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The evolution of indications in the case of severe hypoacusia with higher percentages of speech discrimination and residual hearing, mainly at low frequencies, in addition to the need to preserve the anatomic structures of the cochlea, respect that residual hearing and foresee future reimplantations led to the first atraumatic surgeries of the cochlea "soft surgery".
"Soft surgery," a collection of techniques that would aid in the preservation of hearing following cochlear implantation, was first proposed as a concept by Lehnhardt in 1993 [ 57].
The idea that superior surgical technique (i.e. soft surgery) alone is enough to preserve residual hearing was challenged by Cohen [ 62] asserting that residual hearing is universally lost following implantation, irrespective of the implanted electrode and the technique of surgical insertion.
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Among the steps involved in soft surgeries, electrode array insertion is the most frequently studied.
Previous studies have highlighted the possibility of electrode array insertion using atraumatic surgical techniques, which have been designated as soft surgeries [ 4, 6– 9].
To support this single cimicoxib daily dose, the company carried out field trials on peri-operative pain associated with orthopaedic or soft tissue surgery using carprofen as a comparator (4 mg/kg per day).
However, to our knowledge, there are no published studies investigating pain scales in horses undergoing soft tissue surgery or experiencing pain of a similar intensity to that associated with castration.
The Roux-Elmslie-Trillat procedure could be recommended in cases presenting with an increased q-angle, trochlea dysplasia or failed soft tissue surgery.
The procedures were broadly classified into either bone surgery-related procedures, used mostly for bones and joints, or soft tissue surgery-related procedures, which did not involve bone manipulation.
In cases of patella instability due to an increased q-angle, trochlea dysplasia or after failed soft tissue surgery, where conservative treatment has been ineffective, the Roux-Elmslie-Trillat procedure produces good long term results.
The patient in our case underwent soft tissue surgery in the lower abdomen, and the relationship between this abdominal surgery and the patient's spinal cord infarction may have been negative.
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CEO of Professional Science Editing for Scientists @ prosciediting.com