scholarly journals Rhomboid Flap: An Option to Many Anatomical Regions

2015 ◽  
Vol 1 (1) ◽  
pp. 14-18
Author(s):  
Érico Pampado Di Santis ◽  

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.

2015 ◽  
Vol 12 (2) ◽  
pp. 1131 ◽  
Author(s):  
Elif Eşiyok Sönmez

<p>Recently, one of the prominent subjects is the consumption for the body, its promotion and the result where the body becomes the subject of the consumption. Thus, the construction of the body as a consumption object and its permanent re-construction became a never ending ‘project’. There is no doubt such commodification and promotion become public through the media. Inevitably, such attention brings the researches on body policies in academic field. However, there is a serious shortage in Turkey on this kind of academic researches. This study was designed to contribute to the knowledge in the academic field. The basic aim of the research is to examine the structure of the nature of the body construction in the advertisements of the aesthetic products in Turkey. Therefore, the Cosmopolitan Magazine that is the women magazine to sold most in Turkey. The advertisements in the magazine in 2013 were scanned and 65 aesthetic product advertisements were found. These advertisements were analysed for their content with reference to the research questions. In the analysis, the matters like frequency of the advertisements in the magazine according to the months, distribution of the advertisements according to the body parts, negative and positive expressions in the advertisements on the appearance of the body, the images to be used in advertisements, the messages to be given for the use of the products and the slogans in the advertisements are considered. The analyses indicated that the aesthetic product advertisements are mostly published in February, March, April and June prior to the summer, the face is the part which aesthetic product advertisements mostly promoted, the younger and perfect appearance is given as the positive characteristics unlike other such as tired skin, aging skin and wrinkles on the skin. In order to be relied by the reader in the advertisements, the test results of the product and possible outcome after use are seen as to be included.</p><p> </p><p><strong>Özet</strong></p><p>Son yıllarda artarak ilgi odağı olan konulardan biri de beden için yapılan tüketim, bu tüketimin teşviki ve bunun sonucunda bedenin bir tüketim nesnesi haline gelmesidir. Öyle ki, bedenin tüketim nesnesi olarak inşası ve sürekli olarak yeniden yapılandırılması bitmeyen bir ‘proje’ haline getirilmiştir. Şüphesiz bu tür nesneleştirme ve promosyon çeşitli iletişim medyasından geçerek yaygınlaştırılmaktadır. Bunların bir sonucu olarak, bu tür ilgi akademik alanda da beden politikaları ile ilgili araştırmaların yapılmasını beraberinde getirmiştir. Fakat Türkiye’de bu bağlamda ciddi bir araştırma eksiklikliği bulunmaktadır. Bu araştırma bu eksikliğin ortaya çıkardığı akademik bilme gereksinimine katkıda bulunmak için tasarlandı. Araştırmanın temel amacı, Türkiye’de bedene ilişkin inşaların estetik ürün reklamlarında yapılandırılmasının doğasını inceleyerek var olan bilgiye katkıda bulunmaktır. Bu amaçla, Türkiye’de en fazla tirajı olan kadın dergisi Cosmopolitan inceleme için seçildi. Derginin bir yıllık reklamları tarandı ve 65 estetik ürün reklamı bulundu. Bu reklamların, araştırma sorularında belirtilen amaca uygun olarak,  içerik analizi yapıldı. Analizde, aylara göre reklamların dergideki yayın sıklıkları, beden bölgesine göre ürün reklamlarının dağılımları, bedenin görünüşüne ilişkin reklamlarda yer alan olumlu ve olumsuz ifadeler, reklamlarda kullanılan imajlar, ilgili ürünlerin kullanımının teşvik edilmesi için verilen mesajlar, ürün reklamlarında kullanılan sloganlar ele alındı. Yapılan analizde, estetik ürün reklamlarının en fazla Şubat, Mart, Nisan ve Haziran aylarında yaz dönemine girme öncesi yayınlandığı, estetik ürün reklamlarında en fazla yüz bölgesine odaklanıldığı, dış görünüşe ilişkin olarak genç ve kusuruz görünümün olumlu özellikler olarak verildiği, olumsuz özelliklerin ise çoğunlukla yorgun cilt, yaşlı görünüm ve kırışık cilt olduğu bulundu. Reklamlarda okuyucuda ürün kullanımına ilişkin güven sağlanması için, ürün kullanımı ile ilgili test sonuçları ve kullanım sonucunda meydana gelecek olası etkilere yer verildiği görüldü.</p>


