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Sylvester Valentine Fernandes

Publications and source records attributed to Sylvester Valentine Fernandes.

5 recordsLinked to original sources
PubMed2006

Much ado about functional endoscopic sinus surgery.

BACKGROUND: Reported success rates in endoscopic sinus surgery vary from 74 to 97%. However, the methods of evaluation and the functional endoscopic sinus surgery (FESS) techniques are not standard in these series. In our practice, some patients failed to attend the 3-monthly follow up claiming all was well. With this experience, the aim of this study is to document a standard minimal technique with minimal follow up, which may be applicable to selected patients. METHODS: An open prospective clinical trial was conducted. A total of 102 selected patients were subjected to minimal FESS surgery and discharged after a 3-month follow up with instructions to return if problems re-ensued. RESULTS: In a telephone follow up ranging from 28 to 40 months postoperatively, 12 patients could not be traced. All of the other patients expressed satisfaction with the results. There were no patients who were dissatisfied with the outcome. However, two patients have persisted with postoperative check-up visits on their own accord. CONCLUSION: It is possible in selected patients to resort to minimal FESS surgery with expectation of a good clinical outcome. It is stressed that, 'rigid selection criteria' apply.

Adolescent↗
PubMed2004

Nasal fractures: the taming of the shrewd.

OBJECTIVE/HYPOTHESIS: Closed reduction of nasal fractures has not been a satisfactory approach. Graduated protocols yield better results. Because a significant proportion of these closed reduction patients refuse a second operation, would it be better to resort to a full septorhinoplasty at the first operation and therefore decrease the post first operation deformity rate? STUDY DESIGN: Retrospective review of patients treated by the closed reduction technique and with a full septorhinoplasty approach. METHODS: Thirty-four patients treated by the closed reduction technique were surveyed by telephone, and thus only patient satisfaction, which is usually higher in most studies, was allowed to influence the outcome. In another study, 52 patients treated with a full septorhinoplasty were reviewed by the surgeon. RESULTS: Sixty-two percent of the closed reductions had esthetic or obstructive concerns. Of these with esthetic or obstructive concerns, 62% will not have a second operation for correction. Only 11.5% of those undergoing a full septorhinoplasty had esthetic concerns. CONCLUSION: It may be necessary to adopt an early full septorhinoplasty approach in the initial treatment of nasal fractures to reduce the post first operation deformity/obstruction rates.

Adolescent↗
PubMed2004

Nasal fractures.

Explore the source record for details and available documents.

Anesthesia, General↗
PubMed2003

Composite chondroperichondrial clip tympanoplasty: the triple "C" technique.

OBJECTIVES: The study goal was to assess the success rate and efficacy of a myringoplasty (tympanoplasty type I) technique using a composite chondroperichondrial graft in a combined overlay-underlay fashion. STUDY DESIGN: A retrospective analysis of patients subjected to the technique was conducted. METHODS: A sample of 15 patients who met the inclusion criteria were reviewed for surgical results. All patients were treated by a single surgeon. RESULTS: This transcanal technique provides minimal morbidity and excellent results in selected patients. CONCLUSIONS: The described technique provides an effective method of closing nonmarginal perforations of the tympanic membrane.

Adolescent↗