Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 52
Filtrar
1.
Sci Rep ; 11(1): 5474, 2021 Mar 09.
Artigo em Inglês | MEDLINE | ID: mdl-33750828

RESUMO

Exchange bias properties of MnFe[Formula: see text]O[Formula: see text]@[Formula: see text]-Fe[Formula: see text]O[Formula: see text] core-shell nanoparticles are investigated. The measured field and temperature dependencies of the magnetization point out a well-ordered ferrimagnetic core surrounded by a layer with spin glass-like arrangement. Quasi-static SQUID magnetization measurements are presented along with high-amplitude pulse ones and are cross-analyzed by comparison against ferromagnetic resonance experiments at 9 GHz. These measurements allow one to discern three types of magnetic anisotropies affecting the dynamics of the magnetic moment of the well-ordered ferrimagnetic NP's core viz. the easy-axis (uniaxial) anisotropy, the unidirectional exchange-bias anisotropy and the rotatable anisotropy. The uniaxial anisotropy originates from the structural core-shell interface. The unidirectional exchange-bias anisotropy is associated with the spin-coupling at the ferrimagnetic/spin glass-like interface; it is observable only at low temperatures after a field-cooling process. The rotatable anisotropy is caused by partially-pinned spins at the core/shell interface; it manifests itself as an intrinsic field always parallel to the external applied magnetic field. The whole set of experimental results is interpreted in the framework of superparamagnetic theory, i.e., essentially taking into account the effect of thermal fluctuations on the magnetic moment of the particle core. In particular, it is found that the rotatable anisotropy of our system is of a uniaxial type.

2.
Neuroscience ; 454: 72-84, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-31917340

RESUMO

Depression is a chronic disease that affects nearly twice as many women as men, and symptoms can differ by sex. Preclinical models disproportionately use male subjects and test a single behavioral endpoint immediately at the cessation of stress. We conducted variable stress in male and female mice for 6, 28, and 56 days, and measured behavior with a battery chosen to match research domain criteria. To examine individual differences, we generated a composite z score to measure stress susceptibility across behavioral tests. We also tested behavior following a 30-day recovery period to evaluate the duration of the stress effects. Females, but not males, were susceptible to 6 days of variable stress when behavioral testing started 24 h later. If behavioral testing was conducted 30 days later both males and females expressed stress related behaviors. Males and females were stress susceptible to 28 days of variable stress and effects were long lasting. Both sexes habituated to 56 days of variable stress, but anxiety associated measures still showed persistence. Performance on specific behavioral tests was often different between individuals and between sexes, and not all stressed animals were susceptible to all tested behaviors. These studies confirm that behavioral sex differences are detected in response to variable stress, and reveal information about individual differences. Use of a test battery that measures varying endophenotypes can be combined into a single stress susceptibility score as a tool similar to the scales/inventories used for the study of depression in humans. We present these data with the goal of furthering the field's understanding sex differences and how they shape the biology of mood disorders.


Assuntos
Caracteres Sexuais , Estresse Psicológico , Animais , Ansiedade , Transtornos de Ansiedade , Comportamento Animal , Doença Crônica , Modelos Animais de Doenças , Feminino , Masculino , Camundongos
3.
Phys Rev Lett ; 117(10): 106402, 2016 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-27636483

RESUMO

We present a direct NMR method to determine whether the interactions in a Tomonaga-Luttinger liquid (TLL) state of a spin-1/2 Heisenberg antiferromagnetic ladder are attractive or repulsive. For the strong-leg spin ladder compound (C_{7}H_{10}N)_{2}CuBr_{4} we find that the isothermal magnetic field dependence of the NMR relaxation rate T_{1}^{-1}(H) displays a concave curve between the two critical fields bounding the TLL regime. This is in sharp contrast to the convex curve previously reported for a strong-rung ladder, (C_{5}H_{12}N)_{2}CuBr_{4}. We show that the concavity and the convexity of T_{1}^{-1}(H), which is a fingerprint of spin fluctuations, directly reflect the attractive and repulsive fermionic interactions in the TLL, respectively. The interaction sign is alternatively determined from an indirect method combining bulk magnetization and specific heat data.

