scholarly journals Primary and Revision Rhinoplasty: A Single Surgeon Experience and Patient Satisfaction

2021 ◽  
Vol 9 (9) ◽  
pp. e3798
Author(s):  
Rishi Suresh ◽  
Andres F. Doval ◽  
Emily Newstrom ◽  
Truce Pham ◽  
Eugene L. Alford
Keyword(s):  
Patient Satisfaction ◽  
Revision Rhinoplasty ◽  
Surgeon Experience

scholarly journals Is It the Surgeon, the Patient, or the Device? A Comprehensive Clinical and Radiological Evaluation of Factors Influencing Patient Satisfaction in 648 Total Knee Arthroplasties

2021 ◽  
Vol 10 (12) ◽  
pp. 2599
Author(s):  
Lorenzo Rissolio ◽  
Luigi Sabatini ◽  
Salvatore Risitano ◽  
Alessandro Bistolfi ◽  
Umberto Galluzzo ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Female Gender ◽  
Womac Score ◽  
Clinical Results ◽  
Positive Outcome ◽  
High Expectations ◽  
Surgeon Experience ◽  
Total Knee ◽  
Determinants Of Satisfaction ◽  
Final Alignment

Total knee arthroplasty (TKA) is a successful and safe surgical procedure for treating osteoarthritic knees, but despite the overall good results, some patients remain dissatisfied. The aim of this study is to evaluate the influence of patient-related and surgery-related variables in a consecutive group of patients that underwent TKA. Individuals (n = 648) who had TKA performed between 01 January 2013 and 31 December 2017 were enrolled in the study. Postoperative Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, Knee Injury and Osteoarthritis Outcome Score (KOOS) and Forgotten Joint score (FJS-12) were collected at a mean follow-up of 4.79 years. Patient satisfaction was assessed with a questionnaire. Determinants of satisfaction (age, sex, smoking, presence of diabetes or cardiovascular disease, pain in other joints, preoperative arthritic stage) and components of satisfaction (slope variation, mechanical axis variation, outlier final alignment, surgeon experience) were examined to identify which variables correlated with positive outcome. Correlations with septic and mechanicals failures were also evaluated. Thirteen percent of patients were unsatisfied, despite good results in KOOS, WOMAC and FJS-12 tests. Female gender, low Kellgren–Lawrence grade and the presence of back pain and pain in other joints were factors associated with poor clinical results. Poorer clinical results were also reported in younger patients. Infection rate was correlated with active smoking and mechanical failure with an outlier final alignment. Comorbidities, smoking habits and high expectations have a big influence on TKA results and on final satisfaction after surgery.

scholarly journals Changes in patient’s life after rhinoplasty

2021 ◽  
Vol 8 (4) ◽  
pp. 1260
Author(s):  
Ankit Disawal ◽  
Sunil Srivastava
Keyword(s):  
Patient Satisfaction ◽  
Psychological Health ◽  
Outcome Evaluation ◽  
Open Rhinoplasty ◽  
Patient’S Satisfaction ◽  
Self Confidence ◽  
Validated Questionnaire ◽  
Primary Rhinoplasty ◽  
Revision Rhinoplasty ◽  
Before And After

Background: Aesthetic surgeries are performed to improve individual’s satisfaction with their appearance and also to improve their psychological health by improving self-confidence and self-esteem. Our study aimed to ascertain patient satisfaction in regard to nose appearance and function with the use of a validated questionnaire before and after rhinoplasty surgery.Methods: The prospective study was conducted at Department of Plastic and Reconstructive surgery, SMS hospital Jaipur India from October 2018 to February 2020. The rhinoplasty outcome evaluation ROE questionnaire was used to study patient’s satisfaction. Patients underwent open rhinoplasty, closed rhinoplasty, primary rhinoplasty, revision rhinoplasty and additional nasal surgery such as septoplasty as per required. Data were collected from 70 patients before and 6 month after surgery. Results before and after surgery were compared.Results: 70 out of 83 patients completed questionnaires. Most common age group is from 16 to 45 year. Most common reason for rhinoplasty in our study is aesthetic (58.5%), both aesthetic and functional (28.5%), functional (12.8%). Preoperative and postoperative ROE score shows significant improvement after 6 month in functional and aesthetic aspect. Mean preoperative score of all patients were 33.6 and the mean postoperative score were 80.4. Difference in improvement of scores was not significant when groups were divided on the basis of sex, age, concomitant nasal procedure, primary or revision surgery, open or closed rhinoplasty.Conclusions: Rhinoplasty surgery significantly improved patient quality of life regarding nose function and appearance. ROE questionnaire proves reliable equipment for estimating patient satisfaction.

