Body dysmorphic disorder and cosmetic surgery: Evolution of 24 subjects with a minimal defect in appearance 5 years after their request for cosmetic surgery

2007 ◽  
Vol 22 (8) ◽  
pp. 520-524 ◽  
Author(s):  
Jean Tignol ◽  
Louise Biraben-Gotzamanis ◽  
Corinne Martin-Guehl ◽  
Denis Grabot ◽  
Bruno Aouizerate
Keyword(s):  
Patient Satisfaction ◽  
Prospective Study ◽  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Psychiatric Comorbidity ◽  
Body Dysmorphic Disorder ◽  
Telephone Interview ◽  
Minimal Defect ◽  
The Stability

AbstractObjectivesTo evaluate the effect of cosmetic surgery and the stability of body dysmorphic disorder (BDD) diagnosis in patients with a minimal defect in appearance, with and without BDD, 5 years after their request for plastic surgery.Subjects and methodsThirty patients requesting cosmetic surgery with minimal defect in appearance, of whom 12 had BDD and 18 did not, were re-evaluated 5 years later by telephone interview regarding their cosmetic surgery interventions, satisfaction with the intervention, BDD diagnosis, handicap, and psychiatric comorbidity.ResultsOf the 30 patients, we were able to re-evaluate 24 subjects (80%), 10 with BDD and 14 non-BDD. Seven BDD subjects had undergone cosmetic surgery vs 8 non-BDD. Patient satisfaction with the intervention was high in both groups. Nevertheless at follow-up, 6 of the 7 operated BDD patients still had a BDD diagnosis and exhibited higher levels of handicap and psychiatric comorbidity compared to their non-BDD counterparts. Moreover, 3 non-BDD patients had developed a BDD at follow-up.ConclusionThis prospective study confirms that cosmetic surgery is not efficient on BDD despite declared patient satisfaction. Cosmetic surgery had no significant effects on BDD diagnosis, handicap or psychiatric comorbidity in BDD patients at 5-year follow-up. Furthermore, BDD appeared at follow-up in some initially non-BDD diagnosed subjects. Patients' declared satisfaction with surgery may contribute to explain why some plastic surgeons may not fully adhere to the contraindication of cosmetic surgery in BDD.

scholarly journals Patient Satisfaction With an Early Smartphone-Based Cosmetic Surgery Postoperative Follow-Up

2017 ◽  
Vol 38 (1) ◽  
pp. 101-109 ◽  
Author(s):  
Edoardo Dalla Pozza ◽  
Gehaan F D’Souza ◽  
Anthony DeLeonibus ◽  
Brianna Fabiani ◽  
Bahar Bassiri Gharb ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Cosmetic Surgery

Laser-assisted uvulopalatoplasty: an assessment of a technique

1996 ◽  
Vol 110 (3) ◽  
pp. 232-236 ◽  
Author(s):  
Michael Wareing ◽  
David Mitchell
Keyword(s):  
Patient Satisfaction ◽  
Telephone Interview ◽  
Sleep Apnoea ◽  
Improve Outcome ◽  
Results Of Treatment ◽  
Obstructive Sleep ◽  
Operative Complications ◽  
Simple Snoring ◽  
Minor Side Effect

AbstractThe Kamami technique of laser-assisted uvulopalatoplasty has recently been introduced into British practice as an office-based multistage procedure for the treatment of snoring and, in certain cases, for obstructive sleep apnoea. We have treated 50 patients with simple snoring, with a minimum follow-up of six months. Six-month telephone interview follow-up has assessed partner and patient satisfaction, as well as willingness to undergo the procedure again. We have found the procedure easy to perform with no serious intra-operative complications. Thirty-four (68 per cent) of patients' partners have been definitely satisfied with the results of treatment, with 11 (22 per cent) definitely unsatisfied. However, only 25 of these 34 satisfied patients (76 per cent) would be prepared to undergo the treatment again with postoperative pain and discomfort cited as the reason in those who would not. The failure rate doubled between one and six months post-operatively. There have been no serious complications but a 40 per cent minor side-effect rate is noted. These results are discussed in the context of previously reported results, with consideration of future strategies to improve outcome.

Keller Arthroplasty: A Prospective Review

Foot & Ankle ◽  
1987 ◽  
Vol 8 (1) ◽  
pp. 46-54 ◽  
Author(s):  
T. R. Love ◽  
A. S. Whynot ◽  
I. Farine ◽  
M. Lavoie ◽  
L. Hunt ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Prospective Study ◽  
Hallux Valgus ◽  
Joint Pain ◽  
Female Patients ◽  
Satisfaction Rate ◽  
Level Of Activity ◽  
A Prospective Study ◽  
Patient Satisfaction Rate

A prospective study of the Keller procedure for hallux valgus was carried out on 44 female patients (75 feet) with an average age of 66 years. The average follow-up was 31 months (range, 12–64 months). The operation was effective in improving symptoms (joint pain and bunion tenderness), cosmesis, function (footwear and level of activity) and in decreasing the deformity. The operation did not have an influence on metatarsal calluses. Cock-up deformity was common postoperatively but did not affect the results. The overall patient satisfaction rate was 77%.

