Aspects médico-légaux en rhinoplastie

Thomassin, J M; Bardot, J.; Radulesco, Thomas

doi:10.1016/j.anplas.2014.07.020

Cited by 5 publications

(8 citation statements)

References 4 publications

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“…Patients filed lawsuits because of not only the SSI itself, but also its complications, which might result in permanent sequelae. When rhinoplasty provides the patient with full aesthetic satisfaction, even if breathing difficulties are present, there is a low chance of dispute (15). The precedent cases were not extracted only from the field of aesthetic surgery on purpose.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Malpractice Claims Associated with Surgical Site Infection in the Field of Plastic Surgery

et al. 2016

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Postoperative infections are rare after plastic surgery; however, when present, they can affect the aesthetic outcome. Currently, many malpractice lawsuits are associated with surgical site infection. The present study aimed to analyze malpractice claims associated with surgical site infection in the field of plastic surgery through a review of Korean precedents. We analyzed the type of procedure, associated complications, and legal judgment in these cases. Most claimants were women, and claims were most often related to breast surgery. The common complications related to surgical site infection were deformity, scar, and asymmetry. Among the 40 cases, 34 were won by the plaintiff, and the mean claim settlement was 2,832,654 KRW (USD 2,636.6). The reasons for these judgements were as follows: 1) immediate bacterial culture tests were not performed and appropriate antibiotics were not used; 2) patients were not transferred to a high-level hospital or the infection control department was not consulted; 3) surgical site infection control measures were not appropriate; and 4) surgical procedures were performed without preoperative explanation about surgical site infection. The number of claims owing to surgical site infection after surgery is increasing. Infection handling was one of the key factors that influenced the judgement, and preoperative explanation about the possibility of infection is important. The findings will help surgeons achieve high patient satisfaction and reduce liability concerns.

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Section: Discussionmentioning

confidence: 99%

Analysis of Malpractice Claims Associated with Surgical Site Infection in the Field of Plastic Surgery

et al. 2016

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“…[1][2][3] Informed consent involves the discussion of the risks of the treatment modalities with the patient, to protect the patients' and physicians' rights in order to build a trustworthy patient-physician relationship. [1][2][3] In addition, the informed consent form legally protects both the patient and the physician in case of possible complications in any medical or surgical procedure. 4 The ideal consent form should provide information about the disease, give relevant options for treatment modalities, describe the benefits of the procedures, explain the procedures to the patient when he/she does not accept the treatment, and elaborate the complications of the treatment options in a language that can be easily understood by the patient.…”

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confidence: 99%

“…The consent form process is one of the most important stages of modern surgery 1–3 . Informed consent involves the discussion of the risks of the treatment modalities with the patient, to protect the patients’ and physicians’ rights in order to build a trustworthy patient-physician relationship 1–3 .…”

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confidence: 99%

“…S eptorhinoplasty is one of the most common elective surgical procedures in facial plastic surgery. 1 Like all surgical procedures, there may be early and late complications. The physicians should inform the patients about the possible complications before the surgery and obtain written consent form the patients.…”

mentioning

confidence: 99%

“…The physicians should inform the patients about the possible complications before the surgery and obtain written consent form the patients. 1,2 The consent form process is one of the most important stages of modern surgery. [1][2][3] Informed consent involves the discussion of the risks of the treatment modalities with the patient, to protect the patients' and physicians' rights in order to build a trustworthy patient-physician relationship.…”

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confidence: 99%

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The Impact of the Informed Consent Process on the Anxiety Levels of Patients Undergoing Rhinoplasty

Aysel¹,

Karatan

et al. 2021

Journal of Craniofacial Surgery

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Septorhinoplasty is one of the most common elective surgical procedures in otolaryngology. The present study aimed to evaluate the anxiety levels of patients who underwent septorhinoplasty at different times, compare the information methods, and determine the understanding of the informed consent through recall rates of the complications explained in the informed consent process. The patients were divided into the following 2 groups: Group 1 (giving information 14 days before the surgery) and Group 2 (giving information 3 days before the surgery). For the preoperative anxiety measurement, the State anxiety scale of the State-Trait Anxiety Inventory (STAI) was used. All patients were asked to recall the complications they remembered from the consent form on the day before the surgery. Each group has consisted of 25 patients. No significant difference was found between the STAI-1 and STAI-2a anxiety scores between groups. In Group 1, the STAI-2b anxiety score was significantly lower than the STAI-1 and STAI-2a scores (P < 0.05). In Group 2, the mean score of STAI-2b was not significantly higher than the STAI-1 and STAI-2 scores (P > 0.05). When the STAI-2b scores of the two groups were compared, the scores of Group 2 were significantly higher (P < 0.05). The most commonly remembered complications were bruising and swelling in both of the groups. In conclusion, the authors believe that long-term cooperation between the surgical team and the patient will reduce the anxiety levels of the patients and increase patients' satisfaction, resulting in a significant reduction in the amount of potential legal processes.Level of Evidence: 2

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Objective diagnosis of internal nasal valve collapse by four‐phase rhinomanometry

Gagnieur

Fieux

Louis

et al. 2022

Laryngoscope Investig Oto

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Background Internal valve collapse is a frequent cause of nasal obstruction but remains poorly understood and is sometimes treated inappropriately as a result. No functional or imaging test for the condition has been validated and the reference diagnostic technique is physical examination. The objective of this study was to evaluate the potential of four‐phase rhinomanometry as a diagnostic test for internal valve collapse. Methods In a case–control diagnostic accuracy study, the nostrils of adult patients consulting for chronic nasal obstruction were classified as “collapsed” or “non‐collapsed” based on clinical findings. Four‐phase rhinomanometry was performed in all patients. The area defined by the path of the flow/pressure curve in the two phases of inspiration (the “inspiratory loop area” or “hysteresis loop area”) was calculated for both nasal cavities and the threshold value with the highest Youden index was identified. Results Sixty‐six patients (132 nostrils) were included with 72 nostrils classified as collapsed and 60 as non‐collapsed. Before nasal decongestion, the inspiratory loop area with the highest Youden index was 17.3 Pa L s−1 and the corresponding sensitivity and specificity were 88.3% (95% confidence interval, 80.0–95.0%) and 89.9% (82.6–95.7%), respectively. Conclusions In these patients, a cutoff inspiratory loop area in four‐phase rhinomanometry data reproduced clinical diagnoses of internal valve collapse with high sensitivity and specificity. This method may offer a firmer basis for treatment indications than subjective physical examinations. Level of evidence Level 4.

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Aspects médico-légaux en rhinoplastie

Cited by 5 publications

References 4 publications

Analysis of Malpractice Claims Associated with Surgical Site Infection in the Field of Plastic Surgery

Analysis of Malpractice Claims Associated with Surgical Site Infection in the Field of Plastic Surgery

The Impact of the Informed Consent Process on the Anxiety Levels of Patients Undergoing Rhinoplasty

Objective diagnosis of internal nasal valve collapse by four‐phase rhinomanometry

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