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Comparison of the Effect of Two Low to High Lateral Osteotomy Methods, Percutaneous and Internal On the Tear Trough and Scleral Show in Patients Undergoing Esthetic Open Rhinoplasty. 比较两种从低到高的外侧截骨方法(经皮和内侧)对接受开放式鼻整形术的患者泪沟和巩膜显示的影响。
IF 0.9 Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.1.65
Ershad Hemmati, Razieh Moaref Pour, Mahdis Masudrad, Mozhgan Sametzade

Background: We aimed to compare the effect of two low to high lateral osteotomy methods, percutaneous and internal on the tear trough and scleral show in patients undergoing esthetic open rhinoplasty.

Methods: This prospective single-blind randomized clinical trial study was conducted on 80 patients in two groups of 40 candidates for rhinoplasty surgery referred to Imam Khomeini Hospital in Ahvaz, southern Iran in 2021. In the first group, lateral osteotomy was performed internally and in the other group, percutaneously. Then, the changes in tear trough and scleral show before surgery, one and three months after surgery were compared between two groups.

Results: The median of the medial limbus in the percutaneous group was about 0.38 higher than the internal group, but no significant difference was observed (P=0.322). Moreover, the median medial canthus in the percutaneous group compared to the internal group had no statistically significant difference (P=0.163). There was no significant difference in the average lateral limbus changes between the two groups (P=0.389). The median scleral show in all times before surgery, one and three months after surgery in the percutaneous group was higher than in the internal group, but the differences were not significant. In addition, the median scleral show changes before and three months after surgery in the percutaneous group were not remarkably different from the internal group (P=0.290).

Conclusion: Both techniques are almost similar in terms of periorbital effect after surgery in the early stages and 3 months after surgery. More multicenter studies with higher sample size and longer follow-up period seem necessary.

背景:我们的目的是比较经皮和内置两种低位至高位外侧截骨方法对接受开放式鼻整形术的患者泪沟和巩膜显示的影响:我们的目的是比较两种从低到高的外侧截骨方法(经皮和内侧)对接受开放式鼻整形手术的患者泪沟和巩膜显示的影响:这项前瞻性单盲随机临床试验研究于 2021 年在伊朗南部阿瓦士的伊玛目霍梅尼医院进行,两组共 80 名患者,每组 40 人。在第一组中,侧面截骨术在内部进行,在另一组中,侧面截骨术经皮进行。然后,比较两组患者术前、术后一个月和三个月的泪沟和巩膜显示变化:结果:经皮组的内侧缘中位数比内切组高出约 0.38,但无显著差异(P=0.322)。此外,经皮组的内侧眦角中位数与内侧组相比无统计学差异(P=0.163)。两组的平均侧缘变化无明显差异(P=0.389)。经皮组在术前、术后1个月和3个月的中位巩膜显示均高于内切组,但差异无显著性。此外,经皮组术前和术后三个月的中位巩膜显示变化与内镜组没有明显差异(P=0.290):结论:就术后早期和术后三个月的眶周效果而言,两种技术几乎相似。结论:两种技术在术后早期和术后 3 个月的眶周效果几乎相似,似乎有必要进行更多样本量更大、随访时间更长的多中心研究。
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引用次数: 0
Satisfaction and Quality of Life in Patients Who Underwent Post Massive Weight Loss Body Contouring Procedures: A Tertiary Center Experience in Bahrain. 接受大减重后身体塑形手术患者的满意度和生活质量:巴林一家三级医疗中心的经验。
IF 0.9 Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.1.71
Mohamed E Shehab, Hasan M Isa, Lana M Saleh, Zainab A Alafeya

Background: Incidence of body contouring surgeries (BCS) rose significantly to overcome problems resulted from post-Bariatric Surgery (BS). We aimed to evaluate satisfaction level and quality of life (QOL) in patients' post-BCS.

Methods: In this retrospective prospective study, patients who underwent BCS in Plastic Surgery Department, Salmaniya Medical Complex, Bahrain, in 2017-2018, were enrolled. Demographic and anthropometric data were collected. BS-group's QOL and satisfaction level were assessed using a questionnaire.

