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181. Editorial Commentary: Perianchor Cysts-We Need More Worries After Rotator Cuff Repair Like We Need Holes in the Head. Full Text available with Trip Pro

Editorial Commentary: Perianchor Cysts-We Need More Worries After Rotator Cuff Repair Like We Need Holes in the Head. Cysts or radiolucent rings are relatively common around suture anchors after rotator cuff repair. The rate of cyst occurrence is similar across anchor types and materials. Generally, perianchor cysts are benign and can be regarded as not affecting clinical outcomes.Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

2019 Arthroscopy

182. Laparoscopic Surgery in the treatment of children with Choledochal Cyst. Full Text available with Trip Pro

Laparoscopic Surgery in the treatment of children with Choledochal Cyst. To evaluate the clinical effectiveness of laparoscopic surgery in the treatment of children with choledochal cyst.Seventy-six children with congenital choledochal cyst who were admitted to our hospital between February 2016 and April 2017 were selected as research subjects. They were evenly divided into an observation group and a control group using random number table, 38 each group. Patients in the observation group (...) with the traditional laparotomy, laparoscopic surgery conforms more to the concept of modern medical minimally invasive treatment and has a significant clinical effect in the treatment of congenital choledochal cyst in children. It can effectively promote the disappearance of clinical symptoms and signs, reduce the incidence of postoperative complications and disease recurrence, and improve the surgical efficacy, suggesting high clinical significance and application values.

2019 Pakistan Journal Of Medical Sciences Controlled trial quality: uncertain

183. Endoscopic Removal of a Cervical Esophageal Duplication Cyst. (Abstract)

Endoscopic Removal of a Cervical Esophageal Duplication Cyst. A 6-month-old female presented for 2 months of noisy breathing. Flexible laryngoscopy showed limited bilateral vocal fold abduction. Computed tomography revealed a non-enhancing 3.6 × 2.3 × 3.5 cystic prevertebral mass spanning C2-T. Using an endoscopic approach, the overlying mucosa was incised, and the cyst was freed and fully excised from the surrounding mucosa with blunt microlaryngeal instruments without complication. Three (...) months postoperatively she had no respiratory issues and was eating well. Flexible laryngoscopy revealed bilateral vocal fold mobility. We propose that endoscopic removal of a cervical esophageal duplication cyst in selected cases is an alternative to open excision. Laryngoscope, 2019.© 2019 The American Laryngological, Rhinological and Otological Society, Inc.

2019 Laryngoscope

184. A 10-year study of the etiopathogenesis of cysts with a study of seromucinous glands in vocal folds. (Abstract)

A 10-year study of the etiopathogenesis of cysts with a study of seromucinous glands in vocal folds. An increasing number of vocal fold cysts excised, as compared to polyps, over the last decade led us to review these cases. We found a statistically significant increase in cysts excised as compared to polyps, over the latter 5-year period (2013-2017). This prompted us to analyze possible factors responsible for this increase. We also performed a histological study of the normative distribution (...) pattern of seromucinous glands in the apparently normal vocal folds.A retrospective review of all cysts and polyps excised over a 10-year period was performed. Patient demographics, air-pollution levels, videostroboscopic findings and histologic analysis of pathology were reviewed. Findings were compared between the initial and latter 5-year period of all cysts excised. The second part of the study entailed a histological study of the presence and distribution pattern of seromucinous glands in 40

2019 Laryngoscope

185. "Trivial" Cysts Redefine the Risk of Cancer in Presumed Branch-Duct Intraductal Papillary Mucinous Neoplasms of the Pancreas: A Potential Target for Follow-Up Discontinuation? (Abstract)

