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DOI: 10.7162/S1809-97772012000400011
Electronic data collection for the analysis of surgical maneuvers on patients submitted to rhinoplasty
Publikationsverlauf
01. Februar 2012
26. August 2012
Publikationsdatum:
10. Dezember 2013 (online)

Summary
Introduction: In the health field, computerization has become increasingly necessary in professional practice, since it facilitates data recovery and assists in the development of research with greater scientific rigor.
Objective: the present work aimed to develop, apply, and validate specific electronic protocols for patients referred for rhinoplasty.
Methods: The prospective research had 3 stages: (1) preparation of theoretical data bases; (2) creation of a master protocol using Integrated System of Electronic Protocol (SINPE©); and (3) elaboration, application, and validation of a specific protocol for the nose and sinuses regarding rhinoplasty.
Results: After the preparation of the master protocol, which dealt with the entire field of otorhinolaryngology, we idealized a specific protocol containing all matters related to the patient. In particular, the aesthetic and functional nasal complaints referred for surgical treatment (i.e., rhinoplasty) were organized into 6 main hierarchical categories: anamnesis, physical examination, complementary exams, diagnosis, treatment, and outcome. This protocol utilized these categories and their sub-items: finality; access; surgical maneuvers on the nasal dorsum, tip, and base; clinical evolution after 3, 6, and 12 months; revisional surgery; and quantitative and qualitative evaluations.
Conclusion: The developed electronic-specific protocol is feasible and important for information registration from patients referred to rhinoplasty.
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References
- 1 Malafaia O, Borsato EP, Pinto JSP. Manual do usuário do SINPE© . Curitiba: UFPR; 2003
- 2 Adamson PA, Galli S. Rhinoplasty Approache: Current State of the Art. Arch Facial Plast Surg 2005; 7 (1) 32-7
- 3 Alsarraf R, Larrabee Jr WF. Outcomes research in facial plastic surgery [editorial]. Arch Facial Plast Surg 2001; 3: 7
- 4 Bracaglia R, Fortunato R, Gentilesch S. Secondary Rhinoplasty. Aesthetic Plast Surg 2005; 29 (4) 230-9
- 5 Corrado A, Bloom J, Becker D. Domal Stabilization Suture in Tip Rhinoplasty. Arch Facial Plast Surg 2009; 11 (3) 194-7
- 6 Gruber R, Weintraub J, pomerantz J. Sutura Techniques for Nasal Tip. Aesthetic Surg J 2008; 28: 92-100
- 7 Gunter J. Dallas rhinoplasty – Nasal Surgery by the masters. Quality Medical Publishing 2006; . p.70–92
- 8 Guyuron B, Behmand R. Nasal tip sutures part II: the interplays. Plast Reconst Surg 2003; 12 (8) 1146-9
- 9 Leach JL , Athré. Four suture tip rhinoplasty: A powerful tool for controlling tip dynamics. Otol Head Neck Surg 2006; 135: 227-31
- 10 Loe S, Rowe-Jones J. Suture techniques in nasal tip sculpture: Current Concepts. J Laryngol Otol 2007; 121: 8-10
- 11 Luce EA. Outcome studies and practice guidelines in plastic surgery [editorial]. Plast Reconstr Surg 1999; 104: 1187-90
- 12 Maniglia AJ, Maniglia JJ, Maniglia JV. Rinoplastia Estética Funcional e Reconstrutora. São Paulo: Revinter; 2002. . p.129–50
- 13 Mckieinan DC. Patient Benefits from Functional and Cosmetics Rhinoplasty. Clin. Otolaryngol 2001; 26: 50-2
- 14 Mocellin M, Pasinato R, Berger CAS , et al. Estreitamento da Base Nasal no Nariz Caucasiano através da Técnica de Cerclagem. Arq. Int. Otorrinolaringol 2010; 14 (2) 199-205
- 15 Patrocínio JA. Manobras cirúrgicas realizadas nas rinoplastiasde um serviço de residência médica em otorrinolaringologia. Braz J Otorhinolaryngol 2006; 72: 439-42
- 16 Perkins S, Patel A. Endonasal Suture Techniques in Tip Rhinoplasty. Facial Plast. Surg. Clin. North Am 2009; 17 (1) 41-54
- 17 Rees TD, Krupp S, Wood-Smith D. Secondary rhinoplasty. Plast Reconstr Surg 1970; 46 (4) 332-40
- 18 Rohrich RJ, Adams WP. The Boxy Nasal Tip: Classification and Management Based on Alar Cartilage Suturing Techniques. Plast Reconst Surg 2001; 1849: 107
- 19 Sheen JH. Rhinoplasty: personal evolution and milestones. Plast Reconstr Surg 2002; 105: 1820-2000
- 20 Tebbetts JB. Discussion: nasal tip sutures part I: the evolution. Plast Reconst Surg 2003; 12 (8) 1146-9
- 21 Tardy M, Brown RJ. Surgical anatomy of the nose. New York: Raven Press; 1990. . p.113–58
- 22 Toriumi D, Becker DG. Rhinoplasty Dissection Manual. Philadelphia: Lippincott Williams & Wilkins; 1999. . p. 37–57
- 23 Shortliffe EH. The science of biomedical computing. Med Inform 1984; 9: 185-93
- 24 Shortliffe EH. Medical Informatics: An Emerging Discipline with Academic and Institutional Perspectives. Journal of the American Medical Association. 2006; 263 (8) 1114-20
- 25 Grimson J. Delivering the eletronic healthcare Record for the 21st century. Int J Med Inf 2001; 64: 111-27
- 26 Blum DKA. A History of Medical Informatics. New York: ACM Press; 1990
- 27 Lima JHF. Implantação e validação do sistema integrado de protocolos eletrônicos (SINPE©) sobre as doenças do aparelho digestivo no Hospital de Clínicas da UFPR. Curitiba, 2008. 84f. Tese (Doutorado em Clínica Cirúrgica) – Setor de Ciências da Saúde, Universidade Federal do Paraná
- 28 Frisby AJ. The internet and medical education. Del Me. Jrl 1996; 68 (12) 602-5