Percutaneous surgery of the forefoot compared with open technique — Functional results, complications and patient satisfaction

2020 ◽  
Vol 26 (2) ◽  
pp. 156-162 ◽  
Author(s):  
Mustafa Yassin ◽  
Abdallah Bowirat# ◽  
Dror Robinson
Keyword(s):  
Patient Satisfaction ◽  
Functional Results ◽  
Percutaneous Surgery ◽  
Open Technique

Caudal Extension Graft of the Lower Lateral Cartilage: Technique and Aesthetic and Functional Results

2021 ◽  
Author(s):  
Juliano de Oliveira Sales ◽  
Wolfgang Gubisch ◽  
Rodrigo Ribeiro Ferreira Duarte ◽  
Aline Souza Costa Teixeira Moreno ◽  
Felipe Marques de Oliveira ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Age Groups ◽  
Functional Results ◽  
First Year ◽  
Lateral Cartilage ◽  
Lower Lateral Cartilage ◽  
Alar Retraction ◽  
Outcomes Evaluation ◽  
A New Technique ◽  
Extension Graft

AbstractHere we describe a new technique to deal with alar retraction, a highly undesirable imperfection of the nose. The procedure involves placing a caudal extension graft below the vestibular portion of the lower lateral cartilage (LLC) after its detachment from the vestibular skin. The graft is fixed to the cartilage and, subsequently, to the vestibular tissue. The present retrospective study included 20 patients, 11 females and 9 males, with a mean age of 28.90 years. Follow-up ranged from 1 to 18 months. Surgery improved alar notching to a smoother dome shape and nostril exposure was reduced in every patient. The caudal extension graft of the LLC contributed to rise in overall patient satisfaction, as revealed by the postoperative increase of the Rhinoplasty Outcomes Evaluation (ROE) mean score from 40.0 to 79.17 (p < 0.0001). It also contributed to and improved functional outcomes, as indicated by the decrease of the Nasal Obstruction Symptom Evaluation (NOSE) mean score from 52.75 to 13.25 (p = 0.0001). Sex did not affect the mean ROE and NOSE scores. Thus, increased patient satisfaction measured by the ROE is present in both sexes and at both age groups but it is better detected in the first year after surgery. Functional improvements analyzed with NOSE are best detected in patients aged ≥ 30 years and in follow-ups of 11 months. The caudal extension graft of the LLC technique described herein effectively and safely corrects alar retraction and the collapse of the nasal valve while filling the soft triangle.

730 Urethroplasty after failed open repair – functional results and patient satisfaction

2012 ◽  
Vol 11 (1) ◽  
pp. e730-e730a
Author(s):  
D. Pfalzgraf ◽  
L. Kluth ◽  
C.P. Reiss ◽  
S. Riechardt ◽  
O. Engel ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Open Repair ◽  
Functional Results

scholarly journals Comparison of Clinical Outcomes using a Piezosurgery Device Vs. A Conventional Osteotome for Lateral Osteotomy in Rhinoplasty

2017 ◽  
Vol 96 (8) ◽  
pp. 318-326 ◽  
Author(s):  
Bulent Koc ◽  
Eltaf Ayca Ozbal Koc ◽  
Selim Erbek
Keyword(s):  
Patient Satisfaction ◽  
Learning Curve ◽  
Clinical Outcomes ◽  
Time Interval ◽  
Open Technique ◽  
Critical Step ◽  
Lateral Osteotomy ◽  
Perioperative Bleeding ◽  
Duration Of Surgery

