Perfil epidemiológico dos pacientes submetidos à rinoplastia em um centro hospitalar de reabilitação / Epidemiological profile of patients undergoing rhinoplasty in a hospital rehabilitation center

Introdução: A rinoplastia é uma das cirurgias plásticas mais comuns em todo o mundo. O desenvolvimento do conhecimento da anatomia do nariz é um dos ensinamentos mais refinados em cirurgia plástica e exige além de dedicação e estudos, a experiência técnica visual para uma compreensão adequada das estruturas e ligamentos. O objetivo deste estudo é descrever o perfil epidemiológico de pacientes submetidos à rinoplastia em um hospital terciário. Métodos: Foram estudados pacientes submetidos à rinoplastia no serviço de Cirurgia Plástica do Centro de Reabilitação e Readaptação Dr. Henrique Santillo (CRER), de janeiro de 2013 a dezembro de 2019, em pacientes do sistema único de saúde. Resultados: Foram estudados 179 pacientes, sendo a maioria do sexo feminino, com média de idade de 35 anos, como principal causa o trauma, sendo a maioria rinoplastia primária por técnica aberta. Conclusão: O perfil dos pacientes é do sexo feminino, com média de idade de 35 anos, sendo principalmente devido à deformidade nasal após trauma, com abordagem de cirurgias primárias abertas sendo comum a utilização de enxertos de cartilagem.

Introduction: Rhinoplasty is one of the most common plastic surgeries worldwide. The development of knowledge of the nose's anatomy is one of the most refined teachings in plastic surgery. In addition to dedication and studies, it requires visual technical experience for an adequate understanding of structures and ligaments. This study aims to describe the epidemiological profile of patients undergoing rhinoplasty in a tertiary hospital. Methods: Patients who underwent rhinoplasty at the Plastic Surgery Service of the Centro de Reabilitação e Readaptação Dr. Henrique Santillo (CRER), from January 2013 to December 2019, were studied in patients from the single health system. Results: 179 patients were studied, the majority of whom were female, with a mean age of 35 years, as the leading cause of trauma, the majority being primary rhinoplasty using an open technique. Conclusion: The patients' profile is female, with a mean age of 35 years, mainly due to nasal deformity after trauma, with open primary surgery approach and cartilage grafts are common.

Dental sedation by dentists: a view from anesthesiologists working in central Western Brazil.

BACKGROUND: Anesthesia care has been provided by diverse health professionals worldwide, but little is known about anesthesiologists' views about this. Using a survey, we sought the opinions of a group of Brazilian anesthesiologists regarding nitrous oxide/oxygen and oral minimal/moderate sedation performed by dentists. METHODS: A 3-part postal questionnaire was sent to 206 physician anesthesiologists working in the state of Goias, in Central Western Brazil. Part 1 consisted of 4 questions describing respondents' characteristics: gender, time elapsed since completion of the residency program, and experience in providing sedation and general anesthesia for dental treatment. In Part 2, respondents were asked to give their opinions on 11 statements about sedation performed by dentists. Possible responses ranged from total disagreement to total agreement (minimum score = 11 and maximum score = 55). Part 3 was a section for general comments. Data were analyzed by k-means clusters, chi(2), and Student's t-test. RESULTS: The response rate was 53.8% (111 questionnaires). Most anesthesiologists (85.6%) had rarely or never provided sedation or general anesthesia for dental treatment, and 92.8% disagreed with the statement that dentists can administer moderate sedation in the dental office. Two clusters representing more favorable (n = 21) or less favorable (n = 90) opinions were established. Anesthesiologists in the "less favorable" group had more experience with dental sedation (P = 0.006) and dental general anesthesia (P = 0.008) than those in the "more favorable" group. Gender and time elapsed since residency completion did not significantly affect anesthesiologists' opinions. CONCLUSIONS: Many anesthesiologists in Central Western Brazil do not sedate dental patients and are not confident that dentists are able to do it. Dental sedation is an issue that still needs to be clarified in this region; the respective roles of physicians and dentists need to be determined to benefit the population.

Neuralgia do glossofaríngeo associada a síncope cardíaca refexa / Glossopharyngeal Neuralgia Associated with Cardiac Syncope

Glossopharyngeal neuralgia is an uncommon condition that has rarely been described in association with syncope. We report here 2 cases of glossopharyngeal neuralgia in elderly patients. Both were male and underwent temporary pacemaker insertion to prevent syncopal episodes. We discuss the clinical and surgical treatment of glossopharyngeal neuralgia, the role of cardiac stimulation, and the possible physiopathological mechanism of the associated cardiac disturbances