2021 ◽  
pp. 3-4
Author(s):  
Surya Rao Rao Venkata Mahipathy ◽  
Alagar Raja Durairaj ◽  
Narayanamurthy Sundaramurthy ◽  
Anand Prasath Jayachandiran ◽  
Suresh Rajendran

Large facial defects are difcult to reconstruct especially of the cheek and nose. Varoius methods have been used to ll defects of the face. Here, we discuss about a large soft tissue defect of the cheek, nasolabial area and the right nasal sidewall and ala which occurred following excision of a basal cell carcinoma. The defect was reconstructed by a double ap, a cervicofacial advancement ap for the cheek and nasolabial area with a composite forehead ap for the nose. The cervicofacial ap gives good aesthetic results with minimal scar and good colour and texture match to the surrounding skin and is very helpful in the elderly due to their skin laxity and the scars hidden well in the wrinkles. It causes minimal morbidity. The forehead ap is a well known ap in the armamentarium for nasal reconstruction with excellent results.


Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 433-442
Author(s):  
Antonio Cortese ◽  
Roberto Barbaro ◽  
Donato Troisi ◽  
Giuseppe D’Alessio ◽  
Maurizio Amato ◽  
...  

AbstractModern concepts in the world of beauty arise from popular models, beautiful faces of actors document a bi-protrusive asset with high tension for soft tissues. Facial symmetry has been proposed as a marker of development and stability that may be important in human mate choice. For various traits any deviation from perfect symmetry can be considered a reflection of imperfect development. Additionally, bi-protrusive profile is dependent on the hormonal level regardless of male or female sex. The goal of maxillofacial surgery is to provide best results both for aesthetic and functional aspects. Following these new concepts of aesthetic of the face, new surgical procedure by osteodistraction techniques will lead to a very natural result by harmonizing the face also preventing aesthetic decay in aging faces. Ten cases with a feedback on the aesthetic results using the fivepoint scale of Likert after orthognatic surgery performed following distraction new techniques in combination with ancillary surgical procedures.The aesthetic results in all patients were highly satisfactory. All the patients accepted the new aesthetic of the face avoiding elements of discrepancy and consequently medico-legal problems.


2020 ◽  
Vol 99 (4) ◽  
pp. 379-383
Author(s):  
Vasily N. Afonyushkin ◽  
N. A. Donchenko ◽  
Ju. N. Kozlova ◽  
N. A. Davidova ◽  
V. Yu. Koptev ◽  
...  

Pseudomonas aeruginosa is a widely represented species of bacteria possessing of a pathogenic potential. This infectious agent is causing wound infections, fibrotic cystitis, fibrosing pneumonia, bacterial sepsis, etc. The microorganism is highly resistant to antiseptics, disinfectants, immune system responses of the body. The responses of a quorum sense of this kind of bacteria ensure the inclusion of many pathogenicity factors. The analysis of the scientific literature made it possible to formulate four questions concerning the role of biofilms for the adaptation of P. aeruginosa to adverse environmental factors: Is another person appears to be predominantly of a source an etiological agent or the source of P. aeruginosa infection in the environment? Does the formation of biofilms influence on the antibiotic resistance? How the antagonistic activity of microorganisms is realized in biofilm form? What is the main function of biofilms in the functioning of bacteria? A hypothesis has been put forward the effect of biofilms on the increase of antibiotic resistance of bacteria and, in particular, P. aeruginosa to be secondary in charcter. It is more likely a biofilmboth to fulfill the function of storing nutrients and provide topical competition in the face of food scarcity. In connection with the incompatibility of the molecular radii of most antibiotics and pores in biofilm, biofilm is doubtful to be capable of performing a barrier function for protecting against antibiotics. However, with respect to antibodies and immunocompetent cells, the barrier function is beyond doubt. The biofilm is more likely to fulfill the function of storing nutrients and providing topical competition in conditions of scarcity of food resources.


