ABSTRACT
Las expansiones del lóbulo auricular son cada vez más populares en la población joven, dejando defectos muy notorios que al llegar a la edad adulta requieren reparación. Recientemente se han descrito dos técnicas para solucionar este problema, pero desde nuestro punto de vista, provocan un acortamiento secundario de la oreja. Por esta razón, diseñamos una reparación con dos colgajos, uno medial y otro lateral, donde uno de ellos funciona rellenando el defecto y el otro cubriéndolo; de esta manera evitamos el acortamiento de la oreja y del lóbulo. Además proponemos una nueva clasificación de los defectos del lóbulo auricular (AU)
Earlobe expansions are becoming increasingly popular among young people, leaving very noticeable defects that on reaching adulthood require repair. Recently, two techniques have been described to solve this problem, but in our view, they lead to a shortening of the ear. For this reason we design a repair with two flaps, one medial and one lateral, in which one works by filling the defect and the other covers; so we avoid the shortening of the ear lobe. Furthermore, we propose a new classification of defects in the earlobe (AU)
Subject(s)
Humans , Male , Adolescent , Ear Auricle/surgery , Ear Deformities, Acquired/surgery , Plastic Surgery Procedures/methodsABSTRACT
We describe an adult patient with a large atrial septal defect, an atrial septal aneurysm and thrombus formation on a transvenous right atrial pacing lead. Because of right-to-left shunting through the atrial septal defect, she developed multiple systemic emboli to the spleen and left kidney (with infarcts), to the left leg, and probably to the brain as a cerebrovascular accident. The fundamental guiding principle of avoiding endocardial pacing leads in patients with congenital intracardiac communications, was violated in this patient, leading to serious dire consequences and complications.
