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Treatment Options of Maxillofacial Fractures in Iran: A Comprehensive Systematic Review. 伊朗颌面部骨折的治疗方案:全面系统回顾
IF 0.9 Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.2.20
Faeze Sharifi, Sahand Samieirad, Ricardo Grillo, Maria Da Graça Naclério-Homem, Erfan Bardideh, Ali Manafi, Majid Eshghpour, Touraj Vaezi, Reza Shakiba

Background: The aim of this study was to systematically review the literature on the treatment options of maxillofacial fractures in Iran, complementing a previous article regarding causes and the overall prevalence.

Methods: A systematic search of PubMed, Cochrane Library, Web of Science (WS) and Google Scholar (GS) electronic databases was conducted to identify the relevant articles published up to January 2023. Studies reporting the treatment option of maxillofacial fractures in Iran were included in the analysis. MOOSE guidelines were adopted for the current systematic review. No data or language restriction were applied. Risk of bias across the articles was assessed.

Results: This systematic review included 13 articles with a total of 19,147 treated patients for maxillofacial fractures. ORIF was the most common type of treatment, but complications occurred in approximately 5% of cases. Mandible fractures were not statistically more treated by ORIF than closed reduction or conservative treatment, and no type of treatment was considered statistically preferable depending on the anatomical region affected by Iranian maxillofacial surgeons. The included studies were considered to have a low risk of bias, but many were not clear in reporting cross-referenced data regarding the type of treatment, which could be considered a major flaw.

Conclusion: Overall, this study provides valuable insights into the types of treatment used for maxillofacial fractures by Iranian surgeons and highlights the importance of clear reporting of data in research articles.

背景:本研究旨在系统回顾有关伊朗颌面部骨折治疗方案的文献:本研究旨在系统回顾有关伊朗颌面部骨折治疗方案的文献,对之前一篇有关骨折原因和总体发病率的文章进行补充:方法:对 PubMed、Cochrane Library、Web of Science (WS) 和 Google Scholar (GS) 电子数据库进行了系统检索,以确定截至 2023 年 1 月发表的相关文章。分析纳入了报告伊朗颌面部骨折治疗方案的研究。本系统综述采用 MOOSE 指南。没有数据或语言限制。对所有文章的偏倚风险进行了评估:本系统综述共纳入 13 篇文章,共治疗了 19,147 名颌面部骨折患者。有创人工关节置换术是最常见的治疗方式,但约有5%的病例出现了并发症。据统计,下颌骨骨折采用闭合复位术治疗的比例并不比采用保守治疗的比例高,伊朗颌面外科医生认为,根据受影响的解剖区域,没有哪种治疗方式在统计学上更受欢迎。纳入的研究被认为存在较低的偏倚风险,但许多研究在报告治疗类型的交叉参考数据时并不明确,这可能被认为是一个重大缺陷:总之,本研究为了解伊朗外科医生对颌面部骨折的治疗类型提供了宝贵的见解,并强调了在研究文章中清晰报告数据的重要性。
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引用次数: 0
Comparison of Diagnostic Quality of Multidetector Computed Tomography and Cone-Beam Computed Tomography in High and Low Resolution Modes for Assessment of the Nasal Cavity. 多载体计算机断层扫描和锥形束计算机断层扫描在高分辨率和低分辨率模式下评估鼻腔诊断质量的比较。
IF 0.9 Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.2.77
Abbas Shokri, Maryam Foroozandeh, Amin Doosti Irani, Shadi Asalian

Background: We aimed to compare the diagnostic quality of multidetector computed tomography (MDCT) and cone-beam computed tomography (CBCT) in high (HR) and low (LR) resolution modes for assessment of the nasal cavity and paranasal sinuses.

Methods: This in vitro study was conducted on 5 dry human skulls by using a CBCT and a MDCT scanner in HR and LR modes to assess their diagnostic quality for 21 anatomical landmarks of the nose. The quality of images was evaluated by two oral and maxillofacial radiologists and a dentist using a four-point Likert scale of (I) poor, (II) decreased, (III) good, and (IV) excellent. Data were analyzed by STATA at 95% confidence interval. The Chi-square test was applied to compare the quality of visualization of landmarks based on the type of scanner.

