scholarly journals Evaluation of the Effect of Conventional Rhinoplasty with Autospreader Flap and Let-Down Technique on Nasal Functions

Author(s):  
Burak Mustafa Taş ◽  
Burak Erden

AbstractLet-down technique, in which high septal strip resection is performed, and conventional rhinoplasty using autospreader flaps were compared regarding nasal functions with Nasal Obstruction Symptom Evaluation (NOSE) and Sinonasal Outcome Test-22 (SNOT-22) quality-of-life scale questionnaires. A total of 54 patients who were included in the study were divided into two groups: group 1 (autospreader group; n = 27) and group 2 (let-down group; n = 27). Open technical septorhinoplasty operation using an autospreader flap was performed in group 1. Let-down rhinoplasty was applied in group 2. NOSE and SNOT-22 scales were filled for the groups in the preoperative and postoperative periods and were compared. Postoperative values were found to be significantly lower than preoperative values in both groups (p < 0.001). When the groups were compared in between, no significant difference was seen according to the scales (p > 0.05). There was also no significant difference between the groups regarding age and gender. Although there was no significant difference between the two techniques, both NOSE and SNOT-22 quality-of-life scales have shown improvement both in conventional rhinoplasty with autospreader flap and let-down technique.

2021 ◽  
Vol 17 (6) ◽  
pp. 231-238
Author(s):  
Hatice Yildirim Sari ◽  
Özge Uzun ◽  
Nihal Olgaç Dündar

Background: Epilepsy can have a huge impact on children's quality of life and participation and attainment at school, particularly if the condition is poorly managed. Aims: The aim of this study is to investigate the effect of education about disease and drug management given to children, their family and teachers on the academic success and quality of life of the child. Design: The study was a single group, pre-test, post-test, semi-experimental research study. Methods: The study was carried out in the paediatric neurology outpatient clinic of the Tepecik Education and Research Hospital in Turkey. The study sample comprised 65 people (25 patients, 25 parents and 15 teachers) who completed the pre-test and post-test assessments. The Sociodemographic Characteristics Questionnaire, the Quality of Life Scale in Children with Epilepsy and an academic achievement form were completed before the epilepsy education was given. Parents and children had training at the hospital. The teachers had telephone training. Some 3 months after the training, the scores for the Quality of Life Scale in Children with Epilepsy and the academic achievement form were reassessed. Findings: The comparison of the pre- and post-training Quality of Life scale scores of the children (p=0.000) and academic achievement scores of the children (p=0.017; n=15) demonstrated a significant increase. There was a significant difference between the quality of life scores of the participating children who received special education and those of the children who did not receive special education (p=0.007 and p=0.004, respectively). Conclusions: The results of the present study suggest that providing training on epilepsy, not only for children but also for their families and teachers, would be beneficial.


2018 ◽  
Vol 9 (01) ◽  
Author(s):  
Anjana Bhattacharjee ◽  
Nabarupa Bhattacharya ◽  
Rebeka Debbarma

The present study attempted to compare neurotic patients and normal (non-neurotic) individuals with respect to their personality pattern and quality of life. For the said purpose a group of 50 neurotic patients were purposively selected from the OPD of Psychiatric department of Tripura Medical College, Hapania. Another matched group of normal persons was also purposively selected from West District. Data were collected by using NEO-Five Factor Personality Inventory developed Paul and McCrae (2008) and Quality of Life Scale-WHOQOL-BREF (1991). Data analysis revealed significant difference between neurotic and normal individuals with respect to their personality pattern and quality of life. However, insignificant difference was observed between them with respect to openness to experience dimension of their personality.


2019 ◽  
Vol 13 (3) ◽  
pp. 69
Author(s):  
Ramlan Halimi ◽  
Achmad Rizky Herda Pratama

Background: Benign Prostatic Hyperplasia (BPH) is the most common pathological condition in man that causes Lower Urinary Tract Syndrome (LUTS). The most popular therapeutic modality for BPH is Transurethral Resection of Prostate (TURP). This study describes the TURP outcome in BPH patient with prostate size > 75 grams compared to < 75 grams in Karawang General Referral Hospital.Methods: We performed a retrospective review of clinical outcome from BPH patient with LUTS who underwent TURP procedure between January 2017 – April 2018. Data was taken through patient medical records and processed descriptively to describe complications, quality of life, and clinical laboratory data. Qualitative data compared with Chi-Square test.Results: During this study, we evaluated 40 patients, 20 patients with prostate size > 75 grams (group 1) and 20 patients with prostate size < 75 grams (group 2). Mean age in group 1 was 65.6 ± 9.9 years and in group 2 was 65.3 ± 10.2 years. International Prostate Symptom Score (IPSS) after TURP between group 1 and group 2 showed a significant difference, while incomplete emptying was found mostly in group 2 (p < 0.05). There was no significant difference in Quality of Life Score between group 1 and group 2 (p > 0.05). From laboratory results, we found a reduction of hemoglobin in both groups with p-value < 0.05 or no significant difference.Conclusions: Transurethral Resection of Prostate (TURP) procedure for patient with prostate size > 75 grams is safe and effective with lower complications and there is no significant difference compared to patient with prostate size < 75 grams.


