Daily Med Bites 06/05/2025

Dear reader, here are the summaries of some of the latest papers from PubMed.

Rhinoplasty

• Source: Structural preservation rhinoplasty integrates structural and dorsal preservation techniques to maintain nasal integrity while addressing aesthetic and functional needs.

• Source: Dorsal preservation rhinoplasty offers natural, long-lasting results by preserving structural integrity and reducing graft needs, making it suitable for a wider range of patients.

• Source: Dorsal preservation rhinoplasty, using the high septal strip approach, allows for precise dorsal modification while maintaining natural nasal contour and improving long-term outcomes.

• Source: Preservation rhinoplasty minimizes structural alterations, leading to a more natural appearance and fewer complications.

• Source: Preservation rhinoplasty offers comparable or superior aesthetic and functional outcomes compared to conventional techniques, but more robust comparative studies are needed to fully evaluate its benefits and optimal indications.

• Source: Preservation rhinoplasty, incorporating modifications such as spreader grafts and rhinocontouring, achieves more predictable results while maintaining original structural integrity.

• Source: Dorsal preservation rhinoplasty emphasizes maintaining the relationship between upper lateral cartilages and nasal bones, and introduces a new fixation method called the "dorsal osseocartilaginous horizontal mattress" suture for combined structural and open procedures.

• Source: Modifications to the subdorsal strip excision technique offer satisfactory outcomes for dorsal preservation rhinoplasty, each with specific advantages and limitations.

• Source: Dorsal preservation techniques can effectively correct crooked nose deformities by addressing bone and septum issues with minimal cartilage usage, improving both function and aesthetics.

• Source: Feminizing rhinoplasty does not lead to increased nasal obstruction compared to standard cosmetic rhinoplasty, challenging the notion that structural modifications in feminizing procedures cause greater breathing issues.

• Source: Subdorsal cantilever grafts can effectively augment the nasal dorsum while preserving normal nasal anatomy.

• Source: The Fusion Sling is a new anatomic concept describing a connective tissue structure that supports nasal tip stability and projection.

• Source: Mixing diced cartilage with other materials forms a stabilizing scaffold that prevents graft deformation and migration in rhinoplasty.

• Source: Performing a modified Le Fort I osteotomy with specific techniques can help prevent nasal base widening, thereby preserving nasal aesthetics during maxillary advancement.

• Source: Spare Roof Technique effectively achieves a straight and smooth nasal dorsum without middle-third reconstruction, supported by extensive testing and experience.

• Source: Preservation techniques such as push down and let down minimize issues like open roof and inverted V deformities, expanding their use in complex cases including deviated noses and S-shaped humps without relying heavily on grafts.

• Source: The modified transcutaneous skin contour suture technique offers early postoperative benefits in nasal contour and patient satisfaction, particularly within the first 3 to 6 months, though long-term outcomes are similar to those without TSCS.

• Source: Nasal neurectomy can provide effective relief for patients with chronic rhinitis who do not respond to standard pharmacotherapy.

Appendicitis:

• Source: A diagnostic model using clinical and laboratory data effectively identifies complicated appendicitis in pediatric patients, enhancing management of acute appendicitis.

• Source: This study developed a diagnostic model to accurately and quickly distinguish between complicated appendicitis (CAP) and uncomplicated appendicitis (UAP), aiming to improve safety and reduce costs.

• Source: Infants and toddlers with appendicitis have a high perforation rate, which is associated with prolonged symptoms, elevated CRP levels, and the presence of appendicoliths. Extended symptom duration and appendicoliths also increase the risk of post-appendectomy abscesses.

• Source: There are significant variations in the prevalence of complicated appendicitis between low- and lower-middle-income countries, highlighting the need for tailored healthcare strategies due to limited resources.

That’s enough for today, see you tomorrow!

As always, these extremely reduced summaries may be incomplete or inexact in some aspects. Make sure to always read the papers of interest.

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