Results: Of 929 plastic surgery admissions, 316 (34%) were for BCS (249 patients). Fifty-eight (28%) patients underwent 82 BS were recruited, mostly females (n=42, 72.4%). The mean age was 37.4±9.6 years. Excess abdominal skin was the most area of concern (n=50, 86.2%). Median pre-BCS body mass index was 26.9 (interquartile range: 25.6-29.8) kg/m2. Most patients were overweight (n=26, 44.8%). Abdominoplasty was the commonest BCS (n=172, 50.6%). This was also the case in 82 BCS in post-BS group (n=38, 46.3%). In post-BS group, post-operative complications were noted in 25/82 (30.5%) patients with wound problems being the most frequent (n=14, 17.1%). Most patients rated their experience as better in all questionnaire domains and most (n=45, 54.9%) rated their satisfaction level as excellent. Older age gave better overall satisfaction (P<0.001) while employed patients had better overall QOL (P=0.012) and self-confidence (P=0.048). Females had better satisfaction with body appearance (P<0.001) while those underwent abdominoplasty or breast surgeries had lower physical activity (P=0.042).

Conclusion: This study showed improvement in patient's QOL post-BCS with excellent overall satisfaction, findings that could be affected by age, sex, and occupation.

背景:为了解决减肥手术(BS)后产生的问题,身体塑形手术(BCS)的发病率大幅上升。我们的目的是评估 BCS 术后患者的满意度和生活质量(QOL):在这项回顾性前瞻研究中,2017-2018 年在巴林 Salmaniya Medical Complex 整形外科接受 BCS 的患者被纳入研究对象。收集了人口统计学和人体测量数据。使用调查问卷评估了 BS 组患者的 QOL 和满意度:在 929 例整形外科住院患者中,316 例(34%)为 BCS(249 名患者)。58名(28%)患者接受了82次BS,其中大部分为女性(42人,72.4%)。平均年龄为(37.4±9.6)岁。患者最关注的部位是腹部皮肤赘肉(50 人,占 86.2%)。BCS 前体重指数中位数为 26.9(四分位间范围:25.6-29.8)kg/m2。大多数患者超重(26 人,44.8%)。腹部整形是最常见的 BCS(人数=172,50.6%)。在 BS 后组的 82 例 BCS 中,情况也是如此(38 例,46.3%)。在 BS 后组,25/82(30.5%)名患者出现了术后并发症,其中伤口问题最为常见(14 人,17.1%)。大多数患者在所有问卷领域的体验都较好,大多数患者(45 人,占 54.9%)将其满意度评为 "优秀"。年龄越大,总体满意度越高(PP=0.012),自信心越强(P=0.048)。女性对身体外观的满意度更高(PP=0.042):本研究显示,BCS 术后患者的 QOL 有所改善,总体满意度极高,但这一结果可能受年龄、性别和职业的影响。
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引用次数: 0
The Road Less Traveled: The Marham National Health Institute's Journey on Cleft Lip and Palate Surgery Missions. 少有人走的路:马哈姆国家健康研究所的唇腭裂手术之旅。
IF 0.9 Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.1.3
Abdoljalil Kalantar-Hormozi, Mitra Chitsazan, Nazanin Rita Davai, Ahmad Eghbali Zarch, Ali Manafi, Naser Mozafari, Alireza Saberi Ghouchani, Kamyar Azhdari, Reza Shahverdiani, Mahmoudreza Ashabyamin, Mohammadreza Tarahomi, Yavar Shams Hojjati, Abdolreza Sheikhi, Hadis Kalantar-Hormozi, Navid Manafi, Morteza Poudineh

Congenital cleft lip and palate represent the prevailing craniofacial birth anomalies on a global scale. Notably, a substantial proportion of patients within remote regions of Iran defer corrective surgery until later stages of life, often in childhood or adulthood, primarily due to intricate financial and cultural constraints. In response to this pressing healthcare challenge, a dedicated collective of volunteer plastic surgeons was established in 2009 with the explicit aim of providing medical care to these underserved patients. Over the subsequent years, this compassionate team embarked on 31 meticulously planned missions to underprivileged areas scattered across the country. Through these organized endeavors, a remarkable total of 20,579 medical visits were conducted, coupled with the performance of 2,303 essential surgeries, thus offering a lifeline of healthcare to these disadvantaged individuals.

