BACKGROUND As one of the most common aesthetic surgical procedures carried out today,blepharoplasty should be in the repertoire of every plastic surgeon.The term blepharoplasty encompasses a wide range of techniques a...BACKGROUND As one of the most common aesthetic surgical procedures carried out today,blepharoplasty should be in the repertoire of every plastic surgeon.The term blepharoplasty encompasses a wide range of techniques and options that must be tailored to the specific defect and patient one has to treat.A sound knowledge of the upper and lower eyelids’anatomy is essential for proper surgical execution.Trends have shifted towards more conservative methods(especially of the fat compartment)and sometimes in combination with augmentation techniques,helping to reach a rejuvenated appearance.AIM To present an overview of the surgical techniques considered for upper lid blepharoplasty and fat pad management,in addition to information on how a surgeon may approach the best treatment for his patient based on current publications in literature.METHODS We searched the literature published between 2013,to 2023 using Medline and Reference Citation Analysis.The database was searched using the keywords“upper blepharoplasty”AND“fat”.Papers without full text/abstracts and reviews were excluded.The search strategy followed the PRISMA.The American Society of Plastic Surgeons guidelines for Therapeutic Studies checklist was used to assess all articles.Two authors individually reviewed each article and rated them for importance and relevance to the topic.A consensus was sought and the most relevant studies.RESULTS After the application of the selection criteria used in our review,13 publications were found to address upper lid blepharoplasty specifically.Three of these studies were reviews and three were retrospective studies.Five publications were comparative studies and a further two were clinical trials.CONCLUSION The tendency of modern surgery is to be conservative,by removing adipose tissue only if strictly necessary and restoring the volume of the upper eyelid in a concept of beauty that espouses a"full"sight.There is no gold standard technique to achieve younger and enhanced eyelids.Long-term prospective comparative studies are fundamental in understanding which path is the best to follow.展开更多
This article reflects on the need for psychosomatic medicine research in the field of surgery by complementing psychological/psychiatrist approaches with a physician’s(particularly surgeon’s)point of view.Focusing o...This article reflects on the need for psychosomatic medicine research in the field of surgery by complementing psychological/psychiatrist approaches with a physician’s(particularly surgeon’s)point of view.Focusing on esthetic/cosmetic surgery,a broader notion of“psychosomatic surgery”is also used regarding plastic surgery as well as examples of vascular and general surgery.Relevant literature reviews are utilized to gain a more comprehensive bio-psycho-social perspective.By providing a deeper understanding in the specialty areas,it makes a case for evidence-based practice by shedding light on psychosomatic medicine research on surgery in the United States with cross-cultural implications.展开更多