scholarly journals Patient satisfaction and objective outcome assessment following mid-urethral sling procedures in women with stress urinary incontinence: A prospective study

2019 ◽  
Author(s):  
Zinat Ghanbari ◽  
Seyedeh Belin Tavakoly Sany ◽  
Maryam Hajhashemi ◽  
Nahid Radnia ◽  
Arezoo Orooji ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Urinary Incontinence ◽  
Patient Satisfaction ◽  
Stress Urinary Incontinence ◽  
Prospective Study ◽  
A Prospective Study ◽  
Cure Rates ◽  
Effective Procedures ◽  
Objective Cure

Abstract Background Mid-urethral sling (MUS) operations are currently a recognized as the most popular and effective procedures for the surgical treatment of stress urinary incontinence (SUI) among women population. However, data reporting a long-term outcome is still equivocal, and thus, the data available are limited. This study aims to examine the efficacy of MUS operations after implantation for the treatment of women SUI during 3-years follow up. Method A prospective study was conducted in referral centers in the Tehran University of Medical Science, Emam Khomeini Hospital, Iran. 105 patients with urodynamically proven pure SUI or mix incontinence treated by MUS surgeries (TOT-TVT) were included. Patients with history of prior anti-incontinence surgery and abdominal radical pelvic surgery were excluded. Data regarding objective cure rates, subjective outcomes (Urogenital Distress Inventory Questionnaire–Short Form, Surgical Satisfaction Questionnaire) were collected during follow-up. We analyzed the preoperative parameters by univariate and multivariate analysis was conducted to investigate outcomes. Results One hundred five women had MUS implantation. At 4-years follow-up, 101 women (95%) were available for the assessment. We find evidence of significant improvement in urinary symptoms, objective cure rates and patient satisfaction after operation. At 3-years follow up, 80 of 101 women (82.17%) indicated themselves cured. Similarly, at 3-years evaluation, 83 of 101 women (82.17%) were satisfied or very satisfied, not showing visible urine leakage; and a state that did not need interval surgery. The multivariate analysis of the preoperative parameters revealed that age, VD, absences of urgency symptoms were the parameters related independently to the surgical success and patient’s satisfaction and Qmax was well associated with postoperative voiding dysfunction (PVD). Conclusion The 4-years findings of this study suggest that MUS surgeries are an effective procedures for the treatment of SUI.

scholarly journals Treatment of the overriding fifth toe: Butler’s arthroplasty is a good option

2018 ◽  
Vol 12 (1) ◽  
pp. 36-41 ◽  
Author(s):  
R. Simões ◽  
C. Alves ◽  
L. Tavares ◽  
I. Balacó ◽  
P. Sá Cardoso ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Telephone Interview ◽  
Deformity Correction ◽  
Functional Results ◽  
Level Of Evidence ◽  
Forefoot Deformity ◽  
Significant Difference ◽  
Fifth Toe ◽  
Clinical Records

Purpose The overriding fifth toe is a congenital triplane deformity that may cause aesthetic and functional concerns in children and adolescents. This study aims to evaluate the results obtained when using Butler’s arthroplasty to treat this forefoot deformity. Methods We performed a retrospective study, including all patients undergoing Butler’s arthroplasty from January 1995 to December 2012. Clinical records were reviewed to determine age at date of surgery, gender, laterality, preoperative symptoms, success of deformity correction, postoperative pain, scarring, need for adapted shoe, rates of complications and recurrence. Patient satisfaction was evaluated through a telephone interview. All p-values < 0.05 were considered statistically significant. Results A total of 21 patients were included in this study, the majority of which were male (57%), with a mean follow-up of 12 months (1 to 52). In the evaluation of the residual deformity (18 patients), 72% had excellent results, 17% good and 11% poor results. One patient had a keloid scar, three patients reported pain and three patients required adapted footwear. There was a partial recurrence of the deformity in three cases. The majority of patients (78%) were satisfied with the surgery. There was no statistically significant difference in terms of results, when comparing patients older and younger than seven years of age (p = 0.46). Conclusions Butler’s operation is effective and safe in the treatment of the overriding fifth toe, yielding good functional results and patient satisfaction, with low rate of complications. Level of Evidence IV

Evaluation of Peri-implant Tissue Stability and Patient Satisfaction After Immediate Implant Placement in the Esthetic Area: A 3-Year Follow-up of an Ongoing Prospective Study

2020 ◽  
Vol 40 (5) ◽  
pp. 731-739
Author(s):  
Albert Barroso-Panella ◽  
Octavi Ortiz-Puigpelat ◽  
Pablo Altuna-Fistolera ◽  
Ernest Lucas-Taulé ◽  
Federico Hernández-Alfaro ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Prospective Study ◽  
Implant Placement ◽  
Immediate Implant ◽  
Esthetic Area

