Introduction The importance of our study lies in the fact that we have demonstrated the occurrence of mechanical dysfunction within polypoid tissues, which promotes the development of polyps in the nasal cavity. Objective To change the paradigm of nasal polyposis (NP). In this new conception, the chronic nasal inflammatory process that occurs in response to allergies, to pollution, to changes in the epithelial barrier, or to other factors is merely the trigger of the development of the disease in individuals with a genetic predisposition to an abnormal tissue remodeling process, which leads to a derangement of the mechanical properties of the nasal mucosa and, consequently, allows it to grow unchecked. Data Synthesis We propose a fundamentally new approach to intervening in the pathological process of NP, addressing biomechanical properties, fluid dynamics, and the concept of surface tension. Conclusion The incorporation of biomechanical knowledge into our understanding of NP provides a new perspective to help elucidate the physiology and the pathology of nasal polyps, and new avenues for the treatment and cure of NP.
Os hospitais públicos sofrem com a demanda reprimida de indicações de cirurgias de adenoidectomia e/ou tonsilectomia, fazendo com que haja uma fila de espera crescente. O otorrinolaringologista se acostumou com as filas de espera, talvez por entender que este é um problema exclusivo do estado. Achamos de fundamental importância a realização de mutirões dessas cirurgias. OBJETIVOS: Padronizar a organização de mutirões, sua eficácia e viabilidade para os hospitais públicos e comparar a hemorragia pós-operatória nos mutirões e em cirurgias de rotina. MATERIAL E MÉTODOS: Estudo clínico-prospectivo tipo coorte. Foram realizados mutirões de adenotonsilectomias no período de setembro de 2004 a junho de 2006, no Hospital Estadual de Diadema, analisando-se a equipe multiprofissional envolvida e comparando a complicação hemorragia no pós-operatório com um grupo controle de cirurgias realizadas na rotina. RESULTADOS: Foram realizados 22 mutirões no período (339 cirurgias), uma média de 15,4 cirurgias por mutirão. O índice de hemorragia pós-operatória que necessitou de revisão foi de 1,48% (5/339), não diferindo estatisticamente do grupo controle, 1,37% (5/364). CONCLUSÃO: Conseguimos padronizar a realização de mutirões de cirurgias de adenotonsilectomias, dentro dos parâmetros que consideramos mais seguros, diminuindo a fila de espera das cirurgias. O índice de hemorragia no pós-operatório entre as cirurgias nos mutirões e na rotina não mostrou diferença estatisticamente significante.
Objective: 1) Develop resident billing/coding education based on a needs-based assessment; 2) Expand systems-based practice competency; 3) Empower residents with a broader skill set; 4) Minimize risk exposure via adequate documentation; 5) Examine resident billing practices and estimate potential billing errors. Conclusion:The model quantitatively demonstrates several recognized principles of the rhombic flap. Square defects, as compared with rhomboid defects, close with lower tissue strain, but form a larger standing cutaneous deformity.by guest on June 4, 2016 oto.sagepub.com Downloaded from Poster Presentations P137 POSTERSThe Webster flap best distributes wound tension across the incision line, and the Dufourmental modification alters the closure force vector.Objective: Evaluate the satisfaction and the actual benefit if rhinoplastic surgery, using questionnaires that assess since aspects related to appearance and function, even aspects of social order and compare them. Method:In a cross-sectional study of 105 patients who underwent rhinoplasty, the patients answered 2 questionnaires, the GBI (Glasgow Benefit Inventory) and the . Student t test was used to compare the SNOT-22 scores before and after surgery and Pearson correlation coefficient between SNOT-22 and GBI scores.Results: These 49 patients could be reached by telephone these 21 were men (42.85%), with a mean age of 28.96 years. The SNOT-22 were on average 17.41 points preoperatively and 13.63 in the postoperative. The results of the GBI in the postoperative period were 31.69 points on average. Conclusion:There was a high satisfaction rate of patients undergoing rhinoplasty when assessed through questionnaires GBI and SNOT-22 separately, but a weak correlation between them.
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