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Biomedical subjects

A M Baruchin

Publications and source records attributed to A M Baruchin.

At least 19 recordsLinked to original sources
PubMed1997

[Salivary gland endoscopy: a new technique for diagnosis and treatment of sialolithiasis].

The use of an endoscopic, minimally invasive technique for the removal of salivary gland stones from the submandibular or parotid duct is described. A 2.0-2.7 mm endoscope is inserted into an incision in the parotid or submandibular duct. When the stone is visualized through the endoscope it is removed using suction and forceps. We used this technique in 45 cases for removal of calculi, screening the ductal system to rule out residual calculi and determination of ductal dilatation. The success rate was 80% and there were no major postoperative complications. To the best of our knowledge these are the first such cases reported in Israel.

Endoscopy↗
PubMed1997

Sialoendoscopy: three years' experience as a diagnostic and treatment modality.

PURPOSE: This article describes the use of endoscopy for treating sialolithiasis and compares this diagnostic method with other diagnostic methods. PATIENTS AND METHODS: Forty-six major salivary glands suspected for obstructive pathology (26 males and 20 females aged 12 to 65 years) were treated using a rigid mini endoscope. The indications for sialoendoscopy were 1) screening the ductal system for any residual calculi after sialolith removal, and 3) determining the status of the major duct lumens. RESULTS: Of the 46 endoscopies attempted, 5 were immediate failures as a result of technical problems. Of the remaining 41 patients, 32 had salivary stones, and nine had sialadenitis without evidence of sialolith formation. Within the former group (22 submandibular and 10 parotid), there were four patients in whom sialolithotomy was unsuccessful (three submandibular and one parotid). Of the 22 patients with submandibular sialolithiasis, seven (32%) were undetected by imaging methods (conventional radiography, sialography, and ultrasound). In the 10 parotid ducts, seven (70%) sialoliths were undetected. In the 28 patients who underwent successful calculus removal, no major post-operative complications were noted. Interesting findings noted during endoscopy were a sphincter-like mechanism in the ductal system, evidence of ductal wall changes associated with the presence of salivary stones, peculiar connection between calculi and the ductal wall, a salivary stone forming around a hair inclusion, and the presence of polyps projecting into the duct lumen. CONCLUSIONS: Endoscopy is a minimally invasive technique for removal of calculi from the salivary glands as well as an excellent diagnostic procedure.

Adolescent↗
PubMed1997

Dermatography with bleomycin as a new treatment for verrucae vulgaris.

BACKGROUND: Common warts are caused by infection with human papillomaviruses (HPVs). Many, largely ineffective, treatment modalities have been tried in the past. The cytostatic drug bleomycin has been found to selectively affect squamous cell and reticuloendothelial tissue, but the method of its delivery directly into affected tissue such as warts has been of little efficacy. This study assessed the efficacy of a new mode of intralesional administration of bleomycin by dermatography. METHODS: The warts of patients were treated with increasing concentrations of bleomycin using the van der Velden Derma-Injector, a modified tattooing machine, under local or block anesthesia. The effects of the procedure were evaluated 1, 24, and 48 h later and the patients followed for up to 2 years. RESULTS: Thirteen patients with warts on the hands and/or feet, resistant to conventional therapy, were entered into the study, and two patients dropped out. Of the 11 remaining patients, seven went into full remission that was maintained for at least 2 years. One patient showed moderate progress and in three patients little progress was noted and dermatography was stopped. The dosage of bleomycin varied between 0.1 and 1.0 mg/mL. CONCLUSIONS: Dermatography proved to be an effective technique for intralesional administration of bleomycin in more than two-thirds of patients resistant to conventional therapy. Treatment failures in this study could in part be explained by a defective immune system in the patients. Dermatography is a technique that can be learned by any skillful dermatologist or plastic surgeon.

Adolescent↗
PubMed1996

[Use of dermatography as treatment method in various medical specialties].

Dermatography is the application of tattooing techniques in medicine. In the past, several techniques were tried but none led to reproducible results. Dermatography has been improved over the last ten years, providing techniques which are both generally applicable and reproducible. It is a suitable treatment modality for permanently camouflaging disturbing discolorations and scars. This paper covers technical and medical aspects of dermatography, as well the indications.

Cicatrix↗
PubMed1996

Hot spring burns.

This case report describes a woman who, while visiting a hot spring, received partial- and full-thickness immersion scald burns of both ankles and heels. The prevention of such accidents is most important; efforts should be made to educate guides and tourists about the potential hazards inherent in these resorts.

