Reconstruction of Nasal Defects With Dermal Skin Substitutes—A Retrospective Study of 36 Defects

Objectives: It is uncertain whether dermal regeneration templates (DRTs) are helpful to reconstruct nasal defects. The aim of this study was to assess whether the aesthetic subunits determine the outcome. Methods: In this unicentric, retrospective study, the surgical procedures and outcomes of patients who received DRTs to reconstruct nasal defects were assessed and compared with the involved aesthetic subunits. Results: DRTs were used for reconstruction of 36 nasal defects in 35 patients with involvement of 76 aesthetic subunits: nasal sidewall (n = 21), nasal ala (n = 13), nasal tip/columella (n = 12, n = 1, respectively), nasal dorsum (n = 12), and extranasal aesthetic areas (n = 17). Fifty-eight nasal and 8 extranasal aesthetic subunits were reconstructed with DRTs, 10 subunits with a flap. Twenty-nine of 36 defects healed without any complications (80.5%). All reconstructed nasal tips/columella and the nasal dorsa healed without any complications. Region-specific complications were retraction of the ala rim (4/12; 33.3% of the patients with involvement of the nasal ala) and the formation of a fistula in the nasal sidewall (1/21; 4.8%). Region-specific complications of extranasal subunits were the development of an ectropium (2/3; 66.7% of the patients with involvement of the lower lid). Conclusions: DRTs can be helpful to reconstruct nasal defects. However, if the defect involves the aesthetic subunits nasal ala or the infraorbital region, different techniques should be preferred.

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A Retrospective Study Comparing the Different Surgical Procedures for the Treatment of Hydatid Disease of the Liver

Digestive Surgery ◽

10.1159/000071186 ◽

2003 ◽

Vol 20 (4) ◽

pp. 279-284 ◽

Cited By ~ 8

Author(s):

Lars Mueller ◽

Dieter C. Broering ◽

Yogesh Vashist ◽

Lutz Fischer ◽

Christian Hillert ◽

...

Keyword(s):

Retrospective Study ◽

Hydatid Disease ◽

Surgical Procedures

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Surgical Treatment and Reconstruction of Nasal Defects According to the Aesthetic Subunits Principles

Indian Journal of Otolaryngology and Head & Neck Surgery ◽

10.1007/s12070-021-02475-2 ◽

2021 ◽

Author(s):

José Miguel Núñez-Castañeda ◽

Silvana Lucia Chang-Grozo

Keyword(s):

Surgical Treatment ◽

The Aesthetic ◽

Nasal Defects

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Otoplasty for Prominent Ears: A Versatile Combined Technique to Master the Shape of the Ear

Otolaryngology ◽

10.1016/j.otohns.2007.04.024 ◽

2007 ◽

Vol 137 (2) ◽

pp. 224-227 ◽

Cited By ~ 17

Author(s):

Marzia Salgarello ◽

Carlo Gasperoni ◽

Antonella Montagnese ◽

Eugenio Farallo

Keyword(s):

Retrospective Study ◽

Study Design ◽

Complication Rate ◽

Prominent Ears ◽

Major Complications ◽

Aesthetic Results ◽

Skin Excision ◽

The Aesthetic ◽

Combined Technique

OBJECTIVE: We present our experience with an otoplasty technique that combines “closed” anterior scoring using the Stenström otoabrader with mattress sutures to the posterior cartilage. STUDY DESIGN AND SETTING: In a retrospective study, we report our experience with 135 patients operated on in the last 12 years. Some surgical principles make our procedure different from previous combination techniques: the posterior access incision is linear without skin excision; anterior scoring is performed along the entire antihelix and scapha, with care to score toward the concha at the tail of the antihelix to bring the ear lobe nearer to the mastoid; Mustarde's mattress sutures are used to stabilize the result. RESULTS: There were no major complications and few minor complications. The aesthetic results were graded as very good or good in 95% of the cases; the rest were graded as satisfactory. CONCLUSIONS: Our technique is versatile, gives pleasant, natural-looking results, and has a low complication rate. It is a simple, reliable, reproducible, and easily mastered method.

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Congenital cardiac interventions during the peak phase of COVID-19 pandemics in the country in a pandemics hospital in Istanbul

Cardiology in the Young ◽

10.1017/s1047951120002000 ◽

2020 ◽

Vol 30 (9) ◽

pp. 1288-1296

Author(s):

Murat Ugurlucan ◽

Yahya Yildiz ◽

Didem Melis Oztas ◽

Senay Coban ◽

Metin Onur Beyaz ◽

...

