ABSTRACT
Pilar leiomyoma is a benign smooth muscle tumor arising from the arrectores pili muscles associated with the hair follicles of the skin. The multiple biopsies and pathological consultations needed to obtain a diagnosis attest to the rarity of the disease and the difficult histological picture, which often requires an expert pathological consultation. Although a benign soft-tissue tumor, pilar leiomyoma often requires therapeutic intervention to alleviate pain or sensitivity. Medical therapy has been tried with some success to improve the pain and discomfort. The only potentially curative option, however, remains surgical excision. Although complete surgical excision may not be attained, it may achieve substantial symptomatic improvement.
Subject(s)
Leiomyomatosis/diagnosis , Skin Neoplasms/diagnosis , Adult , Back , Biopsy , Humans , Leiomyomatosis/surgery , Male , Skin Neoplasms/surgeryABSTRACT
A case is presented in which regional subcutaneous atrophy in the lateral thigh after steroid injection was treated with autologous fat grafting. More than 1 year after treatment, an increase in the volume of the transplanted site necessitated a secondary procedure to debulk the area. We believe that this is a case in which the transplanted adipocytes (or preadipocytes) survived and subsequently (for an unclear reason) increased significantly in volume. This case report supports the cell survival theory of fat autotransplantation. Animal studies using radioisotope-labeled lipocytes might provide further understanding of the mechanisms of fat graft "survival."
Subject(s)
Adipose Tissue/transplantation , Anti-Inflammatory Agents/adverse effects , Cortisone/adverse effects , Skin/drug effects , Adipocytes/pathology , Adipose Tissue/pathology , Adolescent , Anaphylaxis/drug therapy , Atrophy , Cell Division , Cell Survival , Dermatologic Surgical Procedures , Female , Follow-Up Studies , Graft Survival , Humans , Hypertrophy , Injections, Intramuscular , Injections, Subcutaneous , Lipectomy , Skin/pathology , Thigh , Transplantation, AutologousABSTRACT
BACKGROUND AND OBJECTIVES: Providing thin, well-vascularized lining flaps is still the most elusive achievement in corrective nasal surgery. The purpose of this article is to reexamine some of the principles of correction. METHODS AND MATERIALS: To demonstrate the importance of releasing or sectioning nasal lining, the authors review the principles of lengthening the nose, illustrated with seven clinical cases from their surgical experience and a detailed 12-drawing presentation of the surgical approach by Tessier--the senior surgeon. RESULTS AND/OR CONCLUSIONS: The nose is the center of the face and a major determinant of facial appearance. The short nose has been one of the more difficult conditions to treat in rhinoplastic surgery. To optimize the result, procedures developed from experience in craniofacial surgery should be combined with the existing methods, developed primarily by rhinoplastic surgery and confined to the nasal tip.
Subject(s)
Nose/surgery , Adolescent , Adult , Bone Transplantation , Ethmoid Bone/injuries , Female , Frontal Bone/injuries , Humans , Male , Maxilla/abnormalities , Maxilla/surgery , Maxillary Fractures/surgery , Nasal Bone/abnormalities , Nasal Bone/surgery , Nasal Mucosa/surgery , Nose/abnormalities , Nose/injuries , Nose Deformities, Acquired/surgery , Orbital Fractures/surgery , Plastic Surgery Procedures , Rhinoplasty , Skull Fractures/surgery , Surgical FlapsABSTRACT
The maxillary sinus is an uncommon site for mucoceles within the paranasal sinuses. In this study nine patients with maxillary sinus mucoceles are presented. Six of these patients were treated by open approaches, and three were treated by endoscopic drainage alone. For uncomplicated maxillary sinus mucoceles, endoscopic drainage appears to be a reasonable approach, whereas for more complicated cases extending outside the sinus, open approaches may be required.
