Mucoperiosteal Flap Types, Procedure, Design, Elevation

Mucoperiosteal flap is a membrane type covering or flap which consist of skin specially involving subcutaneous tissue. It also consist of a pedicle  which is made up of nutrient vessel. Mucoperiosteal flap is defined as a separate section of oral mucosal line, gingiva and underlying periosteum helping in periodontal surgery. It is also of great help in tooth extraction technique. The formation of mucoperiosteal flap is considered necessary or essential in case if minor oral surgeries. Some of the minor oral surgeries include enucleation of cystic lesions, impacted teeth and apicectomy.

During oral surgeries, it is the basic principle to make everything in oral cavity visible. This is so because, it avoids possible complications with the adjacent tissues or organs. This flap is designed for the purpose of good surgical exposure. When the incision of flap is planned, the destruction of normal epithelial lining attached to it should be avoided. There are various techniques designed but most of them are forgotten. Some if the techniques are useful in case if patients facing unusual complications. So it is concluded that mucoperiosteal flap formation is necessary during minor oral surgeries. It makes the surgery easier and more convenient for both patient and surgeon.

Mucoperiosteal Flap Types, Procedure, Design, Elevation

Mucoperiosteal Flap Procedure

Mucoperiosteal flap can be created with the help of simpler tools. The site where surgery is required , a small incision is made which should be at least 0.5 to 1mm away from gingival line. Now the flap is elevated or removed from the site. Now the inner structure is clear and visible to the surgeon. The incision made should be circular. The granulation tissues are removed. After completing surgery, the flap is placed again to its original position and fix it permanently. This is a simple procedure but it is also the most helpful one.

Mucoperiosteal Flap Design & Types

On the basis of design of mucoperiosteal flap, it is divided in to it's types. Its types are

  • Envelop /sulcular flap It is edentulous and it is created at the crest of the ridge and for the removal of mandibular torus.
  • Tooth anterior and tooth posterior. According to the site.
  • Pedicle Flap. It mobilizes from one area to another with a filling of soft tissue in defect. The oroantral communications are closed.
  • Semilunar Incision. It approach the root apex. It is useful for Peri epical surgery. It avoids trauma to the papilae and gingival margin.

Mucoperiosteal Flap Elevation

The elevation of mucoperiosteal flap is considered important in case of movement if teeth. When the heavy full thickness mucoperiosteal flap is elevated, it ultimately increases the risk of increased movement of teeth. The movement of teeth may increases up to 24 to 31 percent. Due to elevation of mucoperiosteal flap, the bone volume fraction also decreases. The density of mandibular bone in the surgical area also decreases. This allows the acceleration of tooth movement. So to avoid these complications, a thin mucoperiosteal flap should be elevated to have a clear view for the surgery. And proper care is required for that purpose.

Fascioplasty Definition, Procedure, Complications, Indications

Fascioplasty as the name indicates is the surgical procedure in which the fascia is surgically improved. Fascioplasty depends upon the location of fascia in body. Basically fascia is the sheet of connective tissues i.e. collagen. It is present just beneath the skin and it's main function is to provide stabilization and attachment. It's main function is to separate vital organs from muscles. Fascia has three main layers I.e. superficial fascia, deep fascia and visceral or parietal fascia. It is also classified on the basis of anatomical and functional location. Fascioplasty is like plastic surgery and moulding or shaping of skin.

There is a term fasciotomy which is different from fascioplasty. In fasciotomy small cuts or incisions are made on skin to release pressure And relief tension but fascioplasty is the complete moulding of skin. Fascioplasty can be performed for any part of body. Fascia is located in between the layers of muscles and around muscles. And there Are some techniques which are used to repair muscles. One of which is myoplasty. Myoplasty is the surgical procedure to mould and repair muscles surgically. Fascioplasty is performed only in case of burnt skin or any other severe skin disease which cannot be repaired with the help of medications.

Fascioplasty Definition, Procedure, Complications, Indications

Fascioplasty Procedure

Fascioplasty is performed to improve the fascia of skin. Fascia is an important part of skin which has a major function of differentiating organs from muscles. In fascioplasty, the desired region is sprayed with local anesthesia. Then the damaged or burnt skin is removed with the help of surgical instruments. It should not be removed with the hands directly. For the removal of damaged fascia, incision is made. Incision or small cut make the removal easier. Then the affected site is replaced with an artificial fascia which looks natural.

Fascioplasty Contraindications

Fascioplasty is contraindicated in a condition named arthrolysis of the elbow. In this condition, fascioplasty would be of no help. Other than this, in reconstruction of the collateral ligaments, fascioplasty cannot be performed. Fascioplasty is a simple surgical procedure and is only performed when medications are of no use anymore. Fascioplasty is performed in about every severe situation of skin and muscles except the above mentioned two conditions. Fascioplasty is contraindicated in case of cancerous condition. Because fascioplasty in skin cancer is not possible and cancerous cells may spread. The cells become malignant and then become un-treatable for patient.

Fascioplasty Indications

Fascioplasty is the surgical moulding or repair of damaged fascia. It is the plastic surgery of skin and muscles which may get burn or undergo severe injury. Muscles or fascia which got damage during an accident also require fascioplasty. Fascioplasty is the last option for fascia recovery. Medications are first tried for the purpose of recovery. Fascioplasty is performed to change the structure of the muscles. As main functions of fascia is to separate organs from muscles, that's why surgery is important. Fascioplasty can also be performed after delivery of a baby, specially after C section delivery.