Author(s):  
Marwan H Abboud ◽  
Ayush K Kapila ◽  
Svetlana Bogaert ◽  
Nicolas M Abboud

Abstract Background An increasing number of women wish breast implant removal whilst maintaining an acceptable projection and form were possible. Objectives The authors propose a technique to remodel the breast after implant removal utilizing internal suture loops to project the breast, recruit abdominal and axillary tissue cranially and medially, and provide a matrix for lipofilling. Methods A prospective analysis was performed of consecutive patients undergoing implant extraction followed by power-assisted liposuction loops and lipofilling. Patient characteristics were measured. The aesthetic results were evaluated by 2 independent raters. Patient-reported satisfaction was measured by standardized questionnaires. Results Implants in 52 patients with an average age of 55 and body mass index of 23.7 were extracted followed by breast remodeling. A total of 73% of patients had implants for aesthetic reasons, 41% were smokers, and 43% of the reconstruction cases received radiotherapy. A total of 28% had implant extraction for rupture, 58% for capsular contracture, and 14% due to pain and migration. The average volume of the implants removed was 292 cc, followed by an average lipofilling of 223 cc, yielding a ratio of 0.76 to 1. The average tissue recruited by loops was 82.5 cc. Independent raters measured 79% of results as good, 13% as acceptable, and 8% as requiring improvement; 80% of patients were satisfied to very satisfied. Conclusions The authors propose implant extraction followed by power-assisted liposuction loops and lipofilling can provide footprint definition, sustained projection, and high patient satisfaction. Moreover, the recruitment of a vascularized adipo-cutaneous flap by loops allows a reduced ratio of fat grafting to implant volume. Level of Evidence: 4


2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Erfan Dashtimoghadam ◽  
Farahnaz Fahimipour ◽  
Andrew N. Keith ◽  
Foad Vashahi ◽  
Pavel Popryadukhin ◽  
...  

AbstractCurrent materials used in biomedical devices do not match tissue’s mechanical properties and leach various chemicals into the body. These deficiencies pose significant health risks that are further exacerbated by invasive implantation procedures. Herein, we leverage the brush-like polymer architecture to design and administer minimally invasive injectable elastomers that cure in vivo into leachable-free implants with mechanical properties matching the surrounding tissue. This strategy allows tuning curing time from minutes to hours, which empowers a broad range of biomedical applications from rapid wound sealing to time-intensive reconstructive surgery. These injectable elastomers support in vitro cell proliferation, while also demonstrating in vivo implant integrity with a mild inflammatory response and minimal fibrotic encapsulation.


1995 ◽  
Vol 7 (2) ◽  
pp. 21-23 ◽  
Author(s):  
S. Daan

The analysis of motivational systems underlying temporal organisation in animal behaviour has relied primarily on two conceptual functional frameworks: Homeostasis and biological clocks. Homeostasis is one of the most general and influential concepts in physiology. Walter Cannon introduced homeostasis as a universal regulatory principle which animals employ to maintain constancy of their ‘internal milieu’ in the face of challenges and perturbations from the external environment. Cannon spoke of “The Wisdom of the Body”, the collective of responses designed to defend the ideal internal state against those perturbations.


2001 ◽  
Vol 95 (1) ◽  
pp. 58-63 ◽  
Author(s):  
Han-Jung Chen ◽  
Cheng-Loong Liang ◽  
Kang Lu

Object. Transthoracic endoscopic T2–3 sympathectomy is currently the treatment of choice for palmar hyperhidrosis. Compensatory sweating of the face, trunk, thigh, and sole of the foot was found in more than 50% of patients who underwent this procedure. The authors conducted this study to investigate the associated intraoperative changes in plantar skin temperature and postoperative plantar sweating. Methods. One hundred patients with palmar hyperhidrosis underwent bilateral transthoracic endoscopic T2–3 sympathectomy. There were 60 female and 40 male patients who ranged in age from 13 to 40 years (mean age 21.6 years). Characteristics studied included changes in palmar and plantar skin temperature measured intraoperatively, as well as pre- and postoperative changes in plantar sweating and sympathetic skin responses (SSRs). In 59 patients (59%) elevation of plantar temperature was demonstrated at the end of the surgical procedure. In this group, plantar sweating was found to be exacerbated in three patients (5%); plantar sweating was improved in 52 patients (88.1%); and no change was demonstrated in four patients (6.8%). In the other group of patients in whom no temperature change occurred, increased plantar sweating was demonstrated in three patients (7.3%); plantar sweating was improved in 20 patients (48.8%); and no change was shown in 18 patients (43.9%). The difference between temperature and sweating change was significant (p = 0.001). Compared with the presympathectomy rate, the rate of absent SSR also significantly increased after sympathectomy: from 20 to 76% after electrical stimulation and 36 to 64% after deep inspiration stimulation, respectively (p < 0.05). Conclusions. In contrast to compensatory sweating in other parts of the body after T2–3 sympathetomy, improvement in plantar sweating was shown in 72% and worsened symptoms in 6% of patients. The intraoperative plantar skin temperature change and perioperative SSR demonstrated a correlation between these changes.


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