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8. Reconstruction of the Breast

Author

Rosenberg, Laurence Z., Andrades, Patricio, Vasconez, Luis O., Bland, Kirby I., editor, Büchler, Markus W., editor, Csendes, Attila, editor, Sarr, Michael G., editor, Garden, O. James, editor, and Wong, John, editor

Published
2009
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9. Regnault B Technique

Author

Garza, Robert F., Andrades, Patricio, Torre, Jorge I. de la, Vasconez, Luis O., and Shiffman, Melvin A., editor

Published
2009
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12. Endoscopic Forehead Lifting

Author

Ozerdem, Omer Refik, Andrades, Patricio, Vasconez, Luis, de la Torre, Jorge, Shiffman, Melvin A., editor, Mirrafati, Sid J., editor, Lam, Samuel M., editor, and Cueteaux, Chelso G., editor

Published
2008
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15. Introducing the Body-QoL®: A New Patient-Reported Outcome Instrument for Measuring Body Satisfaction-Related Quality of Life in Aesthetic and Post-bariatric Body Contouring Patients

Author

Danilla, Stefan, Cuevas, Pedro, Aedo, Sócrates, Dominguez, Carlos, Jara, Rocío, Calderón, María E., Al-Himdani, Sarah, Rios, Marco A., Taladriz, Cristián, Rodriguez, Diego, Gonzalez, Rolando, Lazo, Ángel, Erazo, Cristián, Benitez, Susana, Andrades, Patricio, and Sepúlveda, Sergio

Published
2016
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17. Complicaciones postoperatorias en fractura de órbita: experiencia en el Hospital del Trabajador de Santiago.

Author

Andrades, Patricio, Grass, Bastián, Zang, Jonathan, Ríos, Marcos, Rodriguez, Diego, and Borel, Claudio

Abstract

Aim: To describe the experience of the Maxillofacial Surgical team of Hospital del Trabajador de Santiago in the management of orbital fractures. Materials and Methods: Retrospective study of 42 patients operated consecutively between January of 2016 and November of 2017 at Hospital del Trabajador de Santiago by the Maxillofacial Surgery team due to orbital fracture. The demographic data was tabulated and then a comparison between isolated and combined orbital fractures was made. Results: Of 42 patients most were men (73.8%) with an average age of 40±12.24 years. At admission the main symptoms were ecchymosis (64.3%), periorbital edema (54.8%), subconjunctival hemorrhage (33.3%) and diplopia (26.2%). The most frequently affected orbital wall was the floor (85.7%). Isolated fractures accounted for 35.7% of the cases and those associated with other facial fractures for 64.3%. The postoperative complication rate was 16.7% due to diplopia and enophthalmos. Both complications were mild and only required conservative management. Discussion: The low complication rate might be due to the experience of the surgical team in the management of orbital fractures, long-term following, orbital volume measurements, intraoperative imaging, the use of prefabricated mesh and endoscopic guidance. Conclusion: An adequate diagnosis and evaluation are fundamental for orbital fracture treatment. Demographic data, fracture characteristics and the complications described were similar to those reported by other studies, while the rate of complications was lower than those experiences. [ABSTRACT FROM AUTHOR]

Published
2023
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34. Response to “Banning Textured Implants Is a Rational Decision to Eliminate the Risk of Breast Implant–Associated Anaplastic Large-Cell Lymphoma (BIA-ALCL)”

Author

Danilla, Stefan V, primary, Jara, Rocio P, additional, Miranda, Felipe, additional, Bencina, Francisco, additional, Aguirre, Marcela, additional, Troncoso, Ekaterina, additional, Erazo, Cristian A, additional, Andrades, Patricio R, additional, Sepulveda, Sergio L, additional, and Albornoz, Claudia R, additional

Published
2020
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35. Response to “Additional Thoughts on Banning Textured Implants to Prevent Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL)”

Author

Danilla, Stefan V, primary, Jara, Rocio P, additional, Miranda, Felipe, additional, Bencina, Francisco, additional, Aguirre, Marcela, additional, Troncoso, Ekaterina, additional, Erazo, Cristian A, additional, Andrades, Patricio R, additional, Sepulveda, Sergio L, additional, and Albornoz, Claudia R, additional

Published
2020
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44. Is Banning Texturized Implants to Prevent Breast Implant-Associated Anaplastic Large Cell Lymphoma a Rational Decision? A Meta-Analysis and Cost-Effectiveness Study

Author

Danilla, Stefan V, primary, Jara, Rocio P, additional, Miranda, Felipe, additional, Bencina, Francisco, additional, Aguirre, Marcela, additional, Troncoso, Ekaterina, additional, Erazo, Cristian A, additional, Andrades, Patricio R, additional, Sepulveda, Sergio L, additional, and Albornoz, Claudia R, additional

Published
2019
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49. Septoplastia submucosa asistida por endoscopia más reducción nasal cerrada en fracturas nasoseptales: estudio comparativo frente a la técnica tradicional

Author

Pereira, Nicolás, Andrades, Patricio, Borel, Claudio, Rocha, Luis, Hernández, Rodrigo, and Villalobos, Rodrigo

Subjects
Secondary rhinoseptoplasty, Rinoseptoplastia secundaria, Fracturas nasoseptales, Septoplastia submucosa, Nasal bone fractures, Nasoseptal fractures, Septal fractures, Endoscopy, Sub-Mucosal septoplasty, Fracturas huesos propios nasales, Fracturas septales, Endoscopía
Abstract

