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Biomedical subjects

P T Davis

Publications and source records attributed to P T Davis.

10 recordsLinked to original sources
PubMed1998

Comparative efficacy of conservative medical and chiropractic treatments for carpal tunnel syndrome: a randomized clinical trail.

OBJECTIVE: To compare the efficacy of conservative medical care with chiropractic care in the treatment of carpal tunnel syndrome. DESIGN: Two-group, randomized, single-blind trial with 9 wk of treatment and a 1-month follow-up interview. SETTING: Wolfe-Harris Center for Clinical Studies at Northwestern College of Chiropractic in Bloomington, Minnesota. PATIENTS: Ninety-one of 96 eligible subjects who reported symptoms that were confirmed by clinical exam and nerve conduction studies. INTERVENTIONS: Interventions included ibuprofen (800 mg 3 times a day for 1 wk, 800 mg twice a day for 1 wk and 800 mg as needed to a maximum daily dose of 2400 mg for 7 wk) and nocturnal wrist supports for medical treatment. Chiropractic treatment included manipulation of the soft tissues and bony joints of the upper extremities and spine (three treatments/week for 2 wk, two treatments/week for 3 wk and one treatment/week for 4 wk), ultrasound over the carpal tunnel and nocturnal wrist supports. MAIN OUTCOME MEASURES: Outcome measures were pre- and postassessments of self-reported physical and mental distress, nerve conduction studies and vibrometry. RESULTS: There was significant improvement in perceived comfort and function, nerve conduction and finger sensation overall, but no significant differences between groups in the efficacy of either treatment. CONCLUSIONS: Carpal tunnel syndrome associated with median nerve demyelination but not axonal degeneration may be treated with commonly used components of conservative medical or chiropractic care.

Adult↗
PubMed1998

Carpal tunnel syndrome: conservative and nonconservative treatment. A chiropractic physician's perspective.

OBJECTIVE: To discuss the treatment of carpal tunnel syndrome (CTS) including indications for referral to medical evaluation and/or comanagement. DATA SOURCE: More than 200 articles published in the health care literature from 1963 to 1997 and indexed on Medline concerning conservative and surgical intervention for CTS. Indexing terms used were "Carpal Tunnel," combined with keywords "Conservative" and "Surgery." STUDY SELECTION: Reports involving either conservative or non-conservative treatment for CTS or original descriptive reports of surgical techniques of carpal tunnel release. DATA EXTRACTION: Indications and contraindications for each conservative and surgical option. Concise and general descriptions of manual, medical and surgical interventions in current use, including summaries of the benefits and risks of each treatment. DATA SYNTHESIS: The review is presented as a discussion of diagnostic technique and conservative and surgical treatments for CTS currently used in North America. CONCLUSIONS: Recommendations are that CTS, accompanied by demyelination but without axonal degeneration, can be treated initially with conservative medical or manual procedures.

Carpal Tunnel Syndrome↗
PubMed1998

Use of foam bolsters for securing facial skin grafts.

Many methods of securing skin grafts to their recipient beds have been described. A review of the senior author's experience with facial skin cancers over a two-year period revealed that reconstruction with full-thickness skin grafts was employed in 60 of more than 500 cases. This series of 60 cases was reviewed. Uses of foam as a bolster has proven to be a simple, time-conserving and reliable technique that produces consistently excellent results with a low complication rate. The technique is reviewed, along with its advantages and disadvantages.

Face↗
PubMed1997

Facial keloids. A 15-year experience.

BACKGROUND: Keloids are relatively common sequelae of trauma to the skin of the head and neck. A wide variety of treatment approaches developed over the years document the difficulty in eradicating these lesions. OBJECTIVE: To review the senior author's (W.H.L) 15-year experience in treating keloids both medically and surgically. DESIGN: A retrospective analysis of 202 patients with histologically documented keloids of the head and neck with at least a 2-year follow-up. RESULTS: A combination of precise surgical excision, postoperative steroid infiltration, silicone sheeting, and conservative auricular radiotherapy has resulted in an acceptable 15% recurrence rate overall. CONCLUSIONS: The treatment of facial keloids remains a challenge for the facial plastic and reconstructive surgeon. Precise surgical techniques with adjuvant therapies have resulted in a relatively low recurrence rate.

Anti-Inflammatory Agents↗
PubMed1996

Correction of velopharyngeal insufficiency with furlow palatoplasty.

OBJECTIVE: To evaluate the authors' experience with Furlow palatoplasty for velopharyngeal insufficiency. DESIGN: Review of 8 cases over a 3-year period. SETTING: Regional private practice hospital affiliated with a teaching university. PATIENTS: Eight patients aged 4 to 14 years with symptoms and signs of velopharyngeal insufficiency underwent Furlow palatoplasty. Four patients had submucous or soft palate clefts without previous intervention. Four patients had undergone previous surgery for cleft palate. INTERVENTION: All patients underwent Furlow palatoplasty. MAIN OUTCOME MEASURES: Fiberoptic nasopharyngeal examination and speech analysis. RESULTS: Seven of 8 patients exhibited good palate closure and marked improvement in speech. One patient exhibited good closure but had mild nasal emission and hypernasality, which responded to speech therapy after surgery. CONCLUSION: Furlow palatoplasty is a useful technique for the correction of velopharyngeal insufficiency in selected patients.

Adolescent↗
PubMed1989

Adjunctive procedures in surgery of the aging face.

Acceptance of surgical treatment for rejuvenation of the aging face has increased over the past two decades. Face lift (or rhytidectomy) and blepharoplasty remain the basic procedures used in this surgery. Adjunctive procedures such as forehead lift, lipo-suction, chemical peel, chin augmentation, cheek augmentation, collagen injections, hair transplant and permanent eyeliner have been developed to enhance the results of surgery for rejuvenation of the aging face. All of this surgery can be, and usually is, accomplished using local anesthesia with intravenous sedation in an ambulatory surgical facility.

Aging↗