先天性唇腭裂是全球普遍存在的颅面出生畸形。值得注意的是,在伊朗偏远地区,很大一部分患者推迟到晚期才接受矫正手术,通常是在儿童期或成年期,这主要是由于错综复杂的经济和文化限制。为了应对这一紧迫的医疗挑战,一个由整形外科医生志愿者组成的专门小组于 2009 年成立,其明确目标就是为这些得不到充分治疗的患者提供医疗服务。在随后的几年里,这支富有同情心的团队开始了 31 次精心策划的任务,前往分散在全国各地的贫困地区。通过这些有组织的活动,共开展了 20,579 次医疗访问,进行了 2,303 次基本手术,从而为这些弱势群体提供了一条医疗保健生命线。
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引用次数: 0
Evaluation of Hematoma Formation after Thyroidectomy Surgery and Its Related Factors. 评估甲状腺切除手术后血肿的形成及其相关因素
IF 0.9 Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.1.37
Mohammad Hossein Sarmast Shoushtari, Shaghayegh Sherafatmand, Ayat Rostami, Armin Mohammadi, Behrouz Shayesteh, Farbod Farhadi

Background: In the last decade, the number of patients undergoing thyroidectomy has increased. Compared to other methods, thyroidectomy is a relatively safe method for treating various types of thyroid diseases. However, the blood flow rate in the thyroid gland is high, and hematoma after thyroidectomy is one of its complications. We aimed to evaluate hematoma after thyroidectomy and its related factors.

Methods: In this retrospective study, 2320 patients over 20 years of age who underwent thyroidectomy in Imam Khomeini, Arvand, and Mehr Ahvaz hospitals, Khuzestan Province, southern Iran between 2011 and 2022 were enrolled. Data were analyzed using SPSS software, version 22.

Results: 70.7% of the patients were in the age range of 20-50 years. Twenty-five (1.1%) of patients developed a hematoma after thyroidectomy. Males are more likely to hematoma after surgery (P=0.01). Hematoma was significantly higher in patients with a history of hypertension (P=0.001). Moreover, a significant association was found between male gender, and age over 50 years with the risk of hematoma (P<0.05). The incidence of hematoma had a statistically remarkable correlation with follicular thyroid cancer pathology (P=0.001). Other pathology diagnoses were not significantly related to hematoma formation after thyroidectomy.

Conclusions: Hematoma after thyroidectomy surgery is a rare, but dangerous and life-threatening complication. It is important to identify risk factors for hematoma formation.

背景:近十年来,接受甲状腺切除术的患者人数有所增加。与其他方法相比,甲状腺切除术是治疗各种甲状腺疾病的一种相对安全的方法。然而,甲状腺内的血流量很大,甲状腺切除术后血肿是其并发症之一。我们旨在评估甲状腺切除术后血肿及其相关因素:在这项回顾性研究中,我们选取了 2011 年至 2022 年期间在伊朗南部胡齐斯坦省伊玛目-霍梅尼医院、阿尔万德医院和梅尔-阿瓦士医院接受甲状腺切除术的 2320 名 20 岁以上患者作为研究对象。数据使用 SPSS 软件 22 版进行分析:70.7%的患者年龄在 20-50 岁之间。25名患者(1.1%)在甲状腺切除术后出现血肿。男性术后更容易出现血肿(P=0.01)。有高血压病史的患者血肿发生率明显更高(P=0.001)。此外,男性性别和50岁以上年龄与血肿风险之间也存在明显关联(PC结论:甲状腺切除术后血肿是一种罕见但危险的并发症,可危及生命。确定血肿形成的风险因素非常重要。
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引用次数: 0
Evaluation of the relationship between maxillary canine impaction with arch dimensions and maxillary sinus dimensions using Cone Beam Computed Tomography (CBCT ). 使用锥形束计算机断层扫描(CBCT)评估上颌犬牙嵌塞与牙弓尺寸和上颌窦尺寸之间的关系。
IF 0.9 Q3 SURGERY Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.2.32
Homa Farhadifard, Abbas Shokri, Maryam Salehzadeh, Maryam Farhadian, Yousef Ahmadpour

Background: We aimed to evaluate the morphology of maxilla and sinus dimensions in subjects with unilaterally and bilaterally impacted canine using cone beam computed tomography (CBCT) records.

