RESUMO
The most common etiology of nasal defects that require reconstruction is skin cancer, particularly basal cell carcinoma, the most common nasal skin cancer, as well as squamous cell carcinoma, and melanoma. Reconstruction of extensive nasal defects including nasal bone, septum, and esthetically defined units of the nose always represent with certain difficulties. Forehead flaps and free flaps can be utilized for reconstruction of extensive nasal defects. The forehead flap is a reliable and well-established reconstructive option for management of extensive nasal defects. We aimed to compare the esthetic and functional results of forehead flaps and free flaps for reconstruction of extensive nasal defects.
Assuntos
Neoplasias Nasais/cirurgia , Neoplasias Cutâneas/cirurgia , Retalhos Cirúrgicos , Idoso , Idoso de 80 Anos ou mais , Cartilagem/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Morbidade , Septo Nasal/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Resultado do TratamentoRESUMO
Microstomia is one of the most distressing results of burn. In this article, two cases presenting with microstomia following burn injury were revealed. In these patients, perioral and commisure defects due to burn were severe. The commissuroplasties were performed with a composite graft harvested and reshaped from the ear lobule. The oral aperture was evaluated before and after the operation and the patients were followed-up for two years. As a result, the opening was nearly normal without the help of a splint. Functional recovery were satisfactory as the incidence of drooling disappeared. Both patients were satisfied with the end results since their quality of life increased significantly.
Assuntos
Queimaduras/complicações , Microstomia/cirurgia , Transplante de Pele/métodos , Orelha , Humanos , Microstomia/etiologia , Satisfação do Paciente , Qualidade de Vida , Procedimentos de Cirurgia Plástica/métodos , Recuperação de Função Fisiológica , Resultado do TratamentoRESUMO
Injection of botulinum toxin is a painful procedure, limiting the number of patients treated. This study was designed to establish whether infiltration of local anesthetics plays a role in the effectiveness of botulinum toxin. For the study, 24 New Zealand white rabbits were divided into three groups. In all three groups, local anesthetics (prilocaine, lidocaine, lidocaine, and epinephrine) were injected into the right anterior auricular muscle before a 2.5-U injection of botox A. The contralateral anterior auricular muscle of all the rabbits was injected with the same dose of the toxin to serve as a control. Photographic documentation was recorded; electromyographic study was performed; and results were statistically analyzed. The results show that local anesthetics do not play a role in the efficacy of botulinum toxin. Thus, the use of infiltrative local anesthetics before botulinum toxin injection is a safe method for achieving a less painful procedure for the patient.
