scholarly journals Value of Reconstruction Procedures (non-microsurgical) on Facial Defects Postexcision of a Basocellular Carcinomas

2015 ◽  
Vol 21 (2) ◽  
pp. 57-62
Author(s):  
Theodora Dimitropoulou ◽  
I.V Iordache ◽  
T. Poalelungi ◽  
B.M. Caraban ◽  
I. Bordeianu
Keyword(s):  
Primary Outcome ◽  
Defect Size ◽  
Study Group ◽  
Full Thickness ◽  
Reconstructive Procedure ◽  
Number Of Factors ◽  
Facial Defects ◽  
Reconstructive Process ◽  
The Face ◽  
Fascial Plane

Abstract The authors present a retrospective study - 2011-1014 on value of reconstructive nonmicrosurgicals procedures after excisions of facial basocellular carcinomas. The study group included 426 cases of basocellular carcinomas of the face (primary diagnosed or recurrent) that required reconstructive procedure after excision in oncology margin (according to the criteria of the clinic). The choice is eclectically considering reconstructive process (evaluating) a number of factors: patient age, location of carcinoma, post excisional defect size and pathological status (recurrence, radiation) and the frequency of the primary outcome was using plastic reconstruction of full-thickness free skin. All cases included in the study received a performant dermatoscopic exam and excisions were performed at 5-10 mm from the edges of the apparent surface and in deepness in fascial plane.

scholarly journals How is the face formed and when it goes wrong: In relation to Cleft Lip/Palate

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Fozia Khan
Keyword(s):  
Cleft Lip ◽  
Normal Development ◽  
Cleft Lip And Palate ◽  
Complex Structure ◽  
First Trimester ◽  
Facial Defect ◽  
Facial Defects ◽  
The Face ◽  
Embryonic Life ◽  
Cleft Lip Palate

The normal development of the face relies upon the correct morphogenesis of structures in utero that usually occurs within the first trimester of embryonic life. The face is a very complex structure involving many genes and factors and with it being such a crucial part of life, both physically and aesthetically and therefore mentally, its important for everything to be just right. However, when the normal process doesn’t go to plan this results in dysmorphogenesis, which cleft lip and palate (CLP) is an example of as the lip/palate doesn’t fuse together and the infant is left with a gap. Although the exact cause of CLP is unknown, it is thought to be a mixture of genetics, environment and the teratogens the mothers are exposed to within the environment. This report will demonstrate the normal development of the face for the purpose of understanding how it goes wrong, resulting in CLP. Since there is still a lot to be understood about CLP it will also shed light on recent advances in relating SHH and certain genes as a possible cause for this dysmorphogenesis. The report will also briefly look at the relation of CLP with the genes associated with syndromic and non-syndromic diseases and the different types of CLP. There are many other facial defects that are a result of dysmorphogenesis, however as CLP is one of the most common yet poorly understood facial defect, it will be the main focus of this report.

INCIDENCE OF CATARACT IN DERMATOLOGICAL PATIENTS USING STEROID CREAMS

2021 ◽  
pp. 65-66
Author(s):  
(Lt Col) Rajnish Kumar ◽  
(Lt Col) Vaka Raja Sekhar Reddy ◽  
(Lt Col) Sumit Kumar Singh ◽  
Debarshi jana
Keyword(s):  
Side Effects ◽  
Adverse Effects ◽  
Tertiary Care ◽  
Population Based ◽  
Topical Steroids ◽  
Study Group ◽  
Care Hospital ◽  
Ocular Side ◽  
Wide Range ◽  
The Face