Methods: CBCT records taken during 2020-2022 of 120 patients were obtained to investigate the relationship between impacted canine and maxillary morphology as well as sinus dimensions. The CBCT images were then divided into three groups: control, unilaterally canine impaction and bilaterally canine impaction. Then morphology-related variables (arch circumference, arch length, inter molar width, inter first premolar width, palatal depth, anterior posterior dimension of the right and left sinuses, and mediolateral dimension of the right and left sinuses) were analyzed and compared between groups. All measurements were done by Ondeman 3D dental software. Statistical analysis was carried out by SPSS software version 21 using one-way ANOVA.

Results: There were meaningful differences in patients with canine impaction compared with control group in arch circumference (P value= 0.004) and arch length (P value= 0.001), inter molar width (P value= 0.001), inter first premolar width (P value= 0.001), mediolateral dimension of the right (P value=0.001) and left (P value= 0.001) sinuses of maxilla. Furthermore, Palatal depth and anterior posterior dimension of the right and left sinuses did not show statistically significant difference between groups.

Conclusion: Canine impaction can considerably affect the morphology of maxillary and sinuses dimensions. Nevertheless, future studies are needed to determine the exact structural and molecular effects of the canine impaction on maxillary sinuses and neighboring tissues.

背景:我们旨在使用锥形束计算机断层扫描(CBCT)记录评估单侧和双侧犬齿撞击患者的上颌骨形态和鼻窦尺寸:方法: 我们获取了 120 名患者在 2020-2022 年期间的 CBCT 记录,以研究撞击性犬齿与上颌骨形态和上颌窦尺寸之间的关系。然后将 CBCT 图像分为三组:对照组、单侧犬齿撞击组和双侧犬齿撞击组。然后分析形态相关变量(牙弓周长、牙弓长度、臼齿间宽度、第一前臼齿间宽度、腭深度、左右窦的前后侧尺寸以及左右窦的内外侧尺寸),并进行组间比较。所有测量均由 Ondeman 3D 牙科软件完成。统计分析使用 SPSS 软件 21 版,采用单因素方差分析:结果:与对照组相比,犬齿嵌塞患者在牙弓周长(P值= 0.004)、牙弓长度(P值= 0.001)、磨牙间宽度(P值= 0.001)、第一前磨牙间宽度(P值= 0.001)、上颌右窦内侧尺寸(P值= 0.001)和左窦内侧尺寸(P值= 0.001)方面均存在显著差异。此外,腭深和左右颌窦的前后侧尺寸在组间无统计学差异:结论:犬齿嵌塞会严重影响上颌和上颌窦的形态。结论:犬齿嵌塞会严重影响上颌和上颌窦的形态和尺寸,然而,未来的研究还需要确定犬齿嵌塞对上颌窦和邻近组织的确切结构和分子影响。
{"title":"Evaluation of the relationship between maxillary canine impaction with arch dimensions and maxillary sinus dimensions using Cone Beam Computed Tomography (CBCT ).","authors":"Homa Farhadifard, Abbas Shokri, Maryam Salehzadeh, Maryam Farhadian, Yousef Ahmadpour","doi":"10.61186/wjps.13.2.32","DOIUrl":"10.61186/wjps.13.2.32","url":null,"abstract":"<p><strong>Background: </strong>We aimed to evaluate the morphology of maxilla and sinus dimensions in subjects with unilaterally and bilaterally impacted canine using cone beam computed tomography (CBCT) records.</p><p><strong>Methods: </strong>CBCT records taken during 2020-2022 of 120 patients were obtained to investigate the relationship between impacted canine and maxillary morphology as well as sinus dimensions. The CBCT images were then divided into three groups: control, unilaterally canine impaction and bilaterally canine impaction. Then morphology-related variables (arch circumference, arch length, inter molar width, inter first premolar width, palatal depth, anterior posterior dimension of the right and left sinuses, and mediolateral dimension of the right and left sinuses) were analyzed and compared between groups. All measurements were done by Ondeman 3D dental software. Statistical analysis was carried out by SPSS software version 21 using one-way ANOVA.</p><p><strong>Results: </strong>There were meaningful differences in patients with canine impaction compared with control group in arch circumference (<i>P</i> value= 0.004) and arch length (<i>P</i> value= 0.001), inter molar width (<i>P</i> value= 0.001), inter first premolar width (<i>P</i> value= 0.001), mediolateral dimension of the right (<i>P</i> value=0.001) and left (<i>P</i> value= 0.001) sinuses of maxilla. Furthermore, Palatal depth and anterior posterior dimension of the right and left sinuses did not show statistically significant difference between groups.</p><p><strong>Conclusion: </strong>Canine impaction can considerably affect the morphology of maxillary and sinuses dimensions. Nevertheless, future studies are needed to determine the exact structural and molecular effects of the canine impaction on maxillary sinuses and neighboring tissues.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"32-38"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intraoperative Hemostasis Using WALANT Versus Tourniquet; A Focused Review on Carpal Tunnel Syndrome and Trigger Finger Release. 使用 WALANT 与止血带的术中止血;腕管综合征和扳机指松解术的重点回顾。
IF 0.9 Q3 SURGERY Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.2.3
Taif Alnojaidi, Sultan Alaqil, Reemah Alqahtani, Ghaida Albraithen, Rahaf Almutairi, Abdullah Khubrani, Abdulmajeed Alhadlaq

