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Introduction: This report investigates late-stage internal derangement (ID) of the temporomandibular joint (TMJ) with the aim of establishing a more effective and personalized treatment protocol to improve patients' quality of life (QoL). Material and methods: A consensus was reached among maxillofacial surgeons specializing in LSID, based on a literature research and collective expert experience following the Delphi method. Consensus was considered to be achieved when a response received at least 80% of votes. Results: Four expert groups were established, respectively, focusing on diagnosis, minimally invasive surgery (MIS), open surgery and joint replacement. A comprehensive approach to late-stage ID of the TMJ requires a consensus report. This underscores the need for a personalized treatment plan, considering the variability in clinical presentations and progression of this pathology. Our recommendations aim to optimize clinical outcomes and enhance patient QoL.
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PURPOSE: Pectus excavatum (PE) is the most common congenital chest wall deformity. It can have a negative effect in exercise tolerance. However, cosmetic features are the most frequent concerns in these patients. The PE evaluation questionnaire (PEEQ) is a patient reported outcome (PRO) tool to measure the physical and psychosocial quality-of-life changes after surgical repair of PE. No specific tool has been developed in our languages to evaluate PRO in PE patients. Our aim is to translate and culturally adapt the PEEQ to Spanish and Catalan. METHODS: Guidelines for translation of PRO were followed. The PEEQ, consisting of 34 items, was translated from English to Spanish and to Catalan. Three forward translations and one back translation were performed for each language. Cognitive debriefing interviews were developed. RESULTS: The reconciliation of the forward translations revealed a 14.7% of inconsistencies for each language. The Spanish back translation showed a 64.7% of disagreement with the source, the Catalan 58.8%. Changes in each reconciled version were made to amend the diverting items. Cognitive debriefing: Catalan version: 15 participants, 10 males, 5 patients had been operated. 12 patients showed difficulties for understanding 4 of the items. Spanish version: 17 participants, 11 males, 5 had been operated. 13 patients showed difficulties for understanding 4 of the items. We made modifications of the problematic items, in order to make them easier to understand for our patients. We tested the last version in a new group of patients. Catalan: 7 patients, 5 males. One patient showed difficulties for understanding item 11, so we added a further clarification of this item. Spanish: 7 patients, all males. There were any difficulties for understanding. CONCLUSION: After a thorough process of translation and cultural adaptation, we reached a Catalan and a Spanish version of PEEQ. This work constitutes the first step to reach a specific PE PRO tool in our languages. However, it needs to be validated, with a higher number of patients, before being widely used in a clinical setting.
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Humanos , Femenino , Anciano , Infecciones Relacionadas con Prótesis/tratamiento farmacológico , Infecciones Relacionadas con Prótesis/cirugía , Infecciones Relacionadas con Prótesis , Articulación Temporomandibular , Cementos para Huesos/uso terapéutico , Antibacterianos/uso terapéutico , Infecciones Relacionadas con Prótesis/prevención & control , Articulación Temporomandibular/cirugía , Articulación Temporomandibular , Profilaxis Antibiótica , Prótesis Mandibular , Asepsia/métodos , Asepsia/normasRESUMEN
No disponible
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Humanos , Masculino , Persona de Mediana Edad , Suelo de la Boca/patología , Suelo de la Boca/cirugía , Edema/tratamiento farmacológico , Edema/patología , Edema/cirugía , Traqueostomía/métodos , Combinación Amoxicilina-Clavulanato de Potasio/uso terapéutico , Corticoesteroides/uso terapéutico , Metilprednisolona/uso terapéutico , Imagen por Resonancia Magnética/métodosRESUMEN
No disponible
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Humanos , Masculino , Obstrucción de las Vías Aéreas/complicaciones , Obstrucción de las Vías Aéreas/diagnóstico , Obstrucción de las Vías Aéreas/cirugía , Mucocele/complicaciones , Mucocele/cirugía , Mucocele , Crioterapia , Diagnóstico Diferencial , Suelo de la Boca/cirugía , Suelo de la Boca , Cistadenocarcinoma Mucinoso/complicaciones , Cistadenocarcinoma Mucinoso/cirugía , Cistadenocarcinoma Mucinoso , Adenocarcinoma Mucinoso/complicaciones , Corticoesteroides/uso terapéuticoRESUMEN
No disponible
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Humanos , Femenino , Anciano de 80 o más Años , Neoplasias de la Parótida , Neoplasias del Oído/diagnóstico , Linfadenitis/patología , Linfadenitis , Sarcoidosis/diagnóstico , Sarcoidosis/tratamiento farmacológico , Hipertrofia/complicaciones , Glándula Parótida/patología , Glándula Parótida , Neoplasias de la Parótida/patología , Biopsia con Aguja Fina/métodos , Biopsia con Aguja Fina , Cara , Sialadenitis/patología , Sialadenitis , Granuloma/patología , GranulomaRESUMEN
No disponible
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Humanos , Femenino , Anciano de 80 o más Años , Sarcoidosis/diagnóstico , Sarcoidosis/tratamiento farmacológico , Hipertrofia/complicaciones , Glándula Parótida , Glándula Parótida/patología , Corticoesteroides/uso terapéutico , Enfermedad Granulomatosa Crónica/complicaciones , Enfermedad Granulomatosa Crónica/diagnóstico , Prednisona/uso terapéutico , Metotrexato/uso terapéutico , Inmunosupresores/uso terapéuticoRESUMEN
No disponible
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Humanos , Masculino , Adulto , Leiomiosarcoma/patología , Leiomiosarcoma/cirugía , Neoplasias de la Lengua/complicaciones , Neoplasias de la Lengua/cirugía , Biopsia/métodos , Metástasis de la Neoplasia/patologíaRESUMEN
No disponible
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Humanos , Masculino , Persona de Mediana Edad , Carcinoma Ductal de Mama/complicaciones , Carcinoma Ductal de Mama/patología , Neoplasias de la Parótida , Carcinoma Ductal de Mama/cirugía , Carcinoma Ductal de Mama , Neoplasias de la Parótida/patología , Radiografía Panorámica , Mandíbula/patología , MandíbulaRESUMEN
No disponible