目的:探究基于行为分阶段转变理论的护理干预在四肢大面积烧伤后瘢痕整形患者中的应用效果。方法:选取2019年5月-2022年5月于笔者医院行瘢痕整形修复的四肢大面积烧伤后瘢痕患者作为研究对象,根据基于行为分阶段转变理论护理干预在笔者...目的:探究基于行为分阶段转变理论的护理干预在四肢大面积烧伤后瘢痕整形患者中的应用效果。方法:选取2019年5月-2022年5月于笔者医院行瘢痕整形修复的四肢大面积烧伤后瘢痕患者作为研究对象,根据基于行为分阶段转变理论护理干预在笔者医院实施时间,将2019年5月-2020年12月收治的46例患者纳入对照组,给予常规干预;2021年1月-2022年5月收治的44例患者纳入观察组,给予基于行为分阶段转变理论的护理干预。比较干预前和干预3个月后两组患者恐动症信念[恐动症信念评分量表(Kinesiophobia causes scale,KCS)]、恐惧回避信念[恐惧-回避信念问卷(Fear-avoidance beliefs questionnaire,FABQ)]、健康行为[健康行为能力自评量表(Self-rated abilities for health practices scale,SRAHP)]、创面愈合情况[创面愈合时间、温哥华瘢痕量表(Vancouver scar scale,VSS)、瘢痕美容评估与评级量表(Scar cosmesis assessment and rating,SCAR)]、生活质量[烧伤专用健康量表(Burn specific health scale,BSHS-A)]。结果:干预3个月后,两组KCS、FABQ、VSS、SCAR评分均较干预前降低,且观察组低于对照组(均P<0.05);观察组创面愈合时间短于对照组(P<0.05);两组SRAHP、BSHS-A评分较干预前升高,且观察组高于对照组(均P<0.05)。结论:基于行为分阶段转变理论的护理干预可减弱四肢大面积烧伤后瘢痕整形术患者恐动和恐惧回避信念,促进患者健康行为及创面愈合,提高患者生活质量。展开更多
目的:探讨情绪ABC理论下的Teach-back健康教育模式对烧伤整形植皮术患者简明烧伤健康量表(Abbreriated burn specific health scale,BSHS-A)评分及负性情绪的影响。方法:回顾性选取2022年2月-2023年2月笔者医院收治的74例烧伤整形植皮...目的:探讨情绪ABC理论下的Teach-back健康教育模式对烧伤整形植皮术患者简明烧伤健康量表(Abbreriated burn specific health scale,BSHS-A)评分及负性情绪的影响。方法:回顾性选取2022年2月-2023年2月笔者医院收治的74例烧伤整形植皮术患者的临床资料,随机分为对照组(37例)和干预组(37例)。对照组采用常规护理干预,干预组在对照组的基础上采用情绪ABC理论下的Teach-back健康教育模式干预。比较两组患者干预前后焦虑自评量表(Self-rating anxiety scale,SAS)和抑郁自评量表(Self-rating depression scale,SDS)评分,自护能力量表(Exercise of self-care agency,ESCA)评分、疼痛视觉模拟量表(Visual analogue scale,VAS)评分,干预后美学效果及干预前后BSHS-A评分。结果:干预后,两组SAS和SDS评分均降低,且干预组低于对照组(P<0.05);干预后,两组ESCA评分均升高,且干预组高于对照组(P<0.05);干预后,两组干预前后3、7、30 d VAS评分在时间、组间及交互效应上均有统计学意义(P<0.05),且干预组第3、7、30 d VAS评分均低于对照组(P<0.05);干预后,干预组美学效果优良率高于对照组(P<0.05);干预后,两组BSHS-A评分均高于干预前,且与对照组比较,干预组更高(P<0.05)。结论:情绪ABC理论下的Teach-back健康教育模式应用于烧伤整形植皮术患者,可以减轻负性情绪,提高自护能力,降低疼痛程度,改善美学效果和生活质量。展开更多
文摘BACKGROUND As one of the most common aesthetic surgical procedures carried out today,blepharoplasty should be in the repertoire of every plastic surgeon.The term blepharoplasty encompasses a wide range of techniques and options that must be tailored to the specific defect and patient one has to treat.A sound knowledge of the upper and lower eyelids’anatomy is essential for proper surgical execution.Trends have shifted towards more conservative methods(especially of the fat compartment)and sometimes in combination with augmentation techniques,helping to reach a rejuvenated appearance.AIM To present an overview of the surgical techniques considered for upper lid blepharoplasty and fat pad management,in addition to information on how a surgeon may approach the best treatment for his patient based on current publications in literature.METHODS We searched the literature published between 2013,to 2023 using Medline and Reference Citation Analysis.The database was searched using the keywords“upper blepharoplasty”AND“fat”.Papers without full text/abstracts and reviews were excluded.The search strategy followed the PRISMA.The American Society of Plastic Surgeons guidelines for Therapeutic Studies checklist was used to assess all articles.Two authors individually reviewed each article and rated them for importance and relevance to the topic.A consensus was sought and the most relevant studies.RESULTS After the application of the selection criteria used in our review,13 publications were found to address upper lid blepharoplasty specifically.Three of these studies were reviews and three were retrospective studies.Five publications were comparative studies and a further two were clinical trials.CONCLUSION The tendency of modern surgery is to be conservative,by removing adipose tissue only if strictly necessary and restoring the volume of the upper eyelid in a concept of beauty that espouses a"full"sight.There is no gold standard technique to achieve younger and enhanced eyelids.Long-term prospective comparative studies are fundamental in understanding which path is the best to follow.
