Aesthetic plastic surgery
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Aesthetic plastic surgery · Jun 2012
Review Case ReportsTapia's syndrome: an unexpected but real complication of rhinoplasty: case report and literature review.
Extracranial involvement of the recurrent laryngeal and hypoglossal nerves, also known as Tapia's syndrome, is a rare complication of airway management under general anesthesia. We report such a case after an otherwise uncomplicated rhinoplasty. ⋯ The risk factors, etiology, clinical course, recovery potential, and preventive measures are analyzed and discussed. Although Tapia's syndrome after rhinoplasty/septorhinoplasty appears to be rare, it should be considered by both the anesthetist and the plastic surgeon, and most importantly, special attention should be paid to preventive strategies.
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Aesthetic plastic surgery · Apr 2012
Randomized Controlled Trial Comparative StudySmall-wave incision method for linear hypertrophic scar reconstruction: a parallel-group randomized controlled study.
The usual hypertrophic scar reconstruction methods such as Z- and W-plasties can leave noticeable scars and involve excessive normal skin excision, particularly in long linear hypertrophic scars longer than 10 cm. Thus, we invented and applied the small-wave incision method for patients with linear hypertrophic scars. ⋯ The small-wave method can meet both the functional and the cosmetic requirements of long linear hypertrophic scar reconstruction while reducing complication risks.
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Aesthetic plastic surgery · Apr 2012
Extended abdominoplasty: applications and a new classification system for abdominoplasty.
Aesthetic deformities of the abdomen requiring skin resection are usually treated with procedures limited to the abdomen and in some cases with circumferential abdominoplasty. There are some patients who require an intermediate procedure between abdominoplasty and circumferential abdominoplasty; these patients have been neglected in the plastic surgery literature. ⋯ Extended abdominoplasty is a safe procedure with highly satisfactory results that should become common practice in plastic surgery. There is a group of patients who are best served by this procedure and a new classification system of the abdominal contour deformities that includes these patients is needed and is proposed by the authors.
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Breast cancer is the second mortality-related cancer and the leading cause of general mortality in women aged 40-55. Prophylactic mastectomy has proved to be effective in several clinical scenarios but is still a somewhat controversial procedure. ⋯ Prophylactic mastectomy is becoming an increasingly frequent procedure. Plastic surgeons should consider the aesthetic outcome when planning mastectomy and reconstruction. Our ability to predict the high-risk population has improved and it is that population who can get the best benefit from this intervention. The recommendation against subcutaneous prophylactic mastectomy lacks scientific evidence. There is plenty of evidence that prophylactic mastectomy lowers the risk of breast cancer in the high-risk population in at least 95%. Our experience with prophylactic mastectomy is extremely satisfactory, with an overall patient satisfaction rate of 94%, no mortality, and an oncologic long-term outcome of 0% of ulterior development of breast cancer. Our series, although relatively small, should provide some insight into the power of this technique and we think all plastic surgeons should have it in their surgical armamentarium and should share their experiences so that this procedure may become more widely accepted. We also think that plastic surgeons should strive for perfecting the technique to reduce the complication rate and therefore help the procedure gain acceptance by the medical community.
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Aesthetic plastic surgery · Feb 2012
miRNA expression profiles in keloid tissue and corresponding normal skin tissue.
Because the molecular mechanism behind keloid pathogenesis is still largely unknown, the clinical management of keloids remains problematic. miRNA (microRNA) is a novel class of small regulatory RNA that has emerged as post-transcriptional gene repressors and participants in diverse pathophysiological processes of skin disease. In the present study we aimed to investigate expression profiles of miRNA in keloid tissue and to develop a further understanding of the molecular mechanism involved in the pathogenesis of keloids. ⋯ This study showed that the expressions of many miRNAs were altered in keloid tissue, and their expression profiling may provide a useful clue for exploring the pathogenesis of keloids. miRNAs might partly contribute to the etiology of keloids by affecting several signaling pathways relevant to scar wound healing.