Objective To assess vitamin D, parathyroid hormone, calcitonin, calcium, phosphorus and magnesium levels in patients with versus without temporomandibular disorders (TMDs). Methods This prospective observational study included patients with TMDs and age-matched healthy controls. TMDs were diagnosed via physical and radiologic examination, and serum levels of 25 (OH) vitamin D, parathyroid hormone, calcitonin, calcium, magnesium, and phosphorus were determined. The impact of age, sex and seasonal variations in serum 25 (OH) vitamin D levels was controlled by the inclusion of age, sex and date-matched control patients. Results The study included 100 patients, comprising 50 patients with TMDs and 50 control patients. No statistically significant between-group differences were found regarding age or sex. No statistically significant between-group differences were found in terms of serum 25 (OH) vitamin D, calcitonin, calcium, magnesium or phosphorus levels. Parathyroid hormone levels were statistically significantly higher in patients with TMDs versus healthy control patients. Conclusion In patients with temporomandibular disorders, increased parathyroid hormone levels in response to vitamin D deficiency was significantly more prominent. These data suggest that, in patients with temporomandibular disorders, vitamin D deficiency should be assessed and corrected.
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Objective: Pediculated groin flap has been playing an important role in hand reconstructive surgery for a long time. In this study, the cases where pediculated groin flap in the reconstruction of soft tissue defects of the hand was used are presented in terms of literature. Material and Methods:The cases included in the study where a groin flap was used for hand defects between 2010 and 2014 in the Plastic, Reconstructive, and Aesthetic Surgery Department. The age, gender, reason of defect, its localization, groin flap size, donor area closure method, flap separation time, other treatments, and complications were thoroughly examined.Results: Twenty-two groin flaps were used in 13 male and 7 females. It was used to close the amputated part in 8 patients as a result of finger amputation and degloving injury, in 3 patients as a result of hand and finger crush defect, in 1 patient as a result of burn finger defect, in 5 patients for extension contracture, and in 3 patients for flexion contracture due to burn sequel. Flap loss was not recorded in any of the cases. Conclusion:Pediculated groin flap is a good alternative that can be easily and safely used in suitable cases and has an important place in the reconstruction of hand defects.
ÖZETChondroid syringoma miks kutanöz tümör olarak adlandırılan benign karakterde bir cilt tümörüdür. Chondroid syringoma klinik olarak yavaş büyüyen, ağrısız, ülsere olmayan, subkutanöz veya intrakutanöz 0,5 ila 3 cm arasında boyutlara sahip nodul şeklinde görülür. Chondroid syringoma genellikle baş boyun bölgesinde orta yaş ve yaşlı erkeklerde görülür. Nadir olarak gövde, sırt, ekstremiteler ve genital organları tutabilir. Chondroid syringoma benign lezyon olmasına rağmen malign ve atipik formlarda rapor edilmiştir. Malign tümörlerin en önemli klinik bulgusu kısa zamanda hızlı büyüyen kitle olmasıdır. Malign chondroid syringoma genellikle genç bayan hastalarda, gövde ve ekstremite lokalizasyonlarında görülür. Malign dönüşüm potansiyelinden dolayı benign chondroid syringomalara total eksizyon tercih edilen tedavi şeklidir. Nadir lezyonlar olmasına rağmen, baş boyun bölgesi başta olmak üzere gövde ve ekstremitelerdeki subkutanöz nodül-lerde chondroid syringoma akla getirilmelidir. Bu çalışma-da, genç bayan hastada ekstremite yerleşimli benign bir chondroid syringoma olgusu sunulmuştur. Anahtar kelimeler: Chondroid syringoma, selim, ekstremite ABSTRACTChondroid syringoma is a skin tumour with benign character that is named as mixcutaneous tumour. Chondroid syringoma grows slowly without pain and ulcer and is seen as subcutaneous or intracutaneous in 0.5-3 cm size. Chondroid syringoma is generally seen in middle age and old men in head and neck region. It can rarely trunk, back, extremities and genital organs. Since chondroid syringoma is a benign lesion, it was reported in malign and atypic forms. The most important clinical finding of malign tumours is a rapid growing bulk. Malign chondroid syringoma is generally seen in young female patients in body and extremity localizations. Because of malign transformation, potential, total excision is the preferred treatment in benign chondroid syringomas. Despite being rare lesions, in subcutaneous nodules in body and extremities, particularly in head and neck region, chondroid syringoma should be thought. In this study, benign a case chondroid syringoma locating in extremity of young female patient was presented. J Clin Exp Invest 2014; 5 (3): 441-443
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