4.
Opt Express ; 20(6): 5993-6002, 2012 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-22418476

RESUMO

We present a novel approach for terahertz time-domain spectroscopy of magneto-optic phenomena. The setup used in this work combines a tabletop pulsed magnet and a standard terahertz time-domain spectroscopy system. The approach is based on repetitive operation of the pulsed magnet and step-wise increment of the delay time of the time-domain spectroscopy system. The method is demonstrated by plotting the magneto-transmission spectra of linearly polarized THz pulses through the hole gas of a Ge sample and the electron gas of GaAs, InSb and InAs samples. Cyclotron resonance spectra are displayed in the frequency range from 200 GHz to 2 THz and for a magnetic field up to 6 T. The GaAs spectra are analyzed in more detail using simulations based on the Drude model.


Assuntos
Imãs , Desenho de Equipamento , Análise de Falha de Equipamento , Espectroscopia Terahertz
5.
Ann Chir Plast Esthet ; 50(1): 62-70, 2005 Feb.
Artigo em Francês | MEDLINE | ID: mdl-15695012

RESUMO

The anterolateral thigh flap is a cutaneous or fasciocutaneous perforator flap, extensively used in China, Japan, Taiwan (Demirkan et al., 2000; Kimata et al., 1997; Koshima et al., 1993; Luo et al., 1999) but infrequently in Europe, probably because of variations in origin and course of the cutaneous perforators rending its use apparently less reliable. This study is about 13 anterolateral thigh flaps performed between November 1, 1998, and December 30, 2002, on 13 patients, four women, nine men. Among these 13 flaps, 11 were free flaps, two were pedicled flaps. The surgical procedure was decided because of loss of soft tissue localised in: floor of the mouth (2 flaps), limb (9 flaps), inguinal-illiac region (2 flaps). The mean age of patients was 47.7 years (ext. 23 years and 69 years). The quality of the result was evaluated by the surgeon as good or very good, fair or bad. The function of the donor site was evaluated by questionnaire of the patient and physical examination of knee extension. Three free flaps were re-explored because of venous thrombosis, one of them necrosed. No functional impairment was found. The result was evaluated by the surgeon as good or very good in 11 cases, fair for one case, "bad" in the case were the flap was lost. The results of the reconstructive procedure using the anterolateral thigh flap are satisfying. This flap is reliable if the surgical technique is strictly applied.


Assuntos
Microcirurgia , Procedimentos de Cirurgia Plástica/métodos , Retalhos Cirúrgicos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Inquéritos e Questionários , Coxa da Perna , Resultado do Tratamento
6.
Ann Chir Plast Esthet ; 48(3): 180-6, 2003 Jun.
Artigo em Francês | MEDLINE | ID: mdl-12837639

RESUMO

The anterolateral thigh flap is a particular flap of the vastus lateralis musculocutaneous flap (perforator flap). This flap was used as a pedicled flap to reconstruct the abdominal wall and to cover the inguinal region following the resection of a voluminous tumor of the womb invading the abdominal wall, the femoral vessels and the skin. The flap included a large facial paddle nourishing a skin island and a little muscle paddle including the perforator vessel. This medially positioned facial paddle allowed to increase the area of useful flap. So it was possible to reconstruct a 10x15 cm abdominal wall defect, and to cover the vascular decking in inguinal region with this only flap. In spite of the harvesting of a small muscular paddle of vastus lateralis (with conservation of the motor nerve) the function of thigh extension has been preserved. Besides the subtlety described to increase the "solid" surface of the fragment, it seems that the anterolateral thigh flap is perfectly useful to cover defects of soft tissues in inguinal region after vascular surgery, indication which was not reported to our knowledge in spite of the high frequency of these losses defects.