Results: The diagnostic quality of HR CBCT and CT for the majority of landmarks was higher than that of LR CBCT and CT (P<0.05). The diagnostic quality of HR CBCT for agger nasi cells (P=0.010), olfactory cleft (P=0.032), sphenoethmoidal recess (P=0.032), and nasolacrimal duct (P=0.014) and LR CBCT for the middle turbinate (P=0.046) and middle meatus (P=0.031) was significantly higher than that of MDCT.

Conclusion: The diagnostic quality of HR CBCT and CT for the majority of the landmarks in the nasal cavity and paranasal sinuses was higher than that of LR CBCT and CT. For the majority of landmarks, the diagnostic quality of CBCT and CT was the same; while for some landmarks, the diagnostic quality of HR and LR CBCT was higher than HR and LR CT. In general, CBCT has high efficacy for evaluation of the paranasal sinuses and the nasal cavity, and provides diagnostic information comparable to those provided by CT, but with a much lower radiation dose.

背景:我们旨在比较多载体计算机断层扫描(MDCT)和锥束计算机断层扫描(CBCT)在高(HR)和低(LR)分辨率模式下评估鼻腔和副鼻窦的诊断质量:这项体外研究使用 CBCT 和 MDCT 扫描仪在高分辨率和低分辨率模式下对 5 个干燥的人类头骨进行扫描,以评估它们对鼻腔 21 个解剖标志的诊断质量。图像质量由两名口腔颌面放射科医生和一名牙科医生使用李克特四点量表进行评估,即(I)差、(II)较差、(III)好和(IV)优。数据采用 STATA 进行分析,置信区间为 95%。采用卡方检验比较不同扫描仪类型的地标显示质量:结果:HR CBCT 和 CT 对大多数地标的诊断质量高于 LR CBCT 和 CT(PP=0.010)、嗅裂(P=0.032)、蝶窦凹(P=0.032)和鼻泪管(P=0.014),而 LR CBCT 对中鼻甲(P=0.046)和中鼻肉(P=0.031)的诊断质量明显高于 MDCT:结论:HR CBCT 和 CT 对鼻腔和副鼻窦大部分地标的诊断质量高于 LR CBCT 和 CT。对于大多数地标,CBCT 和 CT 的诊断质量相同;而对于某些地标,HR 和 LR CBCT 的诊断质量高于 HR 和 LR CT。总的来说,CBCT 对鼻旁窦和鼻腔的评估具有很高的疗效,所提供的诊断信息与 CT 相当,但辐射剂量要低得多。
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引用次数: 0
Platelet-Rich Plasma Applications in Plastic Surgery. 富血小板血浆在整形外科中的应用。
IF 0.9 Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.1.100
Mohammad Bahadoram, Amar Helalinasab, Najmeh Namehgoshay-Fard, Esma'il Akade, Roozbeh Moghaddar
1. Department of Neurology, School of Medicine, Musculoskeletal Rehabilitation Research Center, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran 2. Silk Clinics, Dubai Health Care City Dubai, United Arab Emirates, Dubai, ARE 3. Department of Medical Virology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran 4. Thalassemia and Hemoglobinopathy Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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引用次数: 0
Polydactylyof 5th Finger in a 6 Month Old Male: A Case Report. 6月龄男性5指多指畸形1例。
IF 0.9 Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.1.95
Ahmad Reza Shahraki

Polydactyly is a congenital anomaly with a wide range of manifestations that occurs in many forms, ranging from varying degrees of mere splitting to completely duplicated thumb. When duplication occurs alone, it is usually unilateral and sporadic. In this case report, I report left hand polydactyly with 2 more fingers on 5th finger in a 6 month old male. He subsequently underwent surgical correction, and the over number thumb was removed with associated meticulous skeletal and soft tissue reconstruction. Polydactyly is the most common congenital digital anomaly of the hand and foot. It can occur in isolation or as part of a syndrome. Surgery is necessary to create a single, functioning thumb indicated to improve cosmetics. Skin, nail, bone, ligament, and musculoskeletal elements must be combined to reconstruct an optimal digit. Treatment options of polydactyly depend on the type and the underlying features. In the literature, different surgical treatments for lateral and medial polydactyly are described.

