جستجوی مقالات مرتبط با کلیدواژه « fascia lata » در نشریات گروه « پزشکی »
-
Background
Use of autologous fascia, harvested from the thigh fascia lata, has been shown to be effective in the treatment of unilateral vocal fold paralysis (UVFP). However, advantages of this material have been less examined in the clinical setting. The present study aimed to assess the beneficial effects of medialization thyroplasty type I with cadaveric fascia lata on the vocal function of patients with UVFP.
MethodsThis prospective interventional case series was performed on 10 patients with UVFP, who were candidates for medialization thyroplasty. All the patients were assessed using video stereoscopy to determine the gap and closure of glottis. Voice analysis was also performed. The voice handicap index (VHI) was completed for all the patients. The level of satisfaction with voice quality was also assessed, using the visual analogue scale (VAS).
ResultsThe mean VHI scores significantly decreased at 1, 3, and 6 months after surgery. The mean VAS scores (for voice quality) significantly increased within 1 month after surgery, whereas they gradually decreased at 5 months after surgery. The mean values of minimum and maximum pitch indices were comparable before and after surgery. The mean jitter score decreased at 1 month after surgery, while it remained constant at 6 months after surgery. The mean shimmer score gradually reduced within 3 months after surgery. On the other hand, the mean harmonic/noise ratio (HN/R) significantly increased at 6 months after surgery. The findings showed a significant decline in the frequency of anterior and posterior glottis gaps at all postoperative intervals.
ConclusionsShort-term improvement of vocal quality and glottic efficiency, along with reduced glottis gap, is expected following medialization thyroplasty type I with cadaveric fascia lata.
Keywords: Medialization Laryngoplasty, Fascia Lata, Vocal Cord Paralysis, Stroboscopy, Voice} -
IntroductionDorsal nasal irregularity is a complication of rhinoplasty surgery, mostly seen in patients with thin skin. Acellular dermis (CenoDerm) and homologous fascia lata covering the nasal bone cartilage structure have been used to achieve a smooth surface. In this study, we aimed to investigate clinical outcomes using these two materials.Materials And MethodsAfter a standard rhinoplasty procedure, a layer of the acellular dermis or homologous fascia lata was placed in the pocket of the dorsum. Patients were evaluated for clinical outcomes at 3, 6, and 12 months after the procedure.ResultsForty-two of 68 patients completed the follow-up period. Patient satisfaction was higher in the homologous fascia lata group. Similarly, nasal dorsum inspection and palpation results were better in the homologous fascia lata group compared with the CenoDerm group but was significant in palpation (P=0.00). There was no complete absorption in the homologous fascia lata group 6 months after surgery (P= 0.04 vs. CenoDerm) but no significant difference was observed at 12 months.ConclusionHomologous fascia lata is better than acellular dermis in preventing dorsal nasal irregularity after rhinoplasty in thin-skinned patients.Keywords: Acellular dermis, Fascia lata, Rhinoplasty}
-
هدفمقایسه نتایج دو روش مختلف اسلینگ پلک فوقانی با استفاده از فاشیا لاتا در اصلاح افتادگی مادرزادی پلک.
روش پژوهش: تحقیق به روش کارآزمایی بالینی تصادفی شده انجام پذیرفت و بیماران مبتلا به افتادگی مادرزادی یک طرفه (8 بیمار) و دو طرفه (11 بیمار) پلک، به طور تصادفی به دو گروه تقسیم شدند. فاشیا لاتا در یک گروه به صورت دو مثلثی (double triangle) و در گروه دیگر به صورت تک مثلثی (single triangle) جهت اسلینگ به کار گرفته شد. داده ها با آزمون های t زوج (در هر گروه) و t نمونه های مستقل (بین دو گروه) مورد ارزیابی آماری قرار گرفتند.یافته هادو گروه از نظر سن و جنس، تفاوت آماری معنی داری نداشتند. شکاف پلکی در گروه دو مثلثی به طور متوسط 4.35±2.32 میلی متر و در گروه تک مثلثی 4.36±1.89 میلی متر افزایش یافته بود. میزان تغییر در شکاف پلکی بعد از جراحی نسبت به قبل از جراحی در هر دو گروه از نظر آماری معنی دار بود (p=0.00) ولی در دو گروه نسبت به هم، تفاوت آماری معنی داری نداشت (p=0.576). عوارض کوتاه مدت شامل خراش قرنیه (نقص اپی تلیومی قرنیه، PEE)، انتروپیون و عوارض بلندمدت شامل کم اصلاحی (undercorrection) و بیش اصلاحی (overcorrection) به یک نسبت در دو گروه مشاهده شد.نتیجه گیریدر افتادگی مادرزادی پلک می توان اسلینگ به روش تک مثلثی با فاشیا لاتا را جایگزین روش دومثلثی کرد.
PurposeTo compare the results of two different methods of frontalis suspension using fascia lata in congenital ptosis.MethodsIn a randomized clinical trial, double triangle sling was compared with single triangle sling using fascia lata. Eight patients with unilateral and 11 patients with bilateral congenital ptosis were randomly assigned for each procedure.ResultsThere was no statistically significant difference between the two groups in terms of age and sex. Mean increase in interpalpebral fissure was 4.35 2.32 mm in the double triangle group and 4.36 1.89 mm in the single triangle group. Increase in palpebral fissure was statistically significant in both groups (P=0.00) but there was no difference between the two groups regarding functional (lid fissure height) and cosmetic (lid margin contour) results and early or late complications during follow up.ConclusionSingle triangle sling method using fascia lata is safe, easy, and fast with acceptable results and can be used instead of conventional double triangle fascia lata sling for treatment of low function ptosis.Keywords: congenital ptosis, fascia lata, frontalis suspension, sling}
- نتایج بر اساس تاریخ انتشار مرتب شدهاند.
- کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شدهاست. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
- در صورتی که میخواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.