Waiter's Tip Deformity Definition, Symptoms, Causes, Treatment

Waiter's tip deformity is another name of Erb's palsy or Erb duchenne palsy. It is the paralysis of arm due to the injury in upper group of nerves of shoulder. The veins of the upper trunk i.e. C5 - C6 nerves got severe. These nerves collectively forms the brachial plexus which consist of ventral Rami of spinal nerves i.e. C5 - C8 and thoracic nerve i.e. T1. The injuries of above mentioned nerves may arise from shoulder dystocia during difficult baby birth. In Erb duchenne palsy, paralysis may resolve on it's own after a few months of period.

Sometimes it needs a rehabilitation therapy or surgery (according to the severity of Erb duchenne palsy). Waiter's tip deformity may be partial or complete. Whenever a single nerve got damage, the damage starts from bruising to tearing. The most common nerve involved in waiter's tip is C5. This condition is called as Erb duchenne palsy because the junction of C5 and C6 roots is known as Erb's point. Erb duchenne palsy is also presented as a lower motor neuron syndrome which is mainly associated with disturbances in sensibility and vegetative phenomenon. Musculoskeletal nerves, suprascapular nerves and the axillary nerve are mainly involved in waiter's tip.

Waiter's Tip Deformity Definition, Symptoms, Causes, Treatment

Waiter's Tip Symptoms

The main symptom of waiter's tip is pain in upper region of shoulder.  Basically waiter's tip is the main symptom of Erb duchenne palsy. Waiter's tip is the loss of lateral rotators of shoulder, hand extensor muscles, flexors and arm. The main symptoms include hanging of arm by the side and is medially rotated. The wrist is flexed and forearm is extended and pronated. Patient can't feel any sensation in the lateral aspect of forearm. The power of flexion at elbow got lost and patient cannot move his arm upward from side ways.

Waiter's Tip Causes

Basically waiter's tip is the main symptom of Erb duchenne palsy, so the causes of Erb duchenne palsy are considered the causes for waiter's tip. Dystocia is considered the most common cause of waiter's tip. Dystocia is the difficult or abnormal child birth or labor. It can be described with an example during labor, when the head and neck of infant is pulled towards side , at the same time, the shoulders pass through birth canal. It can also occur due to excessive pulling of shoulders during delivery of fetus with head first out.

Waiter's Tip Treatment

If it occurs during child birth, then it can resolve on it's own after a time if few months. But those babies who does not recover on their own may require special intervention. Paediatric or neonatal surgery is performed for the repair of avulsion fracture. Sometimes when the lesions heal with the passage of time, the function of shoulder returns. Physiotherapy is an important treatment strategy which helps a lot in regaining proper functioning of shoulder. The range of motion of shoulder in children may receiver within one year of their birth. It it took more than 1 year, then surgery becomes necessary.

Balanced Anesthesia Definition, Components, Technique, Protocol

Balanced anesthesia is the combination of drugs used to depress central nervous system. The combination of these drugs enhance the positive aspects of all drugs. When all the neuro depressant drugs combined it gives more efficient result and along with this, the disadvantages of these drugs reduces to nothing. The drugs used are combined in a minute quantity to control the dosage. The smaller doses of more than one drug with same result is considered more effective and safer as compared to larger dose of a single drug. The drugs which are combined may be of different specific effects like amnesia, unconsciousness, analgesia and muscle relaxation.

Basically balanced anesthesia consist of preoperative medications like cholinergic drugs. Cholinergic drugs are used to decrease the secretions of body. These drugs helps a lot in intubation and control bradycardia which is associated with neural depression. Other than cholinergic drugs, sedative and hypnotics are also used to relax patient. Sedatives also facilitate amnesia. Other than these anti emetics and antihistamines are used. There is a fixed proportion of doses of these drugs, which should not be changed, as changing this dosage proportion may change the effectiveness of balanced anesthesia.

Balanced Anesthesia Definition, Components, Technique, Protocol

Balanced Anesthesia Components

The basic components of balanced anesthesia include amnesia, unconsciousness and analgesia. Amnesia is the loss of memory and pain or distress. Analgesia is the pain relief. Other than these, muscle relaxation, reversibility and diminished motor response towards noxious stimuli are also the basic components if balanced anesthesia. These are the main classes of drugs and any drug of these class can be used in proportion to other drugs. The quantity of these drugs should be managed according to the condition of patient. The effectiveness of these drugs enhance when combined together with a visible reduction in disadvantages.

Balanced Anesthesia Technique

Balanced anesthesia is injected to patients in a same way as general anesthesia is injected. The technique used is named as rapid sequence induction. Basically fantanyl is used as an anesthetic in balanced anesthesia. Patient is preoxygenated for almost 1 to 3 minutes. The intravenous injection should not be followed by mask ventilation. The potential risk associated with rapid sequence induction is the loss of airway. Preventilation is necessary for oxygen richness in patient. As this will reduce the risks of rapid sequence induction. Close monitoring is required for the introduction of balanced anesthesia in patient.

Balanced Anesthesia Protocol

Balanced anesthesia is basically a name given to drug protocols designed to facilitate patient in every phase of anesthesia. It is first tested in small animals. These phases start from preoperative analgesia and sedation and pass through surgical anesthesia up to recovery. Small doses of drugs are used to avoid the over dependence of one drug used for anesthetic purpose. As the beneficial aspects increases while combining these drugs. It also reduces the side effects of drugs along with the disadvantages of these drugs. It is found convenient and more effective as compare to single drug used in anesthesia.

