Quality of life outcome in revision rhinoplasty in regards to number of revision surgeries and cartilage donor site

2021 ◽  
Author(s):  
Frank Riedel ◽  
Matthias Wähmann ◽  
Johannes A. Veit ◽  
Olcay Cem Bulut
Keyword(s):  
Quality Of Life ◽  
Donor Site ◽  
Revision Rhinoplasty ◽  
And Cartilage

Total Hip Arthroplasty

2019 ◽  
pp. 83-95
Author(s):  
Sydney E. Rose ◽  
Julio A. Gonzalez-Sotomayor
Keyword(s):  
Quality Of Life ◽  
Total Hip Arthroplasty ◽  
General Anesthesia ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Severe Arthritis ◽  
And Cartilage ◽  
Anesthesia Spinal

This chapter discusses the goals, procedure, and potential outcomes of total hip arthroplasty (THA). Patients may be candidates for a THA when they have severe arthritis of their hip(s) (degeneration of cartilage covering the ends of the bones creating the hip joint). Arthritic hip pain is often progressive and gets worse as the cartilage continues to deteriorate. Typically, at the time a patient seeks hip arthroplasty, his or her quality of life has become very compromised. In a total hip arthroplasty, damaged bone and cartilage of the hip joint are removed and replaced with prosthetic components. THA can be performed under neuraxial anesthesia (spinal or epidural) or general anesthesia or a combination of both.

Material Composition Gradients and Protein Release for Tracheal Defect Repair

2013 ◽  
Author(s):  
Lindsey Ott ◽  
Cindy Vu ◽  
Ashley Farris ◽  
Robert Weatherly ◽  
Michael Detamore
Keyword(s):  
Quality Of Life ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Prosthetic Material ◽  
Tracheal Defect ◽  
Laryngotracheal Reconstruction ◽  
Augmentation Techniques ◽  
Defect Repair ◽  
Composition Gradients

Windpipe defects result in decreased quality of life for the patient, making breathing, speaking, and swallowing difficult. Disorders of the trachea requiring intervention methods not adequately treated by slide tracheoplasty or cartilage augmentation necessitate the use of prosthetic material to expand the trachea. Furthermore, some donor site morbidity occurs with augmentation techniques and size or shape mismatches are not uncommon. Tissue engineering has the potential to create effective replacement trachea-like tissue for procedures like laryngotracheal reconstruction and may circumvent these problems.

Analysis of patient satisfaction and donor-site morbidity after different types of breast reconstruction

2014 ◽  
Vol 103 (4) ◽  
pp. 249-255 ◽  
Author(s):  
H. C. Benditte-Klepetko ◽  
F. Lutgendorff ◽  
T. Kästenbauer ◽  
M. Deutinger ◽  
C. M. A. M. van der Horst
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Donor Site ◽  
Perforator Flap ◽  
Donor Site Morbidity ◽  
Deep Inferior Epigastric Perforator ◽  
Types Of Breast Reconstruction

Background and Aims: Breast reconstruction has been shown to improve quality of life. However, factors involved in long-term patient satisfaction are largely unknown. Our aim was to evaluate patient satisfaction and donor-site morbidity in five types of breast reconstruction. Material and Methods: A prospectively collected database of all breast surgery patients at Hospital Rudolfstiftung, Vienna, Austria, was searched for five types of breast reconstruction (2000–2006): implant, latissimus dorsi-flap, latissimus dorsi-flap with implant, free transverse rectus abdominis musculocutaneous-flap, and deep inferior epigastric perforator-flap. Patients were sent a study-specific questionnaire to assess satisfaction. Short-form 36-item health survey was used to analyze (quality of life), and complication data were retrieved from the database and assessed during a follow-up visit. Results: There were 257 patients identified, of whom, 126 responded to the survey (17 implant, 5 latissimus dorsi + implant, 64 latissimus dorsi, 22 transverse rectus abdominis musculocutaneous, and 18 deep inferior epigastric perforator reconstructions). No statistical differences were found in complication or reoperation rates. Deep inferior epigastric perforator–flap patients were significantly more satisfied compared to patients from the implant group ( p = 0.007). However, there was no significant difference regarding quality of life scores among the groups. After logistic regression analysis, only “impairment on daily life” showed to be independently correlated with patient satisfaction. This contrary to both operation type and complication rate which did not correlate with patient satisfaction. Conclusions: Our results indicate that operation type, complication rate, and revision rate did not independently correlate with patient satisfaction. Therefore, to further improve patient satisfaction, future research should be focused on other pro-operative factors, for example, patient education, expectations, and personality characteristics.

scholarly journals Donor-Site Morbidity after Fibula Transplantation in Head and Neck Tumor Patients: A Split-Leg Retrospective Study with Focus on Leg Stability and Quality of Life

Cancers ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2217 ◽  
Author(s):  
Sameh Attia ◽  
Jonas Diefenbach ◽  
Daniel Schmermund ◽  
Sebastian Böttger ◽  
Jörn Pons-Kühnemann ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Published Data ◽  
Complication Rates ◽  
Free Fibula Flap ◽  
Test Procedures ◽  
Fibula Flap ◽  
The Stability

