Conventional Vs Electronic digital MediaBased Hands Treatments After Distal Radius Bone fracture

It is objective, economical, non-invasive, comfortable and easy to spread.ObjectiveTo investigate the influence of conventional STI and endoscopic STI on clinical effects and safety of patients with chronic dacryocystitis. MethodOne hundred and ten patients with chronic dacryocystitis were chosen in the period in our hospital and randomly divided into two groups including conventional group（55 patients） with conventional STI and endoscopy group（55 patients） with endoscopic STI. The improvement rate of epiphora symptoms, ocular surface symptoms score before and after treatment, operation time, intraoperative VAS score and postoperative complication rate of both groups were compared. ResultThere was no significant difference in the improvement rate of epiphora symptoms between two groups（P>0.05）. The ocular surface symptoms score after treatment of endoscopy group were significantly less than conventional group（P0.05）. The operation time and intraoperative VAS score of endoscopy group were significantly less than conventional group（P less then 0.05）. The postoperative complication rate of endoscopy group were significantly lower than conventional group（P less then 0.05）. ConclusionConventional STI and endoscopic STI in the treatment of patients with chronic dacryocystitis possess the same clinical effects; but endoscopic STI application can efficiently reduce operation difficulty, relieve intraoperative pain and prevent postoperative complications.ObjectiveTo investigate the long-term efficacy of semicircular canal occlusion in the treatment of refractory Meniere's disease. MethodFifteen patients with Meniere's disease who underwent semicircular canal occlusion were reviewed. The preoperative and postoperative frequency of vertigo ,quality of life, hearing and tinnitus level were compared. All patients were followed for more than 24 months. ResultPostoperatively, vertigo was controlled effectively in all 15 cases, and the control rate was 100%, of which 11 cases were completely controlled（Grade A） and 4 cases were basically controlled（Grade B）. The improvement rate of quality of life was 100%. The hearing worse in 4 cases（26.7%） and stabilized in 11 cases（73.3%）. The tinnitus was relieved in 7 cases（46.7%）, unchanged in 7 cases（46.7%） and aggravated in 1 case（6.7%）. ConclusionSemicircular canal occlusion can effectively control the vertigo symptoms of refractory Meniere's disease and improve the quality of life. The long-term efficacy of semicircular canal occlusion is definite, but there is a risk of hearing loss.ObjectiveTo evaluate the therapeutic outcome and complication of grommet insertion for cancer patients in head and neck suffering from otitis media with effusion following radiotherapy. MethodRetrospectively analyze the clinical data of grommet insertion in patients with head and neck cancer suffering from otitis media with effusion following radiotherapy. check details ResultFifty-five ears in 33 cases of cancer patients in head and neck with otitis media with effusion following radiotherapy had been performed grommet insertion. All patients were revisited seven days after operation, the phonetic frequency hearing in 55 ears had been improved in various degrees, and on average, it was increased 20.79 dB compared to that prior to the procedure. Sensation of the ear fullness had been disappeared in all the ears; the symptoms of tinnitus and headache were relieved in 80% of the patients. However, postoperative complications occurred in 67.3%（37/55） of the ears, including ventilation tube falling out in 11（20%） ears, all of which had been re-catheterized; otorrhea in 10（18.2%） ears, which were healed after antibiotic treatment; Ventilation tube occlusion in 9（16.4%） ears, and they were recanalized after 5% sodium bicarbonate ear drops treatment; tympanic membrane retraction in 4（7.3%） ears, which were restored after eustachian tube blowing; eardrum perforation in 2（3.6%） ears without further treatment; the ventilation tube sliding into the tympanic cavity in 1（1.8%） ear, which was removed by surgery. The grommet was inserted more than twice in 31（56.4%） ears because of complications or recurrence of symptoms after grommet was removed. ConclusionThe grommet insertion is used for the treatment of radiotherapy-induced otitis media with effusion, which can improve the hearing and relieve the discomfort symptoms in ear in such patients. However, the incidence of postoperative complications is high and should be actively prevented to improve the therapeutic effect.ObjectiveTo compare the effect of closure of pharyngeal cavity with linear stapler and manual suture in total laryngectomy. MethodA retrospective study was conducted on 32 patients who underwent total laryngectomy with linear stapler to close the pharyngeal from December 2014 to March 2019. Among them, 25 patients used closed technique and 7 patients used open technique. At the same time, 23 patients who underwent total laryngectomy with manual suture the pharyngeal by the same operator from January 2010 to December 2014 were collected. The clinical parameters of the two groups were compared and analyzed. ResultCompared with the control group, the closed technical group had no significant difference in terms of gender, diabetes mellitus, second surgery, T stage, and surgical method（P> 0.05）. While the age （63.60 ± 9.46） years and （54.35 ± 11.13） years , operation time （239.67 ± 88.43） min and （474.35 ± 140.16） min , oral feeding time （12.84 ± 3.65） min and （17.3 ± 9.71）min , hospitalization days after operation （ 15.48 ± 3.78） d and （20.22 ± 10.14） d, incidence of Pharygocutaneous fistula 4.0% （1/25） and 26.1% （6/23）, had significant statistical differences （P 0.05），while there was a statistically significant difference in diabetes mellitus, second surgery, and operation time （P less then 0.05）. ConclusionThe linear stapler closed closure technique can reduce the incidence of Pharygocutaneous fistula, shorten the operation time and oral feeding time, and reduce the length of hospital stay.