Prostatolith Definition, Symptoms, Causes, Treatment

Prostatolith is a condition in which concrete is formed in the prostate gland. This concretion may consist of calcium carbonate and phosphate. Corpora amylacea is the synonym of prostatolith. Basically corpora amylacea is the concretion. This concretion may result from accumulation of degenerative cell of body or accumulation of thickened secretions. The chances of calcretion are higher with the passage of age. There are higher chances of perfusion in case of neurodegerative diseases. Prostate gland is associated with male reproductive system. It is responsible for production of prostate fluid in men which is the main component of semen. Mostly middle aged men are affected.

Due to accumulation of concrete in the prostate gland, the muscles of prostate gland does not work properly. it sticks to the sides and passes on to the urethra and blocks it. These concretions may prove harmful for the reproductive system of patient. It may occur due to many reasons and leads to various complications in patient. Prostatic hyperplasia is the biggest complication of prostatolith. It is not a common condition. Patients with prostatolith may suffer from sexual difficulties like erectile dysfunction, infertility and many more. Age is the biggest factor affecting occurrence of prostatolith.

Prostatolith Definition, Symptoms, Causes, Treatment

Prostatolith Symptoms

Prostatolith is a rare condition associated with reproductive system of men. So, all the symptoms are associated with sexual activity of patient. There may be unusual discharge from urethra. Sometimes Urethra becomes inflamed. Other main symptoms include dribbling, disturbance in frequency of urination. Patient feels pain during urination. There may be burning sensation in the the bladder while urination. Patient face difficulty in starting urination.

Prostatolith Causes

Talking about the causes of deposition of concrete in prostate gland, there are various reasons reported. The concrete consists of calcium carbonate and phosphate. This deposition of concrete may occur due to degenerative cells and deposition of thickened secretions. Age is another factor contributing towards its occurrence. The excess calcium carbonate and phosphate from body secretions start accumulating in the prostate gland and leads to heavy deposition of concrete. This concrete leads to further complications in body. Prostatolith is a rare condition but prove dangerous for patient. Patients with neurodegenerative diseases are at higher risk to prostatolith occurrence.

Prostatolith Treatment

prostatolith leads to prostatic hyperplasia and this condition needs treatment. There are some medications which are used to relax the muscles of prostate gland. The walls of prostate gland have deposits of concrete on them which makes the path of urethra narrow and cause difficulty in passing urine through urethra. Alpha blockers are used to relax muscles of prostate gland. These medications cant treat prostatolith but can control the symptoms generating through it. treatment of prostatolith is important. Some medications are prescribed to relief pain and for the thinning of thick secretions. As these secretions are responsible for causing concretion in prostate gland.

Nasophilia Meaning, Definition, Symptoms, Causes, Treatment

Nasophilia is defined as partialism for the nose. Nose partialism and nose fetishism are the other names of nasophilia. It is a condition in which patient experience sexual arousal to anything via smelling it. Nose plays a vital role in sexual arousal to some specific scents, that's why it is termed as nasophilia. There may be variation in the physical appearance of object. Person may feel him or herself in love with that attractive thing and wants to be in contact with this. He wants to physically interact with that thing attracting him. The patient wish or desires to penetrate his nostrils in the intended object.

Other than this, patient may desire to see some different and more attractive things at the place of nose like the nose of Pinocchio. Patient dream about seeing a different nose instead of the original one i.e. replaced with a piggy nose. This is associated with role play in which props are used to change the shape of nose, with the writing artwork, transformation fiction and morphing i.e. some modified pictures of people. All these things are found to be attractive to the patient with nasophilia.

Nasophilia Meaning, Definition, Symptoms, Causes, Treatment

Nasophilia Symptoms

This is kind of attraction to the nose of any other person. Basically the symptoms are associated with sexual arousal of patient. Person with nasophilia wants to touch his partner's nose and lick it and sometimes bite it. This makes them relax and they enjoy it a lot. Sometimes person with nasophilia wants to kiss and suck his partner's nose. Basically it is an initial step towards the sexual arousal and ends up with sexual intercourse. It is specified with the nose and people with nasophilia spends more time playing with nose of their partner.

Nasophilia Causes

There is not any specific cause behind nasophilia. Nasophilia is considered the initial attraction towards sexual activity. People with nasophilia got attracted to the different shapes and sizes of nose of people. They always focus on the nose of other people. People with some different nose like bigger nose bridge or nostrils, are found attractive to these patients with nasophilia. They wants to touch and kiss and lick and suck their nose. Patient feels sexually aroused even when they are thinking of touching their partner's nose. Sometimes nasophilia occurs due to strong sense of smell.

Nasophilia Treatment

There are various treatment strategies which can be used according to the severity and condition of patients. These treatment strategies include cognitive behavioral therapy, psychoanalysis, hypnosis and drug therapy. Treatment is not conducted unless the condition becomes worse. The psychoanalysis treatment include orgasmic reconditioning, psychotherapy, individual expressive supportive therapy and cognitive behavioral therapy.

Other than this, group therapy is conducted in which there are more than 12 people who are trained about sexual activity. Drug therapy include some main CNS acting drugs. Phenothiazine and some anti depressants are used. Anti depressants are anti androgens and long acting gonadotropin hormone i.e. medical castration.

