Implante de peso de ouro: complicações precoces e tardias

Nunes, Tânia Pereira; Sardinha, Mariluze; Pereira, Ivana Cardoso; Lunardelli, Patrícia; Matayoshi, Suzana

doi:10.1590/s0004-27492007000400008

Cited by 8 publications

(5 citation statements)

References 10 publications

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“…Implants can be placed in different localizations as a single piece or multi-piece [20,21]. Post-implantation complications such as foreign body reaction, allergic reaction, redness, astigmatism, entropion, and implant exposure may occur [22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the reliability, utility, and quality of the lid loading videos on YouTube

et al. 2022

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It is aimed to determine the utility, reliability and quality of the lid loading videos on YouTube, a video sharing platform. Methods:A YouTube searches were made with the keywords 'Eyelid Loading', 'Gold Weight Implantation', 'Lid Loading for Lagophthalmos' (without user login, cleared search history, in incognito tab). A total of 75 videos were recorded. Length of videos (seconds), number of views, uploaded source (doctor/health institution/medical channel), number of subscribers, number of likes, time since uploading (days), video content (surgical/theoretical information), type of narration (verbal narration/subtitle) recorded. DISCERN, The Journal of the American Medical Association (JAMA), and Global Quality scores of the videos were evaluated and recorded by two experienced oculoplastic surgeons (KSC, HT). Results:After the exclusion criteria, the remaining 46 videos were included in the study. The mean DISCERN score was 25.17 ± 6.88 (very poor quality), the JAMA score was 0.79 0.63 (very poor quality), GQS was 2.84 ±1.03 (medium quality). Thirty videos (65.2%) had verbal narration and 16 videos (34.8%) had subtitled narration. The DISCERN score and GQS were signi cantly higher in the videos with verbal narration compared to the narration with subtitles (p<0.05). All 3 scores were positively correlated with each other. There was also a positive correlation between video length, number of subscribers, and DISCERN score. Conclusions:The videos about lid loading on YouTube are of poor reliability, accuracy, and educational quality. The duration of the video and the type of narration can be kept in the foreground when choosing the video.Experts must review the content that is uploaded to websites like YouTube.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the reliability, utility, and quality of the lid loading videos on YouTube

et al. 2022

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“…Pure gold might be a clinically-useful material that is stable, nonimmunologic, nonallergic, antibacterial, and inoffensive to the organism [23,24]. Although gold is considered safe material, the complications associated with gold implantation have been reported after treatment for lagophthalmos, such as hypersensitivity reaction, local inflammatory reactions [25,26]. GTI was first introduced to the field of dermatology about 50 years ago by Dr. Caux in France [27]; however, the mechanisms of GTI is poorly understood.…”

Section: Discussionmentioning

confidence: 99%

Gold Thread Implantation for Female Sexual Dysfunction and Vaginal Laxity: A Preliminary Investigation

Kim

Won²,

Kim

2020

J Menopausal Med

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Objectives: We evaluated the efficacy of gold thread implantation (GTI) in the vulva and vagina to improve female sexual dysfunction (FSD) and vaginal laxity. Methods: A retrospective chart review was conducted on 46 women who underwent GTI between 2017 and 2018 at our institution. Physicians interviewed patients using questionnaires at baseline and 1-3 months post-treatment. The questionnaires consisted of eight questions: vaginal laxity, vaginal dryness, pain during intercourse, sexual satisfaction during intercourse, sexual arousal confidence, sexual satisfaction of partner, frequency, and maintaining lubrication. Results: Overall, participants experienced significant improvement after GTI treatment (P < 0.0001). The median score of vaginal laxity was 3 (slightly loose) at baseline and 5 (slightly tight) at post-treatment. Vaginal dryness also improved from 4 (moderate) at baseline to 2 (little) at post-treatment. The degree of pain during intercourse decreased from 3 to 1. The sexual satisfaction score was 3 (moderately dissatisfied) at baseline and 4 (about equally satisfied and dissatisfied) at post-treatment. Sexual confidence of arousal increased from a score of 3 (low confidence) at baseline to 4 (moderate confidence) at post-treatment. They perceived greater partner sexual satisfaction, moving from a score of 2 to 4. Participants reported lubrication was more frequent during sexual activity, which was maintained until completion of sexual activity. Both scores regarding lubrication increased from 3.5 at baseline to 5 at post-treatment. Conclusions: GTI may be an option for FSD and vaginal laxity.

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“…Apesar da alta satisfação do paciente com o implante do peso de ouro, a incidência de complicações documentada na literatura encontra-se entre 0,5% e 61%, constando a migração e a extrusão do peso de ouro como as principais (5) . Essa última é ainda, de todas as complicações possíveis, a mais temida e citada como a causa mais comum de falha no tratamento em até 15% dos casos (11)(12)(13) , sendo uma possível justificativa a diminuição do tônus da pele e do músculo orbicular (12) . Dentre os artigos revistos, somente Choi et al citam uma média de 45,9 meses após a cirurgia para ocorrer a extrusão; porém, não relacionam esses casos de extrusão com períodos possíveis em que a mesma possa ocorrer (4) .…”

Section: Discussionunclassified

“…Com o objetivo de diminuir as complicações pós-operatórias, alguns cirurgiões optam por recobrir o peso de ouro com fáscia temporal e pericárdio (9)(10) . As complicações atribuídas a esse procedimento cirúrgi-co incluem o lagoftalmo residual, a blefaroptose cobrindo o eixo visual, o entrópio, deformidades da pálpebra superior, protuberância do peso de ouro, reação inflamatória local, infecções, migração e extrusão do peso de ouro, sendo estes dois últimos os mais comuns e temíveis (11)(12) . Assim, com respeito ao lagoftalmo paralítico, o objetivo do presente estudo consiste em demonstrar uma técnica inovadora de implante de peso de ouro via posterior (ausente na literatura) e em avaliar sua efetividade e possíveis complicações.…”

Section: Resumo Introduçãounclassified

Acesso posterior para implante de peso de ouro

Eing¹,

Marquardt²,

Cavalheiro³

et al. 2008

Arq. Bras. Oftalmol.

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Implante de peso de ouro: complicações precoces e tardias

Abstract: In this series, the complication rate of gold weight implantation was high (40%). The complications were divided into early, possibly related to the material impurity and the late, due to the evolution of the facial nerve palsy that presented a decrease in muscle tonus.

Cited by 8 publications

References 10 publications

Evaluation of the reliability, utility, and quality of the lid loading videos on YouTube

Evaluation of the reliability, utility, and quality of the lid loading videos on YouTube

Gold Thread Implantation for Female Sexual Dysfunction and Vaginal Laxity: A Preliminary Investigation

Acesso posterior para implante de peso de ouro

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