Background/ Context: Corticosteroids, despite being a very effective line of treatment for various disorders is known to have a wide range of adverse effects. The use of systemic and topical steroids has been associated with cataract formation, however the ophthalmic side effects of application of steroid on skin away from the face has not been studied in depth. With increasing use of corticosteroids as rst line of therapy in treatment of various dermatological conditions, the ocular side effects, if any, of these preparations, cannot be overlooked. Aim: To study the incidence of cataract in patients using skin preparations of corticosteroids away from the face and also to correlate the dose and duration of steroid therapy to incidence of cataract. Materials & Methods: 50 patients with dermatological disorders who were being treated with dermatological steroids, on sites other than the face and periorbital region, for a period of more than six months consisted of the study group. The study group consisted of patients in the age group of 20 – 60 years. The study was conducted over a period of two years at a tertiary care hospital. Visual acuity, Slit lamp biomicroscopy, applanation tonometryand detailed fundus examination using 90D lens were carried out. Results: The incidence of cataract was signicantly higher in patients using dermatological steroids away from the face. Prolonged duration of use of these steroids also indicated a signicantly higher incidence of cataract. However, a larger population based study needs to be carried out to study the relationship between potency of steroid and incidence of cataract, although preliminary studies indicate a denite correlation between the two. Conclusions: Despite, steroids being used away from the face, there was a denite increase in the incidence of cataract. Before coming to any rm conclusions it would be advisable to reproduce the study in a larger population. However from the present pilot study it is prudent to advocate judicious use of innocuous looking steroid creams as they can cause signicant adverse effects

scholarly journals Management of facial burns

2020 ◽  
Vol 8 ◽  
Author(s):  
David G Greenhalgh
Keyword(s):  
Skin Grafting ◽  
Healing Time ◽  
The Body ◽  
Full Thickness ◽  
Partial Thickness ◽  
Facial Burns ◽  
The Face ◽  
Partial Thickness Burns

Abstract Burns to the face affect a part of the body that cannot be hidden and thus exposes potentially major changes in appearance to society. Therefore, it is incumbent upon the caregiver to optimize healing and minimize scarring. The goal for partial-thickness burns is to have them heal within 2–3 weeks to minimize healing time. For full-thickness burns there needs to be strategies to optimize the outcomes for skin grafting and minimize scarring. The goal of this review is to discuss the best way to improve the outcomes of these devastating injuries.

Maternal Outcome with Discontinuation of Magnesium Sulfate immediately Postpartum in Severe Preeclampsia

2017 ◽  
Vol 9 (2) ◽  
pp. 84-87 ◽  
Author(s):  
Imam Bano ◽  
Pramod R Gade ◽  
Yasir Alvi
Keyword(s):  
Magnesium Sulfate ◽  
Primary Outcome ◽  
Randomized Study ◽  
Study Groups ◽  
Maternal Outcome ◽  
Severe Preeclampsia ◽  
Control Group ◽  
Study Group ◽  
Medical College ◽  
Jawaharlal Nehru

ABSTRACT Objective To assess the effectiveness of discontinuation of magnesium sulfate (MgSO4) infusion in patients with severe preeclampsia immediately postdelivery. Materials and methods In a prospective-randomized study, women with severe preeclampsia attending the Jawaharlal Nehru Medical College, Aligarh, India, between January 2013 and September 2014 were enrolled. The inclusion criteria were blood pressure of at least 160/110 mm Hg after 24 weeks and either of the following: Proteinuria (dipstick value. 1), platelet <100,000, and serum transaminase levels twice as normal. Participants were assigned to control and study groups according to the time of enrollment (6-month blocks). All patients received MgSO4 loading dose (4 gm intravenously), followed by maintenance doses (1 gm/hour) until delivery (study group) and 24 hours (control group). The primary outcome was occurrence of convulsions after completion of MgSO4 therapy. Patients with treatment failure were excluded from analyses. Results Analyses included 48 patients in the study group and 43 patients in the control group. No convulsions occurred in either group after the completion of treatment. Conclusion: For women with severe preeclampsia, discontinuing MgSO4 immediately after delivery could effectively prevent convulsions. How to cite this article Anjum S, Gade PR, Garg N, Bano I, Alvi Y. Maternal Outcome with Discontinuation of Magnesium Sulfate immediately Postpartum in Severe Preeclampsia. J South Asian Feder Obst Gynae 2017;9(2):78-81.

