Clinical effect of autologous fat transplantation with plasma fiber de-fatting on improving facial contour / 中华医学美学美容杂志

Objective To study the clinical efficacy of autologous fat transplantation combined with plasma fiber de-fatting in improving the facial contour.Methods A lot of 110 cases were collected.The surgical designation was according to the patients' facial features and their wishes.Facial fiber and autologous fat filling technology were combined in clinical application.The satisfaction and postoperational complications were evaluated.Results A lot of 110 cases were followed-up for 6 to 24 months postoperatively.95 cases were well satisfied.15 cases were satisfied.All cases had no hematoma,induration,infection and other complications.The effect was stable.Conclusions Autologous fat transplantation combined with plasma fiber de-fatting can effectively improve the facial contour and skin texture.

Traumatismo cráneo-encefálico (TCE) y anticoagulación: Aspectos esenciales. / Traumatic brain injury (TBI) and anticoagulation: Key points

Resumen: Los traumatismos craneoencefálicos (TCE) constituyen un motivo de consulta frecuente en cualquier Servicio de Urgencias. Estados Unidos reporta hasta 1,7 millones de afectados en un año. En España la cifra, solo de TCE leve, se estima en 92000 por año. Los varones, sobre todo después de 65 años, constituyen el grupo más afectado y la caída desde su altura el mecanismo más frecuente. La asociación con tratamiento anticoagulante oral (TAO), agrega mayor complejidad a su manejo y constituye un tema en revisión constante. La necesidad de revertir la anticoagulación, los métodos para lograrlo, la indicación de un segundo control tomográfico en los pacientes con TCE leve-moderado, los algoritmos que orienten y organicen mejor las posibles conductas a seguir, continúan siendo aspectos en revisión. Una adecuada valoración inicial, control TC solo ante deterioro neurológico, y reversión de anticoagulación con complejo protrombínico permiten un manejo eficaz.

Abstract: Traumatic brain injury (TBI) is a frequent reason of consultation in any Emergency Room. The United States report up to 1.7 million affected individuals persons. In Spain, the figure corresponding only to mild TBI is estimated at 92,000 patients per year. Males, specially after age 65, are the most affected group and the most frequent injury mechanism is a a all from their height. The association with oral anticoagulant therapy (OAT) increases the complexity of its managament and is an issue under permanent review. The need to reverse anticoagulation, the methods to achieve it, the prescription of a second CT control in patients with mild to moderate TBI, the algorithms to better guide and organize the possible courses of action are still issues under review. An adequate initial assessment, a CT control only in case of neurological damage and reversion of anticoagulation with prothrombin complex allow an effective management.