The free fibula flap has been one of the most important microvascular grafts for orofacial reconstruction for more than 30 years. The complication rates at the donor-site reported in literature are considered to be low, but the published data vary greatly in some cases. In particular, restrictions in the stability and balance of the involved leg and their effects on the quality of life have been described very inconsistently to date. Therefore, this study mainly focuses on the stability and balance of the affected leg in a split-leg design. Between December 2014 and January 2018, out of 119 subjects who underwent mainly jaw ablative tumor surgery and reconstruction using a fibula flap, 68 subjects were examined for donor site morbidity. Besides reporting general types of complications, two specific test procedures were used. The Star Excursion Balance Test (SEBT) as a practical test for ankle function and the Foot and Ankle Disability Index (FADI) as a questionnaire in order to assess quality of life, depending on the lower leg function. SEBT revealed an average of 55.3 cm with the operated leg as the supporting leg, which corresponds to 95.5% of 57.9 cm achieved with the healthy leg as the supporting leg. An average FADI score of 89.4% was recorded. SEBT and FADI seem to be suitable methods of examination for subjects post fibular transplantation and pointed out minimal limitations of the involved legs in comparison to the unaffected legs. These limitations were clinically not relevant and they had minor influence on the subjects’ quality of life and their daily activities.

Meniscal and chondral injuries associated with surgical delay before anterior cruciate ligament reconstruction in adolescents

2018 ◽  
Vol 3 (5) ◽  
pp. 258-262 ◽  
Author(s):  
Marie-Lyne Nault ◽  
Laurence Ledoux ◽  
Lydia Saad ◽  
Guy Grimard ◽  
Peter Glavas
Keyword(s):  
Quality Of Life ◽  
Cartilage Injury ◽  
Surgical Delay ◽  
Time Of Surgery ◽  
Adolescent Population ◽  
Cartilage Injuries ◽  
Secondary Objective ◽  
And Cartilage

ObjectivesA delay before anterior cruciateligament reconstruction (ACLR) is known to have an impact on meniscal and cartilage injury severity at the time of surgery, which can lead to lower quality of life. The main objective of this study was to assess the impact of surgical delay on quality of life in an ACLR adolescent population. The secondary objective was to evaluate its effects on meniscus and cartilage injuries at the time of surgery.MethodsThis study was conducted in a tertiary paediatric hospital. All ACLR cases performed between January 2004 and December 2011 were retrieved from hospital databases. Medical records were reviewed to collect the following information: demographics, Body Mass Index, age at time of injury, surgical delay and operative findings (meniscus and cartilage status). Patients were contacted and asked to participate in this study by filling out the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. A correlation analysis was performed to evaluate the influence of length of surgical delay on the KOOS scores and on intra-articular injuries at the time of surgery.ResultsNinety-three patients were included in the study with a mean follow-up of 4 years. Twenty-nine patients were successfully contacted and completed the KOOS questionnaire. For the main objective, there was no significant outcome association between surgical delay and KOOS scores. For the secondary objective, there was a positive and statistically significant correlation between surgical delay and severity of medial meniscus injury and lateral femoral condyle cartilage injury, r=0.359 (p<0.001) and r=0.226 (p=0.029), respectively.ConclusionThe results of this study confirmed that there is an association between surgical delay and meniscus and cartilage injuries at the time of surgery. At a mean follow-up of 4 years, surgical delay was not yet associated with lower KOOS scores. These results emphasise the importance of rapid access to operative rooms for ACLR surgeries in an adolescent population.Level of evidenceLevel IV—Retrospective case series.

Complementary and Alternative Medicine in Oncology

1999 ◽  
Vol 12 (3) ◽  
pp. 225-239
Author(s):  
Jennifer A. Torma
Keyword(s):  
Quality Of Life ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Cancer Patients ◽  
Mainstream Medicine ◽  
And Cartilage ◽  
Treatment Related Problems ◽  
Complementary And Alternative

Complementary and alternative medicine (CAM) has reentered mainstream medicine and is gaining interest with cancer patients for the treatment of their disease. The use of CAM by cancer patients varies depending on survey, but has been reported as high as 54 percent. As pharmacists we are expected to educate and counsel patients on herbal, pharmacologic and immunologic therapies. Several therapies that claim to treat cancer include laetrile, iscador, essiac, antineoplastins, immunoaugmentative therapy, IP6, PC-SPES, and cartilage products; these therapies and their limitations are discussed. Cancer patients are a unique population with special considerations when patients are utilizing CAM because disease and treatment related problems, such as bleeding, nutrition, and quality-of-life, could be worsened. Resources for pharmacists and cancer patients on CAM are outlined.

A Hairy Situation: Laser Hair Removal after Oral Reconstruction

2017 ◽  
Vol 127 (3) ◽  
pp. 205-208 ◽  
Author(s):  
Bridget E. Shields ◽  
Molly S. Moye ◽  
Rodrigo Bayon ◽  
Steven M. Sperry ◽  
Karolyn A. Wanat
Keyword(s):  
Quality Of Life ◽  
Treatment Options ◽  
Donor Site ◽  
Case Series ◽  
Hair Removal ◽  
Laser Hair Removal ◽  
Nd:Yag Lasers ◽  
Dermatology Clinic ◽  
Flap Repair

Objectives: To present a case series of 4 patients who underwent postoperative hair removal using the long-pulsed Alexandrite or Nd:YAG laser following intraoral cutaneous flap reconstruction. Methods: Patients underwent epilation in dermatology clinic with long-pulsed Alexandrite or Nd:YAG lasers, spaced 8 weeks apart, until hair removal was achieved. Results: All patients achieved improvement in hair removal regardless of initial flap donor site with significant improvement in quality of life and minimal side effects. Conclusions: The long-pulsed Alexandrite and Nd:YAG represent safe and effective treatment options to improve patient quality of life following intraoral flap repair following excision of malignancy.

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