ABSTRACT
Breast augmentation with the injection of a high-viscosity fluid has been practiced in the past, especially in Asia, resulting in most cases in different varieties of paraffinoma, alternatively known as oleogranulomatous mastitis, a complication of a 'foreign body' reaction type. We report our series of four consecutive cases of destructive paraffinomas that occurred in female patients who had had paraffin injection for cosmetic reasons. Complications due to paraffinoma reactions of breast tissue and skin, as well as progression of the disease and treatment of our patients, are presented here, together with a review of the relevant literature.
Subject(s)
Granuloma, Foreign-Body/etiology , Mammaplasty/adverse effects , Mastitis/chemically induced , Paraffin/adverse effects , Adult , Female , Granuloma, Foreign-Body/diagnostic imaging , Granuloma, Foreign-Body/pathology , Humans , Mammography , Mastitis/pathology , Necrosis , Paraffin/administration & dosage , Retrospective Studies , Skin/pathologyABSTRACT
The aim of this retrospective study was to evaluate the results in patients who underwent bilateral subcutaneous mastectomy (BSCM) for prophylaxis against invasive breast cancer. All patients were operated on with the same protocol regarding indications and surgical method. Reconstruction was completed in two stages with tissue expanders and permanent round or shaped rough textured gel filled silicone implants. The study includes 52 patients with a mean age of 39.5 years operated on in the period 1991-2000; the period of follow-up ranged between 3 and 12 years with a mean of 7. In this series, not a single case of invasive cancer developed, and the aesthetic results are considered very satisfactory. This data strengthens the case of subcutaneous mastectomy as a valid prophylactic operation.
Subject(s)
Breast Neoplasms/prevention & control , Mammaplasty/methods , Mastectomy, Subcutaneous , Adult , Breast Implants , Esthetics , Female , Follow-Up Studies , Humans , Middle Aged , Neoplastic Syndromes, Hereditary/prevention & control , Patient Satisfaction , Retrospective Studies , Silicone Gels , Tissue Expansion DevicesABSTRACT
There are numerous techniques for the reconstruction of the tracheostomy scarring deformity that give acceptable results. In this paper, we present a new method for improving this defect, using two rectangular turnover platysma muscle flaps to fill the concavity. The skin is then sutured over them. We have used this technique in10 patients over the last 2 years and achieved good aesthetic results. Our follow-up has shown that we have achieved a stable reconstruction with no functional impairment.
Subject(s)
Cicatrix/surgery , Neck Muscles/surgery , Surgical Flaps , Tracheostomy , Female , Humans , MaleABSTRACT
Our results of 112 pectoralis major flaps used alone or in combination have been reviewed. Also, other anatomic studies have been described which led to the development of a true island flap with a more mobile, less bulky pedicle. The use of the flap in full-thickness reconstruction by modification of the flap or bilateral flaps has been discussed. The place of the flap when used in combination with the deltopectoral and forehead flaps in the repair of major postexcisional defects has been illustrated.
Subject(s)
Pectoralis Muscles/transplantation , Surgical Flaps , Adolescent , Adult , Aged , Child , Female , Head , Humans , Male , Methods , Middle Aged , Neck , Pectoralis Muscles/blood supplyABSTRACT
Ten cases of squamous cell carcinoma of the heel previously affected by frostbite are reported. They had a similar natural history, location and histological appearance. All were treated by excision, and follow up over periods of 2-5 years has not revealed metastases.
Subject(s)
Carcinoma, Squamous Cell/etiology , Frostbite/complications , Heel , Skin Neoplasms/etiology , Foot Diseases/etiology , Humans , Male , Middle AgedSubject(s)
Bandages , Biological Dressings , Burns/therapy , Skin Ulcer/therapy , Skin/injuries , Animals , Female , Freeze Drying , Humans , Male , SwineABSTRACT
A study was undertaken of the effects of heterografts (lyophilized porcine skin or bovine dermis) on the healing of split-skin graft donor sites. When compared with a petrolatum gauze dressing, no advantages were found. Some disadvantages developed, however, which led us to discontinue their use.
Subject(s)
Bandages , Biological Dressings , Skin Transplantation , Transplantation, Heterologous , Wound Healing , Animals , Cattle , Humans , Petrolatum , Skin/pathology , SwineABSTRACT
Early excision and delayed primary grafting of burns of the hand is presented as a method of achieving rapid healing, thus allowing early full mobilization. The results of 19 consecutively treated patients are reported.
