Synthetic nanoparticles can be used to carry drugs, genes, small interfering RNA (siRNA) and growth fac-tors into the inner ear, to repair, restore and induce cellular regeneration. Nanoparticles (NPs) have been d...Synthetic nanoparticles can be used to carry drugs, genes, small interfering RNA (siRNA) and growth fac-tors into the inner ear, to repair, restore and induce cellular regeneration. Nanoparticles (NPs) have been developed which are targetable to selected tissue, traceable in vivo, and equipped with controlled drug/gene release. The NPs are coated with a “stealth” layer, and decorated with targeting ligands, markers, transfection agents and endosomal escape peptides. As payloads, genes such as the BDNF -gene, Math1 -gene and Prestin -gene have been constructed and delivered in vitro. Short-hairpin RNA has been used in vitro to silence the negative regulator of Math1, the in-hibitors of differentiation and DNA binding. In order to facilitate the passage of cargo from the middle ear to the inner ear, the oval window transports gadolinium chelate more effciently than the round window and is the key element in introducing therapeutic agents into the vestibule and cochlea. Depending upon the type of NPs, different migration and cellular internalization pathways are employed, and optimal carriers should be designed depending on the cargo. The use of NPs as drug/gene/siRNA carriers is fascinating and can also be used as an intraoperative adjunct to cochlear implantation to attract the peripheral processes of the cochlear nerve.展开更多
BACKGROUND Rezūm™water vapor therapy is a new minimally invasive endoscopic technology for the management and treatment of benign prostatic hyperplasia.CASE SUMMARY A 63-year-old male presented to our department with...BACKGROUND Rezūm™water vapor therapy is a new minimally invasive endoscopic technology for the management and treatment of benign prostatic hyperplasia.CASE SUMMARY A 63-year-old male presented to our department with severe dysuria,frequency,urgency,and interrupted stream 2 mo after receiving Rezūm™therapy.The symptoms were caused by a retained floating emphysematous necrotic sloughed tissue.We also discovered a persistent bacterial infection that was resistant to parenteral antimicrobial therapy.The treatment of the patient included surgical removal of the necrotic tissue.CONCLUSION Despite the good safety profile and minimal adverse events related to Rezūm™therapy,major complications can still occur.展开更多
This article presents an overview of endoscopic retrograde appendicitis therapy(ERAT),an innovative and minimally invasive treatment for appendicitis with an appendix-preserving manner.Since its initial application in...This article presents an overview of endoscopic retrograde appendicitis therapy(ERAT),an innovative and minimally invasive treatment for appendicitis with an appendix-preserving manner.Since its initial application in 2009,ERAT has gained significant popularity in China,due to its rapid recovery and minimal risk of complications.The ERAT procedures comprise several steps,including appendiceal orifice access and intubation,appendiceal lumen imaging,decompression and irrigation,fecalith removal,and stenting.ERAT has been used in various forms of complicated appendicitis,such as in pregnant women and children,with continuous improvements in both technique and safety.It has the potential to become the preferred diagnostic and treatment method for appendicitis.Until 2023,over 10,000 ERAT procedures have been successfully conducted in China,and the technique has gained more attention worldwide.However,challenges remain,including training,standardization of ERAT practice,research and technology improvement,enhancing public awareness,and fostering international collaboration.In summary,ERAT can be the standard treatment for appendicitis treatment,which represents a paradigm shift in the conventional clinical practice.展开更多
文摘Synthetic nanoparticles can be used to carry drugs, genes, small interfering RNA (siRNA) and growth fac-tors into the inner ear, to repair, restore and induce cellular regeneration. Nanoparticles (NPs) have been developed which are targetable to selected tissue, traceable in vivo, and equipped with controlled drug/gene release. The NPs are coated with a “stealth” layer, and decorated with targeting ligands, markers, transfection agents and endosomal escape peptides. As payloads, genes such as the BDNF -gene, Math1 -gene and Prestin -gene have been constructed and delivered in vitro. Short-hairpin RNA has been used in vitro to silence the negative regulator of Math1, the in-hibitors of differentiation and DNA binding. In order to facilitate the passage of cargo from the middle ear to the inner ear, the oval window transports gadolinium chelate more effciently than the round window and is the key element in introducing therapeutic agents into the vestibule and cochlea. Depending upon the type of NPs, different migration and cellular internalization pathways are employed, and optimal carriers should be designed depending on the cargo. The use of NPs as drug/gene/siRNA carriers is fascinating and can also be used as an intraoperative adjunct to cochlear implantation to attract the peripheral processes of the cochlear nerve.
文摘BACKGROUND Rezūm™water vapor therapy is a new minimally invasive endoscopic technology for the management and treatment of benign prostatic hyperplasia.CASE SUMMARY A 63-year-old male presented to our department with severe dysuria,frequency,urgency,and interrupted stream 2 mo after receiving Rezūm™therapy.The symptoms were caused by a retained floating emphysematous necrotic sloughed tissue.We also discovered a persistent bacterial infection that was resistant to parenteral antimicrobial therapy.The treatment of the patient included surgical removal of the necrotic tissue.CONCLUSION Despite the good safety profile and minimal adverse events related to Rezūm™therapy,major complications can still occur.
基金supported by the Zhongyuan talent program[grant number ZYYCYU202012113]the key R&D program of Henan Province[grant number 222102310038]Henan key medical laboratory:Innovative technology for minimally invasive treatment of digestive endoscope.
文摘This article presents an overview of endoscopic retrograde appendicitis therapy(ERAT),an innovative and minimally invasive treatment for appendicitis with an appendix-preserving manner.Since its initial application in 2009,ERAT has gained significant popularity in China,due to its rapid recovery and minimal risk of complications.The ERAT procedures comprise several steps,including appendiceal orifice access and intubation,appendiceal lumen imaging,decompression and irrigation,fecalith removal,and stenting.ERAT has been used in various forms of complicated appendicitis,such as in pregnant women and children,with continuous improvements in both technique and safety.It has the potential to become the preferred diagnostic and treatment method for appendicitis.Until 2023,over 10,000 ERAT procedures have been successfully conducted in China,and the technique has gained more attention worldwide.However,challenges remain,including training,standardization of ERAT practice,research and technology improvement,enhancing public awareness,and fostering international collaboration.In summary,ERAT can be the standard treatment for appendicitis treatment,which represents a paradigm shift in the conventional clinical practice.