Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 4 de 4
Filter
Add more filters










Database
Type of study
Language
Publication year range
1.
World J Surg Oncol ; 10: 44, 2012 Feb 20.
Article in English | MEDLINE | ID: mdl-22348433

ABSTRACT

BACKGROUND: The optimum protocol for expander volume adjustment with respect to the timing and application of radiotherapy remains controversial. METHODS: Eighteen New Zealand rabbits were divided into three groups. Metallic port integrated anatomic breast expanders of 250 cc were implanted on the back of each animal and controlled expansion was performed. Group I underwent radiotherapy with full expanders while in Group II, expanders were partially deflated immediately prior to radiotherapy. Control group did not receive radiotherapy.The changes in blood flow at different volume adjustments were investigated in Group II by laser Doppler flowmetry. Variations in the histopathologic properties of the irradiated tissues including the skin, capsule and the pocket floor, were compared in the biopsy specimens taken from different locations in each group. RESULTS: A significant increase in skin blood flow was detected in Group II with partial expander deflation. Overall, histopathologic exam revealed aggravated findings of chronic radiodermatitis (epidermal atrophy, dermal inflammation and fibrosis, neovascularisation and vascular changes as well as increased capsule thickness) especially around the lower expander pole, in Group II. CONCLUSIONS: Expander deflation immediately prior to radiotherapy, may augment the adverse effects, especially in the lower expander pole, possibly via enhanced radiosensitization due to a relative increase in the blood flow and tissue oxygenation.


Subject(s)
Breast Implants , Breast Neoplasms/radiotherapy , Mammaplasty , Mastectomy/rehabilitation , Radiation Injuries/etiology , Skin/blood supply , Tissue Expansion/adverse effects , Animals , Breast Neoplasms/pathology , Breast Neoplasms/surgery , Dermatologic Surgical Procedures , Female , Magnetic Resonance Imaging , Rabbits , Radiation Oncology , Radiotherapy Planning, Computer-Assisted/instrumentation , Skin/pathology , Tissue Expansion Devices
3.
J Reconstr Microsurg ; 18(3): 155-8; discussion 159, 2002 Apr.
Article in English | MEDLINE | ID: mdl-12007051

ABSTRACT

Free tissue transfer is frequently used for reconstruction in the head and neck region. In patients who suffer tissue loss due to a high-energy trauma, the reconstructive surgeon is often faced with a large gap between the defect and the site of anastomosis outside the zone of injury. Utilization of long vein grafts for reestablishment of blood flow to the transferred tissue vessels is a common procedure. Arteriovenous fistula (AVF) formation on the side table is an alternative solution. In this paper, an "extracorporeal loop" (blind loop) technique is presented as an alternative microsurgical method for prelaminated flap transfer to two different traumatic recipient areas in the face (nose and ear).


Subject(s)
Blood Vessels/transplantation , Microsurgery/methods , Adolescent , Arteriovenous Shunt, Surgical/methods , Ear, External/injuries , Ear, External/surgery , Extracorporeal Circulation/methods , Female , Humans , Male , Middle Aged , Nose/injuries , Nose/surgery , Plastic Surgery Procedures/methods , Surgical Flaps/blood supply , Tissue Transplantation/methods , Tissue and Organ Harvesting/methods
4.
Aesthetic Plast Surg ; 26(6): 457-60, 2002.
Article in English | MEDLINE | ID: mdl-12621569

ABSTRACT

Women with extremely large and ptotic breasts have many complaints and difficulties during daily life. Conventional reduction mammaplasty techniques are not convenient because the presence of excess tissue beneath and over a long pedicle may cause nipple-areola complex necrosis. These patients mostly have systemic health problems so they benefit from a shorter operative procedure. The amputation method is an option providing rapid surgical operation time and little blood loss but it may lead to a flat, unaesthetic breast with poor projection. In this paper we present an alternative amputation with the use of a backfolded dermoglandular flap and free nipple graft. The inferior pole is amputated. The deepithelialized breast tissue is left on the superior pedicle extending below the 7-cm vertical limb mark. This deepithelialized tissue is tucked to give more central mound projection. The aesthetic outcomes, such as well-rounded breasts with good projection and a hidden scar at the submammary sulcus, have led us to perform this technique, which was first described by the Mansteins in 1997.


Subject(s)
Mammaplasty/methods , Adult , Aged , Breast/pathology , Cicatrix/etiology , Female , Humans , Mammaplasty/adverse effects , Middle Aged , Nipples/surgery , Risk Factors
SELECTION OF CITATIONS
SEARCH DETAIL
...