Functional results in airflow improvement using a "flip-flap" alar technique: our experience / Resultados funcionais na melhora do fluxo de ar utilizando uma técnica alar em flip-flap: nossa experiência

Abstract Introduction Pinched nasal point can be arising as congenital malformation or as results of unsuccessfully surgery. The nasal valve alteration due to this problem is not only an esthetic problem but also a functional one because can modify the nasal airflow. Several surgical techniques were proposed in literature, we proposed our. Objective The purpose of the study is the evaluation of nose airway flow using our flip-flap technique for correction of pinched nasal tip. Methods This is a retrospective study conducted on twelve patients. Tip cartilages were remodeled by means of autologous alar cartilage grafting. The patients underwent a rhinomanometry pre and post-surgery to evaluate the results, and they performed a self-survey to evaluate their degree of satisfaction in term of airflow sensation improvement. Results Rhinomanometry showed improved nasal air flow (range from 25% to 75%) in all patients. No significant differences were showed between unilateral and bilateral alar malformation (p = 0.49). Patient's satisfaction reached the 87.5%. Conclusion Our analysis on the combined results (rhinomanometry and surveys) showed that this technique leads to improvement of nasal flow in patients affected by pinched nasal tip in all cases.

Resumo Introdução A ponta nasal comprimida pode surgir como malformação congênita ou como o desfecho de uma cirurgia malsucedida. A alteração da válvula nasal devido a esse problema não é apenas um problema estético, mas também funcional, porque pode modificar o fluxo aéreo nasal. Várias técnicas cirúrgicas têm sido propostas na literatura; aqui, propomos a nossa. Objetivo O objetivo do estudo é a avaliação do fluxo das vias aéreas nasais utilizando nossa técnica de flip-flap para correção da ponta nasal comprimida. Métodos Este é um estudo retrospectivo realizado em doze pacientes. As cartilagens da ponta nasal foram remodeladas através de enxerto de cartilagem alar autóloga. Os pacientes foram submetidos à rinomanometria pré e pós-cirúrgica para avaliar os resultados, e realizaram uma auto-avaliação para avaliar seu grau de satisfação em termos de melhora da sensação do fluxo aéreo. Resultados e conclusão Nossa análise dos resultados combinados (rinomanometria e autoavaliação) mostrou que essa técnica melhora o fluxo nasal em pacientes afetados por ponta nasal comprimida em todos os casos. A satisfação do paciente atingiu os 87,5%.

Satisfacción estética, funcional y económica generada por rehabilitación con arco corto y prótesis parcial removible en pacientes de la Facultad de Odontología de la Universidad de El Salvador / Aesthetic, functional and economic satisfaction generated by rehabilitation with removable partial denture with conventional arc and short arc in patients of the Faculty of Dentistry of the University of El Salvador

Objetivo: Evaluar la satisfacción estética, funcional y económica generada por la rehabilitación con prótesis parcial removible con arco convencional y arco corto en pacientes mayores de 50 años en la Facultad de Odontología de la Universidad de El Salvador. Metodología: Es una investigación de tipo descriptiva transversal comparativa, en la que se comparó la satisfacción funcional, estética y económica, entre dos líneas de tratamiento restaurativos. La población fue de 40 pacientes divididos en 2 grupos de 20 cada uno arriba de 50 años evaluados en el mes de Agosto del 2014. Para recolectar los datos se utilizó un cuestionario dirigido a evaluar los niveles de satisfacción en los grupos de pacientes que usan prótesis parcial removible y arco corto. Se elaboraron tablas estadísticas descriptivas para determinar la relación de las variables. Resultados: El 72.5% (29 pacientes)del total de pacientes se encuentran satisfechos funcionalmente de los cuales 95% (19 pacientes) se encuentran satisfechos con su prótesis parcial removible y el 50% (10 pacientes) con arco corto. Estéticamente se encuentran satisfechos 70% (28pacientes), de los cuales el 90% (18 pacientes) con prótesis parcial removible y el 50 % con arco corto (10 pacientes). Con el costo económico el 65% (26 pacientes) se encontraba satisfecho. 45% (9 pacientes) con prótesis parcial removible y 95% (19 pacientes) con arco corto. 85% (17pacientes) de pacientes se encontraban satisfechos en forma general con su prótesis y 55% (11 pacientes) con arco corto. Conclusiones: Se presenta una alta satisfacción funcional y estética en pacientes con uso de prótesis parcial removible. Donde se demostró que la prótesis parcial removible presenta un índice que oscila entre el 90 y 95% en satisfacción funcional y estética. Para el arco corto se mostró una superioridad en cuanto a la satisfacción del 95% en costos. De forma general con su tratamiento el 85% está satisfecho con sus prótesis removibles y un 55% con arco corto.

Objective: Evaluate the esthetic, functional and economic satisfaction generated by the rehabilitation with removable partial denture with conventional arc and short arc in patients older than 50 years at the Faculty of Dentistry at the Universidad de El Salvador. Methodology: This is a comparative descriptive transversal investigation, in which the functional, esthetic and economic satisfaction were compared, between two lines of restorative treatment. The population was 40 patients divided into 2 groups of 20 eachone above 50 years old evaluated in August 2014. The information was collected through a questionarie to evaluate satisfaction levels in the groups of patients that use removable partial denture and short arc. Descriptive Statistical tables were elaborated to determinate the relation between the variables. Results: 72.5% (29 patients) of the patients were functionallysatisfied of which 95% (19 patients) are satisfied with their removable partial denture and 50% (10 patients) with short arc. Esthetically 70% are satisfied (28 patients), of which 90% (18 patients) with removable partial dentures and 50% with short arc (10 patients). With the economic cost 65% (26 patients) were satisfied. 45% (9 patients) with removable partial dentures and 95% (19 patients) with short arc. 85% (17 patients) of patients were satisfied with their prosthesis and 55% (11 patients) with a short arc. Conclusions: A high functional and esthetic satisfaction in patients using removable partial denture is presented. Where it was shown that the removable partial denture has an index that ranges between 90 and 95% in functional and esthetic satisfaction.For the short arc a 95% of satisfaction in costs is shown. In general 85% are satisfied with their treatment with removable dentures and 55% with short arc.