ABSTRACT
Introducción: El rinofima representa una deformidad progresiva de la nariz, que conduce a una alteración estética importante, sus características clínicas pueden variar, desde un enrojecimiento y ligero engrosamiento de la punta nasal, hasta un tumor deformante, diversos métodos quirúrgicos se describen para tratarlo. Objetivo: Actualizar el conocimiento de los diversos métodos quirúrgicos, en el tratamiento del rinofima. Método: Se realizó una revisión integradora, en cuatro bases de datos: ¨Medline¨, ¨Ebsco¨, ¨PubMed¨, ¨Scielo¨, se evaluaron 130 revistas de impacto y se trabajó con 40 artículos, de enero a marzo del 2020. Se utilizó el tesauro en español como ¨Rinofima¨, ¨Electrocirugía¨, ¨Electrocoagulación¨, ¨Dermabrasión¨, ¨Rinoplastia¨ y su contraparte en inglés. Conclusiones: El diagnóstico del tipo, grado de afectación de la enfermedad, recursos disponibles, así como la preparación del profesional, orienta la selección del procedimiento ideal para el paciente(AU)
Introduction: Rynophyma represents a progressive deformity of the nose, which conducts to the esthetics and important disorder, its clinical characteristics may vary, from a reddening and mild enlargement of the tip of the nose, to a deforming tumor, diverse surgical methods are described to treat it. Objective: To update knowledge of diverse surgical methods, in the treatment of Rynophyma. Method: An integrated revision was carried out, in four data bases: ¨Medline¨, ¨Ebsco¨, ¨PubMed¨, ¨Scielo¨, 130 impact magazines were evaluated and 40 articles were considered, from January to March, 2020. The thesaurus in Spanish was used for the terms ¨ Rynophyma ¨, ¨Electro surgery¨, ¨Electrocoagulation¨, ¨Dermabrasion¨, ¨Rynoplasty¨ and its counterpart in English. Conclusions: The diagnosis of the type and level of affectation of the disease, available resources, as well as the preparation of the professional, guides the selection of the ideal procedure for the patient (AU)
Subject(s)
Humans , Male , Female , Rhinophyma , Electrosurgery , Electrocoagulation , DermabrasionABSTRACT
Xanthelasma palpebrarum is a subcutaneous lesion of the lid and cause a cosmetical issue. The aim of the present study was to evaluate the atmospheric plasma treatment for the treatment of xanthelasma with an 11-year follow up. Seventy-two patients with bilateral xanthelasma and 26 patients with unilateral xanthelasma by atmospheric plasma technique known also as voltaic arc dermabrasion (VAD, Europe Medical s.r.l. Montesilvano (PE), Italy). Photographs were obtained at the baseline and after the procedure and analyzed by an independent observer. The evaluation of the results was made 2 months after this single treatment with 11 years of follow up. The subjects average age was 48.5 years (range 41-63 years). All subjects were elected for a single session for the lesion removal. The erosion is epithelialized from the lesion margins and the dermal basal cells. After 2 months from the treatment, the result was scored as 4 (clearing of lesions > 75%, complete resolution) in 66 patients for a total of 104 lesions treated; scored as 3 in 24 patients for a total of 48 lesions, and as 2 in nine patients for a total of 18 lesions. No subjects scored 0 or 1. A total of 8 lesions showed mild erythema in the treated areas for 1 month. Numerous approaches were proposed for xanthelasma exeresis such as a surgical treatment especially in case of excessively large lesions or lesions involving the medial canthus that could produce a more limited skin laxity rapidly induces a risk of ectropion. In conclusion, the effectiveness of the present investigation suggest that the atmospheric plasma is a useful therapeutic option for the treatment of xanthelasma palpebrarum.
Subject(s)
Eyelid Diseases , Xanthomatosis , Adult , Europe , Follow-Up Studies , Humans , Italy , Middle AgedABSTRACT
La dermoabrasión en combinación con sulfadiazina de plata y lidocaína, como tratamiento para las quemaduras AB en pacientes pediátricos, presenta ventajas en cuanto a los resultados que ofrece, ya que es un método sencillo y reproducible. Como desventaja presenta que se requieren varias sesiones de tratamiento y en algunos casos, donde se produjo profundización de la lesión, se requirió cobertura con injerto de pie
Subject(s)
Humans , Infant , Child, Preschool , Child , Adolescent , Pain, Postoperative , Pediatrics , Silver Sulfadiazine/therapeutic use , Surgical Procedures, Operative/methods , Transplantation/methods , Pain Measurement , Burns/therapy , Collagenases/therapeutic use , Dermabrasion/rehabilitation , Lidocaine/therapeutic use , Occlusive DressingsABSTRACT
Las cicatrices extensas son lesiones que condicionan la vida de los pacientes que las padecen, produciendo retracción social o como en este caso condicionando la vestimenta de una joven adolescente de 15 años. Se realiza el tratamiento de cicatrices postquemadura que padece desde los 2 meses de edad, combinando diversos métodos como peeling, mesoterapia, dermoabrasión y ultrasonido, obteniendo como resultado la mejoría clínica, estética y psicológica, brindándole una calidad de vida superior.
Extensive scars modify the patient's life. Significant scarring causes functional and cosmetic deformities, discomfort and psychological stress. We report a teenager, who suffered from burning when she was two months old. She has been under scar treatment combining several methods such as peeling, mesotherapy, manual dermoabrasion and ultrasound. Up to now, we improved the patient's life quality, obtaining a clinical improvement, such as aesthetic and psychological one.