Greer's goo Dosing, Uses, Side Effects, Recipe

Greer's goo is a topical formulation which is used for rash. It consist of more than two ingredients which acts on rash to relief itching and redness. It is specially designed to treat a condition named intertrigo. It acts as a barrier cream. Intertrigo is a skin condition commonly named as diaper rash in babies. It is composed of three main components I.e. zinc oxide paste, Nystatin powder and hydrocortisone powder. There is a specific quantity of every ingredient used in it's composition. Talking about quantities, 4 million units of Nystatin powder is used, only 4 ounces of zinc oxide paste and 1.2 grams of hydrocortisone powder.

The mixture of these three ingredients acts as a moisture lock barrier on skin. It locks the moisture in skin. A thick coating of this cream is applied on the affected site i.e. rash. Skin should be clean and this mixture is applied directly in skin. Skin rash may occur at various parts of body. Mostly rash occur at inner side of thighs, under breast, under the arms and buttocks. Rash usually occur in winter because the skin becomes dry due to dehydration. People drink less water in winter and this makes the skin dry.

Greer's goo Dosing, Uses, Side Effects, Recipe

Greer's Goo Uses

Greer's goo is a special recipe of three main ingredients which is designed for a condition named intertrigo. Intertrigo is a name used for diaper rash in babies. It is specially designed for this condition. It is used as a moisture barrier. It locks the moisture in skin and relief the symptoms of rash. In adults, it may occur due to dry skin and continuous rubbing of fabric with skin. It usually occur in winter's because of dry skin. It may also used as a moisturizer on all body parts of skin. It also works as an emolient on the surface of skin.

Greer's Goo Side Effects

Greer's goo ointment should be used in a limit and for limited time. It it is applied in a greater quantity for longer period of time, then it may lead to some serious side effects. The common side effects include irritation on skin, patient may feel burning sensation. Hair growth may increase. Due to over usage of this cream, skin dryness may occur. The color of skin may lighten where this cream is applied. There may be stretch marks due to dryness and scaling of skin.

Greer's Goo Recipe

Greer's goo is the combination of three main ingredients. These ingredients include Nystatin powder, hydrocortisone powder and zinc oxide paste. Talking about the quantities of these ingredients, Nystatin powder is used four million units which is the major component. 1.2g of hydrocortisone powder is used and 4 ounces of zinc chloride paste is used. This is the basic recipe of Greer's goo. Apart from this, it can be prepared at home with the help of an anti fungal cream. Equal parts of hydrocortisone cream and athlete's foot cream is used along with heavy quantity of diaper rash cream.

Scapulalgia Meaning, Symptoms, Causes, Treatment

Scapulalgia is the term used to describe pain in the shoulder. As the name indicated this condition, scapula is the bone in shoulder also known as shoulder blade. When there is pain in this bone, this condition is termed as scapulalgia. Scapulalgia is not a rare condition, patient may suffer from scapulalgia due to any external reason or cause. It is related to the bone of shoulder, so the causes are related to shoulder blades. It may also occur due to bone injury. Any hard hit or accident of shoulder bone may lead to scapulalgia.

Apparently pain is the main symptom associated with scapulalgia but some other symptoms may include improper movement of shoulder and arm. Arm may not move in all positions. Sometimes the pain becomes unbearable. Basically scapula is the main bone which connects clavicle i.e. collar bone to the humerous which is upper arm bone. So any kind of injury to scapula may make patient suffer a lot. Sometimes the arm becomes completely immobilized. This immobilization leads to various problems. To cover this shoulder pain, there are different treatment plans proposed. But physiotherapy is always necessary in case of any bone problem in any part of body.

Scapulalgia Meaning, Symptoms, Causes, Treatment

Scapulalgia Causes

There are various causes which may lead to the pain in shoulder. The most common one is any hard external hit or accident of shoulder bone. It may immediately delocalize the bone and cause severe pain. Other main causes may include some medical conditions which ultimately leads to scapulalgia. Chronic fatigue syndrome is another reason for scapulalgia. As patients with this syndrome have greater chances of scapulalgia. Other causes include polymyalgia rheumatica, fibromyalgia, cervical cholecystitis, cervical herniated disc, cervical spondolysis, scapula fracture, tricho, occulo, dermo vertebral syndrome, viral pleurisy and pleurisy. All these causes directly or indirectly leads to scapulalgia.

Scapulalgia Symptoms

Scapulalgia as the term defined, pain in the shoulder. This pain is mainly associated with the scapula bone in shoulder. This pain and the possible causes of scapulalgia may lead to unbalanced posture of body, delocalized shoulder due to injury or accident. Immobilization of arm because scapula is directly attached to the upper arm bone i.e. humerous. Patient can't move his arm in all directions. Because of extreme pain, patient sometimes feel nausea and some GIT issues. Sometimes it effects collar bone too and make it difficult for patient to move his neck And look around freely.

Scapulalgia Treatment

Scapulalgia involves scapula bone and the treatment is assigned according to the underlying cause behind it. Some pain killers are prescribed to treat pain. These pain killers may be in both topical and oral dosage form. According to the underlying cause, patient may sometimes require surgical correction if scapula. In addition to the medical therapy, physical therapy is also necessary. As physical therapy helps a lot in maintaining the movement of shoulder and makes the bones stronger. So patient should continue with both physical and medical therapy. Combination of these two therapies with speed up the recovery time.

