scholarly journals Serial Excision- an Aesthetically Pleasing Way for Removal of Large Cutaneous Lesions on the Face

2013 ◽  
Vol 1 (1) ◽  
pp. 14-16
Author(s):  
Firdous Quader Minu ◽  
Muhammad Hasibur Rahman ◽  
Rubaiya Ali ◽  
Md Asifuzzaman ◽  
Sayeed Ahmed Siddiky
Keyword(s):  
Cutaneous Lesion ◽  
Skin Grafting ◽  
Patient Needs ◽  
Aesthetic Outcome ◽  
Cutaneous Lesions ◽  
Community Based ◽  
Different Types ◽  
The Face ◽  
The Aesthetic ◽  
Serial Excision

Face is a very prominent part of our body. It is the first feature that we notice when we meet someone. When there is a large cutaneous lesion /scar on the face it stands out, and can make a person very self conscious. So it becomes a source of concern and embarrassment for the person involved. As such when a patient with this type of problem presents to a cosmetic surgeon, he has to take great care as to how it can be removed and what will be the aesthetic outcome of the treatment. This is especially important if the patient is young. Different types of flaps like nasolabial flaps, forehead flaps, deltopectoral flaps etc. are commonly used for reconstruction of defects following excision of large lesions. Sometimes tissue expanders are also used. Of course skin grafting is probably the easiest way to cover large areas when flaps cannot be used. But all of these procedures leave big scars which are often not acceptable to the patients. We have found that serial excision is a good way of removal of large lesions or scars especially when it involves the face. Although the patient needs two or more sittings for completion of the procedure, the final outcome is much more acceptable to the patient. DOI: http://dx.doi.org/10.3329/cbmj.v1i1.13823 Community Based Medical Journal Vol.1(1) 2012 14-16

scholarly journals Areola Reconstruction: Principles and Techniques

2018 ◽  
Vol 5 (1) ◽  
pp. 84-92
Author(s):  
Francesco Simonacci ◽  
Nicolò Bertozzi ◽  
Marianna Pesce ◽  
Pier Luigi Santi ◽  
Edoardo Raposio
Keyword(s):  
Donor Site ◽  
Skin Grafting ◽  
Skin Tone ◽  
Aesthetic Outcome ◽  
Color Selection ◽  
Labia Minora ◽  
Areola Complex ◽  
Tattoo Pigment ◽  
Reconstructive Technique ◽  
The Aesthetic

At the end of breast reconstruction, the creation of a natural-appearing areola is very important for patient satisfaction with the surgical result. The challenging aspects of achieving this include matching the color and texture as well as the size, shape, position, and projection of a normal areola, particularly in unilateral cases. The most common techniques that have been used to create a naturalistic nipple–areola complex have included skin grafting, tattooing, or a combination of both. Surgeons are finding that tattooing, the intradermal electric deposition of pigments, can be used to closely approximate natural areola pigmentation. Using the appropriate technique is essential as it is known that tattoo pigment fades over time and appears somewhat different after intradermal applied. Indeed, physicians’ experience and color selection greatly affect the aesthetic outcome. Skin grafting has long been used in nipple–areola reconstruction, and skin donor sites such as retro- auricular, inner thigh, labia minora and contralateral areola have been employed. The choice of donor site depends on different factors, including the presence of a healthy contralateral areola and the skin tone of the patient. In some cases, tattooing may be used in conjunction with grafting. Regardless of areolar reconstructive technique, medical pigmentation is becoming a preferred method of producing a more realistic-appearing breast, although periodic touch-ups may be required for optimal results.

scholarly journals The face of postural tachycardia syndrome – insights from a large cross‐sectional online community‐based survey

2019 ◽  
Vol 286 (4) ◽  
pp. 438-448 ◽  
Author(s):  
B. H. Shaw ◽  
L. E. Stiles ◽  
K. Bourne ◽  
E. A. Green ◽  
C. A. Shibao ◽  
...  
Keyword(s):  
Online Community ◽  
Postural Tachycardia Syndrome ◽  
Community Based ◽  
Cross Sectional ◽  
Postural Tachycardia ◽  
The Face

Different Types of Auricular Keloids and Treatment by Intralesional Cryosurgery: Best Practice for Obtaining Long-Lasting Clinical Results

