Diretrizes anatômicas para preenchimento de lábios

2021 ◽  
Vol 2 (6) ◽  
pp. 78-91
Author(s):  
Lisiane C.C. Ditzel Kubitski
Keyword(s):  
Invasive Procedure ◽  
Filling Material ◽  
Safe Procedure ◽  
Youth Health ◽  
Anatomical Structures ◽  
Aesthetic Result ◽  
Profound Knowledge ◽  
Aesthetic Results ◽  
The Face ◽  
Risk Zones

The facial procedures are among the most demanded aesthetic treatments nowadays, and among such, the lip filling points out. The lips occupy a highlight point in the face and if well contoured and voluminous, represent youth, health and beauty. The lip filling with hyaluronic acid is a minimally invasive procedure that is well tolerated and gives immediate aesthetic results, which make it really attractive to the patient. It is a safe and relatively simple treatment in the execution, what makes it preference among the professionals as well. The profound knowledge of the lip anatomy is essential to reach aesthetic results in the lip filling and in order to make it a really safe procedure. The treatment consists basically in sculpting the lips with filling material, and so, it is important to bare in mind the tridimensional nature of the lips. The correct position of the anatomical structures and sub units is what guarantees a natural and aesthetic result. Yet, the position of vessels and nerves allows the prediction of risk zones. Furthermore, anatomical differences related to age, gender and the patient preferences should be considered. This article aim is to present the lip anatomy in a clear and objective manner so that the professional fills the lips obtaining harmoniuos results in a safe and optimum way.

Pleuroscopy early experience in the exudative pleural effusion of unknown etiology

2021 ◽  
Vol 17 ◽  
Author(s):  
Atefeh Fakharian ◽  
Hamidreza Jabbardarjani ◽  
Mohamad Reza Masjedi ◽  
Masoud Shamaei
Keyword(s):  
Pleural Effusion ◽  
Previous History ◽  
Invasive Procedure ◽  
Therapeutic Interventions ◽  
Unknown Etiology ◽  
Safe Procedure ◽  
Pathologic Diagnosis ◽  
Medical Thoracoscopy ◽  
History Of ◽  
Exudative Pleural Effusion

Background: Pleuroscopy (medical thoracoscopy) is a minimally invasive procedure to inspect and perform a biopsy of the pleural space as well as to perform therapeutic interventions; pleural fluid drainage and pleurodesis. Material and Methods: In a retrospective study in Kasra Hospital, Tehran-Iran, the patients with exudative pleural effusion of unknown etiology who underwent pleuroscopy, were evaluated. These patients had negative smear and culture for infective agents. Also, the cytological review was negative for malignancy. Results: 62 patients had undergone pleuroscopy, of which 29 (46.7) were men. After the final evaluation, 47 patients (75.8%) had a definite pathologic diagnosis, of which 39 (82.9%) were cancer. Through these 39 cases, 18 cases (46.1%) had a history of the previously confirmed cancer, in which pleural pathology was consistent with the initial diagnosis. In 21 cases (53.9%), metastatic cancers were detected without a previous history. From a total of 47 cases with definite pathologic diagnosis, 8 cases (17%) had histopathologic evidence of granulomatous lesions consistent with tuberculosis and 15 patients (24%) showed non-specific inflammatory lesions. There was no morbidity and mortality among these patients. Discussion: Considering that pleuroscopy is a safe procedure with high diagnostic accuracy, malignancy is the most finding in the exudative pleural effusion of unknown etiology. This increases the importance of this procedure in these cases to prevent wasting the time and smear-negative anti-TB treatment.

scholarly journals A prospective study of 39 patients with trigeminal neuralgia treated with percutaneous balloon compression

2011 ◽  
Vol 69 (2a) ◽  
pp. 221-226 ◽  
Author(s):  
Wuilker Knoner Campos ◽  
Marcelo N. Linhares
Keyword(s):  
Trigeminal Neuralgia ◽  
Female Gender ◽  
Safe Procedure ◽  
Approval Ratings ◽  
Balloon Compression ◽  
Percutaneous Balloon ◽  
Percutaneous Balloon Compression ◽  
The Face ◽  
The Right ◽  
A Prospective Study

OBJECTIVE: Trigeminal neuralgia is the most common facial pain. It may be treated with percutaneous balloon compression (PBC), which is considered to be a safe and efficient procedure. The purpose of this study was to review our results with PBC and to assess the factors influencing the outcome. METHOD: A multivariate analysis was used to study 39 patients during a 50-month postoperative period. RESULTS: There was predominance of the female gender (54%), the right side of the face (84%) and V2V3 roots of trigeminal nerve (33%). The mean age was 62.3 years. No major complications or deaths occurred. Among all variables, postoperative hypoesthesia was the single prognostic factor capable of positively influencing the results (p=0.02). Most patients (80%) were pain-free after 50 months with a 90% satisfaction rate. CONCLUSION: PBC was a safe procedure with low morbidity, no mortality, high approval ratings, and was an important improving on patients' quality of life.

