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PubMed1991

[Implantology in the general practice; management and efficiency].

In order to get successful dental implants, knowledge and routine in this field are prerequisites. Moreover, the efficiency demands an adequate organization of the dental office with clear protocols. Success depends also upon hygienic measurements.

Clinical Protocols↗
PubMed1991

Atopic and seborrheic dermatitis: practical management.

Atopic dermatitis is common and causes sleep loss, a disfiguring appearance, an unpleasant odour, teasing, short stature and restriction of career choice in severe cases. There are no drugs which control the scratching; distraction, keeping the nails short and smooth, and the use of mittens at night are all helpful. The sedative action of the older H1 antihistamines makes them useful if scratching prevents a child from falling asleep. Emollients are useful for the associated skin dryness. The least potent topical steroids should be used sparingly to avoid the main hazards of skin atrophy, systemic absorption and growth stunting. Bacterial skin infection with Staphylococcus aureus and sometimes beta-haemolytic streptococci is common and is best treated with oral antibiotics. Herpes simplex virus skin infection is also common; the initial infection occasionally causes a lethal (if untreated) illness. Allergy to house dust mites, pet animals, pollen and food can worsen dermatitis in some cases. There is no test however, which can be used to predict those patients who will respond to avoidance measures, so that management tends to be based on empirical trials of antigen avoidance. Seborrheic dermatitis is a common disorder that usually occurs in the first months of infancy. Findings consist of greasy yellow scales on the scalp (most simply treated with an emollient) and well-demarcated erythematous patches in the diaper area that spread to other areas such as the axillae and neck (usually requiring topical steroids). Some cases go on to develop atopic dermatitis, but many others, although florid, resolve spontaneously.

Administration, Cutaneous↗
PubMed1990

Tinnitus. III: The practical management of sensorineural tinnitus.

A weekly tinnitus clinic at University College Hospital, London, has been in existence since 1976. By developing a holistic and multidisciplinary approach to the management of tinnitus, we have been able to help the majority of patients referred with severe and disabling tinnitus. We have developed a protocol for the clinical assessment of tinnitus as a disability, and a strategy of investigation and reassurance based on the patient's understanding of the underlying mechanisms involved in tinnitus generation. Most treatment is aimed at bringing about a process of habituation (which occurs naturally in the majority of people experiencing tinnitus over a period of time). Symptom control is required in about half the patients referred, and various techniques are discussed including prosthetic masking devices, psychological approaches, drug therapy and electrical tinnitus suppression.

Combined Modality Therapy↗
PubMed1989

[Accidental adrenal gland tumors: clinical significance and practical management].

The widespread use of modern diagnostic techniques has led to an increase in unexpected adrenal disorders. Accidental adrenal [correction of renal] tumors require diagnostic evaluation of their endocrine activity and histologic importance. The clinical findings and differential diagnosis of accidental adrenal tumors are described in the light of two cases. The diagnostic use of endocrinologic tests and imaging techniques is discussed together with the management of these patients.

Adrenal Gland Neoplasms↗