Assuntos
Parede Abdominal/patologia , Parede Abdominal/cirurgia , Canal Inguinal/patologia , Canal Inguinal/cirurgia , Lipossarcoma/patologia , Lipossarcoma/cirurgia , Músculo Esquelético/transplante , Procedimentos de Cirurgia Plástica/métodos , Retalhos Cirúrgicos , Neoplasias Uterinas/patologia , Neoplasias Uterinas/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Invasividade Neoplásica , Coxa da Perna
7.
Rev Stomatol Chir Maxillofac ; 103(6): 373-8, 2002 Dec.
Artigo em Francês | MEDLINE | ID: mdl-12538922

RESUMO

The anterolateral thigh free flap is a cutaneous or fasciocutaneous flap vascularised by one or several perforating arteries arising from the descending branch of the lateral circonflex femoral artery. Venous drainage occurs via the perforators or a similar route to the deep femoral system or the femoral vein. This flap is commonly used in Asia (China, Japan) where for certain teams, it replaces the classical radial forearm flap or the rectus abdominis myocutaneous flap for the reconstruction of head and neck defects after tumor ablation. We briefly describe the anatomy and vascularization of this flap and present the harvesting technique as well as the properties of the flap.


Assuntos
Neoplasias de Cabeça e Pescoço/reabilitação , Procedimentos de Cirurgia Plástica/métodos , Transplante de Pele/métodos , Retalhos Cirúrgicos/irrigação sanguínea , Coxa da Perna/cirurgia , China , Artéria Femoral , Veia Femoral , Neoplasias de Cabeça e Pescoço/cirurgia , Humanos , Japão , Músculo Esquelético/transplante , Coxa da Perna/irrigação sanguínea , Coleta de Tecidos e Órgãos
8.
Leuk Lymphoma ; 41(1-2): 35-45, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11342355

RESUMO

The activation of telomerase, which specifically occurs in neoplastic cells to avoid telomere attrition at each cell division, is a necessary event in tumorigenesis. The evidence that telomerase is also present in normal B cells at different levels according to their differentiation and activation state makes the study of telomerase activity in B cell tumors particularly interesting. This review summarizes data concerning telomerase activity in chronic lymphoproliferative disorders of B-cell lineage (B-CLD), making suggestions regarding B-cell development and B-cell tumor histogenesis. The role of telomerase activity as a potential prognostic marker, as well as a target of new antineoplastic strategies is discussed.


Assuntos
Linfócitos B/patologia , Transtornos Linfoproliferativos/etiologia , Telomerase/metabolismo , Biomarcadores , Linhagem da Célula/fisiologia , Doença Crônica , Progressão da Doença , Humanos , Transtornos Linfoproliferativos/diagnóstico
9.
J Infect Dis ; 183(3): 417-24, 2001 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-11133373

RESUMO

The effect of human immunodeficiency virus type 1 (HIV-1) on telomerase activity in peripheral blood lymphocytes (PBL) was examined. Telomerase is an enzyme that is involved in mechanisms that control cell life span and replicative potential. HIV-1 reduced telomerase activity in in vitro-infected PBL and impaired enzyme activation upon cell stimulation. Telomerase activity was significantly lower in PBL from 23 HIV-1-infected patients than in PBL from healthy donors and significantly increased during highly active antiretroviral therapy (HAART) in 10 patients who had both a virological and an immunological response and in 5 and 8 patients with a virological or an immunological response, respectively. Further analyses of fractionated cells revealed that telomerase activity increased mainly in CD4(+) lymphocytes. Overall, these findings demonstrate that HIV-1 infection down-modulates telomerase activity and suggest that both the HIV-1 decline and immunorestoration in response to HAART contribute to increased telomerase activity in CD4(+) lymphocytes.


Assuntos
Linfócitos T CD4-Positivos/enzimologia , Infecções por HIV/enzimologia , Infecções por HIV/virologia , HIV-1/fisiologia , Leucócitos Mononucleares/enzimologia , Leucócitos Mononucleares/virologia , Telomerase/metabolismo , Terapia Antirretroviral de Alta Atividade , Linfócitos T CD4-Positivos/imunologia , Linfócitos T CD4-Positivos/virologia , Células Cultivadas , Ativação Enzimática , Infecções por HIV/tratamento farmacológico , Infecções por HIV/imunologia , Humanos , Leucócitos Mononucleares/efeitos dos fármacos , Ativação Linfocitária , Fito-Hemaglutininas/farmacologia , RNA Viral/sangue
10.
Rev Stomatol Chir Maxillofac ; 100(5): 221-5, 1999 Oct.
Artigo em Francês | MEDLINE | ID: mdl-10604213