"Trivial" Cysts Redefine the Risk of Cancer in Presumed Branch-Duct Intraductal Papillary Mucinous Neoplasms of the Pancreas: A Potential Target for Follow-Up Discontinuation? The management of small and incidental branch duct intraductal papillary mucinous neoplasms (BD-IPMNs) still is of concern. The aim is assessing the safety of a surveillance protocol through the evaluation of their progression to malignancy.All presumed BD-IPMNs observed from 2000 to 2016 were included. Only patients (...) a median of 62 months. The median cyst growth rate was 0 mm/yr. A growth rate ≥2.5 mm/yr and the development of WF resulted independent predictors of PC. The standardized incidence ratio of PC for trivial BD-IPMN (n = 378) was 22.45 (95% confidence interval 8.19-48.86), but considering only patients aged >65 years (n = 198), it decreased to 3.84 (95% confidence interval 0.77-11.20).Surveillance of the vast majority of presumed BD-IPMNs is safe, as the risk of PC is comparable to postoperative mortality

2019 American Journal of Gastroenterology

186. Timing of choledochal cyst perforation. (Abstract)

Timing of choledochal cyst perforation. Choledochal cyst (CDC) perforation with bile peritonitis is potentially fatal. This study aims to establish the optimal timing for a CDC operation. Data of 133 children with perforated CDCs managed at our institution between August 2011 and July 2017 were reviewed. The perforations were categorized: Type 1: Complete cyst perforation with ascites and general peritonitis (n=52), Type 2: Sealed perforation with a small amount of bile contained

2019 Hepatology

187. Efficacy and safety of Curcuma longa essential oil to inactivate hydatid cyst protoscoleces. Full Text available with Trip Pro

Efficacy and safety of Curcuma longa essential oil to inactivate hydatid cyst protoscoleces. One of the most important ways to cure hydatid cysts is surgery. Today, available chemical drugs have shown severe complications during hydatid cyst surgery. Here we investigated theefficacy and safety of Curcuma longa (C. longa) essential oil (CLEO) against hydatid cysts protoscoleces.Here, the collected protoscoleces from fertile hydatid cysts were exposed to different concentrations of the CLEO (50 (...) ; but, at the dose of 200 μL/mL and an exposure time of 5 min, approximately 100% of protoscoleces were destroyed into the cyst. We found that after intra-peritoneal injection of the CLEO for 14 days, although blood and biochemical parameters were changed; but there was no significant difference in comparison with the control group (p > 0.05).This research demonstrated that C. longa revealed the promising scolicidal effects against protoscoleces in vitro and in vivo, of course, after additional tests; it might

2019 BMC Complementary and Alternative Medicine

188. Proposal for the surgical management of children with laryngeal saccular Cysts: A case series. (Abstract)

Proposal for the surgical management of children with laryngeal saccular Cysts: A case series. This case series aims to determine the optimal surgical approach for pediatric laryngeal saccular cysts. A retrospective chart review of patients who underwent surgical treatment for laryngeal saccular cysts was completed; 5 patients were diagnosed and surgically treated. Treatment approaches included aspiration, supraglottoplasty, injection of bleomycin, endoscopic subtotal resection (...) (marsupialization with the laser or endoscopic instrumentation of the cyst), endoscopic extended subtotal excision (subtotal resection plus removal of false vocal fold with lasering or coblation of the inner cyst wall), and transcervical approaches for resection. Based on our outcomes, an endoscopic extended subtotal resection of the cyst will achieve the best outcomes for cysts confined to the larynx or for Type 1 cysts. A transcervical approach for resection of the cyst will achieve the best outcomes for Type

2019 International Journal of Pediatric Otorhinolaryngology

189. Comprehensive management of infected preauricular sinuses/cysts. (Abstract)

Comprehensive management of infected preauricular sinuses/cysts. To review a single-surgeon, 16-year experience with the management of infected preauricular sinuses/cysts.Computerized search of all office notes and operative reports during the years 2002-2018.Academic medical center and suburban office practice.Children from 0 to 18 years of age with symptomatic preauricular sinuses/cysts.Children with symptomatic preauricular sinuses/cysts underwent surgical excision. Those presenting (...) with infected cysts were treated with oral antibiotics, needle-aspiration and/or incision and drainage to control infection prior to surgery. The chronic preauricular abscesses were curetted without resection of overlying skin or the abscess walls.Control of infection without recurrence following surgery.415 patient encounters involved preauricular sinuses/cysts. These ultimately led to 56 surgical excisions. 28 of the sinuses/cysts were infected at presentation. All infected lesions were treated with oral

