ABSTRACT
Introduction Selfies are most commonly posted on social media, where their popularity has led to intensified awareness by the subjects of their appearance. This, led to higher demand for cosmetic procedures, intending to enhance how the subject appears in future selfies. Aim This study aims to evaluate the influence of high expectations and selfie photographs on satisfaction level results of facial plastic surgery in Eastern Province, Saudi Arabia. Subject and methods This cross-sectional study was conducted among Eastern Province residents of Saudi Arabia. A self-administered questionnaire was sent to the residents using an online survey. The questionnaire included demographic characteristics (i.e., age, gender, nationality, etc.) and specific questions regarding the influence of selfie photographs and high expectations on the satisfaction rates among patients who had facial plastic surgery. Results Of the 192 participants, 79.2% were females, and 44.8% were aged between 18 to 30 years old. The most commonly sought cosmetic surgery was rhinoplasty (38.5%). 71.4% were taking selfies, while 39.1% perceived better expectations with plastic surgery. High expectations with plastic surgery were more prevalent in older and married participants. It is important to note that an increased satisfaction rate after cosmetic procedures was more associated with high expectations of plastic surgery. Conclusion High expectations directly influence satisfaction with appearance after the cosmetic procedure, but taking selfies does not. Respondents of older age and who were married demonstrated better expectations of plastic surgery compared to the rest of the groups. More investigations are required to confirm the relationship between expectation and taking selfies in terms of satisfaction with self-appearance after cosmetic surgery.
ABSTRACT
BACKGROUND: Intraoperative nerve stimulation is done routinely in brachial plexus and peripheral nerve surgery as well as in selective neurectomy in spastic patients. OBJECTIVE: The current study compares the use of 2 different devices for nerve stimulation: a totally disposable nerve stimulator and a nerve stimulator used for nerve blocks by anesthetists. METHODS: A retrospective study of 60 patients who underwent brachial plexus surgery: In 30 patients, we used the totally disposable nerve stimulator (group 1) and in another 30 patients, we used the anesthesia device (group 2). The cost of disposable materials used for nerve stimulation was calculated in each group. The same surgeon performed all operations, and he was asked to give his subjective opinion regarding the convenience and ease of use of the device in each group. RESULTS: The main advantages of the totally disposable device are its placement totally within the sterile field, and it is operated by the surgeon without the need to communicate with the anesthetist. However, the totally disposable device had several major disadvantages when compared to the anesthesia device. Firstly, the disposable stimulator can only deliver 0.5, 1.0, and 2.0 mA stimuli, while the anesthesia device can deliver stimuli of 0.1 to 5 mA (in 0.1 mA increments). Secondly, the disposable stimulator frequently fails to operate during surgery, and this is not experienced with the anesthesia device. Finally, the cost of disposables is less using the anesthesia device. CONCLUSION: Our center has stopped using the disposable nerve stimulator in favour for the anesthesia device.
HISTORIQUE: La stimulation nerveuse intraopératoire est utilisée régulièrement lors d'opérations du plexus brachial et des nerfs périphériques, de même que lors de neurectomies sélectives chez les patients spastiques. OBJECTIF: La présente étude visait à comparer deux dispositifs différents pour la stimulation nerveuse, soit un stimulateur nerveux entièrement jetable et un stimulateur nerveux qu'utilisent les anesthésistes pour les blocages nerveux. MÉTHODOLOGIE: Les chercheurs ont effectué une étude rétrospective auprès de 60 patients qui avaient subi une opération du plexus brachial. Chez 30 patients, ils ont utilisé le stimulateur nerveux entièrement jetable (groupe I) et chez 30 autres, le dispositif d'anesthésie (groupe II). Les chercheurs ont calculé le coût des fournitures jetables utilisées pour la stimulation nerveuse dans chaque groupe. Le même chirurgien a effectué toutes les opérations et a été invité à donner son avis subjectif sur le caractère pratique et la facilité d'utilisation du dispositif dans chaque groupe. RÉSULTATS: Les dispositifs complètement jetables ont comme principaux avantages de se situer entièrement dans le champ stérile et d'être utilisés par le chirurgien sans qu'il communique avec l'anesthésiste. Cependant, ils comportent plusieurs désavantages par rapport au dispositif d'anesthésie. D'abord, ils peuvent seulement délivrer un stimulus de 0,5 mA, 1,0 mA et 2,0 mA, alors que les dispositifs d'anesthésie en délivrent de 0,1 mA à 5 mA (par incréments de 0,1 mA). Ensuite, le stimulateur jetable est souvent défaillant pendant la chirurgie, ce qui ne se produit pas avec le dispositif d'anesthésie. Enfin, le dispositif d'anesthésie réduit le coût des fournitures jetables. CONCLUSION: Le centre des chercheurs a cessé d'utiliser le stimulateur nerveux jetable au profit du dispositif d'anesthésie.