RESUMO

Since may 1999, 5 facial artery musculo-mucosal (FAMM) flaps have been used for mucosal reconstruction of the top of the mouth. The FAMM flap, first described by Pribaz in 1993 is a modification of the naso-labial cutaneous flap. The flap can be inferiorly based on the facial vessels (orthograde flow) or superiorly based (retrograde flow). It can easily reconstruct palate, alveolus and soft palate defects. The are of rotation has its pivot point inferiorly at the retromolar trigone, superiorly at the gingival labial sulcus. The FAMM flap has been used for 2 palatal fistula after facial blast injuries and 1 secondary cleft palate surgery. For the cleft palate surgery an Lefort 1 osteotomy with iliac crest graft was associated. All the flap but one survive with primary healing. One partial necrosis was noted but spontaneously healed secondarily. The FAMM flap is a reliable flap for mucosal reconstructions of the top of the mouth. The flap dissection is easy and the donor site morbidity is low.


Assuntos
Músculos Faciais/transplante , Mucosa Bucal/transplante , Palato/cirurgia , Retalhos Cirúrgicos , Adolescente , Adulto , Alveoloplastia/métodos , Artérias , Transplante Ósseo , Fissura Palatina/cirurgia , Músculos Faciais/irrigação sanguínea , Sobrevivência de Enxerto , Humanos , Doenças Maxilares/cirurgia , Mucosa Bucal/irrigação sanguínea , Doenças Nasais/cirurgia , Fístula Bucal/cirurgia , Osteotomia de Le Fort , Palato Mole/cirurgia , Retalhos Cirúrgicos/irrigação sanguínea , Cicatrização , Ferimentos por Arma de Fogo/cirurgia
12.
Br J Haematol ; 106(3): 662-8, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10468854

RESUMO

The progressive shortening of telomeres at each cell division is a key mechanism in controlling cell proliferative capacity. The activation of telomerase, a reverse transcriptase that extends telomere length, potentially leads to unlimited cell proliferation, and is believed to play a critical role in the neoplastic process. High levels of telomerase activity have been demonstrated in almost all solid tumours; however, little data is available concerning its expression in chronic B-cell neoplasms. By using a quantitative polymerase chain reaction-based method we quantified telomerase activity in normal B lymphocytes, and in various B-cell malignancies, including chronic lymphocytic leukaemia (CLL), mantle cell lymphoma (MCL) and hairy cell leukaemia (HCL). Compared to normal B cells, which expressed very low levels of telomerase activity, malignant cells from most of the patients showed a significant increase in telomerase activity, with highest values observed in HCL samples. Moreover, among the CLL and HCL cases, significantly higher levels of telomerase activity were found in patients with progressive disease at 1 year follow-up versus patients with stable disease. These data suggest that telomerase activity might correlate with disease progression.


Assuntos
Transtornos Linfoproliferativos/enzimologia , Telomerase/metabolismo , Idoso , Doença Crônica , Feminino , Humanos , Leucemia de Células Pilosas/enzimologia , Leucemia Linfocítica Crônica de Células B/enzimologia , Linfoma de Célula do Manto/enzimologia , Masculino , Pessoa de Meia-Idade
13.
Ann Plast Surg ; 43(1): 77-82, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10402991

RESUMO

Reconstruction of the dorsal surface of hand defects requires thin, pliable, well-vascularized tissue with a gliding surface for the extensor tendon course. Fasciocutaneous or fascial flaps are the two surgical options. Fascial flaps present the advantages of thinness and low donor site morbidity. The authors present 4 cases of serratus anterior free fascial flap (SAFFF) used to cover the dorsum of the hand. The SAFFF with skin graft has many advantages for a fascial flap: long, constant vascular pedicle; very thin, well-vascularized tissue; low donor site morbidity; and the possibility of simultaneous donor and recipient site dissection. Furthermore, it can be associated with other flaps of the subscapular system for complex reconstructions. Of the 4 observations described, 2 used associated flaps, 1 used the SAFFF with a latissimus dorsi flap, and 1 used a scapular bone flap with the SAFFF. One flap was lost due to an electrical lesion to the forearm vessels.