Colpectomy Meaning, Procedure, Complications, Recovery, Sucess rate

Vaginectomy is another name of colpectomy. Colpectomy is the surgical procedure which is performed to remove a part or whole vagina. Basically it is specified as a treatment for vaginal cancer. Vaginectomy is also performed to change the gender of a person by female to male sex reassignment surgery. It is performed to completely remove vagina and replace it with a penis to change the gender of a person. Radical vaginectomy is the term used for the complete removal of vagina. Other than this, partial vaginectomy is the term used for the removal of one part of vagina (this part may be upper or lower).

Colpectomy Procedure

Colpectomy is of two main types i.e. radical and partial vaginectomy. In radical vaginectomy, the whole vagina is removed. It is selected in case of pelvic malignant cancer. Pelvic malignant cancer involves or encroaches the vagina. It is indicated in special and rare cases. Partial vaginectomy is performed to remove the malignant part of the vagina. In this procedure, the epithelial lining is removed from the vaginal part without disturbing the adjacent tissues of paracolpium. It is not a simple procedure and a specialist is requires for this surgery. As disturbing the adjacent cells during surgery may spread the cancer.

Colpectomy Meaning, Procedure, Complications, Recovery, Sucess rate

Colpectomy Complications

Colpectomy is not a simple surgery and may cause various complications in patient. As it is specific for vaginal cancer so after surgery, patient may experience anorectal tumor. Mostly people experience surgical complications. These complications mainly include the perineal wound. In case of vaginal radical vaginectomy, there may be perineal incision which can complicate the surgery. Another surgical complication include spreading of cancer to the surrounding area. As spreading of cancer may prove fatal for patient and leads to death. After radical vaginectomy, sexual parts may not work properly and become sensitive.

Colpectomy Recovery

Colpectomy is the cancer treatment which requires special attention. On the basis of data collected about patients who had colpectomy shows that the recovery time is variable according to the tolerance of patient. It also depends upon the type of treatment i.e. radical or partial vaginectomy. Some patients reported slight pain in the pelvic region while some reported unbearable pain. The average recovery time recorded is around 6 months. These six months require complete bed rest and there are some activity restrictions which should be followed. But some of the patients recover within 2 months of surgery.

Colpectomy Success Rate

Colpectomy is a successful surgical procedure which has more than 50 percent success rate. Patients with colpectomy have to be careful about activity restrictions. Almost 80 percent of patients recover successfully from colpectomy whether it is radical vaginectomy or partial vaginectomy. Talking about the reoccurrence rate of colpectomy, there are 20 percent chances of re-occurrence of malignant cancer in vagina. Special care is required to beat the re-occurrence of malignant cancer. If it reoccurs after partial vaginectomy, then 2nd time there are chances that radical vaginectomy may be performed because of spreading of cancer in the whole vagina.

Aquathermia Pad Uses, Time, Directions, Safety

Aquathermia pad is a plastic or rubber pad which contains small channels. As the name indicates, it contains water in it. This water flows through the small channels of pad. This pad may either used as heating pad or cooling pad. If the patient needs to take heating pad on any site of body, then hot water is added in the aquathermia pad, and then it is placed on the site. Likewise in case of cool pad, cold water is added to aquathermia pad, and place it on the site. An electrical control unit is also attached along with a motor.

Aquathermia Pad Uses

Aquathermia pad is used as a heating pad for various purposes. Distilled water is used to fill the aquathermia pad. Then this water is heated with the help of motor and electrical control system attached to it. This hot water aquathermia pad is placed on the site. The main conditions for which it is widely used are swelling, redness, muscle pull, muscle sprain and inflammation. Other than these conditions, aquathermia pad is used to relief edema. Other than this, this pad is widely used to relax stiff muscles and contracted muscles of body.

Aquathermia Pad Uses, Time, Directions, Safety

Aquathermia Pad Time

Aquathermia pad is used as a heating pad for various parts of body. This heating pad is used on the upper side of body because it cannot be placed at the under side of body part. There is a specific time period, beyond which blood vessels will start shrinking leading to increased blood pressure. Hot aquathermia pad is applied for 20 to 40 minutes and then it should be removed to avoid vasoconstriction. Human body cannot tolerate this heating aquathermia pad for more than 40 minutes, it it exceeds 40 minutes, patient will start feeling burning sensation and the blood vessels will constrict leading to further complications.

Aquathermia Pad Directions

Aquathermia pad is used for the purpose of heating. It consist of two main nozels through which distilled water is added to this aquathermia pad. Then the motor is generated and the electrical control system heat up the water. This hot water flows through the channels of aquathermia pad. These channels when come in contact with skin and vessels, it transfer heat. The heating pad is placed on the top surface of body part. It cannot be placed under the surface of body as heat does not find way to eliminate and there are higher chances of burning skin.

Aquathermia Pad Safety

Talking about the safety of aquathermia pad, the temperature should be maintained for the long term application. Increased temperature of aquathermia pad may burn the skin and the blood vessels may constrict. Due to vasoconstriction, blood pressure may raise. So there is a specific temperature which should be maintained. The ideal temperature set for adults is 45°C. A thin cloth or pillow case should be placed between hot aquathermia pad and skin, as it prevents the direct heat action on skin. Hot aquathermia pad should not be placed for more than 40 minutes. 20 to 40 minutes is the ideal time for application.

