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Golher DM, Patel BHM, Bhoite SH, Syed MI, Panchbhai GJ, Thirumurugan P. Factors influencing water intake in dairy cows: a review. Int J Biometeorol 2021; 65:617-625. [PMID: 33145618 DOI: 10.1007/s00484-020-02038-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/29/2019] [Revised: 09/20/2020] [Accepted: 10/20/2020] [Indexed: 06/11/2023]
Abstract
Water is a very critical nutrient in the diet of lactating animals as it performs several functions, viz., transfer of nutrients and excretions of waste products produced during metabolism, digestion, and body temperature regulation of all living organisms. Besides growth, other parameters like milk production, reproduction, adaptive potential, and feed consumption are also influenced by water status in feed and body reserves. Water intake in dairy cows is influenced directly or indirectly by several factors; direct factors include animal-related factors such as breed, body size, physiological stage, age, health, stress, and ecological adaptations and environmental factors, viz., season of the year, environmental temperature, humidity, wind speed, and precipitation. These factors significantly influence the drinking water intake of dairy cows. Nonetheless, different managemental practices such as rearing type, feeding practices, housing, water availability, and its quality can also affect water intake indirectly. However, overall understanding of these factors affecting water intake in dairy cows could help to improve the dairy husbandry practices and subsequently health, production, and welfare of dairy cows.
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Affiliation(s)
- D M Golher
- Government of Maharashtra, Mumbai, India.
| | - B H M Patel
- LPM Section, Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, India
| | - S H Bhoite
- Department of Animal Husbandry, Livestock Supervisor Shivankhed, Zilla Parishad Latur, Latur, Maharashtra, India
| | - M I Syed
- Saint Alphonsus Medical Group, Ontario, OR, USA
| | | | - P Thirumurugan
- Central Sheep and Wool Research Institute, Avikanagar, Tonk, Malpura, Rajasthan, 304501, India
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Gohil RD, Syed MI. The SIGN 104 guideline (2014) for topical antibiotic prophylaxis during grommet insertion: Misguided? Clin Otolaryngol 2017; 43:394-395. [PMID: 28800202 DOI: 10.1111/coa.12952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/07/2017] [Indexed: 11/28/2022]
Affiliation(s)
- R D Gohil
- Department of Otolaryngology & Skull Base Surgery, The Royal Infirmary of Edinburgh, Edinburgh, UK
| | - M I Syed
- Department of Otolaryngology & Skull Base Surgery, The Royal Infirmary of Edinburgh, Edinburgh, UK
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Syed MI, Leis JA, Ilan O, Gold WL, Pothier DD, Rutka JA. Vestibulotoxicity with systemic gentamicin in different dosing regimens: Our experience in 46 patients. Clin Otolaryngol 2017; 42:1091-1095. [PMID: 28296174 DOI: 10.1111/coa.12865] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/04/2017] [Indexed: 11/29/2022]
Affiliation(s)
- M I Syed
- Otolaryngology, The Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
| | - J A Leis
- Division of Infectious Diseases, Department of Medicine, University of Toronto & Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, ON, Canada
| | - O Ilan
- Otology/Neurotology, University Health Network, Toronto, ON, Canada
| | - W L Gold
- Toronto General Research Institute, University Health Network, Toronto, ON, Canada
| | - D D Pothier
- Otology/Neurotology, University Health Network, Toronto, ON, Canada
| | - J A Rutka
- Otology/Neurotology, University Health Network, Toronto, ON, Canada
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4
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Syed MI, Ilan O, Nassar J, Rutka JA. Intratympanic therapy in Meniere's syndrome or disease: up to date evidence for clinical practice. Clin Otolaryngol 2016; 40:682-90. [PMID: 25916787 DOI: 10.1111/coa.12449] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/21/2015] [Indexed: 01/01/2023]
Abstract
BACKGROUND Meniere's syndrome or disease (MS/D) is typically characterised by episodic vertigo, aural fullness, tinnitus and fluctuating hearing loss. There are multiple options available for treatment with variation in consensus on the best intervention. OBJECTIVE To evaluate the evidence on the efficacy of intratympanic therapies [steroids, gentamicin, antivirals and other therapies] on the frequency and severity of vertigo and other symptoms of MS/D. SEARCH STRATEGY A literature search was performed on AMED, EMBASE, HMIC, MEDLINE, PsycINFO, BNI, CINAHL, HEALTH BUSINESS ELITE, CENTRAL and Cochrane Ear, Nose and Throat disorders group trials register using various MeSH. The search was restricted to English and human subjects, and the last date of search was December 2014. SELECTION CRITERIA Randomised controlled trials of intratympanic therapies [steroids, gentamicin antivirals and latanoprost] versus a placebo or another treatment. RESULTS We analysed 8 RCT's comparing intratympanic steroids, gentamicin, ganciclovir (antiviral) and latanoprost versus another form of intratympanic treatment or placebo. CONCLUSIONS On the basis of 6 RCT's (n = 242), there is evidence to support the effectiveness of intratympanic steroids and gentamicin to control symptoms of vertigo in MS/D albeit with a risk of hearing loss with gentamicin. However, there was no consensus found on doses or treatment protocols. There was no evidence to support the use of other forms of intratympanic therapy (antivirals and latanoprost) in MS/D.