2019 International Journal of Pediatric Otorhinolaryngology

190. Cyst Fluid Biosignature to Predict Intraductal Papillary Mucinous Neoplasms of the Pancreas with High Malignant Potential. (Abstract)

Cyst Fluid Biosignature to Predict Intraductal Papillary Mucinous Neoplasms of the Pancreas with High Malignant Potential. Current standard-of-care technologies such as imaging and cyst fluid analysis are unable to consistently distinguish intraductal papillary mucinous neoplasms of the pancreas (IPMN) at high-risk of pancreatic cancer from low-risk IPMN. The objective was to create a single-platform assay to identify IPMN that are at high-risk for malignant progression.Building on the Verona (...) International Consensus Conference BD-IPMN biomarker study, specific protein, cytokine, mucin, DNA, and miRNA cyst fluid targets were identified for creation of a q-PCR based assay as we have previously published. This included mRNA markers: ERBB2, GNAS, IL1b, KRAS, MUCs1, 2, 4, 5AC, 7, PGE2R, PTGER2, PTGES2, PTGES1, TP63; miRNA targets: miRs 101, 106b, 10a, 142, 155, 17, 18a, 21, 217, 24, 30a, 342, 532, 92a, and 99b; and GNAS and KRAS mutational analysis. A multi-institutional international collaborative

2019 Journal of the American College of Surgeons

191. Healing of human critical-size alveolar bone defects secondary to cyst enucleation: a randomized pilot study with 12 months follow-up. (Abstract)

Healing of human critical-size alveolar bone defects secondary to cyst enucleation: a randomized pilot study with 12 months follow-up. Alveolar bone cyst enucleation can give rise to critical-size defects whose healing may be incomplete due to the loss of periosteum or bone walls and there is a paucity of studies investigating the use of immediate bone grafts. The aim of this study was to compare spontaneous healing versus a deproteinized bovine bone graft.In this prospective randomized (...) clinical pilot study, twenty patients requiring the removal of a cyst ≥20 mm in maximum diameter were randomly assigned to one of two groups: deproteinized bovine bone grafting (test) or spontaneous healing (control). Computed tomographies were obtained preoperatively and 12 months after surgery and the radiolucent volumes were compared. Residual radiological morphology and clinical outcomes at 7 days and 1, 6 and 12 months after surgery were also assessed.The median percentage reduction in the volume

2019 Minerva stomatologica Controlled trial quality: uncertain

192. Comparison of elliptical excision versus punch incision for the treatment of epidermal inclusion cysts: A prospective, randomized study. Full Text available with Trip Pro

Comparison of elliptical excision versus punch incision for the treatment of epidermal inclusion cysts: A prospective, randomized study. 29229572 2019 01 03 2019 01 03 1097-6787 79 2 2018 Aug Journal of the American Academy of Dermatology J. Am. Acad. Dermatol. Comparison of elliptical excision versus punch incision for the treatment of epidermal inclusion cysts: A prospective, randomized study. 360-361 S0190-9622(17)32765-2 10.1016/j.jaad.2017.12.011 Cheeley Justin J Department of Dermatology (...) Trial 2017 12 09 United States J Am Acad Dermatol 7907132 0190-9622 IM Aged Epidermal Cyst surgery Female Humans Male Middle Aged Patient Satisfaction Postoperative Complications epidemiology Prospective Studies Single-Blind Method Surgical Wound Treatment Outcome 2017 08 30 2017 11 30 2017 12 04 2017 12 13 6 0 2019 1 4 6 0 2017 12 13 6 0 ppublish 29229572 S0190-9622(17)32765-2 10.1016/j.jaad.2017.12.011

