RESUMO
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
RESUMO
Objective: To evaluate the effectiveness and safety profile of combined phacoemulsification with 23G parstona vftrectomy when compared to pars plana vitrectomy alone in phakic patients
Methods: This study was performed at Al-Ehsan Eye Hospital [tertiary care eye hospital in Lahore, Pakistan] from January 2016 to August 2016. A total of 40 eyes in two equal groups of 20 eyes each, were enrolled in this prospective study. Group-A underwent combined phaco-vitrectomy, whereas Group-B underwent vitrectomy only for various vitreoretinal pathologies. We evaluated the safety of combined surgery, intra-operative and postoperative complications and short term surgical outcome
Results: The most common reason for vitreoretinal intervention was rhegmatogenous retinal detachment followed by vitreous haemorrhage in combined study population
There was statistically significant difference in best corrected visual acuity pre-operatively and post operatively within the groups and between the groups. The most significant immediate post operative observation in Group-A was enhanced anterior chamber inflammation as compared to Group-B, whereas most signification observation in Group-B was development of visually significant cataract [35%] at 6 months follow-up. There was no other significant sequel or complication difference between both groups
Conclusions: Combined phaco-vitrectomy is a safe and effective procedure with minimum complication profile and it avoids the need of subsequent cataract surgery