Comparison between Percutaneous Lateral Osteotomy and Endonasal Lateral Osteotomy in Primary Rhinoplasty

2020 ◽  
Author(s):  
Hiwa Asaad Abdulkareem ◽  
Haval Ahmed Hama
Keyword(s):  
Patient Satisfaction ◽  
Nasal Obstruction ◽  
Open Rhinoplasty ◽  
Periorbital Edema ◽  
Psychological Assessments ◽  
Primary Rhinoplasty ◽  
Lateral Osteotomy ◽  
Aesthetic Results ◽  
And Gender ◽  
Skin Scar

Introduction: Open rhinoplasty is a popular method to correct nasal deformities, which is commonly carried out by percutaneous or endonasal techniques. Despite their advantages, these two techniques can also be associated with some disadvantages. The present study was carried out in order to examine the functional and aesthetic outcomes of percutaneous and endonasal osteotomies. Material and Methods: The present comparative study was carried out on 50 patients who underwent percutaneous osteotomy (25 cases) and endonasal osteotomy (25 cases) from August 2018 to September 2019. Before and three days, eight days, and three months after the surgeries, the required data were collected through medical and psychological assessments. Results: According to the results, the mean age of the patients was 28.7±6.5 years, and most of them were females with a female-to-male ratio of 4:1. It was also concluded that percutaneous and endonasal lateral osteotomies were not significantly different in terms of the postsurgical pain felt by the patients, epistaxis, skin scars 21 days and three months after the rhinoplasty, nasal obstruction, closing the open roof deformity, state of correction, patient satisfaction, age, and gender (p>0.05). However, they were significantly different regarding periorbital edema, periorbital ecchymosis, and skin scars during the first eight days after the surgery (p<0.05). Conclusion: Both percutaneous and endonasal lateral osteotomies were found to be useful methods to carry out rhinoplasty because both led to acceptable functional and aesthetic results regarding decreased pain, epistaxis, periorbital edema and ecchymosis, skin scar, nasal obstruction, closing the open roof deformity, and nasal deviation correction and increased patient satisfaction.

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.

scholarly journals Modification of Combined Vibrated Power Assisted Liposuction with Periareolar Gland Excision in management of Gynecomastia

2018 ◽  
Vol 14 (1) ◽  
pp. 18-23
Author(s):  
Kurdo Akram Qradaghi
Keyword(s):  
Patient Satisfaction ◽  
Retrospective Study ◽  
Operative Time ◽  
Surgical Techniques ◽  
Satisfaction Rate ◽  
Areola Complex ◽  
Different Types ◽  
Aesthetic Results ◽  
The Mean ◽  
Patient Satisfaction Rate

Background: The recognized procedures that have been used to treat gynecomastia are said to have relatively a long operative time, less patient satisfaction rate, they are merely used, in mild to moderate gynecomastia, leaves a mild bulging over the nipple areola complex, resulting in aesthetically unsatisfactory results. The more the grade of gynecomastia, the more complicated the used surgical techniques. This study evaluates the success rate of these simplest surgical technique in higher grades of gynecomastia. Objectives: to present the experiences with use of Modification of Combined Vibrated Power Assisted Liposuction with Periareolar Gland Excision in management of in different type Gynecomastia Type of the study: This is a retrospective study Methods: The study  includes the use of a modification of combine vibrated power-assisted liposuction with periareolar gland excision applied for managing different types of gynecomastia. In 23 consecutive patients (46 breasts) treated between February of 2011 and March of 2016. Results: 23 patients (46 breasts) were successfully treated using this technique. Volume aspirated in both breast was 792 ml (range, 450 to 1600 ml). Using the periareolar excision technique, the mean operative time was 55 minutes (range, 45 to 90 minute). Complications were minimal (1.5 % per breasts), and no revisions were required. Conclusions: The modified Combined vibrated power assisted liposuction and the periareolartechnique have demonstrated to be a less time consuming versatileapproach, for the treatment of gynecomastia and consistently produces a smoothcontoured male breast, it is promising method to achieve good aesthetic results in gynecomastia surgerywhile resulting in an inconspicuous scar.