2019 Journal of the American Academy of Dermatology Controlled trial quality: uncertain

193. An Infected Urachal Cyst in a 4-Year-Old Girl Presenting with Recurrent Abdominal Pain. (Abstract)

An Infected Urachal Cyst in a 4-Year-Old Girl Presenting with Recurrent Abdominal Pain. Urachal cysts are remnants of urachal ducts and usually present when they get infected or undergo malignant transformation.A 4-year-old girl presented to the Emergency Department (ED) with intermittent abdominal pain, fever, dysuria, and umbilical swelling. She was diagnosed with an abscess related to an infected urachal cyst by ultrasound. The patient was treated with antibiotics, and the abscess (...) was drained by Interventional Radiology with ultrasound guidance. She recovered uneventfully and was discharged home. The urachal cyst was excised a month later. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Though urachal cysts are rare, it is important to consider this entity in the differential diagnosis of acute abdomen and recurrent abdominal pain in the ED setting.Copyright © 2019 Elsevier Inc. All rights reserved.

2019 Journal of Emergency Medicine

194. Incidence and Risk Factors for Meniscal Cyst After Meniscal Repair. (Abstract)

Incidence and Risk Factors for Meniscal Cyst After Meniscal Repair. To investigate the incidence of magnetic resonance imaging-confirmed cyst formation after meniscal repair and to analyze associated risk factors.This retrospective study included cases repaired arthroscopically with the all-inside (AI) technique (using suture anchors) and/or the inside-out (IO) technique between October 2008 and December 2014. A meniscal cyst was detected on T2 fat-suppressed magnetic resonance images. All (...) cases were divided into 3 groups according to the repair method (AI, IO, and combined technique). The incidence of radiographically confirmed meniscal cyst formation in each group and the associated risk factors (age, sex, AI device, medial meniscus, Tegner activity scale preinjury) were analyzed.A total of 102 menisci in 96 knees were evaluated. The mean follow-up period was 3.8 (range, 2-8) years. The mean patient age was 21.0 (range, 6-53) years. Thirty cases were in the AI group, 60 in the IO

2019 Arthroscopy

195. Lipid Peroxidation Drives Renal Cyst Growth <i>In Vitro</i> through Activation of TMEM16A. Full Text available with Trip Pro

Lipid Peroxidation Drives Renal Cyst Growth In Vitro through Activation of TMEM16A. Transepithelial chloride- secretion, through the chloride channels cystic fibrosis transmembrane conductance regulator (CFTR) and TMEM16A (anoctamin 1), drives cyst enlargement in polycystic kidney disease (PKD). Polycystic kidneys are hypoxic, and oxidative stress activates TMEM16A. However, mechanisms for channel activation in PKD remain obscure.Using tissue samples from patients with autosomal dominant (...) PKD, embryonic kidney cultures, and an MDCK in vitro cyst model, we assessed peroxidation of plasma membrane phospholipids in human and mouse polycystic kidneys. We also used electrophysiologic Ussing chamber and patch clamp experiments to analyze activation of TMEM16A and growth of renal cysts.Peroxidation of phospholipids in human and mouse kidneys as well as MDCK cysts in vitro is probably due to enhanced levels of reactive oxygen species. Lipid peroxidation correlated with increased cyst

2019 Journal of the American Society of Nephrology

196. Papillary glioblastoma exhibiting a neuroradiological cyst with a mural nodule: A case report. Full Text available with Trip Pro

Papillary glioblastoma exhibiting a neuroradiological cyst with a mural nodule: A case report. Glioblastomas are malignant, infiltrating gliomas classified as grade IV by the World Health Organization. Genetically, most glioblastomas do not exhibit the isocitrate dehydrogenase (IDH) 1/2 gene mutation and rarely harbor the 1p/19q co-deletion. Neuroradiologically, glioblastomas rarely form a cyst with a mural nodule lesion.In this study, a 78-year-old woman, with speech difficulty