2020 ◽  
Vol 50 (1) ◽  
pp. 30
Author(s):  
Lina Marlina ◽  
Sinta Sari Ratunanda ◽  
Teti Madiadipoera

Background: Chronic rhinosinusitis (CRS) is an inflammation of the nasal and paranasal sinuses mucosa, ongoing for more than 12 weeks. Even now it still creates socioeconomic problem in both developed and developing countries. Pharmacotherapy administration is essential for decreasing the severity of symptom, improving quality of life, and decreasing interleukin (IL)-6 level. Objective: To find out the effect of pharmacotherapy on severity of the symptom, quality of life, and IL-6 level. Method: Randomized clinical trial with pre and posttest design, on 20 CRS without polyp patients, divided into two groups based on skin prick test results. Both groups were equally treated with nasal irrigation, nasal corticosteroid, and antibiotic amoxicillin clavulanate for 14 days. All subjects were assessed for Visual Analog Scale (VAS) score, nasoendoscopy (NE) score, Sinonasal Outcome test (SNOT)-22, and IL-6 level. Statistical analysis was performed with Mann Whitney and Wilcoxon methods. Result: There were significant differences in total analysis results on VAS scores, NE scores, SNOT-22, and IL-6 levels in both groups, with values p<0.05. There was improvement in all variables after pharmacotherapy, but there was no significant difference between the case and control groups, with values p>0.05. Conclusion: Pharmacotherapy in both groups resulte’ in reduced severity of symptoms, improved quality of lives, and decreased IL-6 levels.Keywords: Interleukin-6, pharmacotherapy, chronic rhinosinusitis without polyp, quality of life ABSTRAK Latar belakang: Rinosinusitis kronik (RSK) merupakan inflamasi pada mukosa hidung dan sinus paranasal, yang berlangsung selama lebih dari 12 minggu. Hingga saat ini masih memengaruhi sosioekonomi di negara maju maupun negara berkembang. Pemberian farmakoterapi sangat penting untuk memperbaiki derajat gejala, meningkatkan kualitas hidup, dan menurunkan kadar interleukin (IL)-6. Tujuan: Mengetahui pengaruh pemberian farmakoterapi terhadap perbaikan derajat gejala, peningkatan kualitas hidup, dan penurunan kadar IL-6. Metode: Penelitian kuasi eksperimental, label terbuka pra dan pascaterapi, pada 20 penderita RSK tanpa polip, dibagi dua kelompok berdasarkan hasil uji tusuk kulit. Perlakuan pada kedua kelompok sama, diberikan irigasi hidung, kortikosteroid intranasal, dan antibiotik amoksisilin klavulanat selama 14 hari. Penelitian dilakukan dengan menilai skor Visual Analog Scale (VAS) gejala hidung, skor nasoendoskopi (NE), Sinonasal Outcome test (SNOT)-22, dan kadar IL-6. Analisis statistik menggunakan metode Mann Whitney dan Wilcoxon. Hasil: Didapati perbedaan bermakna pada hasil analisis total pada skor VAS gejala hidung, skor NE, SNOT-22, dan kadar IL-6 pada kedua kelompok dengan nilai p<0,05. Didapati perbaikan pada semua variabel setelah 14 hari pemberian medikamentosa maksimal, namun tidak terdapat perbedaan bermakna antara kedua kelompok dengan nilai p>0,05. Kesimpulan: Pemberian farmakoterapi pada kedua kelompok memberikan hasil berupa perbaikan derajat gejala, peningkatan kualitas hidup, dan penurunan kadar IL-6.