Maintaining intraoperative haemostasis is crucial when conducting wide-awake hand surgeries, this is particularly to improve visibility which will improve patient's outcome. There are various methods that could achieve the aforementioned, some of which is wide awake local anaesthesia without tourniquet (WALANT) or Tourniquet alongside sedation. Each method has its own benefits and drawbacks. This study primarily focuses on Carpal Tunnel Syndrome and Trigger Finger release. A comprehensive literature review was conducted through PUBMED, Scopus, google scholar, and web of science. A total of 45 articles were included in the study. We aimed to assess whether the literature supports the use of a tourniquet alongside sedation, or only local anesthesia and epinephrine in wide awake hand surgeries. Moreover, we aimed to highlight the benefits and drawbacks of using a tourniquet, and determine the patient population most likely to benefit from tourniquet application.

在进行宽清醒手部手术时,保持术中止血至关重要,这尤其是为了提高能见度,从而改善患者的治疗效果。有多种方法可以达到上述目的,其中包括不使用止血带的清醒局部麻醉(WALANT)或止血带配合镇静剂。每种方法都各有利弊。本研究主要关注腕管综合症和扳机指松解术。我们通过 PUBMED、Scopus、谷歌学术和科学网进行了全面的文献综述。研究共收录了 45 篇文章。我们旨在评估文献是否支持在宽清醒手部手术中使用止血带和镇静剂,或仅使用局部麻醉和肾上腺素。此外,我们还旨在强调使用止血带的好处和缺点,并确定最有可能从使用止血带中受益的患者人群。
{"title":"Intraoperative Hemostasis Using WALANT Versus Tourniquet; A Focused Review on Carpal Tunnel Syndrome and Trigger Finger Release.","authors":"Taif Alnojaidi, Sultan Alaqil, Reemah Alqahtani, Ghaida Albraithen, Rahaf Almutairi, Abdullah Khubrani, Abdulmajeed Alhadlaq","doi":"10.61186/wjps.13.2.3","DOIUrl":"10.61186/wjps.13.2.3","url":null,"abstract":"<p><p>Maintaining intraoperative haemostasis is crucial when conducting wide-awake hand surgeries, this is particularly to improve visibility which will improve patient's outcome. There are various methods that could achieve the aforementioned, some of which is wide awake local anaesthesia without tourniquet (WALANT) or Tourniquet alongside sedation. Each method has its own benefits and drawbacks. This study primarily focuses on Carpal Tunnel Syndrome and Trigger Finger release. A comprehensive literature review was conducted through PUBMED, Scopus, google scholar, and web of science. A total of 45 articles were included in the study. We aimed to assess whether the literature supports the use of a tourniquet alongside sedation, or only local anesthesia and epinephrine in wide awake hand surgeries. Moreover, we aimed to highlight the benefits and drawbacks of using a tourniquet, and determine the patient population most likely to benefit from tourniquet application.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"3-10"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Temporoparietal Flap for Facial Reconstruction: Donor Site Morbidity. 用于面部重建的颞顶骨皮瓣:供体部位发病率。
IF 0.9 Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.1.87
Amin Rahpeyma, Saeedeh Khajehahmadi

Background: Temporoparietal flap (TPF) is recommended when thin delicate tissue for medium sized defect is needed. The most used form of this flap is for auricle reconstruction. In this article usage of this flap for facial reconstruction other than auricle is discussed, emphasing on donor site morbidity.

Method: In this retrospective study, archived files of the Department of Oral and Maxillofacial Surgery, University of Medical Sciences, Mashhad, Iran were evaluated from 2016-2020. Patients whom TPF was used for facial reconstruction were included. Flap survival was checked and donor site morbidity was evaluated in the form of skin scar and frontal nerve branch injury.

