Manar Saeed Ali

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Ali M, Winter DC, Hanly AM, et al. Prospective, randomized, controlled trial of thoracic epidural or patient-controlled opiate analgesia on perioperative quality of life

Manar Saeed Ali D. C. Winter Ann Hanly C. O'Hagan J. Keaveny

Opiate

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Nasal pack after septoplasty

The Scientific Journal of University of Benghazi (2022)

Manar Saeed Ali Haleemah. A. Albargathi Hussain. A. Belkhair

Background: Septoplasty is one of the commonest procedures done in ENT department in which bleeding necessitate packing. Nasal packing is painful and it may be the fearful step of surgery by the patient, her we will study the need of nasal packing after this procedure. Aim: The aim is to determine the need for an anterior nasal pack (A.N.P.) after septal surgery Patients and methods: This study is a prospective comparative study that was carried out in Al -Hawari Center for 26 months. Eighty-eight patients were operated on and divided randomly on whether or not to apply a nasal pack. Research data were collected from each patient. Forty-four cases were packed with Vaseline gauze or merocele and the remaining 44 cases were not. Results: A total of 88 subjects were included with 44 in each group. the mean age of septal surgery cases was 28.1 years of age; standard deviation (S D) =7.4. The minimum and maximum ages were 18 and 48 years respectively. For the primary outcome of the study (post-operative bleeding, headache and pain), there were no statistically significant differences between the two groups (P-values 0.15, 0.39 and 0.38 respectively). However, The overall complications in both groups show a p-value of 0.02 which is a statistically significant difference Conclusion: In this small series study, we noticed no significant benefit of nasal packing. On the other hand, it increases the patients suffering by causing complete nasal obstruction, pain and headache. It increases the length of the hospital stay and so the overall cost. Therefore, nasal packing may be of use only in selected cases where bleeding tendencies are more. In a cleanly-performed surgery that does not cause bleeding, nose packing is not needed.

Nasal packing

Vaseline

10.37376/sjuob.v35i1.3270

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Microneedling With Topical Insulin Versus Microneedling With Placebo in the Treatment of Postacne Atrophic Scars: A Randomized Control Trial

Dermatologic Surgery (2024)

Rabab Mohamed Abdelhay Manar Saeed Ali Leila Zeiad Gad Nahla Maher Mahran

BACKGROUND Among the treatment modalities for post-acne scars, microneedling is considered a safe and effective method. OBJECTIVE To compare the efficacy and safety of combined microneedling with topical insulin versus microneedling with placebo (topical saline) in treating atrophic acne scars. METHODS and MATERIALS Twenty-one patients with atrophic post-acne scars were randomized and treated in a split face manner with 4 sessions at 3-week intervals of microneedling using dermapen, followed by application of insulin on one side of the face and saline (placebo) on the other side. Evaluation of response was done before the sessions and after 1 month of the last session using the Global Scarring Grading System of Goodman & Baron and Lipper & Perez scores, Patient reported acne scar improvement using a 4-point scale, patient satisfaction, and the facial acne scar quality of life tools. RESULTS Both therapeutic modalities yielded a statistically significant improvement of atrophic acne scars. By comparing both modalities, there was no statistical significance regarding clinical improvement and side effects. CONCLUSION Using topical insulin combined with microneedling may have a value in improving atrophic acne scars, suggesting further evaluation using different delivery systems, insulin formulations, and assessment modalities.

Acne scars

10.1097/dss.0000000000004462

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