Rolling Veins in Arms & Hands Definition, Symptoms, Causes, Treatment

When a vein is not anchored properly during blood collection, it rolls or slips sideways then it is termed as rolling vein. It may occur in any patient. This rolling of veins can be prevented by keeping our body well hydrated. It only occurs during IV administration of medication or taking blood samples for test. So there are some techniques, by using them, the rolling veins can be avoided. In case of rolling veins, blood cannot be draw properly from body. Mostly nurses face problem while taking samples. There is another condition named blown veins, it is a bit different condition from rolling veins.

Rolling Veins in Arms and Hands

Mostly rolling veins are seen in arms and hands. As the main region used for taking blood sample, is the arm and hands. As arms and hands are the most feasible site for the blood sampling. There is a network of veins in arms and hand which is closely packed. In that case, finding the exact vein for blood sampling is difficult. There are higher chances of rolling vein and blown vein. In-fact for rolling veins, arms and hands are the most common site. Other than these, rolling vein may occur at thigh while blood sampling.

Rolling Veins in Arms & Hands Definition, Symptoms, Causes, Treatment

Rolling Veins Symptoms

Talking about the symptoms of rolling veins, pain is the most common one reported till now. Other symptoms which are associated with it include itching and burning of veins. Patient may experience thrombing and cramping in thighs and around the veins. To cover up these local symptoms, some exercises will help. These exercises include lifting up of legs and wearing compensation stockings. Some other prevention are also used to ease the pain and other symptoms. All These above mentioned symptoms are localized and does not spread to the whole body.

Rolling Veins Causes

There may be very minor causes behind it. These causes may include inappropriate technique to inject syringe in vein. The vein is not properly  anchored by nurse. People who are not well hydrated have greater chances of rolling vein. Nurses who are under training, mostly face this rolling veins during injecting syringe in vein. It usually occur on arms and hands and thighs where is the rich supply of blood in veins. Finding the right vein is a difficult task and holding it at a place and does not allow it to slip is also a very difficult task.

Rolling Veins Treatment

There are some tricks which can be followed to avoid rolling veins. A thick torniquet should be used by professionals to hold the veins at one place. Patient's arm should be placed on a flat surface right in front of him. Pressure should be applied firmly on the veins in order to make the vein anchored. Then needle should be inserted in anchored vein. Use of winged infusion set is designed to avoid rolling veins while taking blood sample. This special set has wings on both sides which helps a lot in holding the vein at one place and the sampling becomes easy.

Vestibuloplasty Definition, Techniques, Procedure, Indications

Vestibuloplasty is a surgical procedure which is performed in oral cavity. Basically it is a surgical modification which is performed to enhance the gingival mucous membrane. Other than this, it is also performed for rearrangement of extensive tissue and to enhance bone density. During vestibuloplasty, the height and width of the gum is enhanced. The extent of surgery varies according to the bone loss incurred. The surface area is also a factor upon which the extent of surgery depends. The vestibular extension area may extend anywhere i.e. from outside the gums to the inner side of cheeks.

People who wear dentures with the time will notice that the space is increasing between teeth and dentures. And these dentures then requires realignment or refitting of new dentures. Whether there is one tooth missing, or the whole mouth is empty the gums and bone are gonna deteriorate. When every single tooth is lost, then the bone tissue got absorb by the body causing shrinkage. The coverings and membranes covering the tooth also diminishes. Vestibuloplasty is performed to recover all these above mentioned losses. It is a simple process and can be performed easily with lesser complications. It is indicated for some specific conditions of mouth.

Vestibuloplasty Definition, Techniques, Procedure, Indications

Vestibuloplasty Technique

The technique of vestibuloplasty is a simple technique in which a small incision is made on the midline through mucous. This is performed under local anesthesia. It extend from mucogingival junction in to the lip. By blunt spreading, the mucosa is separated. The submucosa is spreaded to right and left side. Like this, a tunnel is formed between mucosa and submucosa. It passes through mucogingival junction to the lip and cheeks. Additional vertical incisions can be made on molars and premolars. These vertical incisions are made for the purpose of dissection of posterior regions.

Vestibuloplasty Procedure

Vestibuloplasty is a surgical procedure which is performed to enhance the oral cavity. Vestibuloplasty is performed to smooth out the jaw bone. The alveolar ridge is restored via vestibuloplasty. Vestibuloplasty procedure is performed to readjust the height of alveolar ridge. This is done by lowering the muscles and make them attach to buccal, labial and lingual jaw aspect. The procedure is performed according to the type of vestibuloplasty. It is performed under the effect of local anesthesia and an incision is made to make a way to the inner layers which are deeper than mucosal and submucosal layer.

Vestibuloplasty Indications

Vestibuloplasty is an oral surgeon procedure which is performed for various reasons. Whenever a single teeth fall or the whole jaw is okay with the teeth, the gums and bones got deteriorate. To control this deterioration, vestibuloplasty is performed. After losing every single teeth, the bones get absorbed by the body. This may happen in response to the conventional dentures which are tissue supported. This absorption of bones leads to the loss of vestibule and decreased surface area for the support of denture. As a treatment, vestibuloplasty is performed. Vestibuloplasty repairs the loss of vestibule in oral cavity.

Forefoot Valgus Deformity, Wedge, Causes, Treatment | Forefoot Valgus vs Varus

Forefoot valgus is the condition of foot in which the inner side of foot is turned towards outside. In medical terms we can define it as structural eversion of the forefoot. Basically it is the deformity in the structure and position of forefoot. As the name indicates, it is associated with the forefoot and rear-foot is not involved. Basically eversion of forefoot occurs at midtarsal joint. The lateral column of forefoot got inverted and helps to propel the supporting surface. All this happen during the midstance and propulsive phases of gait. There are two main types of forefoot valgus i.e. flexible forefoot valgus and rigid forefoot valgus.