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 Interpretasi Kepuasan Konsumen Terhadap Pelayanan Obat Tanpa Resep Terhadap Kepuasan Konsumen

2020 ◽  
Vol 4 (2) ◽  
pp. 95
Author(s):  
Nurwulan Adi Ismaya ◽  
Siti Novy Romlah ◽  
Rofiqo Syafa’a Fatulloh ◽  
Tri Okta Ratnaningtyas ◽  
Nur Hasanah
Keyword(s):  
Patient Satisfaction ◽  
Customer Satisfaction ◽  
Service Quality ◽  
Undergraduate Education ◽  
Pharmacy Service ◽  
And Gender

Satisfaction is a Function of Performances And Expectations.  These research aim to determine the level of customer satisfaction with drug services without a prescription at the Pharmacy K-24 Raya Puspitek and Identifying the level of patient satisfaction by distributing 5-dimensional questionnaires, they are : reliability, responsiveness, assurance, empathy, and tangibility. There are 100 respondents.The questionnaire was distributed based on education and gender. The result showed there are 73% male and 27% female from 100 respondents. While respondents based on undergraduate education as much as 34% which is greater than the others. The result of customer satisfaction found 54% satisfied in Reliability, 47,5% satsified in Responsiveness, 53% satisfied in Emphaty, 49,5% satisfied in Assurance, 53,5% satisfied in Tangible.Overall Pharmacy service quality in K-24 Raya Puspitek Pharmacy is in good or satisfy level. Keywords:Customer SatisfactionNon Prescription servicePharmacy ServicesABSTRAK Kepuasan merupakan fungsi dari kinerja dan harapan. Dengan tujuan untuk mengetahui tingkat kepuasan pelanggan terhadap pelayanan obat tanpa resep di Apotek K-24 Raya Puspitek dan mengetahui tingkat kepuasan pasien dengan cara menyebarkan kuisioner 5 dimensi berupa reliability, responsiveness, assurance, emphaty, dan tangible sebanyak 100 Responden. Kuisioner disebarkan berdasarkan pendidikan dan jenis kelamin. Jenis kelamin laki-laki sebanyak 73% dan jenis kelamin perempuan sebanyak 27% dari 100 responden. Sedangkan responden berdasarkan pendidikan sarjana sebanyak 34% yang lebih besar dari pada lainnya. Hasil dari Kualitas Pelayanan pada dimensi Kualitas Pelayanan pada dimensi Reliability(54%) puas, Responsiveness(47,5%) puas , Emphaty(53%) puas, Assurance(49,5%) puas, dan Tangible (53,5%) puas. Secara keseluruhan pelayanan di Apotek K-24 Raya Serpong termasuk dalam kategori baik atau memuaskan.Kata Kunci: Kepuasan pelangganPelayanan non resepPelayanan Farmasi

Assessing Patient Satisfaction Following Blepharoplasty Using Social Media Reviews

2021 ◽  
Author(s):  
Christopher C Tseng ◽  
Rushi Patel ◽  
Amar D Desai ◽  
Vraj P Shah ◽  
Guy Talmor ◽  
...  
Keyword(s):  
Social Media ◽  
Patient Satisfaction ◽  
Aesthetic Surgery ◽  
Study Cohort ◽  
Web Crawler ◽  
Aesthetic Result ◽  
Surgery Outcome ◽  
Bedside Manner ◽  
Aesthetic Results ◽  
The Individual

Abstract Background As patient satisfaction is a significant qualitative consideration in measuring aesthetic surgery outcome, it is important to characterize the individual factors which shape the patient perspective about blepharoplasty. Objectives This study analyzed patient reviews following blepharoplasty on the aesthetic surgery social media platform Realself.com to determine which aspects of the surgical process have the most significant impact on patient satisfaction. Methods Blepharoplasty reviews were gathered from Realself.com using an automated web crawler. These reviews were characterized as positive or negative, then given a specific category that more specifically defined the theme of the review. Additional variables including the specialty of the reviewed physician and any patient self-reported ratings were documented. Results A total of 1991 reviews pertaining to blepharoplasty were collected. Among reviews with self-reported “worth it” ratings, 93.5% were positive. Following categorization of all reviews, 1865 (93.7%) were positive and 126 (6.3%) were negative. Of the positive reviews, the most common overall themes were bedside manner (n=899, 48.2%), aesthetic result (n=859, 46.1%), and overall comfort (n=58, 3.1%). Among negative reviews, most pertained to aesthetic result (n=100, 79.4%), and bedside manner (n=14, 11.1%). The most frequently encountered physician specialties performing blepharoplasty were plastic surgery (n=1101, 55.3%), ophthalmology (n=634, 31.8%), and otolaryngology (n=69, 3.5%). Conclusions The majority of patient blepharoplasty reviews were positive. The most prominent factor driving positive reviews was bedside manner, followed by aesthetic results. Negative reviews were most frequently attributed to sub-optimal aesthetic results. Most blepharoplasties in our study cohort were performed by plastic and oculoplastic surgeons.

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