Understanding child anxiety before otoplasty: A qualitative study

Prabhu, Neetin; MacNevin, Wyatt; Wheelock, Margaret; Hong, Paul; Bezuhly, Michael

doi:10.1016/j.ijporl.2020.110489

Cited by 18 publications

(3 citation statements)

References 21 publications

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“…No estudo em questão, Prabhu et al (2020) afirmaram que a ansiedade pré-operatória é uma grande preocupação presente em cirurgias estéticas e reparadoras no geral, devido às futuras consequências visuais que podem ocorrer. Os autores mostraram que o procedimento envolve expectativas do paciente em obter a aparência desejada e do cirurgião em alcançar o resultado da cirurgia com boa evolução do paciente na fase pré e pós-operatória.…”

Section: Discussõesunclassified

Principais entraves encontrados para a baixa cobertura vacinal contra o HPV: Uma revisão integrativa

Melo¹,

Costa²

2021

Pesquisa Científica Na Pandemia: Ciência, Saúde E Reflexão

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Section: Discussõesunclassified

Principais entraves encontrados para a baixa cobertura vacinal contra o HPV: Uma revisão integrativa

Melo¹,

Costa²

2021

Pesquisa Científica Na Pandemia: Ciência, Saúde E Reflexão

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“…2–6 Choosing a conservative treatment over otoplasty includes fewer complications and is less stressful for both parents and children. 7–9…”

mentioning

confidence: 99%

“…[2][3][4][5][6] Choosing a conservative treatment over otoplasty includes fewer complications and is less stressful for both parents and children. [7][8][9] Nonsurgical procedures for the correction of congenital ear deformities were first published during the 1980s in Japan by plastic surgeons, and since then their use has been popularized. It is now acknowledged that keeping the ear in a constant position for a specific period will result in a normal ear shape.…”

mentioning

confidence: 99%

Nonsurgical Correction of Stahl’s Ear in Neonates: A Case Study

Panopoulou

Petrou

Vassiliou

2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Stahl’s ear deformity is a congenital auricular anomaly characterized by a third crus in the auricular cartilage, giving rise to an irregular helical rim and a bent scaphoid fossa. This deformity is mainly treated surgically during childhood. However, studies regarding ear-molding techniques show that postpartum splinting offers a safer and more effective permanent correction, and that happens because of the high circulating levels of estrogen that neonates receive from their mothers right after birth, making the cartilage more malleable. We present a case that shows a newborn with unilateral Stahl’s ear deformity, in which we used a molding device (EarBuddies) to permanently correct the ear’s shape. After 3 weeks of treatment, the affected auricle regained its normal appearance. There were no complications. Long-term follow-up showed no recurrence. Splinting of this ear deformity seems to be a nonpainful, stress-free and, most importantly, effective nonoperative treatment. Postpartum clinical examination of the ears is crucial, as the sooner the nonsurgical correction of the deformity begins, the better the results are. A clinical screening for ear deformities should be established immediately after every child’s birth to eliminate the risk for surgical intervention later in childhood.

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Local Versus General Anesthesia in Pediatric Otoplasty: A Cost and Efficiency Analysis

Iyer

Bouhadana

Cugno

2023

The Cleft Palate Craniofacial Journal

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Objective Quantify the cost benefits of otoplasty under local as opposed to general anaesthesia. Design A cost analysis of all components of otoplasty surgery under local anaesthesia (LA) in a minor operating room (OR) and general anaesthesia in a main OR was performed. Setting Our institution, compared to provincial/federal data, with costs converted into 2022 Canadian dollars. Patients, Participants Patients undergoing otoplasty under LA in the last year. Interventions An efficiency analysis was performed by means of an opportunity cost, and the cost of failure was added to the overall LA costs. Main Outcome Measure Expenses for infrastructure, surgical and anaesthetic material, salaries, and personnel costs were derived from the literature, our hospital OR catalog and federal/provincial salary data, respectively. The cost of failure to tolerate local anaesthesia for such cases was also tabulated. Results The true cost of LA otoplasty was computed as the absolute cost ($611.73) added to the cost of failure ($10.80), resulting in a total of $622.53/procedure. The true cost of GA otoplasty was calculated as the absolute cost ($2033.05) added to the opportunity cost ($1108.94), representing 3141.99$/procedure. The total savings when performing LA otoplasty to GA otoplasty are thus 2519.44$/case, with 1 GA otoplasty costing 5.05 LA otoplasties. Conclusion Otoplasty under local anaesthesia offers significant cost savings when compared with the same procedure under general anaesthesia. Economic considerations must be given particular attention given the elective nature of this procedure, which is often publicly funded.

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Understanding child anxiety before otoplasty: A qualitative study

Cited by 18 publications

References 21 publications

Principais entraves encontrados para a baixa cobertura vacinal contra o HPV: Uma revisão integrativa

Principais entraves encontrados para a baixa cobertura vacinal contra o HPV: Uma revisão integrativa

Nonsurgical Correction of Stahl’s Ear in Neonates: A Case Study

Local Versus General Anesthesia in Pediatric Otoplasty: A Cost and Efficiency Analysis

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