scholarly journals NAL Neck Artificial Ligament Lifting: Neck Rejuvenation with Polytetrafuotoethylene (PTFE) Bands

2021 ◽  
Vol 7 (1) ◽  
pp. 16-28
Author(s):  
Alessandro Gennai ◽  
Keyword(s):  
Minimally Invasive ◽  
Invasive Technique ◽  
Artificial Ligament ◽  
Face Lift ◽  
Skin Laxity ◽  
Platysma Muscle ◽  
Superficial Musculoaponeurotic System ◽  
Neck Rejuvenation ◽  
Clinical Advantage ◽  
Over Time

Background: The current surgical method allows a short recovery and minimally invasive technique with polytetrafluotoethylene (PTFE) bands application, minimal skin excision for a fallen platysma muscle and skin laxity in facelift surgery; the clinical advantage of this method is a short recovery and an anatomic less invasive dissection, ideal for also younger patients who want more and more short healing times. Methods: Retrospective analysis of a 294 cases series of patients seeking platysma and skin laxity increase of neck-face region were included in the study. All of them were primary neck-face lift performed with PTFE bands of dual mesh that are customized for suture to the platysma and anchored to the mastoid, creating a neck artificial ligament (NAL) that is buried into the muscle and tightened, without modifying the superficial musculoaponeurotic system and platysma. Result: Data collection on surgery time, implant dimension selection, and postoperative complications were included. The most frequent complications were rare and include 5 case of superficial epidermolysis (healed within 21 days) and 1 case of mild band infection (treated with antibiotics). The surgical results are still stable over time, like those of a normal facelift after 6 months. Conclusion: minimally invasive NAL application avoids a large dissection and deep modifications of the superficial musculoaponeurotic system and platysma getting a strong upward tension that lasts over time with stable results. Keywords: Cervicoplasty, Neck, Rejuvenation, Aging, Mandible, Platysma Muscle.

Pectus Excavatum Repair

2013 ◽  
Author(s):  
David L Moore ◽  
Kenneth R Goldschneider
Keyword(s):  
Minimally Invasive ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Surgical Repair ◽  
Minimally Invasive Technique ◽  
Common Method ◽  
Invasive Technique ◽  
Patients Experience ◽  
Over Time

Pectus excavatum is a defect in the proper growth of the sternum and adjacent costal cartilages, causing posterior depression of the chest. Pectus deformities account for more than 90% of congenital chest wall deformities. Evidence supports surgical repair, as many patients experience progressive cardiopulmonary symptoms over time. The most common symptoms include dyspnea with exercise and loss of endurance. An increasingly common method of repair is the Nuss minimally invasive technique, in which rigid bars are placed under the sternum and the costal cartilages with thoracoscopic guidance for a period of time until permanent remodeling of the chest is achieved.

scholarly journals Patient-reported outcomes of ductoscopy procedures for pathologic nipple discharge

Breast Cancer ◽  
2020 ◽  
Author(s):  
M. D. Filipe ◽  
J. M. Simons ◽  
L. Moeliker ◽  
L. Waaijer ◽  
M. R. Vriens ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Nipple Discharge ◽  
Invasive Technique ◽  
Sf 36 ◽  
Patient Reported ◽  
Pathologic Nipple Discharge ◽  
Duct Excision ◽  
Breastfeeding Problems ◽  
Over Time

Abstract Background Pathologic nipple discharge (PND) is a common complaint often associated with breast cancer. However, when ultrasound and mammography are negative, the chances of malignancy are lower than 5%. Currently, major duct excision and microdochectomy are often recommended to alleviate symptoms and definitely rule out malignancy, but can cause infections and breastfeeding problems. Ductoscopy is a minimally invasive endoscopy technique that allows visualization of the mammary ducts and may not only obviate surgery but also detect malignancy. The aim of this study was to determine quality of life (QOL) after ductoscopy in patients with PND. Materials and methods All PND patients referred for ductoscopy between 2014 and 2015 to our hospital were included. Ductoscopy procedures were performed under local anaesthesia in the outpatient clinic. Patients were asked to fill out questionnaires (Breast-Q, EQ-5D-5L and SF-36) on the day of ductoscopy, and after 2 weeks, 3 and 6 months. Additionally, we performed reliability analysis to determine if these questionnaires were suitable for PND patients. Results Fifty consecutive patients underwent ductoscopy of whom 47 patients participated in this study. One domain of SF-36 (vitality) varied significantly over time. Breast-Q, SF-36 and EQ-5D-5L showed that QOL after ductoscopy for PND was unaffected by ductoscopy. Success of the ductoscopy procedure was a significant predictor for satisfaction with the result domain. Conclusion Ductoscopy is a minimally invasive technique that does not seem to impact QoL of PND patients over time. Breast-Q, SF-36 and EQ-5D-5L seem to be suitable existing QOL tests for PND patients undergoing ductoscopy, whereas SF-36 would require modifications.

