Posts Tagged ‘trauma’

Complications in Periocular Rejuvenation

Thorough preoperative evaluation with meticulous surgical planning to achieve facial aesthetic balance between the forehead, eyelids, and midface is imperative to avoid or decrease potential functional and/or cosmetic complications in cosmetic periocular surgery. Before performing surgery, the physician should be aware of the patient’s history of dry eyes, previous facial trauma, previous injection of Botox Cosmetic, history of previous laser-assisted in situ keratomileusis, and past facial surgery. A full evaluation should be performed on the upper eyelid/brow region to assess for the presence of brow ptosis, brow/eyelid asymmetry, dermatochalasis/pseudodermatochalasis, eyelid ptosis, and deep superior sulcus. On the lower eyelid/cheek examination, special attention should be directed to …

Reconstruction of Mandibular Defects

Seminars in Plastic Surgery 2010; 24: 188-197DOI: 10.1055/s-0030-1255336ABSTRACTDefects requiring reconstruction in the mandible are commonly encountered and may result from resection of benign or malignant lesions, trauma, or osteoradionecrosis. Mandibular defects can be classified according to location and extent, as well as involvement of mucosa, skin, and tongue. Vascularized bone flaps, in general, provide the best functional and aesthetic outcome, with the fibula flap remaining the gold standard for mandible reconstruction. In this review, we discuss classification and approach to reconstruction of mandibular defects. We also elaborate upon four commonly used free osteocutaneous flaps, inclusive of fibula, iliac crest, scapula, and radial forearm. Finally, we discuss indications and …

Lateral Canthal Surgery

Facial plast Surg 2010; 26: 193-200DOI: 10.1055/s-0030-1254329ABSTRACTThe lateral canthus is a delicate and complicated three-dimensional structure with function relevant to the health of the ocular surface. Dysfunction of the lateral canthus, due to aging changes or iatrogenic trauma, results in ocular morbidity ranging from chronic irritation to tearing to recalcitrant keratopathy. From an aesthetic standpoint, symmetric, normally positioned lateral canthi are cornerstones of youthful periorbital appearance, disruption of which leads to cosmetically significant deformity or asymmetry. Reconstruction of the lateral canthus is important in the rehabilitation of the aging eyelid and an unfortunate necessity after failed lateral canthal surgery. The common methods for improving or maintainin…

Sweet’s syndrome triggered by scalding: A case study and review of the literature

Sweet’s syndrome, a neutrophilic dermatosis originally described by Dr. Robert Douglas Sweet in 1964, is characterized by fever, tender erythematous skin lesions (papules, nodules, and plaques), leucocytosis, and a diffuse neutrophilic infiltrate in the upper dermis . Since it was first described, several hundred cases of Sweet’s syndrome have been reported . Skin hypersensitivity or cutaneous pathology is a feature associated with Sweet’s syndrome in which skin lesions appear at sites of trauma, but only occasionally has it been described following thermal injury . This case report details a rare case of delayed Sweet’s syndrome secondary to a burn, which involved multiple discrete anatomic sites including areas uninvolved with the original burn. (Source: Burns : Journal of the Internatio…

Playing with fire and getting burnt—a retrospective analysis of injuries presenting to the emergency department during ‘firework season’

Abstract  During firework season in the UK (October–January), many patients present to emergency departments across the country with
firework-related injuries. These seasonal injuries can vary from minor skin trauma to major burns, inhalation injuries and
even death in some cases. Governments have tried to improve public awareness and safety with education using multi-million
pound national safety campaigns as well as clamping down on fireworks both from within and outside of the EU which fail to
meet safety standards. Despite these measures, firework-related injuries are increasing (2005 census Royal Society of Prevention
of Accidents (RoSPA)). Reasons for this have been cited as new variations in firework design, antisocial behaviour and readily
available cheap firework…