Patient satisfaction and surgeon experience: Does system quality matter?

2008 ◽  
Vol 26 (15_suppl) ◽  
pp. 6525-6525
Author(s):  
S. J. Katz ◽  
S. T. Hawley ◽  
A. S. Hamilton ◽  
T. Hofer
Keyword(s):  
Patient Satisfaction ◽  
System Quality ◽  
Surgeon Experience

Long-Term Patient Satisfaction After Revision Rhinoplasty

2007 ◽  
Vol 117 (6) ◽  
pp. 985-989 ◽  
Author(s):  
Peter W. Hellings ◽  
Gilbert J. Nolst Trenité
Keyword(s):  
Patient Satisfaction ◽  
Revision Rhinoplasty

scholarly journals Day case laparoscopic radical prostatectomy

2017 ◽  
Vol 89 (3) ◽  
pp. 182 ◽  
Author(s):  
Hamid Abboudi ◽  
Patrick Doyle ◽  
Mathias Winkler
Keyword(s):  
Patient Satisfaction ◽  
Radical Prostatectomy ◽  
Demographic Data ◽  
Laparoscopic Radical Prostatectomy ◽  
Day Case ◽  
Patient Counselling ◽  
Telephone Consultation ◽  
Estimated Blood Loss ◽  
Surgeon Experience ◽  
Tract Infections

Background: To evaluate the feasibility of performing laparoscopic radical prostatectomy (LRP) as a day case procedure while maintaining patient satisfaction and safety. Herein we report our experience, selection criteria, and discharge criteria for day case LRP. Methods: We performed a prospective study with 32 patients undergoing extraperitoneal LRP. These patients were counselled before the procedure that they would go home the same evening of the procedure. Pain scores and quality of life data were recorded day 1 postoperatively via a telephone consultation. The patients underwent routine blood tests on day 2 and an outpatient review on day 7 and regularly thereafter via an assigned key worker. Socio-demographic data, comorbidities, and outcomes were collected for analysis. Results: All patients were successfully discharged the same day of surgery. Mean patient age was 62 years with a mean body mass index of 25. Mean operative time was 147 minutes, and estimated blood loss was 101 ml. Three patients were treated for post operative urinary tract infections; two patients developed infected lymphoceles which required percutaneous drainage and one patient required re-catheterisation due to a burst catheter balloon. Of these six complications four patients required re-admission. Post-operative pain, nausea and vomiting were low whilst patient satisfaction scores were unanimously high in all patients surveyed. Conclusions: The early experience with extraperitoneal LRP as a same day surgery is promising although patients who are at high risk of lymphocele should be excluded. Preoperative patient counselling and selection is paramount. Patient satisfaction is not adversely affected by the shortened stay. Surgeon experience, a well-motivated patient, meticulous attention to detail through an integrated pathway, a multidisciplinary team and adequate postoperative assessment are essential.

Tubed Temporalis Fascia for Nasal Dorsal Contouring: A Novel Technique

ORL ◽  
2021 ◽  
pp. 1-7
Author(s):  
Jibril Y. Hudise ◽  
Saud A. Aldhabaan ◽  
Almaha A. Alqabbani ◽  
Raad S. Nassar ◽  
Ahmed M. Alarfaj
Keyword(s):  
Patient Satisfaction ◽  
Predictor Variable ◽  
Outcome Evaluation ◽  
Nasal Dorsum ◽  
Temporalis Fascia ◽  
Graft Size ◽  
Patient Satisfaction Score ◽  
Novel Technique ◽  
Revision Rhinoplasty ◽  
The Mean