文摘This article reflects on the need for psychosomatic medicine research in the field of surgery by complementing psychological/psychiatrist approaches with a physician’s(particularly surgeon’s)point of view.Focusing on esthetic/cosmetic surgery,a broader notion of“psychosomatic surgery”is also used regarding plastic surgery as well as examples of vascular and general surgery.Relevant literature reviews are utilized to gain a more comprehensive bio-psycho-social perspective.By providing a deeper understanding in the specialty areas,it makes a case for evidence-based practice by shedding light on psychosomatic medicine research on surgery in the United States with cross-cultural implications.
文摘目的:探究基于行为分阶段转变理论的护理干预在四肢大面积烧伤后瘢痕整形患者中的应用效果。方法:选取2019年5月-2022年5月于笔者医院行瘢痕整形修复的四肢大面积烧伤后瘢痕患者作为研究对象,根据基于行为分阶段转变理论护理干预在笔者医院实施时间,将2019年5月-2020年12月收治的46例患者纳入对照组,给予常规干预;2021年1月-2022年5月收治的44例患者纳入观察组,给予基于行为分阶段转变理论的护理干预。比较干预前和干预3个月后两组患者恐动症信念[恐动症信念评分量表(Kinesiophobia causes scale,KCS)]、恐惧回避信念[恐惧-回避信念问卷(Fear-avoidance beliefs questionnaire,FABQ)]、健康行为[健康行为能力自评量表(Self-rated abilities for health practices scale,SRAHP)]、创面愈合情况[创面愈合时间、温哥华瘢痕量表(Vancouver scar scale,VSS)、瘢痕美容评估与评级量表(Scar cosmesis assessment and rating,SCAR)]、生活质量[烧伤专用健康量表(Burn specific health scale,BSHS-A)]。结果:干预3个月后,两组KCS、FABQ、VSS、SCAR评分均较干预前降低,且观察组低于对照组(均P<0.05);观察组创面愈合时间短于对照组(P<0.05);两组SRAHP、BSHS-A评分较干预前升高,且观察组高于对照组(均P<0.05)。结论:基于行为分阶段转变理论的护理干预可减弱四肢大面积烧伤后瘢痕整形术患者恐动和恐惧回避信念,促进患者健康行为及创面愈合,提高患者生活质量。
文摘目的:探讨情绪ABC理论下的Teach-back健康教育模式对烧伤整形植皮术患者简明烧伤健康量表(Abbreriated burn specific health scale,BSHS-A)评分及负性情绪的影响。方法:回顾性选取2022年2月-2023年2月笔者医院收治的74例烧伤整形植皮术患者的临床资料,随机分为对照组(37例)和干预组(37例)。对照组采用常规护理干预,干预组在对照组的基础上采用情绪ABC理论下的Teach-back健康教育模式干预。比较两组患者干预前后焦虑自评量表(Self-rating anxiety scale,SAS)和抑郁自评量表(Self-rating depression scale,SDS)评分,自护能力量表(Exercise of self-care agency,ESCA)评分、疼痛视觉模拟量表(Visual analogue scale,VAS)评分,干预后美学效果及干预前后BSHS-A评分。结果:干预后,两组SAS和SDS评分均降低,且干预组低于对照组(P<0.05);干预后,两组ESCA评分均升高,且干预组高于对照组(P<0.05);干预后,两组干预前后3、7、30 d VAS评分在时间、组间及交互效应上均有统计学意义(P<0.05),且干预组第3、7、30 d VAS评分均低于对照组(P<0.05);干预后,干预组美学效果优良率高于对照组(P<0.05);干预后,两组BSHS-A评分均高于干预前,且与对照组比较,干预组更高(P<0.05)。结论:情绪ABC理论下的Teach-back健康教育模式应用于烧伤整形植皮术患者,可以减轻负性情绪,提高自护能力,降低疼痛程度,改善美学效果和生活质量。
