Current Issue : April - June Volume : 2015 Issue Number : 2 Articles : 5 Articles
The purpose of this study is to evaluate the surgical outcome after using composite grafts for secondary cleft lip nasal deformities.\nA retrospective cohort study of one surgeon�s outcome of 35 consecutive performed secondary cleft lip nasal deformity repair.\nThirty-five patients with secondary nose deformity related to unsatisfactory cleft lip repair were operated using the proposed\nsurgical technique since 2008. All these patients met the study criterion of having anthropometric measurements performed at\nleast one year postoperatively. Measurement of nostril size was performed at the right and left side of the nose, preoperatively and\nat least one year postoperatively.The study found statistically significant differences between the preoperatory and postoperatory\nnose measurements. In addition, we have not found statistically significant differences between the cleft and noncleft nostril sizes\nmeasured at least one year postoperatively. The findings suggest that the proposed technique is a good alternative to address\nsecondary nose deformity related to cleft lip primary repair....
Introduction. Postsurgical nasopharyngeal airway stenosis can be a challenge to manage. The stenosis could be as a result of any\nsurgical procedure in the nasopharyngeal region that heals extensive scarring and fibrosis. Objective. To evaluate patients with\nnasopharyngeal stenosis managed with FAMM flap. Study Design. Prospective study of patients with nasopharyngeal stenosis at\nthe Kenyatta National Hospital between 2010 and 2013 managed with FAMM flap. Materials and Methods. Patients with severe\nnasopharyngeal airway stenosis were reviewed and managed with FAMM flaps at the Kenyatta National Hospital. Postoperatively\nthey were assessed for symptomatic improvement in respiratory distress, patency of the nasopharyngeal airway, and donor site\nmorbidity. Results. A total of 8 patients were managed by the authors in a duration of 4 years with nasopharyngeal stenosis. Five\npatients were managed with unilateral FAMM flaps in a two-staged surgical procedure. Four patients had complete relieve of the\nairway obstruction with a patent airway created. One patient had a patent airway created though with only mild improvement\nin airway obstruction. Conclusion. FAMM flap provides an alternative in the management of postsurgical severe nasopharyngeal\nstenosis. It is a reliable flap that is easy to raise and could provide adequate epithelium for the stenosed pharynx...
Introduction. Palliative care in Kenya and the larger Sub-Saharan Africa is considered a preserve of hospices, where these exist.\nSurgical training does not arm the surgeon with the skills needed to deal with the care of palliative patients. Resource constraints\ndemand that the surgeon be multidiscipline trained so as to be able to adequately address the needs of a growing population of\npatients that could benefit from surgical palliation. Patients and Methods.The author describes his experience in the management\nof a series of 31 palliative care patients, aged 8 to 82 years. There were a total of nine known or presumed mortalities in the first year\nfollowing surgery; 17 patients experienced an improved quality of life for at least 6 months after surgery. Fourteen of these were\ndisease-free at 6 months. Conclusion. Palliative reconstructive surgery is indicated in a select number of patients. Although cure is\nnot the primary intent of palliative surgery, the potential benefits of an improved quality of life and the possibility of cure should\nencourage a more proactive role for the surgeon. The need for palliative care can be expected to increase significantly in Africa,\nwith the estimated fourfold increase of cancer patients over the next 50 years...
It was aimed to comparatively evaluate the effects of dressing methods with silver sulfadiazine, povidone-iodine, and saline which\nhave a common use in routine practices for burn injuries. Twenty-eight Sprague Dawley adult female rats were used in this study.\nAll the rats were divided into 4 groups: the control group, the povidone-iodine group, the saline group, and the silver sulfadiazine\ngroup. On each rat, a second degree burn which covered less than 10% of the body surface area was created under general anesthesia\nby a metal comb including four probes with 2 Ã?â?? 1 cm area. The control group did not have any treatment during the experiment.\nPovidone-iodine, saline, and silver sulfadiazine administrations were performed under ether anesthesia every day. On 0, 7th, 14th,\nand 21st days of the study, tissue samples were taken for histological analyses. The sections taken from the paraffin blocks were\nstained and avidin-biotin-peroxidase method was used for collagen immune-reactivity. In the light microscope analyses, number\nof inflammatory cells, vascularization, fibroblast proliferation, collagen formation and epithelializationwere evaluated histologically\nin all groups and analysed statistically. The agents that we used for injury healing in the treatment groups did not show any\nsignificant better results in comparison with the control group. In conclusion, further studies with the use of sodium chloride,\nsilver sulfadiazine, and povidone-iodine by creating deeper and/or larger burn injury models are needed in order to accept these\nagents in routine treatment....
Background. Venous thromboembolism (VTE) is a disorder with short-term mortality and long-term morbidity. Healthy patients\nsubmitted to elective aesthetic plastic surgeries (EAPS) have risk factors to develop VTE not well established yet.Theobjective of this\nstudy was to examine the incidence and risk factors forVTE in these patients. Methods. Longitudinal, prospective (minimum followup\nof 3 months), observational study. Comprehensive information on patient characteristics and surgeries performed was obtained.\nPreoperative, intraoperative, and postoperative risk factors were analyzed for their association with VTE. Results. A total of 1254\npatients were included in the study. Postoperative VTE occurred in 17 (1,35%) of patients. VTE was more frequent in patients more\nthan 40 years old (82.3%). Smoking, patients with 2 or 3 pregnancies, and hormone replacement therapy, and oral contraceptives use\npresents higher levels of VTE. In this study we have not found any correlation between liposuction, augmentation mammoplasty,\nmastopexy, and rhinoplasty as an isolated risk factor for VTE. Conclusions. The incidence of VTE in patients undergoing EAPS\nwas 1.35%. Patients with more than 40 years of age, tobacco users, patients with 2 or more pregnancies, and hormone replacement\ntherapy or oral contraceptives use presents higher levels of VTE....
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