RESUMO
BACKGROUND: The objective of this study was to compare intramuscularly applied botulinum toxin A (BTX-A) in the gastroc-soleus complex with intralesional steroids for the treatment of plantar fasciitis. METHODS: The patients were randomly divided into 2 groups according to the treatment received. The patients were evaluated over 6 months. The evaluation scores included the Visual Analog Scale (VAS), Maryland Foot and Ankle, Foot and Ankle Disability Index (FADI), and American Orthopaedic Foot and Ankle Society (AOFAS) score. Moreover, patients were instructed to perform plantar fascia stretching exercises over the course of the study. The final number of patients was 36, of whom 19 received BTX-A (10 men and 9 women) and 17 (6 men and 11 women) received steroids. RESULTS: When compared to patients who received steroids, the patients who received BTX-A exhibited more rapid and sustained improvement over the duration of the study. CONCLUSION: A combination of BTX-A and plantar fascia stretching exercises yielded better results for the treatment of plantar fasciitis than intralesional steroids. LEVEL OF EVIDENCE: Level I, therapeutic studies.
Assuntos
Toxinas Botulínicas Tipo A/uso terapêutico , Isonicotinato de Dexametasona/uso terapêutico , Fasciíte Plantar/terapia , Glucocorticoides/uso terapêutico , Fármacos Neuromusculares/uso terapêutico , Adulto , Análise de Variância , Avaliação da Deficiência , Método Duplo-Cego , Feminino , Humanos , Injeções Intralesionais , Injeções Intramusculares , Masculino , Pessoa de Meia-Idade , Exercícios de Alongamento Muscular , Estudos ProspectivosRESUMO
An easy, rapid, and inexpensive technique for excision of syringomas from eyelids is outlined, using a fine needle as a skin hook and a #11 scalpel blade and leaving superficial wounds for secondary closure. Possible advantages and disadvantages are discussed. We recommend this procedure as an effective alternative that provides good cosmetic results.
Assuntos
Adenoma/cirurgia , Neoplasias Palpebrais/cirurgia , Neoplasias das Glândulas Sudoríparas/cirurgia , Adulto , Feminino , Humanos , Métodos , Agulhas , Instrumentos CirúrgicosRESUMO
Para los odontólogos dedicados al tratamiento dental infantil, es necesario conocer los posibles riesgos de nuestra terapia, así como los accidentes que pueden ocurrir durante y después de realizada la misma. De esta manera, teniéndolos presentes, así como, conociendo los diferentes tratamientos para solucionar estas emergencias, podremos salvar a nuestro paciente de situaciones que van desde las más leves a aquellas que pueden incluso poner en peligro su vida