Results: This flap was used in 8 patients for facial reconstruction. All the cases had experienced Alopecia and this was the greatest when the skin of scalp was also included. All of the patients could elevate the eyebrow that means intact frontal branch of facial nerve.

Conclusion: TPF is a versatile flap for facial reconstruction. However, alopecia is high in composite fasciocutaneous form of this flap.

背景:当需要用薄而精致的组织来修复中等大小的缺损时,推荐使用颞顶皮瓣(TPF)。这种皮瓣最常用于耳廓重建。本文将讨论除耳廓外该皮瓣在面部重建中的应用,重点是供体部位的发病率:在这项回顾性研究中,对伊朗马什哈德医科大学口腔颌面外科 2016-2020 年的档案进行了评估。研究纳入了使用 TPF 进行面部重建的患者。对皮瓣的存活率进行了检查,并以皮肤疤痕和额神经分支损伤的形式对供体部位的发病率进行了评估:结果:8 名患者使用了这种皮瓣进行面部重建。所有病例都出现了脱发,其中头皮皮肤脱发最为严重。所有患者都能抬高眉毛,这说明面神经额支完好无损:结论:TPF 是一种用于面部重建的多功能皮瓣。结论:TPF 是一种用于面部重建的多功能皮瓣,但复合筋膜皮瓣的脱发率较高。
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引用次数: 0
Preoperative Eyelid and Eyebrow Asymmetry: A Potential Pre-Operation Inform Consent Option: A Descriptive Cross-Sectional Study. 术前眼睑和眉毛不对称:潜在的术前知情同意选项:一项描述性横断面研究。
IF 0.9 Q3 SURGERY Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.2.19
Gholamreza Motazedian, Erfan Sadeghi, Ebtesam Jabbarinia, Ali-Akbar Mohammdi, Fateme Salari, Hamid Reihani, Farnaz Atighi, Alireza Keshtkar

Background: We aimed to determine the prevalence of pre-existing asymmetry in our patients and investigate the impact of age and sex on upper facial asymmetry.

Methods: We collected images from 155 patients who were undergoing upper eyelid blepharoplasty and MRD1 (marginal reflex distance 1), TPS (tarsal plate show), and BFS (brow fat span) measurements were extracted by ImageJ software. The relationship between asymmetry and age and gender was assessed by comparing the mean differences of these metrics. A generalized linear model (GLM) was used to compare the outcomes of the study. P-value < 0.05 was considered significantly different in all tests.

Results: Pre-operative asymmetry was present in 112 (72%) patients. Among the cases, 61 (39%), 40 (26%), and 24 (15.5%) patients had more than 1mm of asymmetry in BFS, TPS, and MRD1, respectively. Males under 50 years old had the most asymmetry in the preorbital area. Comparing men under 50 years old with the other groups showed that the mean ± SD of absolute differences of TPS was significantly higher in this group (all P< 0.00), but pairwise comparison for MRD1 and BFS indicated no significant correlation between age, gender, and the mean asymmetry of these parameters (overall test P = 0.70 for MDR1 and P = 0.45 for BFS).

Conclusion: Most patients have asymmetry before surgery without being aware of it. Awareness of this asymmetry and the relationship between facial asymmetry and age and gender is essential to prevent dissatisfaction due to the probable post-operative asymmetry and unrealistic expectations.