Accidental Falls↗
PubMed1995

Human tail.

Explore the source record for details and available documents.

Animals↗
PubMed1995

Dermatography: a method for permanent repigmentation of achromic burn scars.

Dermatography, a refined elaborate tattooing technique, has been used successfully in 52 patients suffering from postburn depigmentation. Materials and methods are simple and safe. Over a 5-year follow-up no adverse reactions or complications were noticed. The cosmetic results were very satisfactory both to the surgeons and to the patients. Dermatography is suggested as an alternative for treating localized achromasia, particularly when other medical therapeutic attempts have failed in repigmenting this often disfiguring condition.

Adolescent↗
PubMed1995

Oro-maxillofacial skeletal deformities resulting from burn scar contractures of the face and neck.

The deforming forces of the scar contracture associated with burns of the head and neck region involve primarily the skin and secondarily the facial musculoskeletal structures. A case of severe face and neck burn accompanied by extreme facial skeletal deformity is reported. Best results are obtained in patients treated properly and promptly by a team including plastic and maxillofacial surgeons as well as orthodontists.

Adult↗
PubMed1995

Utilizing the osseointegration principle for fixation of nail prostheses.

A new osseointegrated anchorage device that holds a prosthetic nail plate was used successfully in eight patients, for a total of nine missing fingernails, secondary to trauma. There was only one early failure associated with patient noncompliance. The average follow-up time was 18 months. Details of the technique and three illustrative cases are presented.

Adolescent↗
PubMed1995

Rhabdomyolysis in paraphenylenediamine intoxication.

Edema of the upper airways and rhabdomyolysis developed in a young patient as a consequence of paraphenylenediamine poisoning. Treatment with adrenaline, steroids and enforced diuresis prevented tracheostomy and renal failure.

Administration, Oral↗
PubMed1995

[All-terrain vehicle accidents].

All-terrain vehicles (ATV) are designed for off-the-road occupational or recreational use. As their popularity has been increasing steadily, information has been accumulating on the morbidity and mortality associated with their use. The attributes of the ATV that make it attractive for recreation and sport are the reasons for much of its danger. Thus, horsepower, speed and ability to travel on rough and uncertain terrain are causal factors for accidents. The poor judgment and risk-taking of many of the young and immature drivers contribute to the great danger. 61 admissions due to ATV accidents from October 1992 to April 1995 are reviewed. The data suggest that ATV riders are at high risk for serious skeletal injuries and death. ATVs clearly present health hazards for riders of all ages, unless they are driven with great care. Guidelines for reducing the number and severity of injuries, such as age limits, safety programs and protective equipment are suggested.

Accident Prevention↗
PubMed1994

[The Amsterdam air disaster--management and fate of casualties].

On Sunday, Oct. 4, 1992, an E1 A1 Boeing cargo plane crashed into a 10-story block of flats in the Bijmermeer, on the outskirts of Amsterdam. About 8 people died at the site of the disaster. 37 patients were treated in local hospitals within 90 minutes of the disaster, 16 of whom were admitted. 3 suffered severe, and 6 moderate burns (> 15% and 10-15% of body surface area, respectively). Although there were relatively few injured, a full-scale disaster response was evoked, providing an opportunity to study the effectiveness of current disaster plans. The rapid response of the ambulance service and the hospitals involved indicates that rehearsing disaster preparations is effective. The dispersal of the injured to several nearby hospitals prevented overloading of casualty departments. Secondary transfer of severely burned patients to the burn center was efficient and followed current guidelines. In retrospect, while communication between the various services might be subject to minor criticism, no problems were encountered which interfered with proper execution of the rescue operation. No one who survived the immediate impact died.

Accidents, Aviation↗
PubMed1994

Salivary gland endoscopy: a new technique for diagnosis and treatment of sialolithiasis.

PURPOSE: To describe the use of endoscopy as a technique for diagnosing and treating sialolithiasis. Sialolithiasis is a common pathology of the major salivary glands, yet its accurate detection and treatment is still intriguing. PATIENTS AND METHODS: Eight cases of sialolithiasis were treated with our new technique which combines endoscopy and treatment. Two illustrative patients treated by this technique are described in detail. CONCLUSION: Endoscopy, has gained popularity in most surgical fields. We found that the available standard equipment used for TMJ arthroscopy can be used for exploration and extraction of calculi from the salivary ductal system.

Adult↗
PubMed1994

Erythema ab igne--a neglected entity?

The author describes two patients with erythema ab igne, a condition which used to be common before the introduction of central heating. Sporadic examples of the condition are still seen and treated.

Adult↗