Assuntos
Fáscia/transplante , Traumatismos da Mão/cirurgia , Lesões dos Tecidos Moles/cirurgia , Retalhos Cirúrgicos , Adulto , Artérias/cirurgia , Fáscia/irrigação sanguínea , Feminino , Fixação Interna de Fraturas , Humanos , Masculino , Metacarpo/lesões , Metacarpo/cirurgia , Microcirurgia , Pessoa de Meia-Idade , Complicações Pós-Operatórias/cirurgia , Reoperação , Retalhos Cirúrgicos/irrigação sanguínea , Cicatrização/fisiologia
14.
Ann Chir Plast Esthet ; 44(2): 175-82; discussion 183, 1999 Apr.
Artigo em Francês | MEDLINE | ID: mdl-10337048

RESUMO

The authors report their experience of the use of the serratus anterior flap. Between 1992 and 1997, this flap was used for 14 head and neck and 11 limb and 1 intra-thoracic reconstructions. Twelve patients were examined for functional evaluation of the donor site. When only 2 or 3 slips are raised donor site morbidity is limited to moderate winging of the scapula with no functional disorders. Because of its thinness, and the length and diameter of the vascular pedicle, the serratus anterior flap is our favourite option for small wounds of the distal limb or composite and large defects in association with flaps of the subscapular system.


Assuntos
Músculo Esquelético/transplante , Seleção de Pacientes , Retalhos Cirúrgicos , Tórax , Ferimentos e Lesões/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Retalhos Cirúrgicos/efeitos adversos , Resultado do Tratamento
15.
Ann Chir Plast Esthet ; 40(1): 58-65; discussion 66, 1995 Feb.
Artigo em Francês | MEDLINE | ID: mdl-7668807

RESUMO

Reconstruction of facial skin defects after cancer surgery or trauma with conventional flaps can give a poor cosmetic result when a thick flap is used to replace thin skin. The thickness of the flap can be a disadvantage to replacing a thin skin. Defatting the flap can resolve these situations, using the principle of Colson's flap. This operative procedure is safe, and improves the cosmetic results. The authors report a series of 21 full-thickness skin defects located at the junction of two or three regional units. The defects were repaired with total or partial undermining flap (frontal, nasoiabial, cheek flaps). The viability of these reconstructions was perfect and the cosmetic results fairly esthetic in comparison with conventional flaps.


Assuntos
Face/cirurgia , Neoplasias Faciais/cirurgia , Retalhos Cirúrgicos , Carcinoma Basocelular/cirurgia , Estética , Traumatismos Faciais/cirurgia , Feminino , Humanos , Masculino
16.
Rev Stomatol Chir Maxillofac ; 96(1): 33-5, 1995.
Artigo em Francês | MEDLINE | ID: mdl-7899811

RESUMO

Seven cases of primary skin neuroendocrine carcinoma or Merkel cell tumours with cervico-facial localization are reported. The poor prognosis of these tumours is essentially due to the potential for local recurrence and the frequency of locoregional and visceral metastasis. Surgical treatment is required but rarely sufficient to control the disease. Complementary radiotherapy, when performed early, can reduce the rate of locoregional recurrence. Lymph node resection is important to determine prognosis but has not been proven to improve outcome. In addition, parotid metastasis appears to result from blood stream dissemination and has a very poor prognosis. Exclusive radiotherapy may be discussed in such cases.


Assuntos
Carcinoma de Célula de Merkel/patologia , Carcinoma Neuroendócrino/patologia , Neoplasias Faciais/patologia , Neoplasias de Cabeça e Pescoço/patologia , Neoplasias Cutâneas/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Carcinoma de Célula de Merkel/radioterapia , Carcinoma de Célula de Merkel/secundário , Carcinoma de Célula de Merkel/cirurgia , Carcinoma Neuroendócrino/radioterapia , Carcinoma Neuroendócrino/secundário , Carcinoma Neuroendócrino/cirurgia , Terapia Combinada , Neoplasias Faciais/radioterapia , Neoplasias Faciais/cirurgia , Feminino , Neoplasias de Cabeça e Pescoço/radioterapia , Neoplasias de Cabeça e Pescoço/cirurgia , Humanos , Excisão de Linfonodo , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/patologia , Neoplasias Parotídeas/patologia , Prognóstico , Neoplasias Cutâneas/radioterapia , Neoplasias Cutâneas/cirurgia , Taxa de Sobrevida , Resultado do Tratamento
17.
Ann Chir Plast Esthet ; 38(1): 48-53, 1993 Feb.
Artigo em Francês | MEDLINE | ID: mdl-8291887

