MALPRACTICE CLAIMS IN NASAL SURGERIES REFERRED TO FORENSIC MEDICINE SERVICE TEHRAN, IRAN FROM 1996 THROUGH 2002: A PRELIMINARY STUDY

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MIRAKBARI S.M.; FATHI MAHDI; TAGHADOSINEZHAD F.A.D.; ATRI A.

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Journal: Iranian Journal of Forensic Medicine Year:2003 | Volume:9 | Issue:31 Page(s): 136-138

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Title

MALPRACTICE CLAIMS IN NASAL SURGERIES REFERRED TO FORENSIC MEDICINE SERVICE TEHRAN, IRAN FROM 1996 THROUGH 2002: A PRELIMINARY STUDY

Author(s)

MIRAKBARI S.M. | FATHI MAHDI | TAGHADOSINEZHAD F.A.D. | ATRI A. | Issue Writer Certificate

Keywords

MALPRACTICEQ3

SEPTORHINOPLASTYQ4

NASAL SURGERYQ4

COMPLICATIONSQ3

Abstract

Background: Cosmetic and reconstructive septorhinoplasties have been increasing and are universally acknowledged as the most elegant but most difficult of all plastic surgical procedures. The inability to diagnose the possibilities and limitations inherent in each patient can result in some dangerous COMPLICATIONS that may lead to legal MALPRACTICE lawsuits. Our objective was to evaluate demographic characteristics of claimants and to assess possible predictors including age of patients, place of surgeries and type of anaesthesia for developing COMPLICATIONS that surgeons have been sued for.Methods: A retrospective case-series study was conducted at Forensic Medicine Service based in Tehran, Iran and included medical MALPRACTICE claims records field and referred to this center. Data were extracted from medicolegal records. Clinical, demographic and other predictor variables were gathered and then analyzed using SPSS software.Results: Of 120 cases studied, otolaryngologists were involved most commonly (90, %75). The mean age of claimants was 31.5 (±12.5) years. Lab data and clinical exams revealed underlying disease in 8 cases (%6.7). 46 cases (%38,3) had revisional surgery.Asymmetry was the most complication of surgery followed by breathing difficulty, dissatisfaction, death, septal perforation and decrease in subjective olfaction consecutively. No significant difference was seen in the frequency of COMPLICATIONS between general and local anesthesia and also when comparing with place of surgery. 12 Lawsuits (%10) were due to surgeries that resulted in death. 35 Surgeons (%29) were eventually acquitted.Conclusion: This study has disclosed some potential COMPLICATIONS of NASAL SURGERY. SEPTORHINOPLASTY should not be undertaken lightly, training and experience are essential. To minimize the risk of MALPRACTICEs claims, surgeons who perform elective cosmetic surgery should select patients who meet selection criteria. Patients seeking elective cosmetic surgery are already unhappy with their appearance. Unrealistic expectations or psychological problems may also lead to unhappiness with the results, as well as the surgeon. When surgeons fail to recognize these issues, they may become trapped in a situation that leads to litigation. Further comprehensive studies are needed to validate these results and to implement the study.

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APA: Copy

MIRAKBARI, S.M., FATHI, MAHDI, TAGHADOSINEZHAD, F.A.D., & ATRI, A.. (2003). MALPRACTICE CLAIMS IN NASAL SURGERIES REFERRED TO FORENSIC MEDICINE SERVICE TEHRAN, IRAN FROM 1996 THROUGH 2002: A PRELIMINARY STUDY. SCIENTIFIC JOURNAL OF FORENSIC MEDICINE, 9(31), 136-138. SID. https://sid.ir/paper/53323/en

Vancouver: Copy

MIRAKBARI S.M., FATHI MAHDI, TAGHADOSINEZHAD F.A.D., ATRI A.. MALPRACTICE CLAIMS IN NASAL SURGERIES REFERRED TO FORENSIC MEDICINE SERVICE TEHRAN, IRAN FROM 1996 THROUGH 2002: A PRELIMINARY STUDY. SCIENTIFIC JOURNAL OF FORENSIC MEDICINE[Internet]. 2003;9(31):136-138. Available from: https://sid.ir/paper/53323/en

IEEE: Copy

S.M. MIRAKBARI, MAHDI FATHI, F.A.D. TAGHADOSINEZHAD, and A. ATRI, “MALPRACTICE CLAIMS IN NASAL SURGERIES REFERRED TO FORENSIC MEDICINE SERVICE TEHRAN, IRAN FROM 1996 THROUGH 2002: A PRELIMINARY STUDY,” SCIENTIFIC JOURNAL OF FORENSIC MEDICINE, vol. 9, no. 31, pp. 136–138, 2003, [Online]. Available: https://sid.ir/paper/53323/en

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