with medications. Physical ...