Keyword(s):

Retrospective Study ◽

Adverse Events ◽

Hospital Stay ◽

Surgical Procedures ◽

Interventional Procedures ◽

Preventive Measures ◽

Cardiovascular Disorders ◽

Cardiac Disorders ◽

Corrective Procedures ◽

Peak Phase

AbstractIntroduction:In this report, we aim to present our algorithm and results of patients with congenital cardiac disorders who underwent surgical or interventional procedures during the peak phase of the pandemics in our country.Patients and methods:The first COVID-19 case was diagnosed in Turkey on 11 March, 2020, and the peak phase seemed to end by the end of April. All the patients whom were referred, treated, or previously operated but still at the hospital during the peak phase of COVID-19 pandemics in the country were included into this retrospective study. Patient’s diagnosis, interventions, adverse events, and early post-procedural courses were studied.Results:Thirty-one patients with various diagnoses of congenital cardiovascular disorders were retrospectively reviewed. Ages of the patients ranged between 2 days and 16 years. Seventeen cases were males and 14 cases were females. Elective cases were postponed. Priority was given to interventional procedures, and five cases were treated percutaneously. Palliative procedures were preferred in patients whom presumably would require long hospital stay. Corrective procedures were not hesitated in prioritised stable patients. Mortality occurred in one patient. Eight patients out of 151 ICU admissions were diagnosed with COVID-19, and they were transferred to COVID-19 ICU immediately. Three nurses whom also took care of the paediatric cases became infected with SARS-CoV-2; however, the children did not catch the disease.Conclusion:Mandatory and emergent congenital cardiac percutaneous and surgical procedures may be performed with similar postoperative risks as there are no pandemics with meticulous care and preventive measures.

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Anatomic evaluation of the incisive canal with cone beam computed tomography and its relevance to surgical procedures in the mental region: a retrospective study in a Brazilian population

Oral and Maxillofacial Surgery ◽

10.1007/s10006-018-0716-8 ◽

2018 ◽

Vol 22 (4) ◽

pp. 379-384 ◽

Cited By ~ 3

Author(s):

Luciano Teles Gomes ◽

Carlos Fernando de Almeida Barros Mourão ◽

Cícero Luiz Braga ◽

Luiz Fernando Duarte de Almeida ◽

Rafael Coutinho de Mello-Machado ◽

...

Keyword(s):

Computed Tomography ◽

Retrospective Study ◽

Surgical Procedures ◽

Cone Beam Computed Tomography ◽

Brazilian Population ◽

Cone Beam ◽

Incisive Canal

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Auricular Sandwich Graft for Caudal Septal Augmentation

The American Journal of Cosmetic Surgery ◽

10.1177/074880688600300404 ◽

1986 ◽

Vol 3 (4) ◽

pp. 27-31

Author(s):

Julius Newman ◽

Abram Nguyen ◽

Roger Anderson

Keyword(s):

Surgical Procedure ◽

Donor Site ◽

Obtuse Angle ◽

Nasal Reconstruction ◽

Nasal Dorsum ◽

Cartilage Graft ◽

Nasal Tip ◽

Aesthetic Results ◽

Conchal Cartilage Graft ◽

Primary Phenomenon

Retraction of columella and collapse of nasal tip may be a primary phenomenon or secondary to poor results of rhinoplasty. This may be due to excessive resection of dorsocaudal septum or inappropriate removal of the nasal spine. Reconstruction of the columella is a difficult surgical procedure and many techniques have been described. This report describes a technique of interposition of a composite skin-conchal cartilage graft between the caudal septum and columella. The graft will restore the projection of the nasal tip and correct a retracted columella by increasing its base. The newly positioned columella forms an aesthetically acceptable obtuse angle with the lip and is 2–3 mm lower than the alar rims. The cartilage from the concha of the ear is an excellent grafting material for nasal reconstruction. It has been used for augmentation of the nasal dorsum, tip grafting, and correction of vestibular atresia. The graft is harvested utilizing a technique that allows for minimal postoperative auricular deformity at the donor site. Aesthetic results have been satisfactory, with very low morbidity following this method.