<b><i>Introduction:</i></b> Nasal dorsum irregularities may occur after nasal trauma or as a postrhinoplasty complication. Here, we present a novel technique using temporalis fascia (TF) grafting for primary and revision rhinoplasty to repair the nasal dorsum, hide nasal irregularities, and improve nasal contouring. <b><i>Methods:</i></b> This prospective cohort study was conducted from January 2019 to June 2019 and evaluated nasal dorsal contouring using the TF in a tubed form. The outcome variables were patient satisfaction, dorsal irregularity, and contour definition. The predictor variable was the use of tubed TF for dorsal augmentation. Other associated variables were age, sex, indication for surgery, surgery type, and graft size. Patient satisfaction was evaluated using the Rhinoplasty Outcome Evaluation questionnaire. A rhinoplasty specialist other than the surgeon who performed the procedure evaluated the dorsal augmentation outcomes by inspection and palpation of the dorsum. All statistical analyses were performed using the SPSS software. <b><i>Results:</i></b> Seventy-four patients (21.6% men and 78.4% women) were treated with the tubed TF. The mean age was 28.97 years. Thin skin was the most common indication (48.6%) for using TF. The graft size was 2–5 cm; inspection and palpation revealed no irregularities. No reception site complications occurred. One patient had a mild hematoma at the donor site. The mean patient satisfaction score was 10.14 preoperatively and 19.95 postoperatively (<i>p =</i> 0.001). <b><i>Discussion/Conclusions:</i></b> Our novel technique of using the TF graft in a tubed form was easy to perform. Furthermore, the tubed TF covers all irregularities, is good for dorsal augmentation, and improves dorsal contouring and definition.

scholarly journals Analysis of revision rhinoplasty; what is the problem and the management?

2019 ◽  
Vol 7 (1) ◽  
pp. 36
Author(s):  
Mohamed Alhadad ◽  
Dalia El Sakka ◽  
Medhat Samy ◽  
Ahmed Fergany
Keyword(s):  
Patient Satisfaction ◽  
Prospective Study ◽  
Outcome Evaluation ◽  
P Value ◽  
University Hospitals ◽  
Revision Rhinoplasty ◽  
Significant Difference ◽  
A Prospective Study ◽  
Surgery Department

Background: Revision rhinoplasty is reported to occur in 8% to 15%. Reoperation should be performed to correct deformities that were not diagnosed or addressed in previous surgeries, such as those from poor planning, performance and poor surgical healing. The aim of the study was to evaluate the problem of each case seeking revision rhinoplasty and different modalities for management to reach satisfactory results.Methods: This is a prospective study which was done in plastic surgery department, Menoufia University Hospitals over the period from December 2017 to December 2019. The study included 31 patients underwent previous rhinoplasty.Results: Patients were selected from the outpatient clinic, 31 patients who had varieties of nasal deformities. Mean age of the patients was 31.7 years. Female represent the majority of patients by 80.60% and males were 19.40% with significant difference in satisfaction (p=0.05). Patient satisfaction after surgery and it was excellent for 14 cases (45.20%), good for 9 cases (29 %) and it was fair in 8 cases (25.8%). Rhinoplasty outcome evaluation (ROE) score was correlated with patient satisfaction grades as mean of ROE score in excellent group was 67.5; in good group was 58.3; while in fair group was 38.8 with significant p value (0.001).Conclusions: Excellent patient satisfaction is related good planning, close follow up time, and less complication. Cartilage grafts especially rib cartilage is considered a lifeboat for revision rhinoplasty. We can link grades of patient satisfaction to ROE score.

Improving Communication Skills in Health Care

2013 ◽  
Vol 20 (3) ◽  
pp. 109-117
Author(s):  
Lynda Katz Wilner ◽  
Marjorie Feinstein-Whittaker
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Communication Skills ◽  
Health Care Professionals ◽  
Skills Training ◽  
International Medical Graduate ◽  
Medical Graduate ◽  
Health Care Environment ◽  
Medical Interpreters ◽  
Accent Modification

Hospital reimbursements are linked to patient satisfaction surveys, which are directly related to interpersonal communication between provider and patient. In today’s health care environment, interactions are challenged by diversity — Limited English proficient (LEP) patients, medical interpreters, International Medical Graduate (IMG) physicians, nurses, and support staff. Accent modification training for health care professionals can improve patient satisfaction and reduce adverse events. Surveys were conducted with medical interpreters and trainers of medical interpreting programs to determine the existence and support for communication skills training, particularly accent modification, for interpreters and non-native English speaking medical professionals. Results of preliminary surveys suggest the need for these comprehensive services. 60.8% believed a heavy accent, poor diction, or a different dialect contributed to medical errors or miscommunication by a moderate to significant degree. Communication programs should also include cultural competency training to optimize patient care outcomes. Examples of strategies for training are included.

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