Author(s):  
Juan Alberto Fernández-Ruiz ◽  
Mariano Sánchez-Siles ◽  
Yolanda Guerrero-Sánchez ◽  
Jesús Pato-Mourelo ◽  
Fabio Camacho-Alonso

Purpose: No published research has compared patients’ quality of life and satisfaction with fixed prostheses supported by zygomatic implants with those supported by all-on-four prostheses. The aim of this study was to evaluate patients’ quality of life and satisfaction with fixed prostheses on zygomatic implants compared with the all-on-four concept. Materials and Methods: A total of 80 patients with atrophic edentulous maxillae were randomized into two groups: Group 1 (rehabilitated with fixed prostheses supported by 2–4 zygomatic and 2–4 conventional implants in the anterior region) and Group 2 (fixed prostheses on four implants in the anterior region following an all-on-four concept). One year after placement of the definitive prostheses, patients completed OHIP-14 and satisfaction questionnaires. Results: In all seven domains of the OHIP-14 and in the overall scores, a worse quality of life was found in Group 2 patients, with statistically significant differences between the two groups (p ≤ 0.05). Patients with zygomatic implants were more satisfied with their prostheses, with a statistically significant difference (p < 0.001). Conclusions: According to the results of this study, rehabilitation of patients with edentulous atrophic maxillae with prostheses supported by zygomatic implants combined with anterior implants provided better patient quality of life and satisfaction than prostheses supported by four implants.


2018 ◽  
Vol 23 (1) ◽  
pp. 71-78 ◽  
Author(s):  
Cristina Batista Miamoto ◽  
Leandro Silva Marques ◽  
Lucas Guimarães Abreu ◽  
Saul Martins Paiva

ABSTRACT Objective: To assess the impact of two early treatment protocols for anterior dental crossbite on children’s quality of life. Methods: Thirty children, 8 to 10 years of age, with anterior dental crossbite, participated in this study. Individuals were divided into two groups: Group 1 - 15 children undergoing treatment with an upper removable appliance with digital springs; Group 2 - 15 children undergoing treatment with resin-reinforced glass ionomer cement bite pads on the lower first molars. Quality of life was evaluated using the Brazilian version of the Child Perceptions Questionnaire (CPQ8-10), which contains four subscales: oral symptoms (OS), functional limitations (FL), emotional well-being (EW), and social well-being (SW). A higher score denotes a greater negative impact on children’s quality of life. Children answered the questionnaire before treatment (T1) and twelve months after orthodontic treatment onset (T2). Descriptive statistics, the Wilcoxon test and analysis of covariance (ANCOVA) were performed. Results: Children’s mean age was 9.07 ± 0.79 years in Group 1 and 9.00 ± 0.84 years in Group 2. For Group 1, the FL and EW subscale scores and the overall CPQ8-10 were significantly higher in T1 as compared to T2 (p= 0.004, p= 0.012 and p= 0.015, respectively). For Group 2, there were no statistically significant differences. The ANCOVA showed no significant difference regarding quality of life at T2 between groups, after controlling for quality of life measures at T1. Conclusions: The difference regarding the impact on quality of life between groups is not related to the protocol used.


2020 ◽  
Vol 13 (3) ◽  
pp. 261-267
Author(s):  
Yangseop Noh ◽  
Ji-Eun Choi ◽  
Kyung Eun Lee ◽  
Doo-Sik Kong ◽  
Do-Hyun Nam ◽  
...  

Objectives. Endoscopic pituitary surgery usually requires a collaboration between neurosurgeons and ENT surgeons to achieve optimal outcomes. However, neurosurgeons occasionally perform these procedures alone without an ENT surgeon. In this study, postoperative sinonasal quality of life and olfactory function were compared in patients who underwent endoscopic pituitary surgery performed by a single neurosurgeon or by a collaborative team of a neurosurgeon and an ENT surgeon.Methods. A retrospective review of prospectively collected data was performed. Patients who underwent endoscopic pituitary surgery for pituitary adenoma from January 2015 to April 2018 were included. The study patients were divided into two groups; patients in group 1 underwent surgery performed by a single neurosurgeon, while patients in group 2 received surgery performed by a collaborative team of surgeons. Olfaction was assessed using a subjective Likert scale, the Cross-Cultural Smell Identification Test (CC-SIT), and the butanol threshold test (BTT). In addition, patients answered the Sino-nasal Outcome Test (SNOT-22) questionnaire regarding sinonasal quality of life before and 3 months after surgery.Results. This study included 152 patients (46 patients in group 1 and 106 patients in group 2). Significant differences were not observed between the two groups regarding age, sex, tumor size, or operation time. Although subjective olfaction was not significantly different before and after surgery, group 2 showed significantly better objective olfactory function based on the CC-SIT (8.44±3.00 vs. 9.84±1.40; <i>P</i>=0.012) and BTT (4.67±0.84 vs. 5.02±0.33; <i>P</i>=0.022) scores at 3 months after surgery. The SNOT-22 scores were not statistically significantly different between the two groups (<i>P</i>>0.05).Conclusion. In the present study, better olfactory outcomes were observed in patients who underwent surgery performed by a collaborative team of a neurosurgeon and an ENT surgeon. This result shows the need for collaboration between neurosurgeons and ENT surgeons in endoscopic pituitary surgery.