Our aim for this study was to evaluate and compare the clinical outcomes in patients who underwent lateral osteotomy with a Piezosurgery device or a conventional osteotome in open-technique rhinoplasty. This cohort trial involved 65 patients (36 women and 29 men; average age: 23.6 ± 5.71 yr) who underwent surgery between May 2015 and January 2016. Piezo-surgery was used for lateral osteotomy in 32 patients, whereas 33 patients underwent conventional external osteotomy. These 2 groups were compared for duration of surgery, perioperative bleeding, postoperative edema, ecchymosis, pain, and patient satisfaction on the first and seventh postoperative days. The Piezosurgery group revealed significantly more favorable outcomes in terms of edema, ecchymosis, and hemorrhage on the first day postoperatively (p < 0.001 for all). Similarly, edema (p = 0.005) and ecchymosis (p < 0.001) on the seventh postoperative day also were better in the Piezosurgery group. Hemorrhage was similar in both groups on the seventh postoperative day (p = 0.67). The Piezosurgery group not only experienced less pain on the first postoperative day (p < 0.001), but these patients also were more satisfied with their results on both the first and seventh postoperative days. Results of the present study imply that Piezosurgery may be a promising, safe, and effective method for lateral osteotomy, a critical step in rhinoplasty. The time interval necessary for the learning curve is counteracted by the comfort and satisfaction of both patients and surgeons.

scholarly journals Safety and Efficacy Outcomes of ZSI 475 Penile Prosthesis

2017 ◽  
Vol 84 (2) ◽  
pp. 98-101 ◽  
Author(s):  
Mariusz Blewniewski ◽  
Ireneusz Ostrowski ◽  
Tobias Pottek ◽  
Frank Neugart ◽  
Janusz Ciechan ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Penile Prosthesis ◽  
Functional Results ◽  
Safety And Efficacy ◽  
Penile Prostheses ◽  
Penile Implants ◽  
Penile Implant ◽  
Self Administered Questionnaire ◽  
Three Components

Objective The aim of this study was to demonstrate safety and efficacy of ZSI 475 hydraulic penile prosthesis three components. Preparation, procedure and functional results are similar to AMS 700 and Coloplast Titan. This study was conducted from September 2012 to December 2016. Patients and Method From September 2012 to December 2016, 29 ZSI 475 hydraulic penile prostheses three components were implanted by six surgeons in 28 patients in five European centres. Mean age of patients was 60 years old (44-75). Standard peno-scrotal incision procedure was performed for the 28 patients. Erectile function was assessed by IIEF-5 self-administered questionnaire. Results Median follow-up was 35.11 months (8-47). Postoperative complications were limited to scrotal pump torsion that required a revision, an armed tubing breakage and a scrotal haematoma. At the end of follow-up, 100% of patients had a functional prosthesis and 92.86% were satisfied. Conclusions Implantation, risks of complications, functional outcome and patient satisfaction with penile implant ZSI 475 are similar to standard hydraulic penile implants three components as AMS 700 and Coloplast Titan.

Cubital tunnel syndrome: a comparison of an endoscopic technique with a minimal invasive open technique

2013 ◽  
Vol 39 (6) ◽  
pp. 621-625 ◽  
Author(s):  
M. A. J. Bolster ◽  
O. T. Zöphel ◽  
E. R. van den Heuvel ◽  
M. Ruettermann
Keyword(s):  
Patient Satisfaction ◽  
Treatment Effect ◽  
Cubital Tunnel Syndrome ◽  
Minimal Invasive ◽  
Endoscopic Technique ◽  
Open Technique ◽  
Good Patient ◽  
Tunnel Syndrome ◽  
Endoscopic Methods ◽  
Good Patient Satisfaction

Both open and endoscopic methods for ulnar nerve decompression have been described. The purpose of this study is to compare the 6-month results of a minimal invasive open technique with an endoscopic technique. We treated 60 patients with unilateral ulnar neuropathy at the elbow, employing both techniques. Six months postoperative we found no differences in treatment effect on pain and disability scores between both groups, but both techniques resulted in an early postoperative relief of symptoms and good patient satisfaction.

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

PD3-07 CONTINENT VESICOSTOMY - LONG-TERM FUNCTIONAL RESULTS AND PATIENT SATISFACTION

2014 ◽  
Vol 191 (4S) ◽  
Author(s):  
Daniel Pfalzgraf ◽  
Brigitte Schwaiger ◽  
Margit Fisch ◽  
Roland Dahlem
Keyword(s):  
Patient Satisfaction ◽  
Functional Results
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