Improving the Integrity of Lap Joint Flange Connections

2008 ◽  
Author(s):  
Damir Grmek
Keyword(s):  
Lap Joint ◽  
Bolted Connections ◽  
Joint Application ◽  
Number Of Factors ◽  
Bolt Stress ◽  
The Face ◽  
Bolt Holes ◽  
Torque Values ◽  
Spiral Wound

Bolted connections where proper alignment is critical usually require the use of lap joint flanges. The ability of lap joint flanges to swivel around the pipe enables the connection to be installed with no rotational stress applied to the attached piping and equipment. The majority of lap joint flanges on the Enbridge Pipelines system are ANSI 600 and are located at pump nozzles. In these applications, Enbridge Pipelines’ standard specifies the use of spiral wound gaskets with inner rings. Problems with lap joint flanges typically occur at the time of assembly. There are a number of factors that contribute to the challenges of properly seating a gasket in these joints: • Since the raised face is separate from the flange, there is some flex in the face that could unevenly load the gasket; • The flange may not be concentric with the raised face that is welded to the pipe because of clearance between the pipe OD and the flange ID. Using the bolt holes to align the flange does not necessarily ensure that the raised faces are aligned; • Line up pins are not recommended on pump nozzles in order to ensure that no stress is placed on the pump. Consequently, the bottom studs are used to center the gasket and it is possible for the gasket to sit in the stud threads, increasing the misalignment between the gasket windings and the flange raised faces; • Specified torque values for a given flange size may be too high for use in a lap joint application. The perfect bolt alignment in these joints may result in a lower nut factor and subsequently a higher bolt stress for a given torque value. All of these factors can cause damage to the windings on a spiral wound gasket, eventually resulting in a leak. This paper will discuss ways to mitigate these issues.

Immediate full-thickness facial defects reconstruction using the radial forearm free flap

1993 ◽  
Vol 16 (6) ◽  
Author(s):  
A. Roll�n ◽  
T. Gomez ◽  
J. Montes ◽  
J.L. Gutierrez ◽  
J.D. Gonzalez
Keyword(s):  
Free Flap ◽  
Radial Forearm Free Flap ◽  
Full Thickness ◽  
Facial Defects ◽  
Radial Forearm

Aesthetic Lip Advancement

1996 ◽  
Vol 13 (3) ◽  
pp. 207-212 ◽  
Author(s):  
E. Gaylon McCollough ◽  
Brian P. Maloney
Keyword(s):  
Aging Process ◽  
Senior Author ◽  
Full Thickness ◽  
Retrospective Evaluation ◽  
The Face

Full lips impart a youthful and healthy appearance to the face. When the lips are thin as a result of congenital hypoplasia or the aging process, vermillion border transfiguration is one technique to create an appearance of larger, fuller lips. Traditionally, this technique is described as excising full-thickness strips of skin adjacent to the vermillion. The results often have been inconsistent and unsatisfactory. Several modifications have been made by the senior author that have led to more reproducible lip results. Sixty-four lip advancements were performed over a period of 1½ years from June 1989 to January 1991. The technique and retrospective evaluation of these cases are presented.

scholarly journals Full-Thickness Skin Graft according to Surrounding Relaxed Skin Tension Line Improves Scar Quality in Facial Defect Coverage: A Retrospective Comparative Study

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Jeonghwan Shin ◽  
Uk Jang ◽  
Sang Oon Baek ◽  
Jun Yong Lee
Keyword(s):  
Skin Cancer ◽  
Soft Tissue ◽  
Defect Coverage ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Skin Tension ◽  
Scar Assessment ◽  
Thickness Skin ◽  
The Face ◽  
Scar Quality

A full-thickness skin graft (FTSG) is useful for covering small skin and soft tissue defects. In this paper, we suggest FTSG in consideration of the relaxed skin tension line (RSTL) concept for scar quality improvement since FTSG has disadvantages, including contour irregularities and mismatches of color and texture. We conducted a retrospective chart review of twenty-one patients with skin cancer on the face who underwent wide excision and FTSG by a single surgeon from October 2013 to July 2019. Twenty-one patients with skin cancer on the face were divided into RSTL-matched and RSTL-unmatched groups, and FTSG was performed. Each group was subjected to scar assessment three months after surgery. Observer assessment was performed by five independent observers using the observer component of the patient and observer scar assessment scale (POSAS) and Vancouver scar scale (VSS). Our results indicate that there were significant differences between the RSTL-matched and RSTL-unmatched groups in the VSS and POSAS components. In addition, the RSTL-matched group showed a natural appearance with surrounding tissue in the dynamic animation phase compared to the unmatched group. RSTL-matched FTSG can be an attractive option for face skin and soft tissue defect coverage. (An earlier version of this paper has been presented at the International Conference on PRS Korea 2020.)

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