Pediatric Nasal Reconstruction by Washio Procedure

2019 ◽  
Vol 35 (03) ◽  
pp. 286-293
Author(s):  
Sara Caterina Maria O'Rourke ◽  
Cecilia Neiva ◽  
Eva Galliani ◽  
Natacha Kadlub ◽  
Arnaud Picard ◽  
...  
Keyword(s):  
Pediatric Population ◽  
Maxillofacial Surgery ◽  
Venous Drainage ◽  
Nasal Reconstruction ◽  
Safe Procedure ◽  
Flap Procedure ◽  
The Face ◽  
The Mean ◽  
Age Range ◽  
Surgical Corrections

AbstractThe use of the Washio retroauricular flap for nasal reconstruction has been infrequently covered in recent literature, particularly concerning the pediatric population. A retrospective study was conducted between 2014 and 2018 and included all pediatric patients who underwent a Washio retroauricular flap procedure for nasal reconstruction operated on by the same surgeon at a referral center for pediatric plastic and maxillofacial surgery. The mean age at the time of the first stage of the Washio procedure was just under 8 years of age (range: 6 years 3 months–8 years 10 months). The Washio retroauricular flap procedure was successfully employed in three patients with three different anatomical defects, including the nasal alae, nasal tip, and columella, without postoperative healing complications. Arguably, the Washio method is sufficiently versatile to be used in various defect types, allows space and planning for subsequent surgical corrections, avoids additional visible scarring of the face, and spares flaps that may be required at the end of the growth, such as the pedicled forehead flap. It is a safe procedure, provided that at least a two-stage procedure is performed, and a progressive postoperative verticalization is prescribed to limit venous drainage complications.

scholarly journals Life-threatening visceral complications after intragastric balloon insertion: Is the device, the patient or the doctor to blame?

2019 ◽  
Vol 07 (02) ◽  
pp. E122-E129 ◽  
Author(s):  
George Stavrou ◽  
Georgia Tsaousi ◽  
Katerina Kotzampassi
Keyword(s):  
Weight Loss ◽  
Bowel Obstruction ◽  
Esophageal Perforation ◽  
Intragastric Balloon ◽  
Gastric Perforation ◽  
Low Cost ◽  
Invasive Procedure ◽  
Safe Procedure ◽  
Bariatric Endoscopy ◽  
Mandatory Education

Abstract Background and aim Intragastric balloon placement is established as a safe, relatively low-cost and well-tolerated minimally invasive procedure for weight loss, giving encouraging results under the strict prerequisite that the obese patient will enroll in a medically supervised weight loss program. This retrospective study reviews already published cases of severe visceral complications for the purpose of assigning responsibility to the device, the patient, or the doctor. Methods We reviewed PubMed and Scopus archived publications describing intragastric balloon (BIB/Orbera)-related severe visceral complications, i. e. perforations and obstructions. Results Twenty-two cases of gastric perforation, two cases of esophageal perforation and 10 cases of bowel obstruction were found. For the gastric perforation the endoscopist was responsible in nine cases, the patient in four, and the balloon itself in nine. For the two cases of esophageal perforation, the endoscopists were responsible, while for the 12 cases of bowel obstruction, the patient was responsible for seven and the device for the other five cases. Conclusion BIB/Orbera balloon insertion remains a safe procedure, with a minimum of complications related to hollow viscera. Mandatory education and accreditation of physicians dealing with bariatric endoscopy and strict supervision of the obese individuals, while living with the balloon, will eliminate such complications.

scholarly journals Objective Comparison of Nasojugal Fold Depth and Lower Eyelid Length After Fat Excision Versus Fat Transpositional Lower Blepharoplasty

2019 ◽  
Vol 39 (10) ◽  
pp. 1048-1054 ◽  
Author(s):  
Sathyadeepak Ramesh ◽  
Robert A Goldberg ◽  
Allan E Wulc ◽  
Alan B Brackup
Keyword(s):  
Retrospective Review ◽  
Lower Eyelid ◽  
Level Of Evidence ◽  
Aesthetic Result ◽  
Lower Blepharoplasty ◽  
The World ◽  
Aesthetic Results ◽  
Compare And Contrast