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Affiliation(s)
- M I Syed
- Otology & Skull base surgery, The Royal Infirmary of Edinburgh, Scotland, UK
| | - O Ilan
- Otology/Neurotology, University Health Network, Toronto, ON, Canada, M5G 2C4
| | - J Nassar
- Otology/Neurotology, University Health Network, Toronto, ON, Canada, M5G 2C4
| | - J A Rutka
- Otology/Neurotology, University Health Network, Toronto, ON, Canada, M5G 2C4
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Sarode D, Bari DA, Cain AC, Syed MI, Williams AT. The benefit of silicone stents in primary endonasal dacryocystorhinostomy: a systematic review and meta-analysis. Clin Otolaryngol 2016; 42:307-314. [PMID: 27614030 DOI: 10.1111/coa.12751] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/05/2016] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To critically evaluate the evidence comparing success rates of endonasal dacryocystorhinostomy (EN-DCR) with and without silicone tubing and to thus determine whether silicone intubation is beneficial in primary EN-DCR. DESIGN Systematic review and meta-analysis. SEARCH STRATEGY A literature search was performed on AMED, EMBASE, HMIC, MEDLINE, PsycINFO, BNI, CINAHL, HEALTH BUSINESS ELITE, CENTRAL and Cochrane Ear, Nose and Throat disorders groups trials register using a combination of various MeSH. The date of last search was January 2016. This review was limited to randomised controlled trials (RCTs) in English language. Risk of bias was assessed using the Cochrane Collaboration's risk of bias tool. Chi-square and I2 statistics were calculated to determine the presence and extent of statistical heterogeneity. EVALUATION METHOD Study selection, data extraction and risk of bias scoring were performed independently by two authors in concordance with the PRISMA statement. RESULTS Five RCTs (447 primary EN-DCR procedures in 426 patients) were included for analysis. Moderate interstudy statistical heterogeneity was demonstrated (Chi2 = 6.18; d.f. = 4; I2 = 35%). Bicanalicular silicone stents were used in 229 and not used in 218 procedures. The overall success rate of EN-DCR was 92.8% (415/447). The success rate of EN-DCR was 93.4% (214/229) with silicone tubing and 92.2% (201/218) without silicone tubing. Meta-analysis using a random-effects model showed no statistically significant difference in outcomes between the two groups (P = 0.63; RR = 0.79; 95% CI = 0.3-2.06). CONCLUSIONS Our review and meta-analysis did not demonstrate an additional advantage of silicone stenting. A high-quality well-powered prospective multicentre RCT is needed to further clarify on the benefit of silicone stents.
