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surgery</title> <meta name="description" content="Search results for: orthognathic surgery"> <meta name="keywords" content="orthognathic surgery"> <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1, maximum-scale=1, user-scalable=no"> <meta charset="utf-8"> <link href="https://cdn.waset.org/favicon.ico" type="image/x-icon" rel="shortcut icon"> <link href="https://cdn.waset.org/static/plugins/bootstrap-4.2.1/css/bootstrap.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/plugins/fontawesome/css/all.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/css/site.css?v=150220211555" rel="stylesheet"> </head> <body> <header> <div class="container"> <nav class="navbar navbar-expand-lg navbar-light"> <a class="navbar-brand" href="https://waset.org"> <img src="https://cdn.waset.org/static/images/wasetc.png" alt="Open Science Research Excellence" title="Open Science Research Excellence" /> </a> <button class="d-block d-lg-none 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action="https://publications.waset.org/abstracts/search"> <div id="custom-search-input"> <div class="input-group"> <i class="fas fa-search"></i> <input type="text" class="search-query" name="q" placeholder="Author, Title, Abstract, Keywords" value="orthognathic surgery"> <input type="submit" class="btn_search" value="Search"> </div> </div> </form> </div> </div> <div class="row mt-3"> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Commenced</strong> in January 2007</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Frequency:</strong> Monthly</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Edition:</strong> International</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Paper Count:</strong> 1081</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: orthognathic surgery</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1081</span> Patient Reported Experience of in-Patient Orthognathic Care in an NHS Hospital, in Comparison to a Private Hospital</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=R.%20Litt">R. Litt</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Kana"> A. Kana</a>, <a href="https://publications.waset.org/abstracts/search?q=K.%20House"> K. House</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The primary aim of this patient-related experience questionnaire was to gain a better understanding of our patients' experience as inpatients when they undergo orthognathic surgery. The secondary aim of this study was to identify ways in which we can improve the orthognathic inpatient experience and to share this with other units. All patients who received orthognathic surgery at an NHS hospital - Bristol Royal Infirmary, England, over the course of 6 months were asked to complete a questionnaire regarding their care. This data was then analysed and compared to the same questionnaire given to patients treated in a private hospital where orthognathic surgery was completed. All treatment was completed by the same surgeon. The design of the questions took into account NICE (National Institute for Health and Care Excellence) guidance on improving the experience of patient care. Particularly taking into account patients' essential requirements of care, for example, assessing and managing pain, ensuring adequate and appropriate nutrition, and ensuring the patients' personal needs are regularly reviewed and addressed. Overall the patient-related experience after orthognathic surgery was comparable in both the NHS and private hospitals. However, the questionnaire highlighted aspects of inpatient care after orthognathic surgery that can easily be improved in order to provide our patients with the best possible care. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=orthognathic%20surgery" title="orthognathic surgery">orthognathic surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=patient%20feedback" title=" patient feedback"> patient feedback</a>, <a href="https://publications.waset.org/abstracts/search?q=jaw%20surgery" title=" jaw surgery"> jaw surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=inpatient%20experience" title=" inpatient experience"> inpatient experience</a> </p> <a href="https://publications.waset.org/abstracts/130924/patient-reported-experience-of-in-patient-orthognathic-care-in-an-nhs-hospital-in-comparison-to-a-private-hospital" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/130924.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">149</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1080</span> The Role of Gastric Decompression on Postoperative Nausea and Vomiting in Orthognathic Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Minna%20Salim">Minna Salim</a>, <a href="https://publications.waset.org/abstracts/search?q=James%20Brady"> James Brady</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Postoperative nausea and pain (PONV) are adverse effects following surgical procedures. It is especially pronounced in patients undergoing orthognathic surgery, as their mouth is closed postoperatively using wires or rubber bands. Postoperative mouth closure increases the discomfort and risk of complications associated with nausea and vomiting. Many surgeons and institutions apply gastric decompression in hopes of aspirating stomach contents and, therefore, decreasing PONV incidence. This review observed that PONV incidence was not affected by gastric decompression overall. However, the effect of gastric decompression on PONV in orthognathic surgery was variable. This paper aims to summarize the findings of gastric decompression on PONV and to determine the need for it in orthognathic surgery. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=gastric%20decompression" title="gastric decompression">gastric decompression</a>, <a href="https://publications.waset.org/abstracts/search?q=nasogastric%20tube" title=" nasogastric tube"> nasogastric tube</a>, <a href="https://publications.waset.org/abstracts/search?q=orthognathic%20surgery" title=" orthognathic surgery"> orthognathic surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=postoperative%20nausea" title=" postoperative nausea"> postoperative nausea</a>, <a href="https://publications.waset.org/abstracts/search?q=vomiting" title=" vomiting"> vomiting</a> </p> <a href="https://publications.waset.org/abstracts/169720/the-role-of-gastric-decompression-on-postoperative-nausea-and-vomiting-in-orthognathic-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/169720.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">87</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1079</span> Aesthetic Modification with Combined Orthognathic Surgery and Closed Rhinoplasty</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Alessandro%20Marano">Alessandro Marano</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Aim: The author describes the aesthetic modification using orthognathic surgery and closed rhinoplasty. Methods: Series of case study. After orthognathic surgery we can observe a dramatical change of aesthetic especially in the mid-face and nose projection. The advancement of maxillary bone through Le Fort I osteotomy will change the nasal tip projection and lips roundness; combining orthognathic surgery with closed approach rhinoplasty will manage both function and aesthetic of all mid face district. Results: Combining Le Fort I osteotomy with closed approach rhinoplasty resulted in good objective results with high patient satisfaction. Le Fort I osteotomy will increase projection of mid face and the closed approach rhinoplasty will modify the nasal shape to be more harmonic with the new maxillary district. The scars are not visible because hidden inside the mouth and nose. Conclusions: The orthognathic surgery combined with closed approach rhinoplasty are very effective for changing the aesthetic of the mid face. The results illustrate the difference between the use of orthognathic surgery only and to use it in association of closed approach rhinoplasty. Using both will allow to obtain a long lasting and pleasing results. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=orthognathic" title="orthognathic">orthognathic</a>, <a href="https://publications.waset.org/abstracts/search?q=rhinoplasty" title=" rhinoplasty"> rhinoplasty</a>, <a href="https://publications.waset.org/abstracts/search?q=aesthetic" title=" aesthetic"> aesthetic</a>, <a href="https://publications.waset.org/abstracts/search?q=face" title=" face"> face</a> </p> <a href="https://publications.waset.org/abstracts/149677/aesthetic-modification-with-combined-orthognathic-surgery-and-closed-rhinoplasty" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/149677.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">100</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1078</span> A Quality Improvement Project to Assess the Impact of Orthognathic Surgery on the Quality of Life of Patients: Pre-Operatively versus Post-Operatively</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Fiona%20Lourenco">Fiona Lourenco</a>, <a href="https://publications.waset.org/abstracts/search?q=William%20Allen"> William Allen</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Dentofacial deformities are primarily surgically treated via orthognathic surgery. Health-related quality of life is concerned with aspects of quality of life that relate specifically to an individual’s health. Design and Setting: Retrospective analysis of patients who had orthognathic surgery from January 2018 - December 2022 at the trust using the previously validated Orthognathic Quality of Life questionnaire (OQoL). Materials and Methods: 32 Patient questionnaires (which included pre-operative and post-operative separate sections) were obtained via telephone survey. The data was analysed using the two-tailed paired t-test and Wilcoxon signed-rank test. Results: The change in perception post-surgery was highly significant (both tests resulted in p<0.001 for overall analysis as well as for each domain). Overall, a 74% improvement in QoL was seen following orthognathic surgery. Reports of improvement in each domain were as follows: 71% in the social aspect of the deformity domain, 76% in facial aesthetics, 60% in function, and 57% improvement in awareness of facial deformity. Conclusion: The assessment of QoL is becoming progressively imperative in clinical research. The above data shows that orthognathic surgery has a significant improvement in the QoL of patients post-operatively. The results demonstrate improvement in all domains, with perceptions in facial aesthetics seeing the highest change post-operatively. