Posts Tagged ‘excision’

Periocular Rejuvenation: Lower Eyelid Blepharoplasty with Fat Repositioning and the Suborbicularis Oculi Fat

Treatment of the aging lower eyelid is determined by the anatomic variables noted for each surgical candidate. Although surgeons have traditionally considered dermatochalasis, fat pseudoherniation, and eyelid position as the main treatment objectives in lower blepharoplasty, the vector of the infraorbital rim and the anterior plane of the cornea, tear trough, and aging in the midface also merit critical consideration. In this article, indications and technical aspects, the transconjunctival and external approaches, fat excision versus fat repositioning, and suborbicularis oculi fat lifting and fat transplantation are discussed and the authors’ preference for the various methods of lower blepharoplasty is presented. Common adjunct procedures used to supplement lower blepharoplasty techniqu…

Middle Eastern Rhinoplasty: Anatomy, Aesthetics, and Surgical Planning

Facial plast Surg 2010; 26: 110-118DOI: 10.1055/s-0030-1253503ABSTRACTMiddle Eastern Rhinoplasty (MER) offers a challenging subset of nasal deformities. It has far greater variety in anatomical characteristics than previously thought and requires careful surgical planning. Critical techniques include the following; 1) reduce the specific component of the dorsal deformity, 2) use a balanced approach of augmentation and reduction whenever possible, 3) as reduction increses the need for spreader grafts increases, and 4) achieve tip shape with structural support and not excision.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Facial Plastic Surgery)

A rare variant of scalp dermatofibrosarcoma protuberans: malignant fibrous histiocytomatous transformation

Abstract  Dermatofibrosarcoma protuberans (DFSP) is a relatively uncommon, local aggressive tumor. Tumor metastasis is rare, and it
has equal sex distribution. DFSP usually develops on the trunk and extremities. Scalp DFSP composes less than 5% of all cases.
Local recurrence rates are high. Wide local excision and Mohs surgery are options for treatment. Fibrosarcomatous or malignant
fibrous histiocytomatous transformation of DFSP are rare conditions. In this article, we described a case of a giant DFSP
over the scalp containing malignant fibrous histiocytomatous transformation areas.

Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-010-0439-zAuthors
Metin Görgü, Abant Izzet Baysal University Plastic Reconstructive and Aesthetic Surgery Clinic, Facul…

Avulsion fracture of the olecranon following thermal injury: A case report

A 48-year-old man sustained 65% total body surface area flame burns with inhalational injury following a domestic house fire. Most of the affected area was deep dermal or full thickness in nature. No other traumatic injuries were sustained. Aggressive fluid resuscitation and intensive therapy was commenced. Early burn excision was carried out one day post-injury and resurfacing of the wounds using combinations of allograft and autograft was undertaken over the following weeks. Systemic sepsis required prolonged intravenous antibiotic therapy and multi-organ failure necessitated inotropic support, mechanical ventilation and renal filtration. (Source: Burns : Journal of the International Society for Burn Injuries)

The treatment of hand burns: Timing of debridement and grafting

We read with great interest the letter to the editor by van Zuijlen . It is nice to read that they mainly agree with our review , and that they also think that the timing of debridement and grafting is considered as one of the main issues concerning the treatment of burned hands and that there is still a discussion concerning the optimal timing. We think that the paragraph that expresses that wounds should be excised and covered as soon as burn depth can be determined exactly (usually on the second or third day after injury) is still right, because there is not enough literature available showing that late excision is better, but we agree with van Zuijlen that there are some cases or areas, where even a later debridement and more conservative approach might be useful for burn patients ; ne…