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https://www.readbyqxmd.com/read/27893534/clinical-predictors-of-positive-postoperative-blood-cultures
#1
Libby R Copeland-Halperin, Joshua Stodghill, Erica Emery, Amber W Trickey, Jonathan Dort
OBJECTIVE: To define clinical features of surgical patients in whom postoperative blood cultures are likely to identify pathogens. BACKGROUND: Bacteremia is a worrisome postoperative complication and blood cultures (BCx) are routinely used for evaluation of postoperative bacteremia, but are costly and not always diagnostic. Better methods are needed to select patients in whom BCx identify pathogens. METHODS: We reviewed records of patients ≥18 years old with BCx drawn ≤10 days after surgery in 2013 seeking independent predictors of positive cultures by simple and multiple logistic regression models with statistical significance at α = 0...
November 23, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27804241/towards-reconstruction-of-epithelialized-cartilages-from-autologous-adipose-tissue-derived-stem-cells
#2
Sophie E P New, Amel Ibrahim, Leonardo Guasti, Eleonora Zucchelli, Martin Birchall, Neil W Bulstrode, Alexander M Seifalian, Patrizia Ferretti
Deformities of the upper airways, including those of the nose and throat, are typically corrected by reconstructive surgery. The use of autologous somatic stem cells for repair of defects could improve quality and outcomes of such operations. The present study explored the ability of paediatric adipose-derived stem cells (pADSCs), a readily available source of autologous stem cells, to generate a cartilage construct with a functional epithelium. Paediatric ADSCs seeded on the biodegradable nanocomposite polymer, polyhedral oligomeric silsesquioxane poly(ϵ-caprolactone-urea) urethane (POSS-PCL), proliferated and differentiated towards mesenchymal lineages...
November 1, 2016: Journal of Tissue Engineering and Regenerative Medicine
https://www.readbyqxmd.com/read/27798453/patient-completed-preoperative-web-based-anaesthetic-assessment-questionnaire-electronic-personal-assessment-questionnaire-preoperative-development-and-validation
#3
Iain M Goodhart, John Andrzejowski, Georgina Jones, Mireille Berthoud, Andy Dennis, Gary Mills, Stephen Radley
BACKGROUND: Worldwide, guidelines support the routine use of anaesthetic preoperative assessment (POA), a process that is frequently supported by pro formas and unvalidated questionnaires. Electronic questionnaires can provide reliable data. A local initiative has seen the development of a computerised electronic Personal Assessment Questionnaire (ePAQ). OBJECTIVE: To develop and validate a novel electronic instrument for POA. DESIGN: The content and face validity were evaluated in 30 patients...
October 27, 2016: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/27633018/finite-element-model-and-validation-of-nasal-tip-deformation
#4
Cyrus T Manuel, Rani Harb, Alan Badran, David Ho, Brian J F Wong
Nasal tip mechanical stability is important for functional and cosmetic nasal airway surgery. Palpation of the nasal tip provides information on tip strength to the surgeon, though it is a purely subjective assessment. Providing a means to simulate nasal tip deformation with a validated model can offer a more objective approach in understanding the mechanics and nuances of the nasal tip support and eventual nasal mechanics as a whole. Herein we present validation of a finite element (FE) model of the nose using physical measurements recorded using an ABS plastic-silicone nasal phantom...
September 15, 2016: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/27628964/measuring-the-nose-in-septorhinoplasty-patients-ultrasonographic-standard-values-and-clinical-correlations
#5
Markus Stenner, Mario Koopmann, Claudia Rudack
Although septorhinoplasty is the most commonly performed operation in plastic surgery, and the surgical plan as well as its outcome is directly related to the configuration of the anatomical structures in the nose, these are not routinely assessed preoperatively. The aim of our study was to evaluate the nasal soft tissue and cartilaginous structures by means of high-resolution ultrasonography to set up clinical correlations and standard values. We examined 44 patients before septorhinoplasty by high-resolution ultrasonography in noncontact mode...
September 15, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27496377/should-we-consider-devolution-of-head-and-neck-surgery-from-the-specialties-of-oral-and-maxillofacial-surgery-ear-nose-and-throat-surgery-and-plastic-surgery
#6
S Islam
No abstract text is available yet for this article.
August 2, 2016: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/27470497/evaluation-of-aesthetic-and-functional-outcomes-in-rhinoplasty-surgery-a-prospective-study
#7
Sara Sena Esteves, Miguel Gonçalves Ferreira, João Carvalho Almeida, José Abrunhosa, Cecília Almeida E Sousa
INTRODUCTION: Evaluation of surgery outcome measured by patient satisfaction or quality of life is very important, especially in plastic surgery. There is increasing interest in self-reporting outcomes evaluation in plastic surgery. OBJECTIVE: The aim of our study was to determine patient satisfaction in regard to nose appearance and function with the use of a validated questionnaire, before and after rhinoplasty surgery. METHODS: A prospective study was realized at a tertiary centre...