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=dentofacial" title="dentofacial">dentofacial</a>, <a href="https://publications.waset.org/abstracts/search?q=oral" title=" oral"> oral</a>, <a href="https://publications.waset.org/abstracts/search?q=facial%20asymmetry" title=" facial asymmetry"> facial asymmetry</a>, <a href="https://publications.waset.org/abstracts/search?q=orthognathic%20surgery" title=" orthognathic surgery"> orthognathic surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=quality%20of%20life" title=" quality of life"> quality of life</a> </p> <a href="https://publications.waset.org/abstracts/176753/a-quality-improvement-project-to-assess-the-impact-of-orthognathic-surgery-on-the-quality-of-life-of-patients-pre-operatively-versus-post-operatively" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/176753.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">79</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1077</span> Hilotherapy in Orthognathic Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=N.%20Gharooni-Dowrani">N. Gharooni-Dowrani</a>, <a href="https://publications.waset.org/abstracts/search?q=B.%20Gharooni-Dowrani"> B. Gharooni-Dowrani</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The benefits of hilotherapy following orthogonathic surgery have been explored in recent years, demonstrating reduction in patient pain and swelling post-operatively. However, hilotherapy is not always widely accessible to all patients following orthognathic surgery. In this study, 50 patients were examined at Luton and Dunstable Hospital, half (25) of which used hilotherm masks post operatively and half of which opted for traditional ice packs in order to aid recovery. This study demonstrated that the use of hilotherapy reduced patient pain when analgesia need and use were analysed, as well as shortening inpatient stay. Although no current hilotherm masks are available without rental services in our trust, this study demonstrated the positive outcomes that they may bring, which may be worth future investment for our department. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=orthognathic%20surgery" title="orthognathic surgery">orthognathic surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=orthodontics" title=" orthodontics"> orthodontics</a>, <a href="https://publications.waset.org/abstracts/search?q=hilotherapy" title=" hilotherapy"> hilotherapy</a>, <a href="https://publications.waset.org/abstracts/search?q=OMFS" title=" OMFS"> OMFS</a> </p> <a href="https://publications.waset.org/abstracts/176488/hilotherapy-in-orthognathic-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/176488.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">83</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1076</span> Effect of Mindfulness-Based Self-Care Training on Self-Esteem and Body Image Concern on Candidate Patients of Orthognathic Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hamide%20Azimi%20Lolaty">Hamide Azimi Lolaty</a>, <a href="https://publications.waset.org/abstracts/search?q=Fateme%20Alsadat%20Ghanipoor"> Fateme Alsadat Ghanipoor</a>, <a href="https://publications.waset.org/abstracts/search?q=Azar%20Ramzani"> Azar Ramzani</a>, <a href="https://publications.waset.org/abstracts/search?q=Reza%20Ali%20Mohammadpoor"> Reza Ali Mohammadpoor</a>, <a href="https://publications.waset.org/abstracts/search?q=Alireza%20Babaei"> Alireza Babaei</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background and Objective: Despite the merits behind orthognathic surgery, self-care training in such patients seems logical. The current research was performed pursuing the goal of outlining the effect of training mindfulness-based self-care on Self-Esteem (SE) and Body Image Concern (BIC) of orthognathic surgery candidate patients. Material and Methods: The present study was performed using a semi-experimental method with pre-and post-design in the control and intervention groups. The eligible patients to enter the Babol-based Shahid Beheshti Orthognathic Surgery Clinic were conveniently divided into two 25-person groups. The variables of Self-Esteem and Body Image Concern were measured before and after executing the eight 90-minute training sessions and in the follow-up period done three months after executing the intervention using Cooper Smith’s Self-Esteem Inventory (CSEI) and Body Image Concern Inventory (BICI). The data were analyzed using ANOVA and the independent t-test and using SPSS-26, the data were analyzed at a 0.05 level. Results: As a result of the intervention, the intervention group’s SE score critically changed on average from 25.4±7.31 in the pre-intervention to 31.16±7.05 in the post-intervention and to 40.45±3.51 in the follow-up period (P=0.01), the intervention group’s BIC score changed on average from 60.28±16.47 in the pre-intervention to 47.15±80.47 in the post-intervention and to 32.20 ± 10.73 in the follow-up period. This difference was meaningful (P=0.001). But due to time and the intervention interaction, the control group underwent this significant reduction with a delay. The study revealed the scores of the SE as 32± 6.84 and that of the BIC as 43.32±10.64 in the control group didn’t result in any meaningful statistical difference (P<0.05). Conclusion: Training mindfulness-based self-care exerts an effect on the SE and BIC of the patients undergoing orthognathic surgery. Therefore, it’s recommended to train mindfulness-based self-care for orthognathic surgery candidate patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=self-care" title="self-care">self-care</a>, <a href="https://publications.waset.org/abstracts/search?q=mindfulness" title=" mindfulness"> mindfulness</a>, <a href="https://publications.waset.org/abstracts/search?q=self-esteem" title=" self-esteem"> self-esteem</a>, <a href="https://publications.waset.org/abstracts/search?q=body%20image%20concern" title=" body image concern"> body image concern</a>, <a href="https://publications.waset.org/abstracts/search?q=orthognathic%20surgery" title=" orthognathic surgery"> orthognathic surgery</a> </p> <a href="https://publications.waset.org/abstracts/151842/effect-of-mindfulness-based-self-care-training-on-self-esteem-and-body-image-concern-on-candidate-patients-of-orthognathic-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/151842.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">122</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1075</span> Improving Access and Quality of Patient Information Resources for Orthognathic Treatment: A Quality Improvement Project</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Evelyn%20Marie%20Richmond">Evelyn Marie Richmond</a>, <a href="https://publications.waset.org/abstracts/search?q=Andrew%20McBride"> Andrew McBride</a>, <a href="https://publications.waset.org/abstracts/search?q=Chris%20Johnston"> Chris Johnston</a>, <a href="https://publications.waset.org/abstracts/search?q=John%20Marley"> John Marley</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Good quality patient information resources for orthognathic treatment help to reinforce information delivered during the initial consultation and help patients make informed decisions about their care. The Consultant Orthodontists and a Dental Core Trainee noted limited patient engagement with the British Orthodontic Society (BOS) 'Your Jaw Surgery' online resources and that the existing BOS patient information leaflet (PIL) could be customised and developed to meet local requirements. Aim: The quality improvement project (QIP) aimed to improve patients' understanding of orthognathic treatment by ensuring at least 90% of patients had read the new in-house patient information leaflet (PIL) and a minimum of 50% of patients had accessed the British Orthodontic Society (BOS) 'Your Jaw Surgery' online resources before attending the joint orthognathic multidisciplinary clinic by June 2023. Methods: The QIP was undertaken in the orthodontic department of the School of Dentistry, Belfast. Data was collected prospectively during a 6-month period from January 2023 to June 2023 over 3 Plan, Do, Study, Act (PDSA) cycles. Suitable patients were identified at consultant orthodontic new patient clinics. Following initial consultation for orthognathic treatment, patients were contacted to complete a patient questionnaire. Design: The change ideas were a poster with a QR code directing patients to the BOS 'Your Jaw Surgery' website in consultation areas and a new in-house PIL with a QR code directing patients to the BOS 'Your Jaw Surgery' website. Results: In PDSA cycle 1, 86.7% of patients were verbally directed to the BOS 'Your Jaw Surgery' website, and 53.3% accessed the online resources after their initial consultation. Although 100% of patients reported reading the existing PIL, only 64.3% felt it discussed the risks of orthognathic treatment in sufficient detail. By PDSA cycle 3, 100% of patients reported being directed to the BOS 'Your Jaw Surgery' website, however, only 58.3% engaged with the website. 100% of patients who read the new PIL felt that it discussed the risks of orthognathic treatment in sufficient detail. Conclusion: The slight improvement in access to the BOS 'Your Jaw Surgery' website shows that patients do not necessarily choose to access information online despite its availability. The uptake of the new PIL was greater than reported patient engagement with the BOS 'Your Jaw Surgery' website, which indicates patients still value written information despite the availability of online resources. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=orthognathic%20surgery" title="orthognathic surgery">orthognathic surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=patient%20information%20resources" title=" patient information resources"> patient information resources</a>, <a href="https://publications.waset.org/abstracts/search?q=quality%20improvement%20project" title=" quality improvement project"> quality improvement project</a>, <a href="https://publications.waset.org/abstracts/search?q=risks" title=" risks"> risks</a> </p> <a href="https://publications.waset.org/abstracts/173803/improving-access-and-quality-of-patient-information-resources-for-orthognathic-treatment-a-quality-improvement-project" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/173803.