多指畸形是一种先天性畸形,有多种表现形式,从不同程度的单纯分裂到完全重复的拇指。当重复单独发生时,通常是单侧的和零星的。在这个病例报告中,我报告了一个6个月大的男性左手多指畸形,5指多2个手指。随后,他接受了手术矫正,切除了手指过长,并进行了细致的骨骼和软组织重建。多指畸形是最常见的先天性手足指畸形。它可以单独发生,也可以作为综合征的一部分发生。手术是必要的,以创造一个单一的,功能拇指表示改善化妆品。皮肤、指甲、骨骼、韧带和肌肉骨骼元素必须结合起来重建一个最佳的手指。多指畸形的治疗选择取决于其类型和潜在特征。在文献中,不同的手术治疗外侧和内侧多指被描述。
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引用次数: 0
Covid-19 Pandemic: An Impending Threat to Aesthetic Surgery Procedures. Covid-19大流行:对美容手术程序的迫在眉睫的威胁。
IF 0.9 Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.1.98
Veena Singh
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引用次数: 0
A Rare Case of Orthokeratinized Odontogenic Cyst (OOC) in the Posterior Mandible of a Young Adult 18-Year-Old Boy. 一例罕见的18岁青年男孩后下颌骨矫形角化牙源性囊肿。
IF 0.9 Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.1.80
Masoud Torkzadeh, Zahra Jafari, Ali Labafchi, Alireza Shirzadeh, Nooshin Mohtasham, Bahar Khatibi, Sahand Samieirad

Orthokeratinized Odontogenic Cyst (OOC) is a rare odontogenic cyst, which is important because it has a low recurrence potential, but it has a percentage of the potential for malignant changes. OOC characteristics can be different from OKC (odontogenic keratocyst), which was once classified in its category. The microscopic view of OOC cyst is the reason for its easy identification from OKC, the orthokeratinized epithelial covering and the clear granular layer, and the hyperplasia of the basal layer, and the smooth surface of this cyst. OOC cyst treatment is conservative and can be usually carried out by enucleation. In terms of gender predominance, it is often reported in men. Furthermore, OOC is more common in the 3rd and 4th decades of life. Hereby, we report a rare case of OOC in the posterior mandible of a young adult 18-year-old boy and its treatment method. The clinical and diagnostic points of view and the treatment options were discussed in this article.

正角化牙源性囊肿(orthokeratized Odontogenic囊肿,OOC)是一种罕见的牙源性囊肿,因为它复发的可能性很低,但它有一定的恶性变化的可能性。OOC的特征可能不同于OKC(牙源性角化囊肿),OKC曾被归为其类别。OOC囊肿的显微形态是其易于从OKC、形角化的上皮覆盖层和清晰的颗粒层、基底层增生、表面光滑识别的原因。OOC囊肿的治疗是保守的,通常可以通过去核进行。就性别优势而言,通常在男性中报道。此外,OOC在生命的第三和第四十年更为常见。在此,我们报告一例罕见的18岁男孩后颌骨OOC及其治疗方法。本文就临床诊断观点及治疗方案作一探讨。
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引用次数: 0
Emergence from Anesthesia: A Comparison between Isolated Mandibular Setback and Bimaxillary Orthognathic Surgeries in Skeletal Class III Patients. 麻醉后出现:骨骼III类患者单独下颌骨后退和双颌正颌手术的比较。
IF 0.9 Pub Date : 2022-07-01 DOI: 10.52547/wjps.11.2.144
Majid Eshghpour, Ali Reza Sharifian Attar, Ali Labafchi, Zahra Shooshtari, Fatemeh Bahramijoo, Sahand Samieirad

Background: We aimed to compare the emergence from anesthesia between the isolated mandibular setback and bimaxillary orthognathic surgeries in Skeletal Class III Patients.

Methods: All healthy patients with skeletal class III deformity admitted to Mashhad Dental School, Mashhad, Iran from the years 2017 to 2018 were included in this study. They were candidates for either bimaxillary orthognathic surgery (Bimax surgery) through a combination of mandibular setback surgery plus maxillary advancement or isolated mandibular setback (Monomax surgery). The predictor variable was the type of jaw displacement and anesthesia duration, while the outcome variable was the duration of emergence from general anesthesia. The duration of emergence from anesthesia was calculated from the time the patient was transported to the recovery room until the time of safely discharging from the recovery room. For statistical analysis, the significance level was set at 0.05 using SPSS 21.