RESUMO

Amniotic disease or congenital skin sulci disease is a clinical entity covering a broad spectrum of malformations, usually involving the limbs, skull and face. This malformation is exceptional in the thorax. The authors report the case of a 22 year old woman with sequelae of thoracic amniotic disease, consisting of unilateral mammary aplasia, atrophy of the pectoralis major and latissimus dorsi muscles and deformity of the homolateral thoracic skeleton. They describe the breast reconstruction performed by tissue expansion in this patient.


Assuntos
Síndrome de Bandas Amnióticas/cirurgia , Mamoplastia/métodos , Expansão de Tecido , Adulto , Mama/anormalidades , Feminino , Seguimentos , Humanos , Recém-Nascido , Próteses e Implantes , Retalhos Cirúrgicos , Tórax
18.
Rev Stomatol Chir Maxillofac ; 92(1): 14-7, 1991.
Artigo em Francês | MEDLINE | ID: mdl-2047727

RESUMO

Rybka's flap is an island myocutaneous sliding flap, based on the lower portion of the nasalis muscle. It takes advantage of a constant and reliable arterial pedicle. It presents an aesthetic advantage, respecting natural creases lines. It does not take the place of the other tip reconstruction methods, but it must belong to them on account of its trumps.


Assuntos
Músculos/transplante , Nariz/cirurgia , Transplante de Pele/métodos , Retalhos Cirúrgicos/métodos , Idoso , Carcinoma Basocelular/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Nasais/cirurgia
19.
Ann Chir Plast Esthet ; 36(6): 532-43, 1991.
Artigo em Francês | MEDLINE | ID: mdl-1726354

RESUMO

Cover of ankle and heel defects is always a difficult problem for the plastic surgeon. This complexity is due to the poor blood supply and the limited amount of surrounding soft tissue, as well as the high incidence of adjacent lesions. Apart from pressure sores in bedridden patients, skin defects in active patients, which require reconstruction to a state as close as possible to the premorbid state, are relatively rare. A plastic surgery unit is faced with this problem four or five times a year, on average. This low incidence means that each patient constitutes a particular case. There are no series in the international literature sufficiently large to establish any statistically valid data. The authors analyse a series of 88 cases of ankle or heel defects treated between 1982 and 1989 in the plastic surgery unit of CHU de Tours. They report their experience of the techniques used and define the indications in relation to the nature of the structures exposed and the weight-bearing or non-weight-bearing nature of the defect to be covered.


Assuntos
Tornozelo/cirurgia , Calcanhar/cirurgia , Transplante de Pele/métodos , Retalhos Cirúrgicos , Adulto , Idoso , Idoso de 80 Anos ou mais , Traumatismos do Tornozelo/cirurgia , Queimaduras/cirurgia , Feminino , Humanos , Masculino , Melanoma/cirurgia , Pessoa de Meia-Idade , Neoplasias Cutâneas/cirurgia , Úlcera Cutânea/cirurgia , Cirurgia Plástica/métodos
20.
Ann Chir Plast Esthet ; 36(4): 337-46, 1991.
Artigo em Francês | MEDLINE | ID: mdl-1724888

RESUMO

The ischial region is the commonest site for pressure sores in paraplegics capable of sitting. The choice of treatment must be guided by two imperatives: the need for a thick tissue cover (mattressing) and perfect trophicity, the risk of recurrence which always remains possible. The association of a modified Griffith fasciocutaneous flap from the posterior surface of the thigh and a hamstring muscle flap (preferably biceps femoris) providing mattressing of the ischial region, appears to satisfy these imperatives. The other repair procedures are discussed in order to ensure the best management of the paraplegic patient's cutaneous capital, due to the continual risk of a new pressure sore or a recurrence of the ischial pressure sore.


Assuntos
Paraplegia/complicações , Úlcera por Pressão/cirurgia , Cirurgia Plástica , Retalhos Cirúrgicos , Adulto , Feminino , Humanos , Ísquio , Masculino , Pessoa de Meia-Idade , Úlcera por Pressão/etiologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...