ABSTRACT
Objective: To evaluate the results of 9th rib costal cartilage in the reconstruction of stage III saddle nose deformity
Study Design: Case series
Place and Duration of Study: Combined Military Hospital Rawalpindi, from Dec 2014 to Jun 2017
Material and Methods: Individuals with stage III saddle nose deformity for at least two years due to trauma or as a sequel of septal surgery, with no history of anxiolytic and antidepressant intake were included in the study. Patient satisfaction level before and after surgery in terms of aesthetics and functionality were measured through Visual Analogue Scale [VAS] scoring system. The VAS system consisted of six different questions put to the patient in the form of a questionnaire regarding the shape of the nose and the impact that it had on his physical, emotional and social life. The score was calculated preoperatively and six months postoperatively in all patients. The minimum follow-up for each patient was six months. Data was analyzed using SPSS
Results: Ten male patients between 14-33 years [25.5 mean SD +/- 6] fulfilled the inclusion criteria. The pre op VAS score ranged between 33.3 and 50 [mean 41.2 SD +/- 5]. The post op VAS score ranged between 70.8 and 87.5 [mean 78.3 SD +/- 6.2]. There was a statistically significant improvement in the VAS score. Post op recovery was uneventful in all patients. One patient had post op recipient site infection which settled with IV antibiotics. One patient had severe post op donor site pain which was relieved by IV analgesics
Conclusion: Saddle nose is a difficult problem in nasal reconstruction, causing significant psychological and functional problems for the patient. Reconstruction with 9th costal cartilage graft provides functional and psychological relief
ABSTRACT
The prevalence of diabetes in the UAE is increasing. UAE is a multicultural country where Islam is the dominant religion. During the month of Ramadan, al Muslims fast from dawn to dusk. Consumption of food and drink and sexual activities are prohibited during the daylight hours. Sick and individuals and those who have to travel are exempted from fasting, although many diabetic Muslim patients yet fast. To compare the effects of fasting during the month of Ramadan on patients with diabetes mellitus and normal subjects. A cross sectional survey was done on 50 diabetic and 50 non-diabetic individuals who fasted during the month of Ramadan in 2010. Data were collected using a self-administered questionnaire. Data analysis was done using SPSS version 18.0. Chi square was done to test for associations. Changes in lifestyle such as smoking, sleeping, pattern, physical activity and diet were similar in diabetic and non diabetic subjects during the month of Ramada. However, significantly high proportion of diabetic patients broke their fast due to hunger/ thirst [34.0%], dizziness/ confusion [30.0%], tremors [26.0%], and profuse sweating [26.0%]. 44.0% of the diabetic patients felt that their energy levels had decreased. Excessive urination at night was one of the most common symptoms experienced by diabetic patients after Iftar. 63.3% Diabetic patients felt more active after fasting for a period of 10 days. There were no major lifestyle modifications in the two groups and the difficulties faced during day and night were more in diabetic patients when compared to normal subjects. Although the study showed some significant findings they cannot be generalized due to the small sample size