Dual mobility trapeziometacarpal prosthesis: a prospective study of 107 cases with a follow-up of more than 3 years

2021 ◽  
pp. 175319342110245
Author(s):  
Bruno Lussiez ◽  
Cyril Falaise ◽  
Pascal Ledoux
Keyword(s):  
Prospective Study ◽  
Functional Outcomes ◽  
Pinch Strength ◽  
Level Of Evidence ◽  
Dual Mobility ◽  
The Mean ◽  
The Stability ◽  
A Prospective Study ◽  
Score Index

We report the results of a prospective study using a dual mobility trapeziometacarpal prosthesis (Touch®) in 107 patients with a minimum follow-up of 3 years. One-hundred and two patients (95%) were very satisfied or satisfied with the functional outcomes and the mean pain intensity in visual analogue scale decreased from 7.4 to 0.8 ( p < 0.001). Thumb opposition (Kapandji score) index increased from an average of 8.0 to 9.4, while the mean QuickDASH score improved from 38 preoperatively to 20 at follow-up ( p < 0.01). Key-pinch strength improved from 3.5 kg (range 0.5–9.5) to 5.5 kg (range 3.0–11.5). There was a 4.6% rate of complications, including cup loosening and wear of polyethylene, which required revision, but no cases of prosthetic dislocation were seen. Applying the dual mobility principle to trapeziometacarpal arthroplasty may significatively improve the stability of these prostheses. Radiolucent zones around the components of the prostheses are not systematic predictors of future loosening. Level of evidence: IV

scholarly journals Comparative study of ultrasonography-guided percutaneous A1 pulley release versus blinded percutaneous A1 pulley release

2018 ◽  
Vol 26 (2) ◽  
pp. 230949901877236 ◽  
Author(s):  
Sung Hyun Lee ◽  
Young Chae Choi ◽  
Hong Je Kang
Keyword(s):  
Patient Satisfaction ◽  
Postoperative Pain ◽  
Prospective Study ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Trigger Finger ◽  
Analog Scale ◽  
Vas Score ◽  
A1 Pulley

Purpose: The purpose of this study was to compare the results of blind versus ultrasonography-guided percutaneous A1 pulley release for treatment of trigger finger. Methods: This prospective study included 21 patients (25 fingers) who underwent blind release and 20 patients (23 fingers) who underwent ultrasonography-guided release. The visual analog scale (VAS) score, proximal interphalangeal joint contracture, complications, and patient satisfaction were compared between the groups. Results: At the final follow-up, triggering had disappeared in all patients who underwent ultrasonography-guided release, whereas three patients who underwent blind release required revision surgery for postoperative triggering. No complications were observed. VAS score was significantly different between groups at 2 and 4 weeks postoperatively. All patients who underwent ultrasonography-guided release were satisfied, whereas three patients who underwent blind release were not satisfied. Conclusion: Ultrasonography-guided percutaneous A1 pulley release for treatment of trigger finger reduces postoperative pain and complications, such as incomplete release, compared with a blind procedure.

Clinical Acceptance, Reasons for Rejection, and Reduction of In-Shoe Peak Pressure with Interdigital Silicone Orthoses

2014 ◽  
Vol 104 (1) ◽  
pp. 30-33 ◽  
Author(s):  
Ulrich Illgner ◽  
Tymo Budny ◽  
Marc Hoyer ◽  
Hans Henning Wetz
Keyword(s):  
Patient Satisfaction ◽  
Clinical Study ◽  
Activities Of Daily Living ◽  
Prospective Study ◽  
Daily Living ◽  
Peak Pressure ◽  
Large Prospective Study

Background For several years, confectioned or customized interdigital silicone orthoses have been used to treat toe malformations; however, long-term clinical and biomechanical studies are missing. The aim of this study was to evaluate the biomechanical effects of these orthoses and their clinical acceptance. Methods In 2008, 46 patients (30 women and 16 men; average age, 56.8 years) received interdigital silicone orthoses. All of the patients were included in the biomechanical and clinical study. Compliance and acceptance were measured by the Muenster shoe and foot questionnaire, which includes 13 items on pain, activities of daily living, satisfaction, and activity. Mean follow-up was 18 months. Ten feet (eight patients) were chosen by random and underwent pedobarography. One forefoot sensor and two single sensors were attached between the skin and the orthosis. Measurements were performed in-shoe three times with and without the orthosis without removal of the sensors. Results Forty-four of the 46 patients (95.7%) were included. At the 18-month investigation, 19 patients no longer used their orthoses, most commonly because of pain and failure of the material. Twenty-two patients regularly used their orthoses (8 h/d on average). In-shoe peak pressure lowered significantly with orthosis use (P &lt; .04). Patients who used the orthoses were mostly satisfied. Conclusions Interdigital silicone orthoses reduce in-shoe peak pressure. Patient satisfaction was good. The durability of the material has to be optimized, and manufacturing remains difficult. The effect on ulcer reduction must be evaluated in a large prospective study.

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