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">60</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1074</span> Correction of Skeletal Deformity by Surgical Approach – A Case Report</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Davender%20Kumar">Davender Kumar</a>, <a href="https://publications.waset.org/abstracts/search?q=Virender%20Singh"> Virender Singh</a>, <a href="https://publications.waset.org/abstracts/search?q=Rekha%20Sharma"> Rekha Sharma </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Correction of skeletal deformities in adult patients with orthodontics is limited. In adult severe cases, the combined approach, orthodontic and orthognathic surgery, is always the treatment of choice, and the results obtained usually ensure a better esthetic, functional, and stable results Orthognathic surgery is the best option for cases when camouflage treatment is questionable and growth modulation is not possible. This case report illustrates the benefit of the team approach in correcting mandible retrusion along with class II skeletal deformity with 100% deep bite. Correction was achieved by anterior repositioning of mandible osteotomy along with orthodontic treatment. The patient's facial appearance was markedly improved along with functional and stable occlusion. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=camouflage" title="camouflage">camouflage</a>, <a href="https://publications.waset.org/abstracts/search?q=skeletal" title=" skeletal"> skeletal</a>, <a href="https://publications.waset.org/abstracts/search?q=orthognathic" title=" orthognathic"> orthognathic</a>, <a href="https://publications.waset.org/abstracts/search?q=dental" title=" dental"> dental</a> </p> <a href="https://publications.waset.org/abstracts/37859/correction-of-skeletal-deformity-by-surgical-approach-a-case-report" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/37859.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">427</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1073</span> Evaluation of Condyle Alterations after Orthognathic Surgery with a Digital Image Processing Technique</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Livia%20Eisler">Livia Eisler</a>, <a href="https://publications.waset.org/abstracts/search?q=Cristiane%20C.%20B.%20Alves"> Cristiane C. B. Alves</a>, <a href="https://publications.waset.org/abstracts/search?q=Cristina%20L.%20F.%20Ortolani"> Cristina L. F. Ortolani</a>, <a href="https://publications.waset.org/abstracts/search?q=Kurt%20Faltin%20Jr."> Kurt Faltin Jr.</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Purpose: This paper proposes a technically simple diagnosis method among orthodontists and maxillofacial surgeons in order to evaluate discrete bone alterations. The methodology consists of a protocol to optimize the diagnosis and minimize the possibility for orthodontic and ortho-surgical retreatment. Materials and Methods: A protocol of image processing and analysis, through ImageJ software and its plugins, was applied to 20 pairs of lateral cephalometric images obtained from cone beam computerized tomographies, before and 1 year after undergoing orthognathic surgery. The optical density of the images was analyzed in the condylar region to determine possible bone alteration after surgical correction. Results: Image density was shown to be altered in all image pairs, especially regarding the condyle contours. According to measures, condyle had a gender-related density reduction for p=0.05 and condylar contours had their alterations registered in mm. Conclusion: A simple, viable and cost-effective technique can be applied to achieve the more detailed image-based diagnosis, not depending on the human eye and therefore, offering more reliable, quantitative results. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bone%20resorption" title="bone resorption">bone resorption</a>, <a href="https://publications.waset.org/abstracts/search?q=computer-assisted%20image%20processing" title=" computer-assisted image processing"> computer-assisted image processing</a>, <a href="https://publications.waset.org/abstracts/search?q=orthodontics" title=" orthodontics"> orthodontics</a>, <a href="https://publications.waset.org/abstracts/search?q=orthognathic%20surgery" title=" orthognathic surgery"> orthognathic surgery</a> </p> <a href="https://publications.waset.org/abstracts/96814/evaluation-of-condyle-alterations-after-orthognathic-surgery-with-a-digital-image-processing-technique" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/96814.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">160</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1072</span> A Radiographic Superimposition in Orthognathic Surgery of Class III Skeletal Malocclusion</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Albert%20Suryaprawira">Albert Suryaprawira</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Patients requiring correction of severe Class III skeletal discrepancy historically has been among the most challenging treatments for orthodontists. Correction of an aesthetic and functional problem is crucially important. This is a case report of an adult male aged 18 years who complained of difficulty in chewing and speaking. Patient has a prominent profile with mandibular excess. The pre-treatment cephalometric radiograph was taken to analyse the skeletal problem and to measure the amount of bone movement and the prediction soft tissue response. The panoramic radiograph was also taken to analyse bone quality, bone abnormality, third molar impaction, etc. Before the surgery, the pre-surgical cephalometric radiograph was taken to re-evaluate the plan and to settle the final amount of bone cut. After the surgery, the post-surgical cephalometric radiograph was taken to confirm the result with the plan. The superimposition between those radiographs was performed to analyse the outcome. It includes the superimposition of the cranial base, maxilla, and mandible. Superimposition is important to describe the amount of hard and soft tissue movement. It is also important to predict the possibility of relapse after the surgery. The patient needs to understand all the surgical plan, outcome and relapse prevention. The surgery included mandibular set back by bilateral sagittal split osteotomies. Although the discrepancy was severe using this combination of treatment and the use of radiographic superimposition, an aesthetically pleasing and stable result was achieved. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cephalometric" title="cephalometric">cephalometric</a>, <a href="https://publications.waset.org/abstracts/search?q=mandibular%20set%20back" title=" mandibular set back"> mandibular set back</a>, <a href="https://publications.waset.org/abstracts/search?q=orthognathic" title=" orthognathic"> orthognathic</a>, <a href="https://publications.waset.org/abstracts/search?q=superimposition" title=" superimposition"> superimposition</a> </p> <a href="https://publications.waset.org/abstracts/64873/a-radiographic-superimposition-in-orthognathic-surgery-of-class-iii-skeletal-malocclusion" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/64873.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">258</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1071</span> Replacement of the Distorted Dentition of the Cone Beam Computed Tomography Scan Models for Orthognathic Surgery Planning</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=T.%20Almutairi">T. Almutairi</a>, <a href="https://publications.waset.org/abstracts/search?q=K.%20Naudi"> K. Naudi</a>, <a href="https://publications.waset.org/abstracts/search?q=N.%20Nairn"> N. Nairn</a>, <a href="https://publications.waset.org/abstracts/search?q=X.%20Ju"> X. Ju</a>, <a href="https://publications.waset.org/abstracts/search?q=B.%20Eng"> B. Eng</a>, <a href="https://publications.waset.org/abstracts/search?q=J.%20Whitters"> J. Whitters</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Ayoub"> A. Ayoub</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Purpose: At present Cone Beam Computed Tomography (CBCT) imaging does not record dental morphology accurately due to the scattering produced by metallic restorations and the reported magnification. The aim of this pilot study is the development and validation of a new method for the replacement of the distorted dentition of CBCT scans with the dental image captured by the digital intraoral camera. Materials and Method: Six dried skulls with orthodontics brackets on the teeth were used in this study. Three intra-oral markers made of dental stone were constructed which were attached to orthodontics brackets. The skulls were CBCT scanned, and occlusal surface was captured using TRIOS® 3D intraoral scanner. Marker based and surface based registrations were performed to fuse the digital intra-oral scan(IOS) into the CBCT models. This produced a new composite digital model of the skull and dentition. The skulls were scanned again using the commercially accurate Laser Faro® arm to produce the 'gold standard' model for the assessment of the accuracy of the developed method. The accuracy of the method was assessed by measuring the distance between the occlusal surfaces of the new composite model and the 'gold standard' 3D model of the skull and teeth. The procedure was repeated a week apart to measure the reproducibility of the method. Results: The results showed no statistically significant difference between the measurements on the first and second occasions. The absolute mean distance between the new composite model and the laser model ranged between 0.11 mm to 0.20 mm. Conclusion: The dentition of the CBCT can be accurately replaced with the dental image captured by the intra-oral scanner to create a composite model. This method will improve the accuracy of orthognathic surgical prediction planning, with the final goal of the fabrication of a physical occlusal wafer without to guide orthognathic surgery and eliminate the need for dental impression. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=orthognathic%20surgery" title="orthognathic surgery">orthognathic surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=superimposition" title=" superimposition"> superimposition</a>, <a href="https://publications.waset.org/abstracts/search?q=models" title=" models"> models</a>, <a href="https://publications.waset.org/abstracts/search?q=cone%20beam%20computed%20tomography" title=" cone beam computed tomography"> cone beam computed tomography</a> </p> <a href="https://publications.waset.org/abstracts/89030/replacement-of-the-distorted-dentition-of-the-cone-beam-computed-tomography-scan-models-for-orthognathic-surgery-planning" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/89030.