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We compared the efficacy and safety of peribulbar anesthesia with lidocaine and cinchocaine hydrochloride in short-term (1 to 3 days) cataract surgery. Fifty-four patients were randomly assigned to receive peribulbar anesthesia of 20 mL of 2% lidocaine (no. 15 group) or 20 mL of 2% lidocaine with 1% cinchocaine hydrochloride (no. 30 group). Supplemental anesthesia was used if the patient’s pain reaction required it. The patients were evaluated regarding pain, akinesia, and degree of intraoperative miosis. Sedation was quantified with the Ramsay score. The mean pain score was significantly lower (P = 0.006) for the no. 30 group (3.2 +/- 0.5) than for the no. 15 group (4.1 +/- 0.4). The difference between the mean akinesia scores of the groups was not significant (0.69 +/- 0.2 versus 0.60 +/- 0.2). The difference in the intraoperative miosis score between the groups was not significant (1.03 +/- 0.6 versus 1.04 +/- 0.4). During and after surgery, no significant differences were found between the groups regarding significant side effects. The results showed that peribulbar anesthesia with lidocaine, with and without cinchocaine, is a useful and safe technique in short-term cataract surgery.Expression and mutation of the desmosomal cadherins desmoglein 1, desmoglein 3, and desmocollin 3 in desmoplastic trichilemmal carcinoma, a variant of invasive squamous cell carcinoma.
Desmoplastic trichilemmal carcinoma (DTC) is a variant of invasive squamous cell carcinoma (ISCC
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