Results: A total of 81 consecutive patients, comprising 45 (55.6%) males and 36 (44.4%) females, with an average age of 23.15±4.58 years were recruited. Among the participating patients, 56 (69.1%) underwent bimaxillary surgery while the other 25 (30.9%) were treated with Monomax surgery. Regardless of the type of performed surgery, the duration of general anesthesia was the only factor to be significantly correlated to the length of emergence from anesthesia (P= 0.001).

Conclusion: Increased exposure time to general anesthesia might result in a longer emergence from anesthesia, despite the type of performed orthognathic surgery. Further clinical trials are needed to support the relevancy.

背景:我们的目的是比较骨科III类患者单独下颌骨后退手术和双颌正颌手术麻醉后的出现情况。方法:选取2017 - 2018年在伊朗马什哈德马什哈德牙科学校就读的所有健康的骨骼III类畸形患者。他们可以选择双颌正颌手术(Bimax手术),通过下颌后退手术加上颌前进或单独下颌后退手术(Monomax手术)。预测变量为下颌移位类型和麻醉时间,而结果变量为全身麻醉苏醒时间。从患者被运送到恢复室到安全出院,计算麻醉苏醒时间。采用SPSS 21进行统计学分析,显著性水平设为0.05。结果:共纳入81例患者,其中男性45例(55.6%),女性36例(44.4%),平均年龄23.15±4.58岁。其中56例(69.1%)行双颌手术,25例(30.9%)行Monomax手术。无论手术类型如何,全身麻醉时间是唯一与麻醉苏醒时间显著相关的因素(P= 0.001)。结论:全身麻醉暴露时间的增加可能导致麻醉苏醒时间的延长,与所进行的正颌手术类型无关。需要进一步的临床试验来支持其相关性。
{"title":"Emergence from Anesthesia: A Comparison between Isolated Mandibular Setback and Bimaxillary Orthognathic Surgeries in Skeletal Class III Patients.","authors":"Majid Eshghpour,&nbsp;Ali Reza Sharifian Attar,&nbsp;Ali Labafchi,&nbsp;Zahra Shooshtari,&nbsp;Fatemeh Bahramijoo,&nbsp;Sahand Samieirad","doi":"10.52547/wjps.11.2.144","DOIUrl":"https://doi.org/10.52547/wjps.11.2.144","url":null,"abstract":"<p><strong>Background: </strong>We aimed to compare the emergence from anesthesia between the isolated mandibular setback and bimaxillary orthognathic surgeries in Skeletal Class III Patients.</p><p><strong>Methods: </strong>All healthy patients with skeletal class III deformity admitted to Mashhad Dental School, Mashhad, Iran from the years 2017 to 2018 were included in this study. They were candidates for either bimaxillary orthognathic surgery (Bimax surgery) through a combination of mandibular setback surgery plus maxillary advancement or isolated mandibular setback (Monomax surgery). The predictor variable was the type of jaw displacement and anesthesia duration, while the outcome variable was the duration of emergence from general anesthesia. The duration of emergence from anesthesia was calculated from the time the patient was transported to the recovery room until the time of safely discharging from the recovery room. For statistical analysis, the significance level was set at 0.05 using SPSS 21.</p><p><strong>Results: </strong>A total of 81 consecutive patients, comprising 45 (55.6%) males and 36 (44.4%) females, with an average age of 23.15±4.58 years were recruited. Among the participating patients, 56 (69.1%) underwent bimaxillary surgery while the other 25 (30.9%) were treated with Monomax surgery. Regardless of the type of performed surgery, the duration of general anesthesia was the only factor to be significantly correlated to the length of emergence from anesthesia (P= 0.001).</p><p><strong>Conclusion: </strong>Increased exposure time to general anesthesia might result in a longer emergence from anesthesia, despite the type of performed orthognathic surgery. Further clinical trials are needed to support the relevancy.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/08/ad/wjps-11-144.PMC9446121.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40366852","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: 1
Patients Satisfaction and Nasal Morphologic Change after Orthognathic Surgery. 正颌手术后患者满意度与鼻形态改变。
IF 0.9 Pub Date : 2022-07-01 DOI: 10.52547/wjps.11.2.135
Reza Tabrizi, Paria Rezaie, Hassan Mirmohammad Sadeghi, Mohsen Malekigorji, Mehrdad Dehghanpour

Background: Patients' attitudes about their nose changes after orthognathic surgeries. We aimed to evaluate the patient's opinion about nasal change and morphologic changes following orthognathic surgery.