2019 Medicine

197. Knee osteoarthritis patients with more subchondral cysts have altered tibial subchondral bone mineral density. Full Text available with Trip Pro

Knee osteoarthritis patients with more subchondral cysts have altered tibial subchondral bone mineral density. Subchondral bone cysts are a widely observed, but poorly understood, feature in patients with knee osteoarthritis (OA). Clinical quantitative computed tomography (QCT) has the potential to characterize cysts in vivo but it is unclear which specific cyst parameters (e.g., number, size) are associated with clinical signs of OA, such as disease severity or pain. The objective (...) of this study was to use QCT-based image-processing techniques to characterize subchondral tibial cysts in patients with knee OA and to explore relationships between proximal tibial subchondral cyst parameters and subchondral bone density as well as clinical characteristics of OA (alignment, joint space narrowing (JSN), OA severity, pain) in patients with knee OA.The preoperative knee of 42 knee arthroplasty patients was scanned using QCT. Patient characteristics were obtained, including OA severity, knee

2019 BMC Musculoskeletal Disorders

198. Transcranial endoscopic treatment of thalamic neuroepithelial cyst: case report and review of the literature. (Abstract)

Transcranial endoscopic treatment of thalamic neuroepithelial cyst: case report and review of the literature. Thalamic neuroepithelial cysts are rare, benign lesions. Thirteen cases have been published in eight articles. The most frequent symptoms are headache, hemiparesis, tremor and related signs of hydrocephalus such as gait disturbance, confusion, and Paranaud's syndrome. Surgical interventions include endoscopic fenestration, open surgery and stereotaxic biopsy or aspiration. We report (...) a case of a 63-year-old woman who had headache and right hemiparesis for 1 week, but no hydrocephalus. We treated her with transcranial neuronavigation-guided endoscopic complete resection. The patient recovered completely after cyst removal.

2019 British Journal of Neurosurgery

199. Differentiation between hepatic cystic echinococcosis types 1 and simple hepatic cysts: A retrospective analysis. Full Text available with Trip Pro

Differentiation between hepatic cystic echinococcosis types 1 and simple hepatic cysts: A retrospective analysis. This study aims to evaluate the clinic value of ultrasound, computed tomography (CT) and serological testing in the differentiation between hepatic Cystic Echinococcosis (CE) types 1 and simple hepatic cysts.Totally 50 patients with CE Types 1 and 50 patients with simple hepatic cysts were included. All patients examined by ultrasound, CT and serological testing respectively (...) %, positive likelihood ratio was 3.07, and negative likelihood ratio was 0.19. Disease prevalence was 50%, positive predictive value was 75.44%, and negative predictive value was 83.72%. Combined ultrasound and immunological test, the sensitivity and the specificity was 82% and 100% respectively. Combined CT and immunological test, the sensitivity the specificity was 70% and 82% respectively.In the differentiate diagnosis of CE Types 1 and simple hepatic cyst, ultrasound is better than CT with high

2019 Medicine

200. Intramedullary bronchogenic cyst in the foramen magnum region accompanied with syringomyelia: A case report and literature review. Full Text available with Trip Pro

Intramedullary bronchogenic cyst in the foramen magnum region accompanied with syringomyelia: A case report and literature review. Bronchogenic cysts refer to congenital anomalies derived from the primitive foregut. Spinal bronchogenic cysts are uncommon entities, and those occurring in the intramedullary sites are extremely rare. Bronchogenic cysts involving the foramen magnum region have only been described in 2 cases; however, intramedullary bronchogenic cysts with syringomyelia have not yet (...) was performed via a posterior midline approach. Under neurophysiological monitoring, the cyst was punctured, yielding gelatinous liquid. The dorsal part of the cystic wall was removed. One month postoperatively, the symptoms were resolved completely. Three months after operation, MRI showed no recurrence of the cyst and the syringomyelia disappeared.Intramedullary bronchogenic cysts with syringomyelia are extremely rare. Preoperative identification is challenging and definitive diagnosis depends

2019 Medicine

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