2021 ◽  
Vol 9 (S2-Sep) ◽  
pp. 59-67
Author(s):  
Temel Çakiroğlu

The aim of this study is to examine university students’ quality of life and perceptions of exercise benefits and barriers according to the variables of department, class, family income, mother’s education and father’s education status. The research was designed in relational screening model. In this context, a total of 162 female university students studying at Gazi University Faculty of Sports Sciences, Department of Coaching, Sports Management and Recreation voluntarily participated in the study. As data collection tools in the research; Personal Information Form, Exercise Benefit/ Barriers Scale and Quality of Life Scale prepared by the researchers were used.In the analysis of the data, descriptive statistics, independent sample t-test, One-Way ANOVA, Pearson Product-Moment Correlation test were used. When the findings obtained within the scope of the research were examined, it was determined that there was a significant difference between the participants’ quality of life and exercise awareness levels and demographic variables within the groups. However, when the relationship between the participants’ quality of life and exercise awareness levels was examined, it was determined that there was a positive and significant relationship between quality of life and exercise benefit.


2011 ◽  
Vol 139 (suppl. 1) ◽  
pp. 36-40 ◽  
Author(s):  
Goran Mihajlovic ◽  
Natalija Jovanovic-Mihajlovic ◽  
Branimir Radmanovic ◽  
Katarina Radonjic ◽  
Slavica Djukic-Dejanovic ◽  
...  

Introduction. In the last decades psychiatric patients? quality of life attracts great attention of researchers. Improving the quality of life of schizophrenic patients is increasingly becoming an imperative in pharmacological therapy. Objective. Analysis of certain aspects of quality of life in patients with schizophrenia treated with depot formulations of a typical antipsychotic (haloperidol) and injection preparation of a long-acting atypical antipsychotic (risperidone). Methods. Research was conducted as a cross-sectional study that included 60 patients of both genders. Examinees diagnosed with schizophrenia (ICD-10, F20.0-F20.9) were divided into two groups: the group of patients that received haloperidol depot (n=30) and the group of patients that received injection preparation of long-acting risperidone (n=30). In order to assess the quality of life, social functioning scale (SFS), satisfaction with life scale (SWLS), and short version of World Health Organization quality of life scale (WHO-QoL-Brief) were applied. Results. Results showed statistically significant differences when it comes to social activity and satisfaction with life in favour of patients treated with injection preparation of long-acting risperidone. Examinees from this group were much more satisfied with themselves, their health and sleep compared to those on haloperidol depot. There was no statistically significant difference found on the quality of life scale. Conclusions. Applying the scales for the assessment of the quality of life of schizophrenic patients in terms of psychosocial functioning, statistically significant difference between groups was found. Results showed higher scores in the group of patients treated with injection preparation of long-acting risperidone concerning social activities and life satisfaction.


2008 ◽  
Vol 10 (3) ◽  
pp. 77-80 ◽  
Author(s):  
Cecilie Fjeldstad ◽  
Gabriel Pardo ◽  
Michael Bemben

The primary aim of this study was to investigate the relationship between Expanded Disability Status Scale (EDSS) scores and quality of life (QOL) in women with multiple sclerosis (MS) and low disability and whether duration of disease influenced the established relationship. Sixty-six women diagnosed with MS (44.0 ± 1.2 [standard error] years) had EDSS scores of &lt;5.0 as determined by their neurologist. Duration of disease from time of diagnosis ranged from 2 months to 28 years, and subjects were arbitrarily divided into three groups (group 1: 0.1–10.0 years; group 2: 10.1–20.0 years; group 3: 20.1–33.0 years). After giving informed consent, all subjects completed the MS Quality of Life-54 questionnaire (MSQOL-54). Mean EDSS was 1.4 for group 1, 2.0 for group 2, and 2.1 for group 3. Group 3 had the highest score for both the physical and mental components of MSQOL-54. In general, the relationship between the functional systems (FS) of EDSS and subcomponents of MSQOL-54 were negative and low to moderate in strength (r = −0.25 to −0.61; P &lt; .01 or &lt; .05), with cerebral FS having the most significant relationship with QOL variables. When duration of disease was considered, sensory FS was the only one that showed a significant difference between groups 1 and 2. In women with low disability caused by MS, the longer the duration of disease, the better the QOL, as reported by MSQOL-54.


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