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Affiliation(s)
- D Sarode
- Department of Otolaryngology, The Royal Infirmary of Edinburgh, Scotland, UK
| | - D A Bari
- Department of Otolaryngology, The Royal Infirmary of Edinburgh, Scotland, UK
| | - A C Cain
- Raigmore Hospital, Inverness, Scotland, UK
| | - M I Syed
- Department of Otolaryngology, The Royal Infirmary of Edinburgh, Scotland, UK
| | - A T Williams
- Department of Otolaryngology, The Royal Infirmary of Edinburgh, Scotland, UK
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Syed MI, Wolf A, Ilan O, Hughes CO, Chung J, Tymianski M, Pothier DD, Rutka JA. The behaviour of residual tumour after the intentional incomplete excision of a vestibular schwannoma: is it such a bad thing to leave some behind? Clin Otolaryngol 2016; 42:92-97. [PMID: 27158933 DOI: 10.1111/coa.12670] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/02/2016] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To evaluate the biological behaviour of tumour remnants intentionally left in the surgical bed following the incomplete excision of vestibular schwannomas (VS) and to review the relation between extent of resection and preservation of facial nerve function. METHODS A retrospective chart review of 450 patients who underwent surgery for resection of VS over 23 years (1992-2014). Of these, 50 (11%) patients had residual tumour intentionally left on/around the facial nerve (near-total or subtotal excision) to preserve facial nerve function intra-operatively. The growth of residual tumour was evaluated using serial magnetic resonance imaging scanning; pre- and postoperative facial nerve function was assessed using the House-Brackmann grading scale. SETTING Tertiary referral neurotology unit. RESULTS Of the 42 non-NF2 cases where the tumour was intentionally incompletely excised, 28 (67%) patients underwent subtotal resection (mean follow-up 68.5 ± 39.0 months) and 14 (33%) underwent near-total resection (mean follow-up 72.9 ± 48.3 months). Three patients (all in subtotal resection group) showed regrowth. This was not statistically different from the near-total resection group (χ2 = 0.92, P = 0.31). The mean overall growth for these cases was 0.68 mm ± 0.32 mm/year. 5 (one near total, four subtotal) of the eight NF2 patients (62.5%) were excluded from our analysis. In the non-NF2 group, poor facial nerve outcomes (House-Brackmann scores of III-IV) were seen in 2/14 and V-VI in 3/14 of the near total compared with 7/25 and 4/25 respectively in the subtotal group. CONCLUSIONS Given that the primary surgery for the VS was only for tumours that were relatively large or grew during conservative treatment, the low rate of tumour remnant growth (7%) is reassuring. It may be appropriate to have a lower threshold for leaving tumour on the facial nerve in non-NF2 patients where complete resection may jeopardise facial nerve function.
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Affiliation(s)
- M I Syed
- TWJ fellow in Otology/Neurotology, University Health Network, Toronto, ON, Canada
| | - A Wolf
- Otology/Neurotology, University Health Network, Toronto, ON, Canada
| | - O Ilan
- Otology/Neurotology, University Health Network, Toronto, ON, Canada
| | - C O Hughes
- Otology/Neurotology, University Health Network, Toronto, ON, Canada
| | - J Chung
- Otology/Neurotology, University Health Network, Toronto, ON, Canada
| | - M Tymianski
- Neurosurgery, University Health Network, Toronto, ON, Canada
| | - D D Pothier
- Otology/Neurotology, University Health Network, Toronto, ON, Canada
| | - J A Rutka
- Otology/Neurotology, University Health Network, Toronto, ON, Canada
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Syed MI, Rutka JA, Hendry J, Browning GG. Positive pressure therapy for Meniere's syndrome/disease with a Meniett device: a systematic review of randomised controlled trials. Clin Otolaryngol 2016; 40:197-207. [PMID: 25346252 DOI: 10.1111/coa.12344] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2014] [Indexed: 11/28/2022]
Abstract
BACKGROUND Incidence rates of Meniere's syndrome/disease vary considerably from 157 per 100 000 in the United Kingdom to 15 per 100 000 in the United States. A wide range of treatments are used for the treatment of the condition with no consensus on the most effective intervention. OBJECTIVES To assess the effectiveness of the Meniett device in reducing the frequency and severity of vertigo in Meniere's syndrome/disease. SEARCH METHODS The Cochrane Ear, Nose and Throat Disorders Group Trials Register; the Cochrane Central Register of Controlled Trials (CENTRAL); PubMed; EMBASE; CINAHL; Web of Science; BIOSIS Previews; Cambridge Scientific abstracts; ICTRP and additional sources for published and unpublished trials were searched. The date of the last search was 13th May 2014. SELECTION CRITERIA Four randomised controlled trials (RCTs) were identified that compared the efficacy of the Meniett device versus a placebo device in patients with Meniere's 'disease' as defined by the AAOO criterion. DATA COLLECTION AND ANALYSIS Two review authors independently assessed study eligibility and risk of bias and extracted data. The outcome data were dichotomous for all the included trials. MAIN RESULTS The four RCTs compared 123 patients with the Meniett device against 114 patients with the placebo device from four RCT's over a follow-up period of 2 weeks to 4 months. There was a significant overall 61% reduction in the frequency of vertigo in both groups (mean no vertigo days per month of 8-3). However, this reduction was not significantly different between the two groups in any study or on meta-analysis [mean difference in vertigo-free days between Meniett and placebo device of 0.77 days over a 1-month period (95% CI - 0.82, 1.83) P = 0.45]. There were also no substantive data to support a greater reduction in the severity of the vertigo or any other outcome with the Meniett device compared with the placebo device. AUTHORS CONCLUSIONS No evidence was found to justify the use of the Meniett device in Meniere's syndrome/disease.