Resumen Introducción y Objetivos La fractura de los huesos propios nasales es la más frecuente de las fracturas faciales y su hallazgo concomitante con fractura septal varía desde un 34% a un 96.2%. Es necesario un abordaje adecuado para evitar complicaciones como obstrucción nasal y deformidades nasoseptales postraumáticas. El objetivo de este trabajo es presentar la técnica de asistencia endoscópica como alternativa para el tratamiento de lesiones septales agudas y compararla con los resultados del abordaje tradicional de esta patología. Material y Método Revisión retrospectiva de casos de fracturas nasoseptales entre enero de 2010 y abril del 2014 en los que se realizó reducción nasal cerrada más septoplastia abierta (técnica tradicional) o reducción nasal más septoplastia submucosa asistida por endoscopía (SSAE). Describimos la técnica quirúrgica y presentamos resultados. Resultados Recogimos 123 pacientes: 33 casos con técnica tradicional y 90 casos con SSAE. Todos debidos a accidentes laborales o en el trayecto hacia/desde el trabajo. Ambos grupos fueron comparables. El tiempo promedio transcurrido entre el accidente y la cirugía tradicional fue 11.4 días y para SSAE fue de 15 días. No se presentaron complicaciones intraoperatorias con ninguna de las técnicas. Hubo 5 pacientes (15.15%) operados con técnica tradicional y 3 (3.3%) con SSAE que evolucionaron con obstrucción nasal y/o laterorrinia; requirieron rinoseptoplastia secundaria (diferencia estadísticamente significativa). Conclusiones La SSAE para tratamiento de fracturas nasoseptales supone una innovación que reduce la tasa de rinoseptoplastias secundarias en comparación con la técnica tradicional y lo reportado en la literatura. Es además una técnica reproducible y de bajo costo. Abstract Background and Objective Nasal bone fracture is the most common facial fracture and its concomitant finding with septal fracture varies from 34% to 96.2%. Its proper management is needed to prevent complications such as nasal obstruction and nasoseptal posttraumatic deformities. The aim of the paper is to introduce the technique of endoscopic assistance as an alternative for the treatment of acute septal lesions and to compare its results with the traditional approach. Methods Retrospective review of nasoseptal fractures cases between January 2010 and April 2014 in which closed nasal reduction and open nasal septoplasty (traditional technique) or closed nasal reduction and sub-mucosal endoscopically assisted septoplasty (SEAS) were performed. The surgical technique is described and results are presented. Results We collected 123 patients: 33 cases with traditional technique and 90 with SEAS. All the cases were workplace accidents or commuting accidents. Both groups were comparable. The average time elapsed between the accident and traditional surgery was 11.4 days and 15 days for SEAS. No intraoperative complications were observed in any of the techniques presented. Five patients (15.15%) treated with traditional technique and 3 patients (3.3%) with SEAS evolved with nasal obstruction and/or deviation of the nasal axis, requiring subsequent secondary open rhinoseptoplasty (statistically significant difference). Conclusions The closed nasal reduction and SEAS for the treatment of nasoseptal fractures is an innovation that reduces the rate of secondary rhinoseptoplasty required compared to the traditional technique and the reported in the literature. It’s besides a reliable and low cost technique.

Published
2017

50. Is Banning Texturized Implants to Prevent Breast Implant-Associated Anaplastic Large Cell Lymphoma a Rational Decision? A Meta-Analysis and Cost-Effectiveness Study.

Author

Danilla, Stefan V, Jara, Rocio P, Miranda, Felipe, Bencina, Francisco, Aguirre, Marcela, Troncoso, Ekaterina, Erazo, Cristian A, Andrades, Patricio R, Sepulveda, Sergio L, and Albornoz, Claudia R

Abstract

Background: Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is an emergent disease that threatens patients with texturized breast implants. Major concerns about the safety of these implants are leading to global changes to restrict the utilization of this product. The principal alternative is to perform breast augmentation utilizing smooth implants, given the lack of association with BIA-ALCL. The implications and costs of this intervention are unknown.Objectives: The authors of this study determined the cost-effectiveness of smooth implants compared with texturized implants for breast augmentation surgery.Methods: A tree decision model was utilized to analyze the cost-effectiveness. Model input parameters were derived from published sources. The capsular contracture (CC) rate was calculated from a meta-analysis. Effectiveness measures were life years, avoided BIA-ALCL, avoided deaths, and avoided reoperations. A sensitivity analysis was performed to test the robustness of the model.Results: For avoided BIA-ALCL, the incremental cost was $18,562,003 for smooth implants over texturized implants. The incremental cost-effectiveness ratio was negative for life years, and avoided death and avoided reoperations were negative. The sensitivity analysis revealed that to avoid 1 case of BIA-ALCL, the utilization of smooth implants would be cost-effective for a risk of developing BIA-ALCL equal to or greater than 1:196, and there is a probability of CC with smooth implants equal to or less than 0.096.Conclusions: The utilization of smooth implants to prevent BIA-ALCL is not cost-effective. Banning texturized implants to prevent BIA-ALCL may involve additional consequences, which should be considered in light of higher CC rates and more reoperations associated with smooth implants than with texturized implants. [ABSTRACT FROM AUTHOR]

Published
2020
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