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The Nasal Width and Boxiness Index: Introduction and Pilot Study on Reliability and Validity of Sonographic Morphometry

Facial Plastic Surgery ◽

10.1055/s-0038-1667025 ◽

2018 ◽

Vol 34 (04) ◽

pp. 373-380

Author(s):

Ralph Litschel ◽

Abel-Jan Tasman

Keyword(s):

Pilot Study ◽

Cross Section ◽

Reliability And Validity ◽

Correlation Coefficients ◽

Skin Surface ◽

Likert Scale ◽

Nasal Dorsum ◽

Limits Of Agreement ◽

Nasal Tip ◽

Lay Persons

AbstractBoth intended and unintended surgical modifications of nasal width and shape of the nasal tip continue to be of interest to the rhinoplasty surgeon. As validated instruments for quantifying width and boxiness are lacking, the objective of this study was to introduce a width index and a boxiness index for the nasal dorsum and the nasal tip. A width index and a boxiness index were defined within the methodological limits of noncontact sonography. The reliability of both indices was studied by comparing the measurements of two examiners on the noses of five volunteers. The validity of the indices was studied by correlating the sonographic width and boxiness with the 5-point Likert scale ratings of photographs of 5 noses by 21 lay persons. Nasal width was defined as the diameter at a distance of 5 mm from the skin surface on a sonographic cross-section perpendicular to the skin surface. Boxiness was defined as the quotient of width at a depth of 1 and 5 mm. Bland–Altmann analysis revealed negligible bias between both examiners and 95% of limits of agreement of 13, 7, and 13% for width at 1 mm, width at 5 mm, and boxiness, respectively. Corresponding Pearson's correlation coefficients were r = 0.93, r = 0.93, and r = 0.71. The correlation between the cumulative lay persons' scores and sonographic width and boxiness were r = 0.97, r = 0.66, and r = 0.81 for nasal tip width, dorsal width, and boxiness, respectively. Both the width at a depth of 5 mm as measured with sonography and the boxiness index that is defined as width at a depth of 1 mm divided by the width at a depth of 5 mm may prove to be acceptable surrogate parameters for width and boxiness of the nose in comparative morphometric studies.

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Retrospective study of combined splinting restorations in the aesthetic zone of periodontal patients

BDJ ◽

10.1038/sj.bdj.2016.178 ◽

2016 ◽

Vol 220 (5) ◽

pp. 241-247 ◽

Cited By ~ 6

Author(s):

X. Liu ◽

Y. Zhang ◽

Z. Zhou ◽

S. Ma

Keyword(s):

Retrospective Study ◽

The Aesthetic

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Association of type 2 diabetes with in-hospital complications among women undergoing breast cancer surgical procedures. A retrospective study using the Spanish National Hospital Discharge Database, 2013–2014

BMJ Open ◽

10.1136/bmjopen-2017-017676 ◽

2017 ◽

Vol 7 (11) ◽

pp. e017676 ◽

Cited By ~ 2

Author(s):

Ana Lopez-de-Andres ◽

Isabel Jimenez-Trujillo ◽

Valentin Hernandez-Barrera ◽

Javier de Miguel-Diez ◽

Manuel Mendez-Bailon ◽

...

Keyword(s):

Breast Cancer ◽

Type 2 Diabetes ◽

Retrospective Study ◽

Hospital Discharge ◽

Surgical Procedures ◽

Surgical Procedure ◽

National Hospital ◽

Hospital Discharge Database ◽

Discharge Database

ObjectivesTo compare the type of surgical procedures used, comorbidities, in-hospital complications (IHC) and in-hospital outcomes between women with type 2 diabetes mellitus (T2DM) and age-matched women without diabetes who were hospitalised with breast cancer. In addition, we sought to identify factors associated with IHC in women with T2DM who had undergone surgical procedures for breast cancer.DesignRetrospective study using the National Hospital Discharge Database, 2013–2014.SettingSpain.ParticipantsWomen who were aged ≥40 years with a primary diagnosis of breast cancer and who had undergone a surgical procedure. We grouped admissions by T2DM status. We selected one matched control for each T2DM case.Main outcome measuresThe type of procedure (breast-conserving surgery (BCS) or mastectomy), clinical characteristics, complications, length of hospital stay and in-hospital mortality.ResultsWe identified 41 458 admissions (9.23% with T2DM). Overall, and in addition to the surgical procedure, we found that comorbidity, hypertension and obesity were more common among patients with T2DM. We also detected a higher incidence of mastectomy in women with T2DM (44.69% vs 42.42%) and a greater rate of BCS in patients without T2DM (57.58% vs 55.31%). Overall, non-infectious complications were more common among women with T2DM (6.40% vs 4.56%). Among women who had undergone BCS or a mastectomy, IHC were more frequent among diabetics (5.57% vs 3.04% and 10.60% vs 8.24%, respectively). Comorbidity was significantly associated with a higher risk of IHC in women with diabetes, independent of the specific procedure used.provinceConclusionsWomen with T2DM who undergo surgical breast cancer procedures have more comorbidity, risk factors and advanced cancer presentations than matched patients without T2DM. Mastectomies are more common in women with T2DM. Moreover, the procedures among women with T2DM were associated with greater IHC. Comorbidity was a strong predictor of IHC in women with T2DM.

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