1.Asherman's syndrome and tuberculosis: what are the reproductive options?
Oblepias Enrico Gil C. ; Pacquing-Songco Debby F.
Philippine Journal of Reproductive Endocrinology and Infertility 2009;6():29-34
Infertility may be caused by a number of diverse reasons. The diagnostic and therapeutic modalities in the management of this have advanced tremendously in the last three decades with the birth of the first "test tube" baby, Louise Brown in 1978. The underlying problem in infertility may be any of the following: semen quality; ovulation; passage of the sperm to the fallopian tubes; fertilization; or the transport of the embryo to the uterine cavity. All this can now be addressed by doing in-vitro fertilization and embryo transfer (IVF-ET). However, the solution to the problem of implantation remains elusive. The dilemma is even worse, if there is no endometrium to implant on. Presented here is one such case where a disease in childhood was likely to have made a lasting impact on the future of her reproductive potential. The diagnosis, fertility prognostication and reproductive options in these cases are also discussed.
ASHERMAN'S
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SYNDROME
;
UTERINE
;
SYNECHIAE
;
GENITAL
;
TUBERCULOSIS
;
INTRAUTERINE
;
ADHESIONS
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;
2.Tied to the Top: A Case Report on an Isolated Ankyloglossia Superior.
Mariel Kris O TAN ; Edgar Jake A AGULLO
Philippine Journal of Otolaryngology Head and Neck Surgery 2022;37(1):43-45
Objective: To report a case of isolated ankyloglossia superior in a one-month-old boy.
Methods:
Design: Case Report
Setting: Tertiary Government Training Hospital
Patient: One
Results: A one-month-old boy with failure to thrive, feeding difficulties and a palatoglossal band that limited mouth opening and anterior posturing of the tongue was diagnosed to have non-syndromic ankyloglossia superior and underwent surgical transection of the fibrous ankylosis under intravenous sedation due to difficulty of insinuating an endotracheal tube orally. Direct latch breastfeeding was successfully adapted from the second to tenth postoperative day before they were lost to follow up.
Conclusion: Despite a complicated pediatric airway, coordinated surgical and anesthesia management successfully restored tongue function and mouth opening to allow effective feeding.
Human ; Male ; Infant (a Child Between 1 And 23 Months Of Age) ; Ankyloglossia Superior ; Tongue-palate Fusion ; Palatoglossal Ankylosis ; Oral Synechiae