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Affiliation(s)
- M I Syed
- Department of Otolaryngology, The Royal Infirmary, Edinburgh, UK
| | - J A Rutka
- Department of Otolaryngology, University of Toronto, University Health Network, Toronto, ON, Canada
| | - J Hendry
- Department of Surgery, Glasgow Royal Infirmary, Glasgow, UK
| | - G G Browning
- Department of Otolaryngology, MRC/CSO Institute of Hearing Research, Glasgow, UK
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Syed MI, Ilan O, Nassar J, Rutka JA. The 'Toronto Meatoplasty' revisited. Clin Otolaryngol 2015; 42:1115-1117. [PMID: 26584687 DOI: 10.1111/coa.12550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/25/2015] [Indexed: 11/26/2022]
Affiliation(s)
- M I Syed
- Department of Otology & Neurotology, University Health Network, Toronto, ON, Canada
| | - O Ilan
- Department of Otology & Neurotology, University Health Network, Toronto, ON, Canada
| | - J Nassar
- Department of Otology & Neurotology, University Health Network, Toronto, ON, Canada
| | - J A Rutka
- Department of Otology & Neurotology, University Health Network, Toronto, ON, Canada
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Syed MI, Rutka JA, Pothier DD. Response to: 'The use of Phenol as a topical anaesthetic for the tympanic membrane'. Clin Otolaryngol 2015; 40:506-7. [PMID: 26347265 DOI: 10.1111/coa.12471] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/19/2015] [Indexed: 11/30/2022]
Affiliation(s)
- M I Syed
- Department of Otology/Neurotology, University Health Network, Toronto, ON, Canada.
| | - J A Rutka
- Department of Otology/Neurotology, University Health Network, Toronto, ON, Canada
| | - D D Pothier
- Department of Otology/Neurotology, University Health Network, Toronto, ON, Canada
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10
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Syed MI, Ilan O, Rutka JA. A simple technique for minor salivary gland and oral biopsy in the clinic: our experience. Clin Otolaryngol 2015; 40:403-4. [PMID: 26179696 DOI: 10.1111/coa.12335] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2014] [Indexed: 11/29/2022]
Affiliation(s)
- M I Syed
- Department of Otology/Neurotology, University Health Network, Toronto, ON, Canada
| | - O Ilan
- Department of Otology/Neurotology, University Health Network, Toronto, ON, Canada
| | - J A Rutka
- Department of Otology/Neurotology, University Health Network, Toronto, ON, Canada
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Syed MI. Comment on: Controversies in the management of sudden sensorineural hearing loss (SSNHL): an evidence based review. Clin Otolaryngol 2015; 40:293-4. [PMID: 25967888 DOI: 10.1111/coa.12399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/12/2015] [Indexed: 11/27/2022]
Affiliation(s)
- M I Syed
- Otology and Skull Base Surgery, The Royal Infirmary of Edinburgh, Edinburgh, UK.
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Syed MI, Rutka JA, Pothier DD. Application of phenol as topical anaesthesia using the Derlacki elevator for myringotomy. [corrected]. Clin Otolaryngol 2015; 40:69-70. [PMID: 25610986 DOI: 10.1111/coa.12339] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- M I Syed
- Otology/Neurotology, University Health Network, Toronto, ON, Canada.
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Magos TA, Syed MI, Montague ML. Re: More codeine fatalities after tonsillectomy in North American children: time to revise prescribing practice! Clin Otolaryngol 2014; 39:69. [PMID: 24575927 DOI: 10.1111/coa.12216] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/10/2014] [Indexed: 11/28/2022]
Affiliation(s)
- T A Magos
- Royal Hospital for Sick Children, Edinburgh, UK
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14
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Syed MI, Head EJ, Madurska M, Hendry J, Erikitola OC, Cain AJ. Endoscopic primary dacryocystorhinostomy: are silicone tubes needed? Our experience in sixty three patients. Clin Otolaryngol 2014; 38:406-10. [PMID: 23863099 DOI: 10.1111/coa.12152] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/12/2013] [Indexed: 11/27/2022]
Affiliation(s)
- M I Syed
- Raigmore Hospital, Inverness, UK
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Syed MI, Montague ML. Re: Response to Magos et al. Clin Otolaryngol 2014; 39:198-9. [PMID: 24954738 DOI: 10.1111/coa.12260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/17/2014] [Indexed: 11/29/2022]
Affiliation(s)
- M I Syed
- Royal Hospital for Sick Children, Edinburgh, UK.