July 20, 2016: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27465172/methicillin-resistant-staphylococcus-aureus-infections-a-comprehensive-review-and-a-plastic-surgeon-s-approach-to-the-occult-sites
#8
Cedric Hunter, Lorne Rosenfield, Elena Silverstein, Panayiota Petrou-Zeniou
BACKGROUND: Up to 20 percent of the general population is persistently colonized with Staphylococcus aureus, and 1 to 3 percent of the population is colonized with community-acquired methicillin-resistant S. aureus. Currently, the knowledge of methicillin-resistant Staphylococcus aureus carriage sites other than the nose, and their effect on surgical site infections in cosmetic surgery, is lacking. METHODS: A comprehensive literature review using the PubMed database to analyze prevalence, anatomical carrier sites, current screening and decontamination protocols and guidelines, and methicillin-resistant S...
August 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27404467/an-overview-of-asian-rhinoplasty
#9
Dong Li, Yang An, Xin Yang
East Asian rhinoplasty is an expanding topic in the field of rhinoplasty. Although the main principles of various rhinoplasty techniques apply equally to the East Asian nose, East Asian rhinoplasty is unique owing to its different anatomy and ethnicity. In recent years, there have been some noteworthy developments in East Asian rhinoplasty. Traditional techniques using alloplastic implants with endonasal approach are changing due to the advent of new beauty concept, introduction of new techniques, and development of newly improved materials expended polytetrafluoroethylene as an alloplastic material has gained popularity in Asian augmentation rhinoplasty...
February 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27391510/treatment-options-in-maxillofacial-fractures
#10
Jorge Orlando Guerrissi
From 2000 to 2010, 720 patients with facial trauma were admitted in Plastic Surgery Service of Argerich Hospital, Buenos Aires, Argentina; 58 of them with panfacial fractures were included in this study. Height velocity impact is the principal etiology, and most concomitant extrafacial injuries are neurocranium and cervical spine. Common affected areas were orbits, nose, and malar-zygoma. The timing of the treatment was airway evaluation, control of bleeding and consciousness, treatment of associated injuries, and finally facial reconstruction...
July 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27386828/nose-underdevelopment-etiology-diagnosis-and-treatment
#11
Marta Fijałkowska, Bogusław Antoszewski
INTRODUCTION: Clinical picture of nose underdevelopment is very polymorphic. It can exist from partial disturbances of nose development, through unilateral hypoplasia of the nose to congenital absence of the nose (arhinia). AIM: The aim of this study is to present own experience of treatment of patients with different types of nose underdevelopment. MATERIAL AND METHOD: Plastic Surgery Out-patient Clinic has under care 13 patients with isolated nose underdevelopment...
April 30, 2016: Otolaryngologia Polska. the Polish Otolaryngology
https://www.readbyqxmd.com/read/27378740/head-and-neck-cancer-surgery-provision-in-england-a-current-analysis-of-contributing-specialties-caseloads
#12
Shofiq Islam, Emma Wates, Jonathan P Hayter
To ascertain the current provision for surgery for head and neck cancer in England with respect to the operative caseloads of oral and maxillofacial, ear nose and throat (ENT) and plastic surgeons, we analysed data from the 2013 report of the National Head and Neck Audit (DAHNO). Clinicians were grouped by specialty of affiliation and assigned surgical caseloads were compared. There was a wide disparity in the extent of surgical activity between the specialties (p<0.001), and the percentage of those active in head and neck oncology within each specialty similarly varied (p<0...
July 1, 2016: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/27280098/integrated-internal-stabilization-for-saddle-nose-surgery
#13
Ebrahim Karimi, Jalal Mehdizadeh, Shahin Bastaninejad, Mohammad Koohkan
INTRODUCTION: Correction of Saddle nose deformity is one of the most challenging issues in facial plastic surgery. MATERIALS AND METHODS: In this study, a single structure in the form of L-strut was attempted to be created by using one 0.035" Kirschner wire and an autologous costal graft out of the 10th and 11th ribs. This study involved 13 cases, most of whom were traumatic. The corrective surgical techniques used in this study will be described in detail. RESULTS: There was no warping, no rejection, and no infection in the created L-strut and patients' satisfaction was very good during the follow up period...