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">197</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1070</span> Automated Facial Symmetry Assessment for Orthognathic Surgery: Utilizing 3D Contour Mapping and Hyperdimensional Computing-Based Machine Learning</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Wen-Chung%20Chiang">Wen-Chung Chiang</a>, <a href="https://publications.waset.org/abstracts/search?q=Lun-Jou%20Lo"> Lun-Jou Lo</a>, <a href="https://publications.waset.org/abstracts/search?q=Hsiu-Hsia%20Lin"> Hsiu-Hsia Lin</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This study aimed to improve the evaluation of facial symmetry, which is crucial for planning and assessing outcomes in orthognathic surgery (OGS). Facial symmetry plays a key role in both aesthetic and functional aspects of OGS, making its accurate evaluation essential for optimal surgical results. To address the limitations of traditional methods, a different approach was developed, combining three-dimensional (3D) facial contour mapping with hyperdimensional (HD) computing to enhance precision and efficiency in symmetry assessments. The study was conducted at Chang Gung Memorial Hospital, where data were collected from 2018 to 2023 using 3D cone beam computed tomography (CBCT), a highly detailed imaging technique. A large and comprehensive dataset was compiled, consisting of 150 normal individuals and 2,800 patients, totaling 5,750 preoperative and postoperative facial images. These data were critical for training a machine learning model designed to analyze and quantify facial symmetry. The machine learning model was trained to process 3D contour data from the CBCT images, with HD computing employed to power the facial symmetry quantification system. This combination of technologies allowed for an objective and detailed analysis of facial features, surpassing the accuracy and reliability of traditional symmetry assessments, which often rely on subjective visual evaluations by clinicians. In addition to developing the system, the researchers conducted a retrospective review of 3D CBCT data from 300 patients who had undergone OGS. The patients’ facial images were analyzed both before and after surgery to assess the clinical utility of the proposed system. The results showed that the facial symmetry algorithm achieved an overall accuracy of 82.5%, indicating its robustness in real-world clinical applications. Postoperative analysis revealed a significant improvement in facial symmetry, with an average score increase of 51%. The mean symmetry score rose from 2.53 preoperatively to 3.89 postoperatively, demonstrating the system's effectiveness in quantifying improvements after OGS. These results underscore the system's potential for providing valuable feedback to surgeons and aiding in the refinement of surgical techniques. The study also led to the development of a web-based system that automates facial symmetry assessment. This system integrates HD computing and 3D contour mapping into a user-friendly platform that allows for rapid and accurate evaluations. Clinicians can easily access this system to perform detailed symmetry assessments, making it a practical tool for clinical settings. Additionally, the system facilitates better communication between clinicians and patients by providing objective, easy-to-understand symmetry scores, which can help patients visualize the expected outcomes of their surgery. In conclusion, this study introduced a valuable and highly effective approach to facial symmetry evaluation in OGS, combining 3D contour mapping, HD computing, and machine learning. The resulting system achieved high accuracy and offers a streamlined, automated solution for clinical use. The development of the web-based platform further enhances its practicality, making it a valuable tool for improving surgical outcomes and patient satisfaction in orthognathic surgery. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=facial%20symmetry" title="facial symmetry">facial symmetry</a>, <a href="https://publications.waset.org/abstracts/search?q=orthognathic%20surgery" title=" orthognathic surgery"> orthognathic surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=facial%20contour%20mapping" title=" facial contour mapping"> facial contour mapping</a>, <a href="https://publications.waset.org/abstracts/search?q=hyperdimensional%20computing" title=" hyperdimensional computing"> hyperdimensional computing</a> </p> <a href="https://publications.waset.org/abstracts/192573/automated-facial-symmetry-assessment-for-orthognathic-surgery-utilizing-3d-contour-mapping-and-hyperdimensional-computing-based-machine-learning" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/192573.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">26</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1069</span> A Case Study of Meningoencephalitis following Le Fort I Osteotomy</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ryan%20Goh">Ryan Goh</a>, <a href="https://publications.waset.org/abstracts/search?q=Nicholas%20Beech"> Nicholas Beech</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Le Fort I Osteotomies, although are common procedures in Oral and Maxillofacial Surgery, carry a degree of risk of unfavourable propagation of the down-fracture of the maxilla. This may be the first reported case in the literature for meningoencephalitis to occur following a Le Fort I Osteotomy. Case: A 32-year-old female was brought into the Emergency Department four days after a Le Fort I Osteotomy, with a Glasgow Coma Scale (GCS) of 8 (E3V1M4). A Computed Tomography (CT) Head showed a skull base fracture at the right sphenoid sinus. Lumbar puncture was completed, and Klebsiella oxytoca was found in the Cerebrospinal Fluid (CSF). She was treated with Meropenem, and rapidly improved thereafter. CSF rhinorrhoea was identified when she was extubated, which was successfully managed via a continuous lumbar drain. She was discharged on day 14 without any neurological deficits. Conclusion: The most likely aspect of the Le Fort I Osteotomy to obtain a skull base fracture is during the pterygomaxillary disjunction. Care should always be taken to avoid significant risks of skull base fractures, CSF rhinorrhoea, meningitis and encephalitis. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=meningitis" title="meningitis">meningitis</a>, <a href="https://publications.waset.org/abstracts/search?q=orthognathic%20surgery" title=" orthognathic surgery"> orthognathic surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=post-operative%20complication" title=" post-operative complication"> post-operative complication</a>, <a href="https://publications.waset.org/abstracts/search?q=skull%20base" title=" skull base"> skull base</a>, <a href="https://publications.waset.org/abstracts/search?q=rhinorrhea" title=" rhinorrhea"> rhinorrhea</a> </p> <a href="https://publications.waset.org/abstracts/137431/a-case-study-of-meningoencephalitis-following-le-fort-i-osteotomy" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/137431.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">125</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1068</span> A Cephalometric Superimposition of a Skeletal Class III Orthognathic Patient on Nasion-Sella Line</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Albert%20Suryaprawira">Albert Suryaprawira</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The Nasion-Sella Line (NSL) has been used for several years as a reference line in longitudinal growth study. Therefore this line is considered to be stable not only to evaluate treatment outcome and to predict relapse possibility but also to manage prognosis. This is a radiographic superimposition of an adult male aged 19 years who complained of difficulty in aesthetic, talking and chewing. Patient has a midface hypoplasia profile (concave). He was diagnosed to have a severe Skeletal Class III with Class III malocclusion, increased lower vertical height, and an anterior open bite. A pre-treatment cephalometric radiograph was taken to analyse the skeletal problem and to measure the amount of bone movement and the prediction soft tissue response. A panoramic radiograph was also taken to analyse bone quality, bone abnormality, third molar impaction, etc. Before the surgery, a pre-surgical cephalometric radiograph was taken to re-evaluate the plan and to settle the final amount of bone cut. After the surgery, a post-surgical cephalometric radiograph was taken to confirm the result with the plan. The superimposition using NSL as a reference line between those radiographs was performed to analyse the outcome. It is important to describe the amount of hard and soft tissue movement and to predict the possibility of relapse after the surgery. The patient also needs to understand all the surgical plan, outcome and relapse prevention. The surgical management included maxillary impaction and advancement of Le Fort I osteotomy. The evaluation using NSL as a reference was a very useful method in determining the outcome and prognosis. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Nasion-Sella%20Line" title="Nasion-Sella Line">Nasion-Sella Line</a>, <a href="https://publications.waset.org/abstracts/search?q=midface%20hypoplasia" title=" midface hypoplasia"> midface hypoplasia</a>, <a href="https://publications.waset.org/abstracts/search?q=Le%20Fort%201" title=" Le Fort 1"> Le Fort 1</a>, <a href="https://publications.waset.org/abstracts/search?q=maxillary%20advancement" title=" maxillary advancement"> maxillary advancement</a> </p> <a href="https://publications.waset.org/abstracts/87943/a-cephalometric-superimposition-of-a-skeletal-class-iii-orthognathic-patient-on-nasion-sella-line" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/87943.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">142</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1067</span> Arginase Activity and Nitric Oxide Levels in Patients Undergoing Open Heart Surgery with Cardiopulmonary Bypass</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mehmet%20Ali%20Kisa%C3%A7am">Mehmet Ali Kisaçam</a>, <a href="https://publications.waset.org/abstracts/search?q=P.%20Sema%20Temizer%20Ozan"> P. Sema Temizer Ozan</a>, <a href="https://publications.waset.org/abstracts/search?q=Ay%C5%9Fe%20Do%C4%9Fan"> Ayşe Doğan</a>, <a href="https://publications.waset.org/abstracts/search?q=Gonca%20Ozan"> Gonca Ozan</a>, <a href="https://publications.waset.org/abstracts/search?q=F.