AbstractBackgroundLower blepharoplasty is one of the most commonly performed aesthetic surgeries in the world. However, there are no studies to directly compare patients who had fat excision vs fat transposition.ObjectivesThe authors sought to compare and contrast aesthetic results of fat excisional and fat transpositional lower blepharoplasty.MethodsA retrospective review was conducted of 60 patients (120 eyelids) who underwent transconjunctival lower blepharoplasty, either with fat excision or fat transposition into a preperiosteal plane. Marginal reflex distance-2, lower eyelid length, nasojugal fold depth, and pretarsal orbicularis definition were measured.ResultsMean follow-up was 5.6 months. Mean marginal reflex distance-2 did not significantly differ after either fat excision or fat transposition. Mean lower lid length decreased after fat excision only (P < 0.001), and postoperative fat excision patients had a shorter lower eyelid length than patients who underwent fat transposition (13.5 ± 2.1 mm vs 16.1 ± 1.9 mm, P < 0.0001). Pretarsal orbicularis definition increased after both surgeries (P < 0.001), and the groups did not differ (1.0 ± 0.8 vs 1.1 ± 0.9, not significant). Mean nasojugal fold depth was effaced after surgery in both groups (P < 0.001), although the nasojugal fold was significantly more effaced after fat transposition (1.5 ± 0.7 vs 0.48 ± 0.6, P < 0.001).ConclusionsIn lower blepharoplasty, fat excision resulted in a shorter lower eyelid, and fat transposition resulted in a more effaced lid-cheek junction. Surgeons should be able to balance both techniques to deliver a customized aesthetic result.Level of Evidence: 3

S104 – Treatment of a Brown Recluse Spider Bite to the Face

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P112-P112
Author(s):  
Katherine K. Hamming ◽  
Peter A Hilger ◽  
Holly Boyer
Keyword(s):  
Conservative Management ◽  
Treatment Options ◽  
Complete Healing ◽  
Aesthetic Outcome ◽  
Upper Lip ◽  
Aesthetic Result ◽  
The Face ◽  
Topical Treatments ◽  
Spider Bites ◽  
Spider Bite

Objectives 1) To raise awareness among otolaryngologists about the presentation, complications, and treatment options of brown recluse spider bites. 2) To present a case of a brown recluse spider bite to the face that was treated conservatively and had an excellent aesthetic result. Methods A 48-year-old woman was referred to the otolaryngology clinic with a dermonecrotic wound on the left upper lip from a brown recluse spider bite. The lesion consisted of a 4mm eschar with surrounding erythema, and the necrosis extended almost through the lip, sparing only the oral mucosa. She was given antibiotics and followed clinically. The eschar was left in place without debridement or topical treatments, and it fell off on day 40. Results After the eschar fell off on its own, the patient was left with complete healing of the necrotic area and a 1mm scar with mild erythema, giving her an excellent aesthetic result. Conclusions This case represents conservative management of a self-limited dermonecrotic lesion of the upper lip that resulted from a brown recluse spider bite. Conservative management should be considered with brown recluse spider bites, especially on the face, which has an excellent blood supply and where good aesthetic outcome is crucial.

scholarly journals Is the Treatment of the Tear Trough Deformity with Hyaluronic Acid Injections a Safe Procedure? A Systematic Review

2021 ◽  
Vol 11 (23) ◽  
pp. 11489
Author(s):  
Salvatore D’Amato ◽  
Romolo Fragola ◽  
Pierfrancesco Bove ◽  
Giorgio Lo Giudice ◽  
Paolo Gennaro ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Hyaluronic Acid ◽  
Cochrane Library ◽  
Injection Technique ◽  
Safe Procedure ◽  
Aesthetic Result ◽  
Tear Trough ◽  
Tear Trough Deformity ◽  
Mesh Terms

Among the various therapeutic options for the treatment of tear trough deformities, the use of hyaluronic acid-based fillers has constantly been increasing. The aim of this research is to conduct a systematic review of the published literature related to the use of hyaluronic acid-based dermal fillers for the treatment of tear trough deformities and possible related complications. A search of the published literature was conducted following the PRISMA guidelines, including PubMed, Cochrane Library, and Ovid databases. Text words and Medical Search Headings (MeSH terms) were used to identify nine articles included in our analysis. The most used filler was Restylane (Galderma). The injection technique was performed through the use of a cannula or, more frequently, with a needle, through the execution of boluses or retrograde release. The injection plane was predominantly the supra-periosteal layer. The most observed side effects were mild and included redness, edema, contour irregularities, bruising, and blue-gray dyschromia. The degree of patient satisfaction was high, with an optimal aesthetic result that was maintained for 6 to 12 months. Although the duration of treatment of tear trough deformities with HA fillers is not comparable to surgical treatment, this is a minimally invasive, safe procedure, quick to perform, and with a high degree of patient satisfaction.

scholarly journals Integration of function, aesthetics and patients’ personal preferences in the prosthetic treatment planning

2017 ◽  
Vol 64 (4) ◽  
pp. 200-204
Author(s):  
Georgi Iliev
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Facial Features ◽  
Aesthetic Result ◽  
Facial Perception ◽  
Stl File ◽  
Planning Software ◽  
Digital Planning ◽  
Final Design ◽  
Aesthetic Results

