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Letters to the Editor - Year2011 - Volume26 - Issue 3

Ricardo Baroudi
Editor in Chief of the Revista Brasileira de Cirurgia Plástica (Brazilian Journal of Plastic Surgery)

Dear Dr. Baroudi,

I would like to express my gratitude for the publication of the article entitled "Gluteoplastia de aumento: a importância do ensino na formação atual do residente frente à demanda crescente" (Enhancement gluteoplastia: the importance of teaching in the current residence program to attend this rising demand) in the Revista Brasileira de Cirurgia Plástica / Brazilian Journal of Plastic Surgery (Rev Bras Cir Plast. 2011; 26 (1):127-33). I would like to acknowledge and thank Dr. Fernando Serra for his relevant assistance provided to all resident physicians of the Hospital dos Servidores of Rio de Janeiro State (Rio de Janeiro, RJ, Brazil) of the Universidade Estadual do Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil. In response to an invitation from our Director, Dr. Serra presented an extremely didactic lecture on gluteoplasty that included a detailed and elegant demonstration of a surgical case in our institution, teaching us all the steps in the treatment of gluteal hypoplasia with the use of implants, which contributed greatly to the development of our work.

I believe it is important to read Dr. Serra's paper, which I mistakenly did not include among the references of our work: Serra F, Aboudib JH, Cedrola JP, de Castro CC. Gluteoplasty: anatomic basis and technique. Aesthet Surg J. 2010;30(4):579-92.

Sincerely,

Diogo Almeida Lima
Specialist member of the Brazilian Society
for Plastic Surgery (BSPS)
Specialization student at the Department of Plastic
Surgery and Microsurgery from the National
Cancer Institute, Rio de Janeiro, RJ, Brazil

E-mail received: 24/Aug/2011

Comments related to the article entitled "Simetria nasal após a realização de rinoplastia associada à queiloplastia em crianças com fissura labial e labiopalatal" ("Nose symmetry after rhinoplasty associated with cheiloplasty in children with lip and labiopalatal cleft")

Dear editors,

I would like to congratulate the authors of the article "Nose symmetry after rhinoplasty associated with cheiloplasty in children with lip and labiopalatal cleft" 1, which was published in issue 26.1 of the Revista Brasileira de Cirurgia Plástica (Brazilian Journal of Plastic Surgery), for their interesting results. Rhinoplasty is an important step in the reconstruction of cleft palate.

However, I would like to highlight a few aspects of this procedure. The evaluation could have also been performed by another professional other than the surgeon to be more accurate and less personal. Ideally, 2 evaluators could have made measurements of the photos provided that the obtained Kappa index values had an agreement exceeding 75%2,3.

Normally, the Kappa index is classified as low (0-0.5), moderate (0.51-0.75), or excellent (0.76-1.00). In addition, it is interesting to adopt a stratification of the horizontal and vertical measurements, which enables the analysis and discussion of the forces acting on each vector/direction.

Sincerely,

Ciro Paz Portinho
M.D., M.Sc.
Hospital de Clínicas de Porto Alegre,
Porto Alegre, RS, Brazil

Submitted to SGP (Sistema de Gestão de Publicações/Manager Publications System) of RBCP (Revista Brasileira de Cirurgia Plástica/Brazilian Journal of Plastic Surgery)
Received: July 4, 2011
Accepted: July 29, 2011

REFERENCES

1. Arantes HL, Silva RFP, Mélega JM. Simetria nasal após a realização de rinoplastia associada à queiloplastia em crianças com fissura labial e labiopalatal. Rev Bras Cir Plást. 2011;26(1):48-53.

2. Schwartsmann CR, Boschin LC, Moschen GM, Gonçalves RZ, Ramos ASN, Gusmão PDF, et al. Classificação das fraturas trocantéricas: avaliação da reprodutibilidade da classificação AO. Rev Bras Ortop. 2006;41(7):264-7.

3. Villardi AM, Mandarino M, Veiga LT. Avaliação da reprodutibilidade da classificação de Ahlback modificada para osteoartrose do joelho. Rev Bras Ortop. 2006;41(5):157-61.

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