%20Sarper%20T%C3%BCrker"> F. Sarper Türker</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Cardiovascular disease which is one of the most common health problems worldwide has crucial importance because of its’ morbidity and mortality rates. Nitric oxide synthase and arginase use L-arginine as a substrate and produce nitric oxide (NO), citrulline and urea, ornithine respectively. Endothelial dysfunction is characterized by reduced bioavailability of vasodilator and anti-inflammatory molecule NO. The purpose of the study to assess endothelial function via arginase activity and NO levels in patients undergoing coronary artery bypass grafting (CABG) surgery. The study was conducted on 26 patients (14 male, 12 female) undergoing CABG surgery. Blood samples were collected from the subjects before surgery, after the termination and after 24 hours of the surgery. Arginase activity and NO levels measured in collected samples spectrophotometrically. Arginase activity decreased significantly in subjects after the termination of the surgery compared to before surgery data. 24 hours after the surgery there wasn’t any significance in arginase activity as it compared to before surgery and after the termination of the surgery. On the other hand, NO levels increased significantly in the subject after the termination of the surgery. However there was no significant increase in NO levels after 24 hours of the surgery, but there was an insignificant increase compared to before surgery data. The results indicate that after the termination of the surgery vascular and endothelial function improved and after 24 hours of the surgery arginase activity and NO levels returned to normal. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=arginase" title="arginase">arginase</a>, <a href="https://publications.waset.org/abstracts/search?q=bypass" title=" bypass"> bypass</a>, <a href="https://publications.waset.org/abstracts/search?q=cordiopulmonary" title=" cordiopulmonary"> cordiopulmonary</a>, <a href="https://publications.waset.org/abstracts/search?q=nitric%20oxide" title=" nitric oxide"> nitric oxide</a> </p> <a href="https://publications.waset.org/abstracts/74877/arginase-activity-and-nitric-oxide-levels-in-patients-undergoing-open-heart-surgery-with-cardiopulmonary-bypass" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/74877.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">205</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1066</span> Strabismus Management in Retinoblastoma Survivors</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Babak%20Masoomian">Babak Masoomian</a>, <a href="https://publications.waset.org/abstracts/search?q=Masoud%20Khorrami%20Nejad"> Masoud Khorrami Nejad</a>, <a href="https://publications.waset.org/abstracts/search?q=Hamid%20Riazi%20Esfahani"> Hamid Riazi Esfahani</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Purpose: To report the result of strabismus surgery in eye-salvaged retinoblastoma (Rb) patients. Methods: A retrospective case series including 18 patients with Rb and strabismus who underwent strabismus surgery after completing tumor treatment by a single pediatric ophthalmologist. Results: A total of 18 patients (10 females and 8 males) were included with a mean age of 13.3 ± 3.0 (range, 2-39) months at the time tumor presentation and 6.0 ± 1.5 (range, 4-9) years at the time of strabismus surgery. Ten (56%) patients had unilateral, and 8(44%) had bilateral involvement, and the most common worse eye tumor’s group was D (n=11), C (n=4), B (n=2) and E (n=1). Macula was involved by the tumors in 12 (67%) patients. The tumors were managed by intravenous chemotherapy (n=8, 47%), intra-arterial chemotherapy (n=7, 41%) and both (n=3, 17%). After complete treatment, the average time to strabismus surgery was 29.9 ± 20.5 (range, 12-84) months. Except for one, visual acuity was equal or less than 1.0 logMAR (≤ 20/200) in the affected eye. Seven (39%) patients had exotropia, 11(61%) had esotropia (P=0.346) and vertical deviation was found in 8 (48%) cases. The angle of deviation was 42.0 ± 10.4 (range, 30-60) prism diopter (PD) for esotropic and 35.7± 7.9 (range, 25-50) PD for exotropic patients (P=0.32) that after surgery significantly decreased to 8.5 ± 5.3 PD in esotropic cases and 5.9±6.7 PD in exotropic cases (P<0.001). The mean follow-up after surgery was 15.2 ± 2.0 (range, 10-24) months, in which 3 (17%) patients needed a second surgery. Conclusion: Strabismus surgery in treated Rb is safe, and results of the surgeries are acceptable and close to the general population. There was not associated with tumor recurrence or metastasis. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=retinoblastoma" title="retinoblastoma">retinoblastoma</a>, <a href="https://publications.waset.org/abstracts/search?q=strabismus" title=" strabismus"> strabismus</a>, <a href="https://publications.waset.org/abstracts/search?q=chemotherapy" title=" chemotherapy"> chemotherapy</a>, <a href="https://publications.waset.org/abstracts/search?q=surgery" title=" surgery"> surgery</a> </p> <a href="https://publications.waset.org/abstracts/173512/strabismus-management-in-retinoblastoma-survivors" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/173512.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">60</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1065</span> Prediction of Survival Rate after Gastrointestinal Surgery Based on The New Japanese Association for Acute Medicine (JAAM Score) With Neural Network Classification Method</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ayu%20Nabila%20Kusuma%20Pradana">Ayu Nabila Kusuma Pradana</a>, <a href="https://publications.waset.org/abstracts/search?q=Aprinaldi%20Jasa%20Mantau"> Aprinaldi Jasa Mantau</a>, <a href="https://publications.waset.org/abstracts/search?q=Tomohiko%20Akahoshi"> Tomohiko Akahoshi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The incidence of Disseminated intravascular coagulation (DIC) following gastrointestinal surgery has a poor prognosis. Therefore, it is important to determine the factors that can predict the prognosis of DIC. This study will investigate the factors that may influence the outcome of DIC in patients after gastrointestinal surgery. Eighty-one patients were admitted to the intensive care unit after gastrointestinal surgery in Kyushu University Hospital from 2003 to 2021. Acute DIC scores were estimated using the new Japanese Association for Acute Medicine (JAAM) score from before and after surgery from day 1, day 3, and day 7. Acute DIC scores will be compared with The Sequential Organ Failure Assessment (SOFA) score, platelet count, lactate level, and a variety of biochemical parameters. This study applied machine learning algorithms to predict the prognosis of DIC after gastrointestinal surgery. The results of this study are expected to be used as an indicator for evaluating patient prognosis so that it can increase life expectancy and reduce mortality from cases of DIC patients after gastrointestinal surgery. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=the%20survival%20rate" title="the survival rate">the survival rate</a>, <a href="https://publications.waset.org/abstracts/search?q=gastrointestinal%20surgery" title=" gastrointestinal surgery"> gastrointestinal surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=JAAM%20score" title=" JAAM score"> JAAM score</a>, <a href="https://publications.waset.org/abstracts/search?q=neural%20network" title=" neural network"> neural network</a>, <a href="https://publications.waset.org/abstracts/search?q=machine%20learning" title=" machine learning"> machine learning</a>, <a href="https://publications.waset.org/abstracts/search?q=disseminated%20intravascular%20coagulation%20%28DIC%29" title=" disseminated intravascular coagulation (DIC)"> disseminated intravascular coagulation (DIC)</a> </p> <a href="https://publications.waset.org/abstracts/140583/prediction-of-survival-rate-after-gastrointestinal-surgery-based-on-the-new-japanese-association-for-acute-medicine-jaam-score-with-neural-network-classification-method" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/140583.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">258</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1064</span> Concept of Transforaminal Lumbar Interbody Fusion Cage Insertion Device</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sangram%20A.%20Sathe">Sangram A. Sathe</a>, <a href="https://publications.waset.org/abstracts/search?q=Neha%20A.%20Madgulkar"> Neha A. Madgulkar</a>, <a href="https://publications.waset.org/abstracts/search?q=Shruti%20S.%20Raut"> Shruti S. Raut</a>, <a href="https://publications.waset.org/abstracts/search?q=S.%20P.%20Wadkar"> S. P. Wadkar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Transforaminal lumbar interbody fusion (TLIF) surgeries have nowadays became popular for treatment of degenerated spinal disorders. The interbody fusion technique like TLIF maintains load bearing capacity of the spine and a suitable disc height. Currently many techniques have been introduced to cure Spondylolisthesis. This surgery provides greater rehabilitation of degenerative spines. While performing this TLIF surgery existing methods use guideway, which is a troublesome surgery technique as the use of two separate instruments is required to perform this surgery. This paper presents a concept which eliminates the use of guideway. This concept also eliminates problems that occur like reverting the cage. The concept discussed in this paper also gives high accuracy while performing surgery. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=TLIF" title="TLIF">TLIF</a>, <a href="https://publications.waset.org/abstracts/search?q=spondylolisthesis" title=" spondylolisthesis"> spondylolisthesis</a>, <a href="https://publications.waset.org/abstracts/search?q=spine" title=" spine"> spine</a>, <a href="https://publications.waset.org/abstracts/search?q=instruments" title=" instruments"> instruments</a> </p> <a href="https://publications.waset.org/abstracts/66660/concept-of-transforaminal-lumbar-interbody-fusion-cage-insertion-device" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/66660.