Abstract Introduction Optimal aesthetic results require suitable smile design that fulfils patient’s expectations. Psychological importance of teeth appearance is clear and often discussed in relation to the success of prosthetic treatment. The objective of this article was to present methodology for creating customized smile design using the Visagismile concept and evaluate aesthetic satisfaction with prosthetic treatment. Case report A 52-year-old female patient required complete esthetical dental mouth reconstruction. Digital planning software (Visagismile) provided dentists and technicians a 2D preview of the final design that relates facial perception and personality of the patient. The latest innovation of used software in addition to documents that dentists send for the Visagismile application is that they need to send an intraoral 3D scan of the patients mouth (with any scanner) and define the length and position of incisal edges of the central incisors. This information as a STL file is sent to new Visagismile/REBEL center that is actually a digital lab, that converts 2D designs created by the Visagismile concept into 3D and create a digital wax up immediately. Conclusions Visagismile concept supports both dentist and patient in deciding the aesthetics of the prosthetic restoration. The total coefficient of the assessment of patients for the final aesthetic result was highly satisfactory. Using the proposed methodology, a smile design corresponding to individual facial features, temperament and personal preferences of the patient can be reproduced.

scholarly journals Rhomboid Flap: An Option to Many Anatomical Regions

2015 ◽  
Vol 1 (1) ◽  
pp. 14-18
Author(s):  
Érico Pampado Di Santis ◽  
Keyword(s):  
The Body ◽  
Surrounding Tissue ◽  
Transposition Flap ◽  
Body Segments ◽  
Facial Defects ◽  
Aesthetic Results ◽  
The Face ◽  
The Aesthetic ◽  
Rhomboid Flap ◽  
Low Rate

Introduction: The rhomboid transposition flap can be used at any region on the body surface, and is widely used on reconstructive surgery. When it is used for surgical procedures in order to correcting facial defects, the Limberg’s flap produces good functional and aesthetic results, particularly when scars are positioned between the aesthetic units of the face. This article will describe the rhomboid flap technique and discuss the versatility, safeness, applicability and complications of Limberg’s flap for cutaneous reconstruction, which can be in a huge part of body segments Results and Discussion: The Limberg’s flap is a rhomboid transposition flap. The flaps are made by taking into account size and location of the original defect and elasticity of the surrounding tissue. From the resection defect resulting, a lozenge is drawn with internal angles of 60 degrees and 120 degrees and the closure is completed by transposing the flap towards the defect. This flap provides very good results to be executed with predictability, high safeness degree and low rate of complications. Keywords: Flap, Limberg, Reconstruction, Rhomboid, Surgery.

scholarly journals A Case of Bilateral Acute Depigmentation of the Iris in One of Two Identical Twins

2019 ◽  
Author(s):  
Spencer Langevin ◽  
Alexandra Gershkovich ◽  
Brian P Marr
Keyword(s):  
Chronic Migraine ◽  
Anterior Segment ◽  
Case Series ◽  
Invasive Procedure ◽  
Pigment Dispersion ◽  
Young Females ◽  
Pigment Dispersion Syndrome ◽  
The Face ◽  
History Of ◽  
Iris Pigmentation

Abstract Background: Bilateral Acute Depigmentation of the Iris (BADI) is a condition which was first described in a case series from Turkey by Tugal-Tutkin and Urgancioglu in 2006.1 The condition is characterized by bilateral acute depigmentation and discoloration of the iris stroma, pigment dispersion, and deposition of pigment in the angle. In our case we report one of two identical twin sisters who developed BADI after receiving sarapin injections for chronic migraine, while the other has normal iris architecture and pigmentation and never received any like invasive procedure. Case Presentation: Patient is a 41 year old female with history of Sarapin injections to her face for chronic migraine who later developed bilateral depigmentation of the iris. She did not have any signs of anterior segment uveitis or iridocyclitis. She has a twin sister who maintained normal iris pigmentation during the entire course. Discussions and Conclusion: Bilateral Acute depigmentation of the iris is a recently discovered condition described in the literature in Turkish patients1,2. This condition affects mainly young females and is characterized by acute bilateral stromal depigmentation without other pathologic ocular findings. These patients usually maintain normal vision and do not develop significant glaucoma from pigment collecting in the anterior chamber angle. This condition can be mistaken for Fuch’s heterochromic iridocyclitis, pigment dispersion syndrome, pseudoexfoliation syndrome, viral iridocyclitis, VZV, HSV, and CMV. This is the first reported case in North America and is important for differentiation of the above pathologies. Our patient had a history of Sarapin injections to the face but it is unsure if this is associated with our patient’s development of BADI. As awareness of this condition progresses a possible etiology may be elucidated. Keywords: Iris; depigmentation; Sarapin, iris transillumination.

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