Oorschelpcorrectie met kraakbeensparende technieken

To establish the value of cartilage sparing suture techniques for correction of prominent ears. Retrospective study. Gooi-Noord Hospital, Blaricum, the Netherlands. Between 1989 and 1992, 117 ears in 62 patients were corrected for prominence. Results were evaluated using the McDowell criteria for anatomy and localisation of the ear. Of 117 ears 108 were corrected successfully. A recurrence was seen in 6 ears and 3 ears showed overcorrection. Reoperation was needed in 2 ears. A suture was extruded in 15 ears, which could be treated relatively easily in 14. Cartilage sparing suture techniques for correction of the specific anatomic deformities of prominent ears prove to be successful. Suture extrusion was the most frequent, but minor, complication. Suture extrusion appears to be dependent upon suture material and localisatio

Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence

There is no consensus about the value of objective measurements of nasal patency. To assess the correlation between the subjective sense of nasal patency and the outcomes found with rhinomanometry and acoustic rhinometry. Structured literature search. SEARCH STRATEGY AND EVALUATION METHOD: Review of English-language articles in which correlations were sought between subjective nasal patency symptoms and objective scores as found with rhinomanometry [nasal airway resistance (NAR)] and acoustic rhinometry [minimal cross-sectional area (MCA)]. Correlations were related to unilateral or combined assessment of nasal passages and to symptomatic nasal obstruction or unobstructed nasal breathing. Sixteen studies with a level of evidence II-a or II-b fit the inclusion criteria and were further analysed. Almost every possible combination of correlations or lack thereof in relation to the variables included was found. However, when obstructive symptoms were present, a correlation between the patency symptoms with nasal airway resistance and minimal cross-sectional area was found more often than in the absence of symptoms. In cases of bilateral assessment a correlation was found almost as often as it was not between patency symptoms and total nasal airway resistance or combined minimal cross-sectional areas, while in the limited amount of studies in which unilateral assessment was done a correlation was found each time between patency symptoms and nasal airway resistance. The correlation between the outcomes found with rhinomanometry and acoustic rhinometry and an individual's subjective sensation of nasal patency remains uncertain. Based on this review, it seems that the chance of a correlation is greater when each nasal passage is assessed individually and when obstructive symptoms are present. There still seems to be only a limited argument for the use of rhinomanometry or acoustic rhinometry in routine rhinologic practice or for quantifying surgical result

Concerns about medication use of psychiatric patients after discharge

Bijna 70% van de patiënten stopt met het gebruik van een of meer middelen wanneer ze worden ontslagen uit een psychiatrisch ziekenhuis. Somatische middelen worden vaker gestopt dan psychiatrische middelen. Dat blijkt uit het promotieonderzoek van Heshu Abdullah-Koolmees