Forefoot Valgus Causes

Forefoot valgus can occur due to many reasons. As it is a structural deformity, so all the causes are related to the bone deformity. It is a rare condition which is presented as biomechanical variation. Commonly it is observed associated with excessive subtalar pronation and severe tibial valgum which is also known as knock knees. Basically the deformity occurs at metatarsal joint. This joint lies exactly between the forefoot and rarefoot. The eversion of metatarsal joint differentiate rarefoot valgus from forefoot valgus. It may occur due to bone injury and may be congenital.

Forefoot Valgus Deformity, Wedge, Causes, Treatment  Forefoot Valgus vs Varus

Forefoot Valgus Treatment

Forefoot valgus can be treated with surgical procedure. It also depends upon the underlying cause. If it occurs due to some muscle weakness or soft tissue stiffness, then some exercises may help in treating forefoot valgus. In case of rigid forefoot valgus, these corrective exercises may not work. Other than this surgical procedure is used to correct the posture of foot. The everted foot is corrected. And then some simple movements help a lot in reversing the normal functioning of foot. Surgery can only correct the structure of foot but the movement of foot can be reversed to normal with the help of exercises.

Forefoot Valgus Deformity

Forefoot valgus is a rare structural and positional deformity of forefoot. This deformity basically occurs at metatarsal joint. Metatarsal joint is the main joint which differentiate forefoot valgus from rarefoot valgus. This deformity disturbs the walking posture of body. There are two main types of this deformity. These types are classified on the basis of severity of eversion i.e. rigid forefoot valgus and flexible forefoot valgus. Treatment is also based upon the cause and the type of forefoot valgus deformity. In flexible one, exercises may help but in rigid one, surgical correction is required.

Forefoot Valgus v/s Forefoot Varus

Forefoot valgus and forefoot varus are almost the same conditions with a slight change. Forefoot valgus is a rare structural and positional deformity of forefoot. In forefoot valgus, the inner side of foot is tilted outward. But in forefoot varus, the case is opposite i.e. the outer side of foot is tilted inward. Both the conditions are rare and have almost same causes and symptoms. The treatment strategies for both of these conditions is almost same. Both of these conditions disturbs the posture of human body.

Pelvocaliectasis Meaning, Symptoms, Causes, Treatment

Pelvocaliectasis is a condition which describes the dilation of renal pelvis and the collecting system of kidney. And there may be many reasons behind it but the most common one reported is hydronephrosis. In hydronephrosis, the renal pelvis become dilated due to obstruction in flow. This obstruction occurs due to kidney stones. Usually hydronephrosis is used as another name for pelvocaliectasis. In hydronephrosis, due to kidney stones, urine could not find way to flow out of body, and as a result, the kidney get dilated.

Other than kidney stones, it may also occur due to some Illness or medical condition. Normally, kidney filters waste material from blood and pass it on to kidney calyces. These calyces form renal pelvis. From calyces, collected waste is passed on to ureter. Ureter is responsible for creating connection between bladder and renal pelvis. Urethra is the tube which carries urine and transfer it. Hydronephrosis may be congenital or may occur due to physiological response in pregnancy. Some researchers described that, this condition may occur due to progesterone effect on the kidney. Pelvocaliectasis leads to various complications. Some of the complications are decreased blood purification rate, increased pressure on kidney and increased fluid accumulation.

Pelvocaliectasis Meaning, Symptoms, Causes, Treatment

Pelvocaliectasis Symptoms

The symptoms of pelvocaliectasis may be direct or indirect. Symptoms also depends upon the underlying cause. If kidney stones is the cause, then patient may experience an intense pain with acute onset in back, which may further expand to groin region. Nausea, vomiting and sweating are also associated. Sudden pain layer may be experienced in kidney and patient may roll down due to intensity of pain. Sometimes, blood traces are seen in urine. Now some severe symptoms are associated with chronic pelvocaliectasis. These symptoms include chest pain, shortness of breath, weakness, leg swelling, nausea, vomiting and malaise etc.

Pelvocaliectasis Causes

There are various causes behind pelvocaliectasis which are classified on the basis of location of swelling. Causes may be intrinsic i.e. inside urinary collecting system or extrinsic i.e. outside urinary collecting system. It may also occur due to alteration in the functioning of kidney. In case of intrinsic causes of pelvocaliectasis, there may be kidney stones, blood clot, stricture or scarring in ureter. There may be stones in bladder, bladder cancer, bladder neck contracture and bladder cancer. In urethra, there may be cancer, valves or stricture. In extrinsic causes, there may be tumor or cancer of cervix or prostate.

Pelvocaliectasis Treatment

In case of acute pelvocaliectasis, patient feels intense unbearable pain in kidney and need sudden treatment. Pain killers are used for that purpose. If blood is observed in urine, then it may be due to an infection. Antibiotics are used for this infection. Tumors and appendicitis are also the main causes and can be treated via chemotherapy. If there is fever associated with pelvocaliectasis, medications for fever are also required. Patient may develop bacteremia and it may prove fatal for patient. It is a blood stream bacterial infection and needs sudden medical attention. If patient has only one kidney, then the mortality rate is high.