March 2016: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27186871/piezotome-rhinoplasty-reduces-postsurgical-morbidity-and-enhances-patient-satisfaction-a-multidisciplinary-clinical-study
#14
Angelo Troedhan
PURPOSE: Experimental and clinical studies in various fields of oral and maxillofacial surgery suggest the use of piezotomes to reduce postsurgical morbidity and enhance healing. The aim of the study was to investigate if rhinoplasty surgery with piezotomes might decrease postsurgical morbidity and increase overall patient satisfaction when compared with rhinoplasty with traditional instruments and protocols. MATERIALS AND METHODS: In this prospective clinical study, patients in a cosmetic surgery department, ear-nose-throat (ENT) department, and the department for maxillofacial surgery, scheduled for cosmetic reductive rhinoplasty, underwent rhinoplasty with traditional instruments or an ultrasonic surgical device called a "piezotome...
August 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27146295/location-of-the-infraorbital-foramen-with-reference-to-soft-tissue-landmarks
#15
Nurcan Ercikti, Nihal Apaydin, Yalcin Kirici
PURPOSE: The location of the infraorbital foramen and its variations are important during periorbital, dental, plastic, and oromaxillofacial surgeries. The aim of this study is to document the most practical anatomical soft tissue landmarks for defining the location of infraorbital foramen and infraorbital nerve for effective nerve blockade and to decrease its risk of injury during periorbital surgeries. METHODS: Forty sides from 20 adult fixed cadavers were used for this study...
May 4, 2016: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/27144949/parental-state-anxiety-correlates-with-preoperative-anxiety-in-chinese-preschool-children
#16
Xulei Cui, Bo Zhu, Jing Zhao, Yuguang Huang, Ailun Luo, Jing Wei
AIM: Preoperative anxiety in children is largely dependent on age and is influenced by anxiety level in parents. The current study compared the level of preoperative anxiety in preschool children versus school-aged children and its relationship with the state and trait anxiety of the parents. METHODS: This study included 54 preschool children (2-5 years of age) and 48 school-age children (6-12 years) scheduled to receive ear, nose and throat, plastic or ophthalmologic surgeries...
June 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27051376/is-it-time-for-routine-use-of-the-retromolar-fiberscope
#17
Nabil Shallik, Mohamed Hassan Soliman, Sami M Ibrahim, Ahmed Algeziry, Mohamed Magdy Hussein
PURPOSE: This study aimed to determine the effectiveness, safety, and oral intubation time (IT) using a retromolar Bonfils fiberoptic scope compared with a conventional Macintosh laryngoscope. MATERIALS AND METHODS: Sixty patients (16-60 years old, American Society of Anesthesiology I/II) scheduled for general anesthesia for elective ear-nose-throat and plastic surgery were randomly divided into a Bonfils group (Group B, n = 30) and a Macintosh group (Group M, n = 30)...
April 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/26984921/analysis-of-fda-approved-orthopaedic-devices-and-their-recalls
#18
REVIEW
Charles S Day, David J Park, Frederick S Rozenshteyn, Nana Owusu-Sarpong, Aldebarani Gonzalez
BACKGROUND: The U.S. Food and Drug Administration (FDA) evaluates medical devices by two main pathways. The more stringent Premarket Approval (PMA) review requires clinical trials, and the Premarket Notification 510(k) process generally exempts devices from clinical trials if they prove to be substantially equivalent to existing devices. We hypothesized that orthopaedic devices are more likely to be cleared through the 510(k) process and thus are more susceptible to being recalled. METHODS: Using the FDA's public database, we searched for the following: PMA and 510(k) clearances for orthopaedics and non-orthopaedic specialties, including General & Plastic Surgery, Gastroenterology/Urology, Obstetrics/Gynecology, and Ear Nose & Throat, from 1992 to 2012...
March 16, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/26947355/-a-nasal-congenital-malformation-not-published-in-the-literature-about-5%C3%A2-cases
#19
T R Colson, B Bertrand, N Degardin, J Bardot, D Casanova
AIM OF STUDY: Five cases of the same congenital malformation of the nose, affecting the nasal dorsum and the supra-tip, were supported in our university plastic surgery center. This malformation has not been described in the literature known to the authors. The aim of this study is to analyze this nasal deformity. PATIENTS AND METHODS: Five children presented this congenital deformity between 1994 and 2014. The patients were examined and the malformation precisely described...
February 29, 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/26934436/-sir-harold-d-gillies-pioneer-of-plastic-surgery
#20
Ewald A W J Dumont
In the First World War, large numbers of soldiers perished because machine guns and artillery bombardments had rendered the old techniques of combat and weapons hopelessly outdated. In addition to the many deaths, many soldiers were also seriously injured. At the outbreak of the First World War, ENT surgeon Harold D. Gillies signed up with the Royal Army Medical Corps. He used his knowledge of reconstructive surgery in a creative and innovative manner to treat the severely mutilating facial injuries. He thus improved the established techniques of nose reconstruction, skin grafts and facial reconstruction...
2015: Nederlands Tijdschrift Voor Geneeskunde
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