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">329</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1063</span> Predictors of Behavior Modification Prior to Bariatric Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Rosemarie%20Basile">Rosemarie Basile</a>, <a href="https://publications.waset.org/abstracts/search?q=Maria%20Loizos"> Maria Loizos</a>, <a href="https://publications.waset.org/abstracts/search?q=John%20Pallarino"> John Pallarino</a>, <a href="https://publications.waset.org/abstracts/search?q=Karen%20Gibbs"> Karen Gibbs</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Given that complications can be significant following bariatric surgery and with rates of long-term success measured in excess weight loss varying as low as 33% after five years, an understanding of the psychological factors that may mitigate findings and increase success and result in better screening and supports prior to surgery are critical. An internally oriented locus of control (LOC) has been identified as a predictor for success in obesity therapy, but has not been investigated within the context of bariatric surgery. It is hypothesized that making behavioral changes prior to surgery which mirror those that are required post-surgery may ultimately predict long-term success. 122 subjects participated in a clinical interview and completed self-report measures including the Multidimensional Health Locus of Control Scale, Overeating Questionnaire (OQ), and Lifestyle Questionnaire (LQ). Pearson correlations were computed between locus of control orientation and likelihood to make behavior changes prior to surgery. Pearson correlations revealed a positive correlation between locus of control and likelihood to make behavior changes r = 0.23, p < .05. As hypothesized, there was a significant correlation between internal locus of control and likelihood to make behavior changes. Participants with a higher LOC believe that they are able to make decisions about their own health. Future research will focus on whether this positive correlation is a predictor for future bariatric surgery success. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bariatric%20surgery" title="bariatric surgery">bariatric surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=behavior%20modification" title=" behavior modification"> behavior modification</a>, <a href="https://publications.waset.org/abstracts/search?q=health%20locus%20of%20control" title=" health locus of control"> health locus of control</a>, <a href="https://publications.waset.org/abstracts/search?q=overeating%20questionnaire" title=" overeating questionnaire"> overeating questionnaire</a> </p> <a href="https://publications.waset.org/abstracts/60426/predictors-of-behavior-modification-prior-to-bariatric-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/60426.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">313</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1062</span> The Breast Surgery Movement: A 50 Year Development of the Surgical Specialty</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Lauren%20Zammerilla%20Westcott">Lauren Zammerilla Westcott</a>, <a href="https://publications.waset.org/abstracts/search?q=Ronald%20C.%20Jones"> Ronald C. Jones</a>, <a href="https://publications.waset.org/abstracts/search?q=James%20W.%20Fleshman"> James W. Fleshman</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The surgical treatment of breast cancer has rapidly evolved over the past 50 years, progressing from Halsted’s radical mastectomy to a public campaign of surgical options, aesthetic reconstruction, and patient empowerment. This article examines the happenings that led to the transition of breast surgery as a subset of general surgery to its own specialized field. Sparked by the research of Dr. Bernard Fisher and the first National Surgical Adjuvant Breast and Bowel Project trial in 1971, the field of breast surgery underwent significant growth over the next several decades, enabling general surgeons to limit their practices to the breast. High surgical volumes eventually led to the development of the first formal breast surgical oncology fellowship in a large community-based hospital at Baylor University Medical Center in 1982. The establishment of the American Society of Breast Surgeons, as well several landmark clinical trials and public campaign efforts, further contributed to the advancement of breast surgery, making it the specialized field of the current era. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=breast%20cancer" title="breast cancer">breast cancer</a>, <a href="https://publications.waset.org/abstracts/search?q=breast%20fellowship" title=" breast fellowship"> breast fellowship</a>, <a href="https://publications.waset.org/abstracts/search?q=breast%20surgery" title=" breast surgery"> breast surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20history" title=" surgical history"> surgical history</a> </p> <a href="https://publications.waset.org/abstracts/139585/the-breast-surgery-movement-a-50-year-development-of-the-surgical-specialty" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/139585.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">131</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1061</span> Role of Bariatric Surgery in Polycystic Ovarian Syndrome &Infertility</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ahuja%20Ashish">Ahuja Ashish</a>, <a href="https://publications.waset.org/abstracts/search?q=Nain%20Prabhdeep%20Singh"> Nain Prabhdeep Singh </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Polycystic ovarian syndrome(PCOS) is the most common endocrine disorder among women of reproductive age.Pcos encompasses a broad spectrum of signs&symptoms of ovary dysfunction,obesity,blood pressure,insulin resistance & infertility. Bariatric Surgery can be an effective means of weight loss in Pcos & curing infertility. Materials and Methods: 15 female patients were enrolled in the study from 2012-2014.66%(n=10) were in age group of 20-25 years,33%(n=5) were in age group of 25-33 years who underwent. Bariatric surgery in form of Laproscopic sleeve Gastrectomy(LSG)& Roux-en-Y gastric bypass. LSG 73%(n=11), RYGB26% (n=4). Results: There was a significant improvement in obesity (60% excess weight loss)over 1 year after bariatric surgery, in 12 patients there was gross improvement in restoration of menstrual cycle who had irregular menstrual cycle. In 80% patients the serum insulin level showed normal value. Over two years 8 patients become pregnant. Conclusions: 1)Obese women with Pcos maybe able to conceive after Bariatric Surgery. 2) Women with Pcos should only consider bariatric surgery if they were already considering it for other reasons to treat obesity, blood pressure & other co-morbid conditions. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=obesity" title="obesity">obesity</a>, <a href="https://publications.waset.org/abstracts/search?q=bariatric%20surgery" title=" bariatric surgery"> bariatric surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=polycystic%20ovarian%20syndrome" title=" polycystic ovarian syndrome"> polycystic ovarian syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=infertility" title=" infertility"> infertility</a> </p> <a href="https://publications.waset.org/abstracts/43543/role-of-bariatric-surgery-in-polycystic-ovarian-syndrome-infertility" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/43543.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">292</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1060</span> Nutritional Status of Morbidly Obese Patients Prior to Bariatric Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Azadeh%20Mottaghi">Azadeh Mottaghi</a>, <a href="https://publications.waset.org/abstracts/search?q=Reyhaneh%20Yousefi"> Reyhaneh Yousefi</a>, <a href="https://publications.waset.org/abstracts/search?q=Saeed%20Safari"> Saeed Safari</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Bariatric surgery is widely proposed as the most effective approach to mitigate the growing pace of morbid obesity. As bariatric surgery candidates suffer from pre-existing nutritional deficiencies, it is of great importance to assess nutritional status of candidates before surgery in order to establish appropriate nutritional interventions. Objectives: The present study assessed and represented baseline data according to the nutritional status among candidates for bariatric surgery. Methods: A cross-sectional analysis of pre-surgery data was collected on 170 morbidly obese patients undergoing bariatric surgery between October 2017 and February 2018. Dietary intake data (evaluated through 147-item food frequency questionnaire), anthropometric measures and biochemical parameters were assessed. Results: Participants included 145 females (25 males) with average age of 37.3 ± 10.2 years, BMI of 45.7 ± 6.4 kg/m² and reported to have a total of 72.3 ± 22.2 kg excess body weight. The most common nutritional deficiencies referred to iron, ferritin, transferrin, albumin, vitamin B12, and vitamin D, the prevalence of which in the study population were as followed; 6.5, 6.5, 3, 2, 17.6 and 66%, respectively. Mean energy, protein, fat, and carbohydrate intake were 3887.3 ± 1748.32 kcal/day, 121.6 ± 57.1, 144.1 ± 83.05, and 552.4 ± 240.5 gr/day, respectively. The study population consumed lower levels of iron, calcium, folic acid, and vitamin B12 compared to the Dietary Reference Intake (DRI) recommendations (2, 26, 2.5, and 13%, respectively). Conclusion: According to the poor dietary quality of bariatric surgery candidates, leading to nutritional deficiencies pre-operatively, close monitoring and tailored supplementation pre- and post-bariatric surgery are required. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bariatric%20surgery" title="bariatric surgery">bariatric surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=food%20frequency%20questionnaire" title=" food frequency questionnaire"> food frequency questionnaire</a>, <a href="https://publications.waset.org/abstracts/search?q=obesity" title=" obesity"> obesity</a>, <a href="https://publications.waset.org/abstracts/search?q=nutritional%20status" title=" nutritional status"> nutritional status</a> </p> <a href="https://publications.waset.org/abstracts/94162/nutritional-status-of-morbidly-obese-patients-prior-to-bariatric-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/94162.