scholarly journals Blinded, Randomized, Quantitative Grading Comparison of Minimally Invasive, Fractional Radiofrequency and Surgical Face-lift to Treat Skin Laxity

2010 ◽  
Vol 146 (4) ◽  
Author(s):  
Macrene Alexiades-Armenakas ◽  
David Rosenberg ◽  
Bradley Renton ◽  
Jeffrey Dover ◽  
Kenneth Arndt
Keyword(s):  
Minimally Invasive ◽  
Face Lift ◽  
Skin Laxity

Rhytidectomy Employing a Two-Layered Closure: Improved Results with Hidden Scars

1981 ◽  
Vol 89 (3) ◽  
pp. 496-503 ◽  
Author(s):  
Ronald S. Matsunaga
Keyword(s):  
Single Layer ◽  
Complication Rates ◽  
Alternative Technique ◽  
Skin Flaps ◽  
Face Lift ◽  
Cosmetic Results ◽  
Minimal Morbidity ◽  
Platysma Muscle ◽  
Superficial Musculoaponeurotic System ◽  
Hidden Scars

The goal of a face-lift procedure should be to obtain the maximal improvement with minimal morbidity. The author's technique is presented as an alternative technique to accomplish this goal. It is based on 427 face-lift patients from 1973 to 1979. The technique employs defatting of the superficial musculoaponeurotic system and platysma muscle (which is not dissected free) and use of multiple plication sutures to create a second-layer closure. This is in contrast to the standard face-lift procedure, which employs a single-layer closure whereby all the retraction tension is sustained by the skin flaps. With the author's technique, the complication rates are markedly reduced and satisfactory cosmetic results are obtained with “hidden” face-lift incisions.

scholarly journals Microsurgical unilateral laminotomy for bilateral decompression of degenerative lumbar canal stenosis: a comparative study

2019 ◽  
Vol 55 (1) ◽  
Author(s):  
Mohamed I. Refaat ◽  
Amr K. Elsamman ◽  
Adham Rabea ◽  
Mohamed I. A. Hewaidy
Keyword(s):  
Patient Satisfaction ◽  
Blood Loss ◽  
Minimally Invasive ◽  
Invasive Technique ◽  
Decompression Surgery ◽  
Microsurgical Decompression ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
Group A ◽  
Group B

Abstract Background The quest for better patient outcomes is driving to the development of minimally invasive spine surgical techniques. There are several evidences on the use of microsurgical decompression surgery for degenerative lumbar spine stenosis; however, few of these studies compared their outcomes with the traditional laminectomy technique. Objectives The aim of our study was to compare outcomes following microsurgical decompression via unilateral laminotomy for bilateral decompression (ULBD) of the spinal canal to the standard open laminectomy for cases with lumbar spinal stenosis. Subjects and methods Cases were divided in two groups. Group (A) cases were operated by conventional full laminectomy; Group (B) cases were operated by (ULBD) technique. Results from both groups were compared regarding duration of surgery, blood loss, perioperative complication, and postoperative outcome and patient satisfaction. Results There was no statistically significant difference between both groups regarding the improvement of visual pain analogue, while improvement of neurogenic claudication outcome score was significant in group (B) than group (A). Seventy-three percent of group (A) cases and 80% of group (B) stated that surgery met their expectations and were satisfied from the outcome. Conclusion Comparing ULBD with traditional laminectomy showed the efficacy of the minimally invasive technique in obtaining good surgical outcome and patient satisfaction. There was no statistically significant difference between both groups regarding the occurrence of complications The ULBD technique was found to respect the posterior spinal integrity and musculature, accompanied with less blood loss, shorter hospital stays, and shorter recovery periods than the open laminectomy technique.

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