Methods: This was a cross-sectional study. The sample was derived from the population of patients who underwent orthognathic surgery in the Oral and Maxillofacial Surgery Department of Shahid Beheshti University of Medical Sciences, Tehran, Iran between 2017 and 2019. Subjects who underwent orthognathic surgery were studied. Subjects filled a modified nose evaluation form before and nine months after orthognathic surgery. For objective assessment, the nasolabial angle, nasofrontal angle, nasofacial angle, tip projection, and tip deviation and alar width were evaluated. Sixty-two patients were studied.

Results: Forty (64.5%) patients did not absolutely like their nose before orthognathic surgeries, two (3.2 %) expressed a little satisfaction, 17(27.4%) answered they liked more or less, and three liked very much. Nine months after orthognathic surgeries, 4 (6.5%) patients did not like their nose, nine patients (14.5%) liked a little, 30 (48.4%) liked more or less, and 19 liked very much. Analysis of the data demonstrated a significant difference in patients' satisfaction with their noses before and nine months after orthognathic surgeries (P<0.001). Patients' satisfaction nine months after orthognathic surgery was not affected by nasal morphologic changes.

Conclusion: It seems, patients' satisfaction with their nose improved after orthognathic surgeries. Patients' attitude was not associated with nasal morphologic changes.

背景:患者对正颌手术后鼻部变化的态度。我们的目的是评估患者对正颌手术后鼻腔变化和形态学变化的看法。方法:采用横断面研究。样本来自2017年至2019年在伊朗德黑兰Shahid Beheshti医学科学大学口腔颌面外科接受正颌手术的患者群体。研究对象接受了正颌手术。受试者在正颌手术前和手术后9个月填写了一份改良的鼻子评估表。为了客观评估,我们评估了鼻唇角、鼻额角、鼻面角、鼻尖投影、鼻尖偏差和鼻翼宽度。对62例患者进行了研究。结果:40例(64.5%)患者在正颌手术前对自己的鼻子不完全满意,2例(3.2%)表示满意,17例(27.4%)表示一般满意,3例(非常喜欢)。术后9个月,4例(6.5%)患者不喜欢自己的鼻子,9例(14.5%)不太喜欢,30例(48.4%)一般喜欢,19例非常喜欢。数据分析显示,患者在正颌手术前和手术后9个月对鼻子的满意度有显著差异(p结论:患者在正颌手术后对鼻子的满意度似乎有所提高。患者的态度与鼻形态变化无关。
{"title":"Patients Satisfaction and Nasal Morphologic Change after Orthognathic Surgery.","authors":"Reza Tabrizi,&nbsp;Paria Rezaie,&nbsp;Hassan Mirmohammad Sadeghi,&nbsp;Mohsen Malekigorji,&nbsp;Mehrdad Dehghanpour","doi":"10.52547/wjps.11.2.135","DOIUrl":"https://doi.org/10.52547/wjps.11.2.135","url":null,"abstract":"<p><strong>Background: </strong>Patients' attitudes about their nose changes after orthognathic surgeries. We aimed to evaluate the patient's opinion about nasal change and morphologic changes following orthognathic surgery.</p><p><strong>Methods: </strong>This was a cross-sectional study. The sample was derived from the population of patients who underwent orthognathic surgery in the Oral and Maxillofacial Surgery Department of Shahid Beheshti University of Medical Sciences, Tehran, Iran between 2017 and 2019. Subjects who underwent orthognathic surgery were studied. Subjects filled a modified nose evaluation form before and nine months after orthognathic surgery. For objective assessment, the nasolabial angle, nasofrontal angle, nasofacial angle, tip projection, and tip deviation and alar width were evaluated. Sixty-two patients were studied.</p><p><strong>Results: </strong>Forty (64.5%) patients did not absolutely like their nose before orthognathic surgeries, two (3.2 %) expressed a little satisfaction, 17(27.4%) answered they liked more or less, and three liked very much. Nine months after orthognathic surgeries, 4 (6.5%) patients did not like their nose, nine patients (14.5%) liked a little, 30 (48.4%) liked more or less, and 19 liked very much. Analysis of the data demonstrated a significant difference in patients' satisfaction with their noses before and nine months after orthognathic surgeries (<i>P</i><0.001). Patients' satisfaction nine months after orthognathic surgery was not affected by nasal morphologic changes.</p><p><strong>Conclusion: </strong>It seems, patients' satisfaction with their nose improved after orthognathic surgeries. Patients' attitude was not associated with nasal morphologic changes.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cf/c0/wjps-11-135.PMC9446126.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40366855","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
Traumatic Brain Injury in Child Burn. 儿童烧伤的创伤性脑损伤。
IF 0.9 Pub Date : 2022-07-01 DOI: 10.52547/wjps.11.2.75
Behnam Sobouti, Iman Ansari, Soheila Naderi Garahgheshlagh, Hossein Rahbar, Arya Rahbar, Reza Alizadeh-Navaei, Hamid Karimi, Zahra Hosseini Rad, Mohsen Saberi, Mahnoush Momeni