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">172</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1059</span> Telling the Truth to Patients Before Hip Fracture Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Rawan%20Masarwa">Rawan Masarwa</a>, <a href="https://publications.waset.org/abstracts/search?q=Merav%20Ben%20Natan"> Merav Ben Natan</a>, <a href="https://publications.waset.org/abstracts/search?q=Yaron%20Berkovich"> Yaron Berkovich</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Hip fracture repair surgery carries a certain mortality risk, yet evidence suggests that orthopedic surgeons often refrain from discussing this issue with patients prior to surgery. Aim: This study aims to examine whether orthopedic surgeons address the issue of one-year post-surgery mortality before hip fracture repair surgery and to explore the factors influencing this decision. Method: The study uses a cross-sectional design, administering validated digital questionnaires to 150 orthopedic surgeons. Results: A minority of orthopedic surgeons reported consistently informing patients about the risk of mortality in the year following hip fracture surgery. The primary reasons for not discussing this risk were a desire to avoid frightening patients, time constraints, and concerns about undermining patient hope. Surgeons reported a medium-high level of perceived self-efficacy, with higher self-efficacy linked to a reduced likelihood of discussing one-year mortality risk. In contrast, older age and holding a specialist status in orthopedic surgery were associated with a higher likelihood of discussing this risk with patients. Conclusions: The findings suggest a need for interventions to address communication barriers and ensure consistent provision of essential information to patients undergoing hip fracture surgery. Additionally, they emphasize the importance of considering individual factors such as self-efficacy, age, and expertise in developing strategies to enhance patient-provider communication in orthopedic care settings. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=orthopedic%20surgeons" title="orthopedic surgeons">orthopedic surgeons</a>, <a href="https://publications.waset.org/abstracts/search?q=hip%20fracture%20surgery" title=" hip fracture surgery"> hip fracture surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=mortality%20risk%20communication" title=" mortality risk communication"> mortality risk communication</a>, <a href="https://publications.waset.org/abstracts/search?q=patient%20information" title=" patient information"> patient information</a> </p> <a href="https://publications.waset.org/abstracts/189251/telling-the-truth-to-patients-before-hip-fracture-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/189251.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">25</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1058</span> Investigation of Enhanced Recovery After Surgery Protocol Outcome on Post Colectomy Patients</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sharon%20Baoas">Sharon Baoas</a>, <a href="https://publications.waset.org/abstracts/search?q=Toni%20Beninato"> Toni Beninato</a>, <a href="https://publications.waset.org/abstracts/search?q=Michael%20Zenilman"> Michael Zenilman</a>, <a href="https://publications.waset.org/abstracts/search?q=Gokhan%20Ozuner"> Gokhan Ozuner</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background An enhanced recovery after surgery (ERAS) protocol was implemented to improve quality and cost effectiveness of surgical care in elective colorectal procedures. Results A total of 109 patients, 55 (pre-ERAS) and 54 (post-ERAS) are included in the final analysis. There were no differences in complications were recorded (p = 0.37) and 30-day readmissions (p = 0.785). The mean hospital stay was 5.89 ± 2.62 days in pre-ERAS and 4.94 ± 2.27 days in post-ERAS group which was statistically significant (p = 0.047). Conclusions An ERAS protocol for colorectal surgery harmonised perioperative care and decreased length of stay. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=30-day%20readmission" title="30-day readmission">30-day readmission</a>, <a href="https://publications.waset.org/abstracts/search?q=lenght%20of%20stay" title=" lenght of stay"> lenght of stay</a>, <a href="https://publications.waset.org/abstracts/search?q=Enhanced%20Recovery%20after%20surgery" title=" Enhanced Recovery after surgery"> Enhanced Recovery after surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=Surgical%20site%20infection" title=" Surgical site infection"> Surgical site infection</a> </p> <a href="https://publications.waset.org/abstracts/170927/investigation-of-enhanced-recovery-after-surgery-protocol-outcome-on-post-colectomy-patients" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/170927.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">49</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1057</span> Total Knee Arthroplasty in a Haemophilia: A Patient with High Titre of Inhibitor Using Recombinant Factor VIIa</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mohammad%20J.%20Mortazavi">Mohammad J. Mortazavi</a>, <a href="https://publications.waset.org/abstracts/search?q=Arvin%20Najafi"> Arvin Najafi</a>, <a href="https://publications.waset.org/abstracts/search?q=Pejman%20Mansouri"> Pejman Mansouri </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Hemophilia A is simply described as deficiency of factor VIII(FVIII) and patients with this disorder have bleeding complications in different organs. By using the recombinant factor VIII in these patients, elective orthopedic surgeries have been done approximately in 40 last years. About 10-30 % of these patients have bleeding complications in their surgeries even by using recombinant factor VIII because of their inhibitor against FVIII molecule. Preoperative haemostatic management in these patients is challenging. We treated a 28-year-old male patient with hemophilia A with FVIII inhibitor which had been detected when he was14 years old (with the titer 54 Bethesda unit(BU)) scheduled for total knee arthroplasty (TKA). We use 90 µg/kg rFVIIa just before the surgery and every 2 hours during surgery. The patient did not have any significant hemorrhage during the surgery and after that. For the 2 days after surgery, the rFVIIa repeated every 2 hours as the same as preoperative dosage(90 µg/kg) and for another 2 days of postoperative admission it continued every 4 hours. After 4th day, the rFVIIa continued every 6 hours with the same dosage until the sixth day from the surgery, and finally the patient were discharged about two weeks after surgery. Seven days after the discharge, he came back for the follow up visit. On the follow up examination, the site of the surgery had neither infection hemarthroses signs. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=hemophilia" title="hemophilia">hemophilia</a>, <a href="https://publications.waset.org/abstracts/search?q=factor%20VIII%20inhibitor" title=" factor VIII inhibitor"> factor VIII inhibitor</a>, <a href="https://publications.waset.org/abstracts/search?q=total%20knee%20replacement" title=" total knee replacement"> total knee replacement</a>, <a href="https://publications.waset.org/abstracts/search?q=rFVIIa" title=" rFVIIa"> rFVIIa</a> </p> <a href="https://publications.waset.org/abstracts/37428/total-knee-arthroplasty-in-a-haemophilia-a-patient-with-high-titre-of-inhibitor-using-recombinant-factor-viia" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/37428.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">440</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1056</span> Considerations in Pregnancy Followed by Obesity Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Maryam%20Nazari">Maryam Nazari</a>, <a href="https://publications.waset.org/abstracts/search?q=Atefeh%20Ghanbari"> Atefeh Ghanbari</a>, <a href="https://publications.waset.org/abstracts/search?q=Saghar%20Noorinia"> Saghar Noorinia</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Obesity, as an abnormal or excessive accumulation of fat, is caused by genetic, behavioral and environmental factors. Recently, obesity surgeries, such as bariatric surgery, as the last measure to control obesity, have attracted experts and society, especially women, attention, so knowing the possible complications of this major surgery and their control in reproductive age is of particular importance due to its effects on pregnancy outcomes. Bariatric surgery reduces the risk of diabetes and high blood pressure associated with pregnancy, premature birth, macrosomia, stillbirth and dumping syndrome. Although in the first months after surgery, nausea and vomiting caused by changes in intra-abdominal pressure are associated with an increased risk of malabsorption of micronutrients such as folic acid, iron, vitamin B1, D, calcium, selenium and phosphorus and finally, fetal growth disorder. Moreover, serum levels of micronutrients such as vitamin D, calcium, and iron in mothers who used to have bariatric surgery and their babies have been shown to be lower than in mothers without a history of bariatric surgery. Moreover, vitamin A deficiency is shown to be more widespread in pregnancies after bariatric surgery, which leads to visual problems in newborns and premature delivery. However, complications such as the duration of hospitalization of newborns in the NICU, disease rate in the first 28 days of life and congenital anomalies are not significantly different in babies born to mothers undergoing bariatric surgery compared to the control group. In spite of the vast advantages following obesity surgeries, due to the catabolic conditions and severe weight loss followed by such major intervention and the probability of nutrients malnutrition in a pregnant woman and her baby, after having surgery, at least 12 to 18 months should be considered to get pregnant as a recovery period. In addition, taking essential supplements before and at least 6 months after this approach is recommended. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bariatric%20surgery" title="bariatric surgery">bariatric surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=pregnancy" title=" pregnancy"> pregnancy</a>, <a href="https://publications.waset.org/abstracts/search?q=malnutrition" title=" malnutrition"> malnutrition</a>, <a href="https://publications.waset.org/abstracts/search?q=vitamin%20and%20mineral%20deficiency" title=" vitamin and mineral deficiency"> vitamin and mineral deficiency</a> </p> <a href="https://publications.waset.org/abstracts/160704/considerations-in-pregnancy-followed-by-obesity-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/160704.