Detection of an Intraoperative Cerebral Event With Entropy Monitoring

No abstract available

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The relationship between self‐esteem and hair transplantation satisfaction in male androgenetic alopecia patients

Summary

Background

Frustrated with the embarrassing appearance, patients with androgenetic alopecia (AGA) suffer from poor quality of life and low self‐esteem. Moreover, several researches indicate that self‐esteem is an important factor affecting outcomes of cosmetic surgery.

Objective

This retrospective study aims to investigate the impact of hair transplantation on patients' self‐esteem and satisfaction with appearance, as well as relationship between self‐esteem and patient satisfaction which includes preoperative and postoperative satisfaction.

Methods

The preoperative and 9‐month postoperative self‐esteem were evaluated by Rosenberg Self‐Esteem Scale (RSES), and preoperative satisfaction indicators (satisfaction with appearance, visual age and expected visual age) were assessed by Face‐Q scale. At the same time, postoperative satisfaction indicators (satisfaction with appearance, visual age, satisfaction with decision, psychological well‐being, and social function) were reevaluated as well.

Results

Of the 1106 male AGA patients, 875 completed a 9‐month postoperative questionnaire. Compared with preoperative scores, postoperative scores of self‐esteem and satisfaction with appearance showed an increase of 1.56 and 30.25 respectively (P < 0.05). Subgroup analysis showed that patients with high self‐esteem level trended to have higher scores of postoperative satisfaction with appearance (P = 0.129), psychological well‐being (P = 0.168), social function (P = 0.027), and satisfaction with decision (P = 0.043) compared with patients with low and average self‐esteem level.

Conclusion

Hair transplantation significantly elevated self‐esteem level and increased satisfaction with appearance of AGA patients. Meanwhile, patients with low self‐esteem level trended to have worse postoperative satisfaction. Thus, apart from ensuring the quality of operation, plastic surgeons should offer guidance based on patients' psychological state to improve postoperative satisfaction.

http://bit.ly/2BBGzqa

Carotid body tumor with hidden internal carotid artery aneurysm

Abstract

Background

The most common head and neck paraganglioma is the carotid body paraganglioma. Treatment of carotid body tumors is primarily surgical, and uncontrolled growth leads to cranial nerve deficits and more morbid resection.

Methods

A 60‐year‐old man was referred for evaluation of carotid body tumor, and workup revealed an internal carotid artery (ICA) aneurysm within the known mass.

Results

Interventional Radiology performed angiogram and stenting across aneurysm with interval dramatic reduction in size of mass, and surgery was avoided altogether.

Conclusions

Surgical resection is indicated for carotid body paragangliomas when the patient can tolerate the surgery and when the tumor was not very advanced. This patient had a small tumor that initially appeared easily resectable. Failure to detect the ICA aneurysm before resection may have resulted in devastating vascular injury and possible stroke or death. Identification of underlying vascular pathology is essential for safe treatment and should be prioritized, especially considering this case.

http://bit.ly/2rResPa

Simulation‐Guided Tracheotomy in a Patient With Fibrodysplasia Ossificans Progressiva

Fibrodysplasia ossificans progressiva (FOP) is a rare disorder that causes heterotopic bone formation leading to chest wall and spinal deformities. This case describes an 11‐year‐old female with FOP who presented in respiratory failure necessitating two emergent fiberoptic nasotracheal intubations. The patient had severe trismus, rotary flexion of the neck, and distortion of the airway. A three‐dimensional printed model based off of a computed tomography reconstruction was created for an in situ simulation before the true procedure. The surgery and trach change were both uneventful. We propose that with careful preoperative planning, tracheotomy can be an appropriate option for FOP patients. Laryngoscope, 2018

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Inflammation and allergic disease: An irrefutable combination

http://bit.ly/2SgEJSx

A cross-sectional study of the prevalence of food allergies among children younger than ages 14 years in a Beijing urban region

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Clinical updates in aspirin-exacerbated respiratory disease

http://bit.ly/2SjuOM0