ABSTRACT
Breast reconstruction has been affirmed as part of the treatment for locally advanced breast tumor, and the development of new techniques has been providing better results and widening surgical indications. The objective of this work was to establish and discuss the different criteria that are related to this indication, mainly in what refers to the timing for the procedure. Oncological, clinical and psychological aspects are evaluated according to experience accumulated in recent years, with immediate and delayed reconstruction, carried out in the most diverse specialized centers. The authors conclude that, in reference to the safety and benefits of immediate reconstruction, it would be indicated for any patient who wants it and presents favorable clinical and psychological conditions, without having any absolute contraindication from the oncological point of view.
Subject(s)
Breast Neoplasms/surgery , Mammaplasty , Female , Humans , Mammaplasty/psychology , MastectomyABSTRACT
Based on existing and repeated complications of different techniques of reduction mammaplasty, which are mostly of circulatory nature, a study of breast irrigation was made. The Service of Verification of Deaths of the Escola Paulista de Medicina supplied fresh cadavers. Ten breasts were dissected with single block removal of glandular and retromammary structures. Then, injections with latex were applied in order to better identify the arteries. In view of the anatomic findings, it was verified that breast irrigation was carried out by the internal thoracic, the lateral thoracic, and the posterior intercostal arteries and, in a great proportion, by the superior thoracic. An attempt was made to correlate such results with the different techniques of reduction mammaplasty in order to create a six group classification according to the preserved pedicles: superior, inferior, central, lateral, medial and double pedicle.
Subject(s)
Breast/blood supply , Mammaplasty/methods , Breast/surgery , Cadaver , Female , Humans , Regional Blood FlowSubject(s)
Eyelids/anatomy & histology , Ligaments/anatomy & histology , Orbit/anatomy & histology , Adult , Female , Humans , Male , Middle AgedABSTRACT
Os AA. apos apreciarem a importancia do ligamento palpebral lateral na cirurgia plastica e oftalmologica da atualidade, apresenta o resultado de estudo realizado na regiao do canto lateral da orbita. Tal estudo foi efetuado em 46 orbitas de cadaveres de ambos os sexos, onde foi observada a anatomia de ligamento palpebral lateal e tomadas medidas das distancias de seu ponto de insercao em relacao a sutura frontozigomatica. Sao discutidos os resultados e comparados aos de outros autores citados e analisada a aplicabilidade pratica de tais achados
Subject(s)
Adult , Middle Aged , Humans , Male , Female , Orbit , EyelidsABSTRACT
Os autores apresentam a experiencia na reparacao de assoalho orbitario fraturado utilizando enxerto osseo de tabua externa do osso parietal. Descrevem a tecnica empregada em seis pacientes que foram observados no periodo de 6 meses a 1 ano; analisam os resultados obtidos e discutem as vantagens e desvantagens desta conduta
Subject(s)
Humans , Parietal Bone , Orbital Fractures , Follow-Up StudiesABSTRACT
Os autores apresentam a experiencia do Hospital dos Defeitos da Face no atendimento a pacientes com alteracoes do esqueleto facial que sao tratados atraves de cirurgias de osteotomias faciais.E relatada a rotina para o estabelecimento do diagnostico e planejamento cirurgico pre-operatorio, atraves de uma equipe multidisciplinar. A importancia desta conduta e enfatizada, para que se possa realizar tais cirurgias com um maximo de precisao nas mobilizacoes osseas e um minimo de complicacoes no ato cirurgico e no pos-operatorio
Subject(s)
Humans , Osteotomy , Jaw Abnormalities , Maxillofacial InjuriesABSTRACT
Os autores apresentaram a situacao atual de reparacao do canto palpebral medial, principalmente quando ha envolvimento do ligamento palpebral medial, e sugerem que um melhor conhecimento da anatomia deste ligamento podera trazer maior eficiencia nas cirurgias desses elementos.E feito estudo anatomico de 60 orbitas de cadaveres dissecados: sao discutidos os resultados e comparados com os da literatura. Referem a necessidade de observacao de que a cada segmento do L.P.M. originam-se diferentes partes do m. orbicular, o que e importante no estabelecimento da conduta e avaliacao dessas cirurgias