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">93</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1055</span> Evaluation of Outpatient Management of Proctological Surgery under Saddle Block</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Bouhouf%20Atef">Bouhouf Atef</a>, <a href="https://publications.waset.org/abstracts/search?q=Beloulou%20Mohamed%20Lamine"> Beloulou Mohamed Lamine</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Outpatient surgery is continually developing compared to conventional inpatient surgery; its rate is constantly increasing every year due to global socio-economic pressure. Most hospitals continue to perform proctologic surgery in conventional hospitalization. Purpose: As part of a monocentric prospective descriptive study, we examined the feasibility of proctologic surgery under saddle block on an outpatient basis with the same safety conditions as in traditional hospitalization. Material and methods: This is a monocentric prospective descriptive study spread over a period of 24 months, from December 2018 to December 2020 including 150 patients meeting the medico-surgical and socio-environmental criteria of eligibility for outpatient surgery, operated for proctological pathologies under saddle block in outpatient mode, in the surgery department of the regional military hospital of Constantine Algeria. The data were collected and analyzed by the biomedical statistics software Epi-info and Microsoft Excel, then compared with other related studies. Results: This study involved over a period of two years, 150 male patients with an average age of 32 years (20-64). Most patients (95,33%) were ASA I class, and 4,67% ASA II class. All patients received saddle blocks. The average length of stay of patients was six hours. The quality indicators in outpatient surgery in our study were: zero (0)% of deprogrammings, three (3)% of conversions to full hospitalization, 0,7% of readmissions, an average waiting time before access to the operating room of 83 minutes without delay of discharge, a satisfaction rate of 90,8% and a reduction in the cost compared to conventional inpatient surgery in proportions ranging from – 32,6% and – 48,75%. Conclusions: The outpatient management of proctological surgery under saddle block is very beneficial in terms of safety, efficiency, simplicity, and economy. Our results are in line with those of the literature and our work deserves to be continued to include many patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=outpatient%20surgery" title="outpatient surgery">outpatient surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=proctological%20surgery" title=" proctological surgery"> proctological surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=saddle%20block" title=" saddle block"> saddle block</a>, <a href="https://publications.waset.org/abstracts/search?q=satisfaction" title=" satisfaction"> satisfaction</a>, <a href="https://publications.waset.org/abstracts/search?q=cost" title=" cost"> cost</a> </p> <a href="https://publications.waset.org/abstracts/192146/evaluation-of-outpatient-management-of-proctological-surgery-under-saddle-block" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/192146.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">20</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1054</span> A Comparison of Efficacy of Two Drugs Combinations of 0.0625% Levobupivacaine with Fentanyl and 0.1% Ropivacaine with Fentanyl for Postoperative Analgesia after Cytoreductive Surgery with Hyperthermic Intraperotineal Chemotherapy (Crs + Hipec)</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Vishal%20Bhatnagar">Vishal Bhatnagar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The objective of this study is to compare the efficacy of epidural analgesia of two amide local anesthetics, ropivacaine and levobupivacaine, with fentanyl for postoperative analgesia in major abdominal surgery CRS+HIPEC. Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS+HIPEC) are done for primary peritoneal malignancies or peritoneal spread of malignant neoplasm. CRS and HIPEC are considered one of the most painful surgery among all major abdominal surgeries. Poorly managed postoperative pain elevates stress, increases anxiety, causes prolonged Hospital stay, increases opioid requirement and side effects, increases the cost of treatment and psychological effects on patient and family. It affects the quality of life of patients. The epidural technique provides better postoperative analgesia, earlier recovery of bowel function, fewer side effects, higher patient satisfaction, and an improvement in life quality in the postoperative days after abdominal surgery than other analgesic techniques. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=HIPEC" title="HIPEC">HIPEC</a>, <a href="https://publications.waset.org/abstracts/search?q=postoperative%20analgesia" title=" postoperative analgesia"> postoperative analgesia</a>, <a href="https://publications.waset.org/abstracts/search?q=cytoreductive%20surgery" title=" cytoreductive surgery"> cytoreductive surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=VAS%20score" title=" VAS score"> VAS score</a>, <a href="https://publications.waset.org/abstracts/search?q=rescue%20analgesia" title=" rescue analgesia"> rescue analgesia</a> </p> <a href="https://publications.waset.org/abstracts/185306/a-comparison-of-efficacy-of-two-drugs-combinations-of-00625-levobupivacaine-with-fentanyl-and-01-ropivacaine-with-fentanyl-for-postoperative-analgesia-after-cytoreductive-surgery-with-hyperthermic-intraperotineal-chemotherapy-crs-hipec" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/185306.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">41</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1053</span> Adequacy of Second-Generation Laryngeal Mask Airway during Prolonged Abdominal Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sukhee%20Park">Sukhee Park</a>, <a href="https://publications.waset.org/abstracts/search?q=Gaab%20Soo%20Kim"> Gaab Soo Kim</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Purpose: We aimed to evaluate the adequacy of second-generation laryngeal mask airway use during prolonged abdominal surgery in respect of ventilation, oxygenation, postoperative pulmonary complications (PPC), and postoperative non-pulmonary complications on living donor kidney transplant (LDKT) surgery. Methods: In total, 257 recipients who underwent LDKT using either laryngeal mask airway-ProSeal (LMA-P) or endotracheal tube (ETT) were retrospectively analyzed. Arterial partial pressure of carbon dioxide (PaCO2 and ratio of arterial partial pressure of oxygen to fractional inspired oxygen (PFR) during surgery were compared between two groups. In addition, PPC including pulmonary aspiration and postoperative non-pulmonary complications including nausea, vomiting, hoarseness, vocal cord palsy, delirium, and atrial fibrillation were also compared. Results: PaCO2 and PFR during surgery were not significantly different between the two groups. PPC was also not significantly different between the two groups. Interestingly, the incidence of delirium was significantly lower in the LMA-P group than the ETT group (3.0% vs. 10.3%, P = 0.029). Conclusions: During prolonged abdominal surgery such as LDKT, second-generation laryngeal mask airway offers adequate ventilation and oxygenation and can be considered a suitable alternative to ETT. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=laryngeal%20mask%20airway" title="laryngeal mask airway">laryngeal mask airway</a>, <a href="https://publications.waset.org/abstracts/search?q=prolonged%20abdominal%20surgery" title=" prolonged abdominal surgery"> prolonged abdominal surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=kidney%20transplantation" title=" kidney transplantation"> kidney transplantation</a>, <a href="https://publications.waset.org/abstracts/search?q=postoperative%20pulmonary%20complication" title=" postoperative pulmonary complication"> postoperative pulmonary complication</a> </p> <a href="https://publications.waset.org/abstracts/100086/adequacy-of-second-generation-laryngeal-mask-airway-during-prolonged-abdominal-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/100086.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">148</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1052</span> Microbiological Profile and Surgical Outcomes of Microbial Keratitis Associated Endophthalmitis</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Prachi%20Abhishek%20Dave">Prachi Abhishek Dave</a>, <a href="https://publications.waset.org/abstracts/search?q=Manisha%20Singh"> Manisha Singh</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Purpose: The purpose is to study the microbiological profile, prognostic factors, and outcomes of surgery for microbial keratitis (MK) associated endophthalmitis. Methods: It is a retrospective analysis of 39 MK associated endophthalmitis cases which underwent combined PKP with VR surgery. Results: The majority (84.6%) of patients had a history of previous ocular surgery, cataract surgery being the most common (51.2%). Six patients had a history of trauma and 8 patients had corneal graft infection. The culture positivity rate was 92.3%. Organisms isolated were Streptococcal sp (20.5%), Pseudomonas (15.3%), Staphylococcal sp (12.8%) and Fungus (35.8%). Final visual acuities ranged from NPL to 20/120. Poor anatomic success was seen in 15(38.46%) eyes (9-phthisis, 6-eviscerated). Fungal cases had a poor success rate (P-0.02). Conclusion: MK associated endophthalmitis is a sight threatening ocular condition. Fungal etiology carries a poorer prognosis. Timely surgical intervention can achieve favourable anatomical and functional results. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=endophthalmitis" title="endophthalmitis">endophthalmitis</a>, <a href="https://publications.waset.org/abstracts/search?q=microbial%20keratitis" title=" microbial keratitis"> microbial keratitis</a>, <a href="https://publications.waset.org/abstracts/search?q=penetrating%20keratoplasty" title=" penetrating keratoplasty"> penetrating keratoplasty</a>, <a href="https://publications.waset.org/abstracts/search?q=vitreo%20retinal%20surgery" title=" vitreo retinal surgery"> vitreo retinal surgery</a> </p> <a href="https://publications.waset.org/abstracts/185864/microbiological-profile-and-surgical-outcomes-of-microbial-keratitis-associated-endophthalmitis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/185864.pdf" target="_blank" class="btn btn-primary 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