Background: In this study, patients who required aesthetic revision surgery after open rhinoplasty were retrospectively screened for risk factors. Methods: Two hundred fifty-two patients who underwent revision were included in the study. Nasal deformities before the revision were determined for each patient and evaluated in terms of their statistical relationship with preoperative nasal morphology and surgical techniques used. Results: The revision rate was found to be 10.8 percent. The three most common aesthetic reasons for revision were insufficient nasal tip rotation (37.7 percent), hanging columella (30.2 percent), and supratip deformity (28.6 percent). According to logistic regression analysis, the use of a strut increased the risk of inadequate nasal tip rotation by 5.3-fold compared to the tonguein-groove technique, whereas inadequate nasal tip projection before surgery increased this risk by 2-fold. Being older than 40 years increased the risk of hanging columella by 6.8-fold, whereas the use of strut grafting instead of the tongue-in-groove technique increased this risk by 5.9-fold. The use of strut grafts instead of the tongue-in-groove technique increased the risk of supratip deformity by 2.2-fold. Conclusions: To ensure adequate nasal tip rotation after surgery in patients with advanced age and low nasal tip projection and rotation, it will be more appropriate to either use the tongue-in-groove technique or rotate the nasal tip more than normal. In patients with advanced age (>40 years) and low nasolabial angle before surgery, the use of tongue-in-groove technique instead of strut grafting may be advantageous for reducing the incidence of supratip and hanging columella.
12, 24, and 60 months post RT. Parameters analyzed included perfusion defects, wall thickening (WT), wall motion abnormalities (WM) and dyssynchronous contractions (DS). Analyses were done using spearman R correlation analysis, Mann-Whitney U test and Dunnett's multiple comparisons test. Results: There were no significant differences seen in baseline characteristics (age, pathology, hormone status, technique, use of adjuvant chemo, or cardiac risk factors) between left-sided (n Z 102) and rightsided (n Z 79) RT patients. As expected, those receiving RT to left side had significantly greater mean cardiac dose (4.3 vs. 0.9Gy; p<0.001) and Dmax (45.4 vs. 6.3Gy; p<0.001). Radiation to the left breast did not significantly alter end diastolic volume, end systolic volume or ejection fraction at any timepoint. There was a significant increase in total perfusion defects seen post RT compared to baseline in left sided patients (4.1% vs. 2.8% p Z 0.042) which was not seen in right sided patients. The perfusion defect returned to baseline by 1-year post RT, and remains normal at 2-and 5-years post RT. The global scoring of myocardial perfusion as measured by summed rest score (SRS) also showed a significant increase by 1.35 pts (4.1 vs. 2.8; p Z 0.006) post RT for left sided patients. These changes were significantly correlated with max cardiac dose (p Z 0.03). No localized perfusion defect, DS, WT, WM changes were seen. No adverse cardiac outcomes were reported. Conclusion: Patients receiving left breast RT did not show differ in standard measures of cardiac function such as ESV, EDV, and EF at any timepoint. There were mild perfusion defects seen post-RT, evidenced by worsened global non-gated SRS and total perfusion defect post RT in left sided patients. Worsened non-gated SRS was correlated with mean cardiac dose. Perfusion deficits normalized by 1-year post RT, and remained unchanged out to 5 years, suggesting a potential for cardiac remodeling post-RT.
We aim to discuss the prevalence of adverse skin reactions to facemask among the community admitted to our hospital during the SARS outbreak. Between 2019 and 2020, 97 patients who developed an allergic reaction on their face in the SARS-CoV-2 pandemic were discussed. The average age of the patients was 37.7 (range 18-78), while the average age was 35.2 for males and 40.04 for females. While 13 (27.7%) of the male patients were using cloth masks, 34 (72.3%) of them were using surgical masks, 11 (22%) of the female patients were using cloth masks and 39 (78%) of them were using surgical masks.The combination of the female gender, additional disease, and surgical mask contributes to the development of allergic reactions on the face.
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