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Syed MI, Magos TA, Sim DW. Re: Combined meatoplasty and canalplasty for intractable chronic otitis externa: our experience of twenty cases with audiometric and patient-reported outcomes. Clin Otolaryngol 2014; 39:132. [PMID: 24841060 DOI: 10.1111/coa.12235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/04/2014] [Indexed: 11/27/2022]
Affiliation(s)
- M I Syed
- Otolaryngology, The Royal Infirmary, Edinburgh, UK.
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Syed MI, Ali S, Williams AT. Plastic sheeting of septal perforations. Clin Otolaryngol 2010; 35:154-5. [PMID: 20500595 DOI: 10.1111/j.1749-4486.2010.02087.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Syed MI, Patel NA, Jan S, Shaikh A, Grunden B, Morar K. Symptomatic refractures after vertebroplasty in patients with steroid-induced osteoporosis. AJNR Am J Neuroradiol 2006; 27:1938-43. [PMID: 17032871 PMCID: PMC7977917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
BACKGROUND AND PURPOSE Refracture after percutaneous vertebroplasty in patients receiving oral glucocorticoid therapy has caused some patients and referring physicians to have negative perceptions concerning the efficacy of the initial vertebroplasty treatment. The purpose of this study was to analyze symptomatic refractures after vertebroplasty in patients on oral steroid therapy. We hypothesized that the higher refracture rate of patients on oral glucocorticoid therapy after percutaneous vertebroplasty is due not to an inadequacy of the procedure but rather to a naturally higher predisposition of these patients to refracture compared with patients with primary osteoporosis. METHODS A retrospective analysis was performed on all osteoporosis patients having initial vertebroplasty from August 1999 to August 2003. The follow-up period was limited to 1 year after initial vertebroplasty session, with the last follow-up date ending in August 2004. Data were collected on 387 osteoporosis patients. RESULTS Of the patients with primary osteoporosis, 20.6% patients refractured whereas 37.8% of the patients with steroid-induced osteoporosis had symptomatic refractures within 1 year of initial vertebroplasty. Relative risk of refracture within 1 year for the patients with steroid-induced osteoporosis was 1.84 compared with the patients with primary osteoporosis. In addition, the patients with steroid-induced osteoporosis were more likely to refracture after their second treatment session (within 1 year of initial vertebroplasty) than those with primary osteoporosis. CONCLUSION Patients presenting on oral steroid therapy at their initial vertebroplasty are almost twice more likely to have symptomatic refractures than primary osteoporosis patients within 1 year of initial vertebroplasty.
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Affiliation(s)
- M I Syed
- Department of Radiology, Mercy Medical Center, Springfield, Ohio, 45501-1380, USA.
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Syed MI, Jan S, Patel NA, Shaikh A, Marsh RA, Stewart RV. Fatal fat embolism after vertebroplasty: identification of the high-risk patient. AJNR Am J Neuroradiol 2006; 27:343-5. [PMID: 16484407 PMCID: PMC8148788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
We report a rare complication of autopsy-proven fat and bone marrow embolization following percutaneous vertebroplasty in a patient who had no evidence of cement leakage. Cement injection was done during one patient encounter, covering 3 vertebral levels by using a unipedicular approach. Patients may have complications even without polymethylmethacrylate leakage.
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Affiliation(s)
- M I Syed
- Department of Radiology, Mercy Medical Center, Springfield, Ohio 45501-1308, USA
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Morar KN, Syed MI, Patel JK, Shaikh A. Embolization of Middle Hemorrhoidal Artery in the Management of Life-threatening Rectal Bleeding. Cardiovasc Intervent Radiol 2005; 29:128-9. [PMID: 16418900 DOI: 10.1007/s00270-003-4092-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2003] [Accepted: 06/19/2003] [Indexed: 10/25/2022]
Affiliation(s)
- K N Morar
- Department of Interventional Radiology, Mercy Medical Center, Springfield, OH 45504, USA
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