A modified technique for autologous dorsal nasal augmentation rhinoplasty.

OBJECTIVE: Autologous dorsal cartilage grafts are usually the first choice for nasal augmentation. We aimed to describe a modified technique for autologous dorsal nasal augmentation rhinoplasty. PATIENTS AND METHODS: The study group consisted of a retrospective review of patients who underwent augmentation rhinoplasty surgery and were treated with diced cartilage in platelet-rich plasma (PRP) in the last five years at King Abdulaziz University Hospital. Gender, age, smoking history, saddle nose etiology, complications, mean duration of surgery, mean duration of hospital stay, morbidity, mortality, and surgical technique used were assessed and analyzed. The outcome of this technique was compared with other techniques used for augmentation rhinoplasty published in the current literature. RESULTS: A selective, retrospective analysis was conducted on patients undergoing rhinoplasty between 2017 and 2022. A total number of 30 patients' files were reviewed; of those, eight patients were males, and 22 were females. The average age of the participants was 33, with a minimum of 19 years and a maximum of 55. The indications for surgery are listed in Table II. Cartilage graft was harvested from the concha in 14 patients, from the septum in eight patients, and from both sites in eight. Male and female samples are shown in Figures 1 and 2. We have only observed graft resorption in two female cases, and none of the patients had any complications. CONCLUSIONS: We have assessed the patients who underwent rhinoplasty with the modified technique for autologous dorsal augmentation. The combination of diced cartilage and PRP yielded good results with a low resorption incidence; when done correctly, no complications were observed. Platelet-rich plasma (PRP) contains a greater volume of platelets and Platelet-Derived Growth Factors, which exert multiple actions on different aspects of reparative and regenerative tissue phenomena. Augmentation rhinoplasty using PRP offers stabilization and enclosure of diced cartilage without the risks of hypersensitivity or disease transmission.

Pollybeak deformity: how to avoid, how to cure.

We reviewed the Pollybeak deformity from prevention to treatment in all aspects. Research methods included searching online databases such as Google, Google Scholar, PubMed, and Proquest Central at King Saud University. We used terms like "Pollybeak deformity", "rhinoplasty", "etiology", and "treatment" to find related articles. Pollybeak deformity, an undesirable side effect of rhinoplasty, manifests as a dorsal nasal convexity resembling a parrot's beak. A dorsal hump that develops in the supratip region of the nose "pushes" the tip down, leading to under-rotation. Several factors may be at play here. When a surgeon fails to recognize the aberrant tip-supratip relationship that distinguishes this abnormality during the intraoperative evaluation of the nose, the result is a pollybeak. There is also the risk of pollybeak deformity, which the surgeon might be unable to predict. Supratip scar tissue is more common in people with thick skin and soft tissue envelopes. Medical intervention is only effective for soft-tissue pollybeaks when caught early. Injecting corticosteroids into the supratip dead space can alleviate edema and slow scar tissue formation. Surgical excision of scar tissue from the dorsum of the nose can repair the pollybeak deformity. Surgical correction of a supratip fullness that causes a disparity between the tip and supratip is known as a "pollybeak deformity". The appearance of the nose in some individuals with pollybeak deformity can resemble that of a bird, which can cause them to feel self-conscious and embarrassed. Therefore, treatment with medicine or surgery is required for these ailments.

Clinical and oncological outcomes after surgical excision of parotid gland tumours in patients aged over 80 years.

The objective of this study was to evaluate the surgical and long-term outcomes of a series of patients aged over 80 years, operated on for parotid neoplasms. Among 614 parotidectomies for neoplasms performed between 1998 and 2008, 34 patients (5.5%) aged over 80 years were identified retrospectively. Pathological examination showed a malignant tumour in 24 and a benign tumour in 10 cases. Overall survival (OS) and disease-free survival (DFS) were determined by Kaplan-Meier analysis. A search for parameters that could influence the postoperative complication rate and long-term outcomes was carried out by univariate analysis. There was no postoperative death. Eight patients (24%) had postoperative complications. Malignant histopathology (P=0.05) and radical resection (P=0.033) were found to have a significant negative impact on the postoperative course. Focusing on malignant tumours, only histopathological type (metastasis vs primary tumour) was found to have a negative impact on OS. The 2- and 5-year OS rates were 86% and 86%, respectively, for primary tumours, and 67% and 29%, respectively, for metastasis (P=0.05). Malignant or benign histopathology had no impact on OS. Our results showed acceptable clinical and long-term oncological outcomes in very elderly patients operated on for parotid tumours, including malignant tumours.

Health Informatics Master Program at King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

OBJECTIVE: The purpose of this paper is to describe the Health Informatics Master Program at King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia. METHODS: We have reviewed health informatics master programs worldwide with more emphasis on the recommendations of the International Medical Informatics Association on education in health informatics, research, and faculty/trainee participation at KSAU-HS. RESULTS: An applied health informatics master program has been designed where graduates will be able to deploy information and communication technology in support of health systems' processes. This is due to the fact that most of health organizations are driven by information and communication technology. The program embodies the features of effective applied health informatics master programs recommended by the International Medical Informatics Association on education in health informatics and delineated as curricula integrating three areas of knowledge and skills: 1) Methodology and technology for the processing of data, information and knowledge in medicine and healthcare, 2) Medicine, health and biosciences, and 3) Informatics/computer science, mathematics and biometry. CONCLUSIONS: The health informatics master program (MHI) immerses students in the multidisciplinary field of health informatics education. Graduates of the MHI program will be well-prepared informaticians for leadership positions, able to meet the increasing demands in the field of health informatics to manage, plan, develop, and provide expert consultations to the healthcare sectors.