Background: Burns are one of the most important health problems in communities. Traumatic injuries, especially Traumatic Brain Injury (TBI) associated with burns, may increase disability and mortality. In addition to preventing burns, any action for a better treatment approach and early detection of concomitant traumatic injuries can reduce complications, disability, and treatment costs. We aimed to investigate the outcome of children with burn injury with and without TBI.

Methods: In this cross-sectional study, 392 children with burn injuries treated at Motahari Hospital in Tehran, Iran from 2018-2019 were enrolled. Patient demographics, burn injury information and TBI-related information including head trauma and fracture were recorded in a checklist. Patients were divided into two groups of death (24 people) or discharge (368 people) in terms of outcome and the underlying variables were compared in the two groups.

Results: There was no significant difference between the mean age of patients and gender in the two groups. The difference in the length of hospital stay, inhalation injury and skull fracture in the two groups was not statistically significant. The mean burn severity based on Total Body Surface Area (TBSA) and the frequency of TBI in the deceased group was significantly higher (P=0.001).

Conclusion: The severity of burns based on TBSA and TBI is associated with increased mortality among children with burn injuries. The results suggest the need to examine children with burn injuries for TBI using clinical examination or imaging.

背景:烧伤是社区中最重要的健康问题之一。创伤性损伤,特别是与烧伤相关的创伤性脑损伤(TBI),可能增加残疾和死亡率。除了预防烧伤外,采取更好的治疗方法和早期发现伴随创伤性损伤的任何行动都可以减少并发症、残疾和治疗费用。我们的目的是调查儿童烧伤伴和不伴TBI的预后。方法:在这项横断面研究中,纳入了2018-2019年在伊朗德黑兰Motahari医院治疗的392名烧伤儿童。患者人口统计资料、烧伤信息和tbi相关信息(包括头部创伤和骨折)记录在检查表中。根据结果将患者分为死亡(24人)和出院(368人)两组,并比较两组的潜在变量。结果:两组患者的平均年龄、性别差异无统计学意义。两组患者住院时间、吸入性损伤、颅骨骨折的差异无统计学意义。基于体表面积(TBSA)的平均烧伤严重程度和TBI的频率在死亡组显著高于(P=0.001)。结论:基于TBSA和TBI的烧伤严重程度与烧伤儿童死亡率增加有关。结果表明,有必要通过临床检查或影像学检查对烧伤儿童进行TBI检查。
{"title":"Traumatic Brain Injury in Child Burn.","authors":"Behnam Sobouti,&nbsp;Iman Ansari,&nbsp;Soheila Naderi Garahgheshlagh,&nbsp;Hossein Rahbar,&nbsp;Arya Rahbar,&nbsp;Reza Alizadeh-Navaei,&nbsp;Hamid Karimi,&nbsp;Zahra Hosseini Rad,&nbsp;Mohsen Saberi,&nbsp;Mahnoush Momeni","doi":"10.52547/wjps.11.2.75","DOIUrl":"https://doi.org/10.52547/wjps.11.2.75","url":null,"abstract":"<p><strong>Background: </strong>Burns are one of the most important health problems in communities. Traumatic injuries, especially Traumatic Brain Injury (TBI) associated with burns, may increase disability and mortality. In addition to preventing burns, any action for a better treatment approach and early detection of concomitant traumatic injuries can reduce complications, disability, and treatment costs. We aimed to investigate the outcome of children with burn injury with and without TBI.</p><p><strong>Methods: </strong>In this cross-sectional study, 392 children with burn injuries treated at Motahari Hospital in Tehran, Iran from 2018-2019 were enrolled. Patient demographics, burn injury information and TBI-related information including head trauma and fracture were recorded in a checklist. Patients were divided into two groups of death (24 people) or discharge (368 people) in terms of outcome and the underlying variables were compared in the two groups.</p><p><strong>Results: </strong>There was no significant difference between the mean age of patients and gender in the two groups. The difference in the length of hospital stay, inhalation injury and skull fracture in the two groups was not statistically significant. The mean burn severity based on Total Body Surface Area (TBSA) and the frequency of TBI in the deceased group was significantly higher (P=0.001).</p><p><strong>Conclusion: </strong>The severity of burns based on TBSA and TBI is associated with increased mortality among children with burn injuries. The results suggest the need to examine children with burn injuries for TBI using clinical examination or imaging.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/c5/wjps-11-75.PMC9446114.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40366858","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: 1
Development and Validation of the Rhinoplasty Outcomes Evaluation (ROE) Questionnaire: An Analytical Study. 鼻整形效果评估(ROE)问卷的开发和验证:一项分析研究。
IF 0.9 Pub Date : 2022-07-01 DOI: 10.52547/wjps.11.2.68
Sattar Mahmoudi, Mehrnosh Rabbani Zadeh