背景:我们的目的是确定患者面部不对称的发生率,并研究年龄和性别对上面部不对称的影响:我们的目的是确定患者原有不对称的普遍程度,并研究年龄和性别对上面部不对称的影响:我们收集了 155 名接受上眼睑重睑术的患者的图像,并通过 ImageJ 软件提取了 MRD1(边缘反射距离 1)、TPS(跗骨板显示)和 BFS(眉脂肪跨度)的测量值。通过比较这些指标的平均差来评估不对称与年龄和性别之间的关系。研究结果采用广义线性模型(GLM)进行比较。在所有测试中,P 值小于 0.05 即为差异显著:112例(72%)患者存在术前不对称。其中,61 例(39%)、40 例(26%)和 24 例(15.5%)患者的 BFS、TPS 和 MRD1 不对称程度超过 1 毫米。50 岁以下男性的眶前区不对称程度最高。将 50 岁以下男性与其他组别进行比较后发现,该组别的 TPS 绝对差异平均值(± SD)显著高于其他组别(均为 P<0.00),但 MRD1 和 BFS 的配对比较表明,年龄、性别与这些参数的平均不对称程度之间没有显著相关性(总体检验 P = 0.70(MDR1)和 P = 0.45(BFS)):结论:大多数患者在手术前都会有不对称的情况,但却没有意识到。结论:大多数患者在手术前都有不对称的情况,但却没有意识到。意识到这种不对称以及面部不对称与年龄和性别之间的关系,对于防止因术后可能出现的不对称和不切实际的期望而引起的不满是至关重要的。
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引用次数: 0
Comparison the Effect of Conventional and Nanofat Injection Methods on Nasolabial Fold Lipofilling: A Case- Control Study. 比较传统和纳米脂肪注射法对鼻唇沟脂肪填充的效果:病例对照研究。
IF 0.9 Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.1.24
Mina Mamizadeh, Samaneh Tahmasebi Ghorabi, Zahra Mansourinia, Fariba Shadfar, Arian Karimi Rouzbahani

Background: Nasolabial folds are a common sign of aging, accompanied by various manifestations such as skin and tissue loosening, wrinkles, lip corner drooping, mandibular angle loss, platysmal bands, and skin pigmentation changes. Limited research has explored Nanofat injection methods. this study was done with the aim of comparing the effect of fat injection by two methods, conventional and Nanofat, in nasolabial folds.

Method: The study conducted in 2020-2021 at the skin clinic in Ilam, western Iran was a case-control study. Participants were divided into two groups, and lipofilling procedures were performed using conventional and nanofat methods with autologous fat. Data collection utilized a researcher-made questionnaire and radiographic results. Follow-up visits occurred on the 30th, 90th, and 180th days to assess complications and recovery rates. After 6 months, participant's photographs were taken and compared with pre-intervention photographs using the GIAS criteria. Data analysis was conducted using SPSS22 version software.

Results: The average age of the participants was 37.80±8.30 yr. The treatment response in the conventional fat injection group was significantly better than the nanofat group (P<0.05). Both groups were satisfied with the treatment methods, but high satisfaction was reported in the conventional group, but there was no statistically significant difference between the groups.

Conclusion: Both methods of improving wrinkles were effective, but the improvement and response to treatment in the conventional method was better than the Nanofat method, and its effect was felt by the participants for an average period of 3 months.

背景:鼻唇沟是一种常见的衰老迹象,伴有各种表现,如皮肤和组织松弛、皱纹、唇角下垂、下颌角缺失、板状带和皮肤色素变化。本研究旨在比较传统和纳米脂肪注射两种方法对鼻唇沟的效果:这项研究于 2020-2021 年在伊朗西部伊拉姆的皮肤诊所进行,是一项病例对照研究。参与者被分为两组,使用自体脂肪以传统方法和纳米脂肪方法进行脂肪填充手术。数据收集采用了研究人员自制的调查问卷和影像学结果。在第 30 天、第 90 天和第 180 天进行随访,以评估并发症和恢复率。6 个月后,采用 GIAS 标准拍摄参与者的照片,并与干预前的照片进行比较。数据分析使用 SPSS22 版本软件进行:结果:参与者的平均年龄为(37.80±8.30)岁,传统脂肪注射组的治疗反应明显优于纳米脂肪组(PC结论:两种方法都能有效改善皱纹:两种改善皱纹的方法都有效,但传统方法的改善效果和治疗反应优于纳米脂肪方法,而且参与者平均能在 3 个月内感受到其效果。
{"title":"Comparison the Effect of Conventional and Nanofat Injection Methods on Nasolabial Fold Lipofilling: A Case- Control Study.","authors":"Mina Mamizadeh, Samaneh Tahmasebi Ghorabi, Zahra Mansourinia, Fariba Shadfar, Arian Karimi Rouzbahani","doi":"10.61186/wjps.13.1.24","DOIUrl":"10.61186/wjps.13.1.24","url":null,"abstract":"<p><strong>Background: </strong>Nasolabial folds are a common sign of aging, accompanied by various manifestations such as skin and tissue loosening, wrinkles, lip corner drooping, mandibular angle loss, platysmal bands, and skin pigmentation changes. Limited research has explored Nanofat injection methods. this study was done with the aim of comparing the effect of fat injection by two methods, conventional and Nanofat, in nasolabial folds.</p><p><strong>Method: </strong>The study conducted in 2020-2021 at the skin clinic in Ilam, western Iran was a case-control study. Participants were divided into two groups, and lipofilling procedures were performed using conventional and nanofat methods with autologous fat. Data collection utilized a researcher-made questionnaire and radiographic results. Follow-up visits occurred on the 30th, 90th, and 180th days to assess complications and recovery rates. After 6 months, participant's photographs were taken and compared with pre-intervention photographs using the GIAS criteria. Data analysis was conducted using SPSS22 version software.</p><p><strong>Results: </strong>The average age of the participants was 37.80±8.30 yr. The treatment response in the conventional fat injection group was significantly better than the nanofat group (P<0.05). Both groups were satisfied with the treatment methods, but high satisfaction was reported in the conventional group, but there was no statistically significant difference between the groups.</p><p><strong>Conclusion: </strong>Both methods of improving wrinkles were effective, but the improvement and response to treatment in the conventional method was better than the Nanofat method, and its effect was felt by the participants for an average period of 3 months.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 1","pages":"24-31"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison the Effect of Fractional RF Laser with Microneedling on Facial Skin Rejuvenation, Open Pores and Skin Lightening: A Non-Randomized Controlled Clinical Trial. 点阵射频激光与微针疗法对面部嫩肤、毛孔粗大和皮肤美白效果的比较:非随机对照临床试验。
IF 0.9 Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.1.16
Mina Mamizadeh, Samaneh Tahmasebi Ghorabi, Mohammad Jamali, Fariba Shadfar, Arian Karimi Rouzbahani

