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Related Concept Videos

Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

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Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
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Tracheostomy Care I: Pre-procedural Steps01:16

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
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Related Experiment Video

Updated: May 19, 2025

Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
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The five-step medial epicanthoplasty: simple and standardized.

Jie Chen1, Jianfei Zhang1, Wenwen Xi1

  • 1Department of Burns and Plastic Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, 421001, People's Republic of China.

BMC Ophthalmology
|May 15, 2025
PubMed
Summary

A new five-step surgical method for epicanthus correction is simple and effective, achieving high patient satisfaction. This technique offers a reliable solution for improving aesthetics by correcting medial canthus folds.

Keywords:
Epicanthic foldsFive-StepSimplifiedStandardization

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Area of Science:

  • Oculoplastic surgery
  • Facial plastic surgery
  • Aesthetic surgery

Background:

  • Epicanthus involves skin folds covering the medial canthus, impacting facial aesthetics.
  • Existing surgical methods for epicanthus correction lack standardization, posing challenges for novice surgeons and clinical adoption.
  • A need exists for a simplified, standardized surgical protocol for epicanthus correction.

Purpose of the Study:

  • To introduce and evaluate a standardized, simplified five-step surgical procedure for epicanthus correction.
  • To assess the clinical experience and effectiveness of this novel five-step method.

Main Methods:

  • Retrospective analysis of 306 patients undergoing epicanthus correction using a consistent five-step method (October 2019 - September 2022).
  • Objective evaluation included inter canthal distance (ICD) and palpebral fissure length (PFL) measurements.
  • Subjective evaluation involved photo assessment, scar scoring, and patient satisfaction surveys, with a minimum 6-month follow-up.

Main Results:

  • Significant improvements observed: average PFL increase of 14.9% and ICD reduction of 8.6%.
  • High overall patient satisfaction and effectiveness rate exceeding 95%.
  • Minor complications (bleeding, swelling, scar hyperplasia) were managed effectively; recurrence and asymmetry rates were low, with successful reoperations.

Conclusions:

  • The five-step method for epicanthus correction is a simple, efficient, and reliable surgical technique.
  • The procedure is easily mastered by surgeons, demonstrating high patient satisfaction and a low risk of scarring.
  • This standardized approach facilitates clinical promotion and offers a valuable treatment option for epicanthus.