Background: Rhinoplasty Outcome Evaluation (ROE) is an easy-to-use questionnaire that allows comprehensive assessment of rhinoplasty-related patient satisfaction. However, the normal values for this questionnaire are not known. Therefore, we aim to validate the ROE questionnaire adapted to Iranian culture.

Method: In this cross-sectional descriptive study, the statistical population consisted of applicants for cosmetic surgery referred to Shahid Rajaee Hospital, Shiraz, Iran, in the autumn and winter of 2017. Two hundred individuals participated in this research by a convenience sampling method. The questionnaire (ROE) was translated to Persian and backward translated to English by independent medical extern Persian speakers with complete English proficiency. The data were analyzed using SPSS software version 23 using exploratory factor analysis.

Results: The findings showed that the Cronbach's Alpha of composite reliability (CR) and average variance extracted (AVE); overall, values above 0.4 were favorable in this measure. In addition, the AVE ranged from 0.50 to 0.59, which confirmed convergent validity. The AVEs of each factor was higher than the squared correlations and confirmed discriminant validity within the constructs. In the presence of significant factor loadings and composite reliability greater than 0.70, convergence validity was confirmed. Furthermore, the higher AVEs for each factor were compared to the squared correlations to confirm discriminant validity.

Conclusion: The Iranian version of ROE is a valid instrument to assess results in rhinoplasty patients.

背景:鼻整形结果评估(ROE)是一份易于使用的问卷,可以全面评估鼻整形相关患者的满意度。然而,这个问卷的正常值是未知的。因此,我们的目标是验证适合伊朗文化的ROE问卷。方法:在本横断面描述性研究中,统计人群包括2017年秋冬在伊朗设拉子Shahid Rajaee医院进行整容手术的申请人。200人通过方便抽样的方法参与了这项研究。问卷(ROE)由具有完全英语水平的独立医疗外部波斯语人士翻译成波斯语和反翻译成英语。采用SPSS软件23版进行探索性因子分析。结果:研究结果表明:综合信度(CR)和平均方差提取(AVE)的Cronbach's Alpha;总体而言,该指标高于0.4是有利的。此外,AVE在0.50 ~ 0.59之间,证实了收敛效度。各因子的ave均高于相关系数的平方,证实了构念内的判别效度。当因子负荷显著且复合信度大于0.70时,收敛效度得到证实。此外,将每个因素的较高ave与平方相关进行比较,以确认区分效度。结论:伊朗版ROE是评估鼻整形患者效果的有效工具。
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引用次数: 1
期刊
World Journal of Plastic Surgery
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