Dermatology ◽  
2021 ◽  
pp. 1-10
Author(s):  
Yaron Har-Shai ◽  
Lior Har-Shai ◽  
Viktor A. Zouboulis ◽  
Christos C. Zouboulis
Keyword(s):  
Quality Of Life ◽  
Body Image ◽  
Recurrence Rate ◽  
Best Practice ◽  
Clinical Results ◽  
Psychosocial Impact ◽  
Aesthetic Outcome ◽  
The Past ◽  
Different Types

<b><i>Background:</i></b> Auricular keloids belong to the most perplexing medical conditions, which have significant psychosocial impact on the patient’s body image and quality of life. <b><i>Summary:</i></b> The article is purposed to provide dermatologists and plastic surgeons with the best proven practice using intralesional cryosurgery for the treatment of the different auricular keloid types in order to obtain superior clinical results by minimizing the probability of recurrence. In the past 20 years, the authors have developed novel procedures in order to increase the effectiveness of intralesional cryosurgery on auricular keloids, including hydrodissection, warm gauze technique, and excision of dangling skin. Long-lasting clinical results with a low recurrence rate and a satisfactory aesthetic outcome are achieved with no deformation of the ear framework.

scholarly journals Does immediate loading of a single implant in the healed anterior maxillary ridge improve the aesthetic outcome compared to conventional loading?

BDJ Open ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Radhika J Baireddy ◽  
Neil Cook ◽  
Siwei Li ◽  
Fadi Barrak
Keyword(s):  
Public Health Practice ◽  
Immediate Loading ◽  
Aesthetic Outcome ◽  
Significant Difference ◽  
Attractive Option ◽  
The Aesthetic ◽  
Randomised Controlled ◽  
Study Designs ◽  
Effective Public Health ◽  
Single Implant

Abstract Background Immediate loading is an attractive option for avoiding secondary surgery. However, it is unclear whether it provides a better aesthetic outcome compared to conventional loading with implants placed in healed ridges. Aims To compare the aesthetic outcomes of immediately and conventionally loaded single implants in healed anterior maxillary ridges. Methodology A systematic review using PICO was conducted. EMBASE, MEDLINE and DoSS databases were searched. The Cochrane Risk of Bias tool for Randomised Controlled Trials and the Effective Public Health Practice Project tool for other study designs were used for quality appraisal. A narrative synthesis was undertaken. Results A total of 622 articles were identified. After screening, a total of five papers were included. Results indicated no statistically significant difference in pink or white aesthetic scores between the immediate and conventional loading groups at 1- and 5-year review and the Papilla Index at the 1-year review. Conclusion Within the limitations of this review, immediate loading of single implants provides a comparable aesthetic outcome to conventional loading in healed ridges of the anterior maxillary.

The Role of Understanding on Architectural Beauty: Evidence From the Impact of Semantic Description on the Aesthetic Evaluation of Architecture

2021 ◽  
pp. 003329412110021
Author(s):  
Sizhe Liu ◽  
Wei Zhang ◽  
Xianyou He ◽  
Xiaoxiang Tang ◽  
Shuxian Lai ◽  
...  
Keyword(s):  
Aesthetic Experience ◽  
Supplementary Information ◽  
Aesthetic Evaluation ◽  
Abstract Description ◽  
Social Meanings ◽  
Different Types ◽  
Appearance Design ◽  
The Aesthetic ◽  
The Impact

There is evidence that greater aesthetic experience can be linked to artworks when their corresponding meanings can be successfully inferred and understood. Modern cultural-expo architecture can be considered a form of artistic creation and design, and the corresponding design philosophy may be derived from representational objects or abstract social meanings. The present study investigates whether cultural-expo architecture with an easy-to-understand architectural appearance design is perceived as more beautiful and how architectural photographs and different types of descriptions of architectural appearance designs interact and produce higher aesthetic evaluations. The results showed an obvious aesthetic preference for cultural-expo architecture with an easy-to-understand architectural appearance design (Experiment 1). Moreover, we found that the aesthetic rating score of architectural photographs accompanied by an abstract description was significantly higher than that of those accompanied by a representational description only under the difficult-to-understand design condition (Experiment 2). The results indicated that people preferred cultural-expo architecture with an easy-to-understand architectural appearance design due to a greater understanding of the design, providing further evidence that abstract descriptions can provide supplementary information and explanation to enhance the sense of beauty of abstract cultural-expo architecture.