Background: Effective skin rejuvenation treatments with RF technologies exist, with potential for personalized combination therapies based on individual factors. We compared microneedling and fractional RF laser effectiveness in rejuvenation, pore healing, and skin lightening.

Method: The research was a non-randomized clinical trial study conducted in 2021 at Ilam Skin Clinic, Ilam, western Iran on people applying for rejuvenation, skin lightening and improvement of open pores. People were voluntarily divided into two groups based on personal preferences (group A: microneedling, 25 people, group B: fractional RF, 25 people). After data collection, SPSS22 software was used for data analysis.

Results: The study revealed significant differences in the rates of low, moderate, and severe pain between the microneedling and fractional groups (10 vs. 16, 14 vs. 4, 1 vs. 5, respectively). Erythema showed no significant difference, with low, moderate, and severe cases reported in both groups. Swelling was lower in the microneedling group, but the difference was not significant. Bruising was similar in both groups, and staining was minimal. No herpes or infections were reported. The microneedling group showed better improvement in skin pores and skin lightening compared to the fractional group, with outcomes rated as good and excellent.

Conclusion: Microneedling surpassed the fractional group in skin rejuvenation, lightening, and improved pores. Considering RF lasers are approximately three times more expensive than microneedling, the research indicates that choosing microneedling is not only more cost-effective but also a superior rejuvenation technique.

背景:射频技术是一种有效的嫩肤疗法,可根据个人因素进行个性化组合治疗。我们比较了微针和点阵射频激光在嫩肤、毛孔愈合和美白方面的效果:该研究是一项非随机临床试验研究,于 2021 年在伊朗西部伊拉姆的伊拉姆皮肤诊所进行,对象是申请嫩肤、美白和改善毛孔粗大的人。根据个人喜好自愿分为两组(A 组:微针,25 人;B 组:点阵射频,25 人)。数据收集后,使用 SPSS22 软件进行数据分析:研究结果显示,微针组和点阵组的低度、中度和重度疼痛率存在明显差异(分别为 10 vs. 16、14 vs. 4、1 vs. 5)。红斑无明显差异,两组均有低度、中度和重度红斑。微针组的肿胀程度较低,但差异不显著。两组的瘀伤情况相似,染色极少。没有疱疹或感染的报告。与点阵组相比,微针组在改善皮肤毛孔和美白方面表现更好,结果被评为良好和优秀:结论:微针组在嫩肤、美白和改善毛孔方面优于点阵组。考虑到射频激光的价格大约是微针疗法的三倍,研究表明,选择微针疗法不仅更具成本效益,而且是一种更好的嫩肤技术。
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World Journal of Plastic Surgery
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