Spastic Dysarthria Charactersitics, Symptoms, Causes, Treatment

Dysarthria is a condition which is described as speech disorder. It occurs due to slowness or in-coordination of speech mechanism. It may also occur due to disturbance in muscular control weakness. All this results from injury in Central and peripheral nervous system. Spastic dysarthria is the type of dysarthria which is classified on the basis of site of lesion in nervous system. When the lesion is on pyramidal and extrapyramidal system then spastic dysarthria occurs. In pyramidal tract, the fibers which carry messages to the brain are basically get damaged. Patient face problems in speech along with muscular weakness in spastic dysarthria.

Spastic Dysarthria Charactersitics, Symptoms, Causes, Treatment

Spastic Dysarthria Symptoms

Primary voluntary motor pathways got damage in spastic dysarthria. Common symptoms of spastic dysarthria include

  • Production of slurred sound
  • Rate of speech is slow and labored.
  • Unintelligibility in periods of speech.
  • The voice quality is starined and strangled.
  • Increased abnormality in nasal speech quality.
  • Breathing pattern in speech is also disturbed i.e. forced, shallow and overall disruptive. In addition to this speech breathing patterns may be uncontrolled and in-coordinated.
  • The pitch of vocal cords is limited. Along with this, loudness range also becomes limited.

All these symptoms are specified in spastic dysarthria which makes it different from other types of dysarthria.

Spastic Dysarthria Causes

Dysarthria is classified on the basis of site of lesion in the nervous system. So in spastic dysarthria, lesion occurs on the pyramidal tract of nervous system. Fibers present in the pyramid track are responsible for transformation of messages to brain, when these fibers got damaged, messages are not conveyed and person face problems during speech. The pyramid track is also known as corticospinal tract. Corticobulbar tract is involved in transferring signals to the cranial nerves which are associated with swallowing and speech. It is also associated with muscle weakness and abnormal force physiology.

Spastic Dysarthria Treatment

To treat spastic dysarthria, the treatment guidelines of dysarthria are used. Restorative treatment is used in which the impaired function is restored and other treatment guideline include compensatory treatment in which the impairment is compensated because of no restoration. The restorative treatment approach focus on intelligibility of speech, naturalness and efficiency of speech. The compensatory treatment approach focus on the communication strategies of patient. Change in communication environment of patient. Other than these two strategies, it can be treated via preserving and maintaining functions of nervous system. The lesions and damage is cured with the most effective medical treatment.

Spastic Dysarthria Characteristics

Talking about the characteristics of spastic dysarthria, it is a type of dysarthria which occurs due to lesion or damage in the pyramid tract of nervous system. Pyramid tract contains fibers which are involved. It is a motor speech disorder. Articobulbar tract is mainly involved in lesion because it is associated with the speech And swallowing control center. In spastic dysarthria, the strength of speech, coordination of speech, range of motion, speed of speech and musculature movements are affected mainly. These characteristic symptoms makes it different from other types of dysarthria.

Bombay Phenotype Definition, Epistasis, Example, Blood Group

It is a type of blood group which is also known as h/h blood group or Oh blood group. It is a rare type of blood group. This blood group type was 1st discovered in Bombay India, that's why it is known as Bombay phenotype. Now it is known as Mumbai in India. It is rare genetic trait and does not contain expression of A, B or H antigens on red blood cells. In Bombay phenotype, the H Gene is missing which is responsible for producing H antigen and also a precursor of A and B antigen. When H antigen is not expressed so, A and B antigens also cannot be expressed.

In that case, the serum contains anti A, anti B and anti H antigen. When two rare recessive genes are inherited in infant, ABO blood group or Bombay phenotype forms. It occurs on the locus other than ABO Gene locus. Usually Bombay phenotype results from consanguineous mating i.e. parents are relatives by blood (first cousins). H antigen is rare , so whenever inter breeding occurs, the proportion of rare homozygotes increases and results in Bombay phenotype. Bombay phenotype is not compatible to donate blood to the normal ABO blood groups i.e. A, B, O and AB blood group.

Bombay Phenotype Definition, Epistasis, Example, Blood Group

Bombay Phenotype Epistasis

Epistasis is a technique which is used to mask expression of a gene on a specific chromosome, At locus or other position. Dominance is another term which can be confused with epistasis but dominance is the interaction of genes at same locus. One of the best example of epistasis is Bombay phenotype. It is better re-presentable in humans. There are almost 30 to 70 thousand Gene loci present in human genome. Some of them are interacting with other complicating the identification of their roles and metabolism.

Bombay Phenotype Example

Bombay phenotype is a type of blood group which does not contain A, B or H genetic trait. This blood group type is a rare one and usually results in inter family marriages. When two parents have blood relationship like 1st cousins, there are higher chances of inheritance of rare H antigen in the fetus. It was 1st discovered in Bombay which is currently known as Mumbai. It is better re presentable in humans. It is a best example for the explanation of epistasis process. In epistasis, the required Gene expression is masked on the locus or other position of desired chromosome.

Bombay Phenotype Blood Group

Bombay phenotype is a different and rare type of blood group. As we know that every blood group has it's specific antigen on the surface of red blood cells. But an antigen named H antigen is present in all types of blood groups. But when we studied Bombay phenotype, H antigen was absent in this blood group. This absence makes it different from other blood groups. It's sera contains anti A, anti B and anti H antibodies. There is problem in parenting confirmation in this type of blood group. Usually the blood group does not match with any other blood group.