scholarly journals Acanthamoeba spp. as Agents of Disease in Humans

2003 ◽  
Vol 16 (2) ◽  
pp. 273-307 ◽  
Author(s):  
Francine Marciano-Cabral ◽  
Guy Cabral
Keyword(s):  
Cerebrospinal Fluid ◽  
Cutaneous Lesion ◽  
Laboratory Diagnosis ◽  
Immune Defense ◽  
In Vitro Cultivation ◽  
Cutaneous Lesions ◽  
Trophozoite Stage ◽  
Biopsy Material ◽  
Pathogenic Potential

SUMMARY Acanthamoeba spp. are free-living amebae that inhabit a variety of air, soil, and water environments. However, these amebae can also act as opportunistic as well as nonopportunistic pathogens. They are the causative agents of granulomatous amebic encephalitis and amebic keratitis and have been associated with cutaneous lesions and sinusitis. Immuno compromised individuals, including AIDS patients, are particularly susceptible to infections with Acanthamoeba. The immune defense mechanisms that operate against Acanthamoeba have not been well characterized, but it has been proposed that both innate and acquired immunity play a role. The ameba's life cycle includes an active feeding trophozoite stage and a dormant cyst stage. Trophozoites feed on bacteria, yeast, and algae. However, both trophozoites and cysts can retain viable bacteria and may serve as reservoirs for bacteria with human pathogenic potential. Diagnosis of infection includes direct microscopy of wet mounts of cerebrospinal fluid or stained smears of cerebrospinal fluid sediment, light or electron microscopy of tissues, in vitro cultivation of Acanthamoeba, and histological assessment of frozen or paraffin-embedded sections of brain or cutaneous lesion biopsy material. Immunocytochemistry, chemifluorescent dye staining, PCR, and analysis of DNA sequence variation also have been employed for laboratory diagnosis. Treatment of Acanthamoeba infections has met with mixed results. However, chlorhexidine gluconate, alone or in combination with propamidene isethionate, is effective in some patients. Furthermore, effective treatment is complicated since patients may present with underlying disease and Acanthamoeba infection may not be recognized. Since an increase in the number of cases of Acanthamoeba infections has occurred worldwide, these protozoa have become increasingly important as agents of human disease.

scholarly journals Approaches to the Mechanical Properties of Threaded Studs Welded to RHS Columns

Materials ◽  
2021 ◽  
Vol 14 (6) ◽  
pp. 1429
Author(s):  
Ismael García ◽  
Miguel A. Serrano ◽  
Carlos López-Colina ◽  
Fernando L. Gayarre ◽  
Jesús M. Suárez
Keyword(s):  
Mechanical Properties ◽  
Tensile Tests ◽  
Efficient Solutions ◽  
Bolted Joints ◽  
Building Structures ◽  
Static Behavior ◽  
Steel Tubes ◽  
Punch Test ◽  
Different Types ◽  
The Face

The use of Rectangular Hollow Sections (RHS) as columns in steel construction includes important advantages like higher mechanical strength and fire resistance. However, the practical demountable bolted joints between beams and columns are not easy to execute, due to impossibility of access to the inner part of the tube. The use of threaded studs welded to the face of the tube and bolted to the beam by means of angle cleats is one of the cheaper and most efficient solutions to obtain beam–column joints with a semi-rigid behavior, as is usually sought in building structures. Nevertheless, it is important to point out that the stud-diameter and the stud-class selection may affect the mechanical properties of the welded parts of the joint. In this paper, 8MnSi7 (with a commercial designation K800) and 4.8 threaded studs were welded to RHS steel tubes and mechanical properties on the weld, the Heat Affected Zones (HAZ), and the base metal were obtained in two different ways: through a correlation with the Vickers hardness and by means of the Small Punch Test (SPT). A study of the microstructure and tensile tests on the threaded studs and in the columns was also carried out. The research involved different types of stud qualities, tube wall thicknesses, and stud diameters. The work presented in this paper proved that in most cases, the welded joint between these studs and the RHS steel tubes present a reasonable static behavior that fulfils the requirements for the beam–column joints under static loading.

Sign in / Sign up

Export Citation Format

Share Document