Técnica minimamente invasiva para correção de lóbulo de orelha totalmente fendido / Minimally invasive technique for repairing complete earlobe cleft

Devido a algumas limitações nas técnicas cirúrgicas de correção de lóbulo de orelha fendido, como cicatrizes inestéticas e recidivas, os autores descrevem técnica corretiva minimamente invasiva com base em ponto único de sutura simples, seguido de aplicação de ácido tricloroacético a 90%. Devido à facilidade técnica do procedimento, baixo custo e ótimos resultados, a técnica descrita deve ser considerada opção terapêutica para a correção de lóbulos de orelha totalmente fendidos.Devido a algumas limitações nas técnicas cirúrgicas de correção de lóbulo de orelha fendido, como cicatrizes inestéticas e recidivas, os autores descrevem técnica corretiva minimamente invasiva com base em ponto único de sutura simples, seguido de aplicação de ácido tricloroacético a 90%. Devido à facilidade técnica do procedimento, baixo custo e ótimos resultados, a técnica descrita deve ser considerada opção terapêutica para a correção de lóbulos de orelha totalmente fendidos.

Histopathological aspects of cutaneous photoaging and phenol peeling

The skin is regarded as the largest organ in our system and has the general purposes of physical, mechanical and immunological protection, sealing against the elements and thermoregulation and tactile perception of environmental stimuli. Skin aging is a complex biological event that affects all skin layers. The dermis, however, is particularly affected due to its histophysiologies' characteristics. With the expansion of life expectancy, the dermatological questions among the older population has had an increasingly bigger importance, propelling the development and perfecting of rejuvenation techniques. The phenol peeling is a deep, chemical one, which offers intense clinical results. The application on small areas of the body, for example, around the eyes, is safe and does not lead to cardiovascular complications. This review aims to update the knowledge of skin histology, the alterations related to photoaging and phenol peeling.

Nonsurgical technique for incomplete earlobe cleft repair.

BACKGROUND: Earlobe cleft is a common problem caused by the wearing of jewelry or decorative objects. Incomplete earlobe clefts are usually bilateral and are often converted to complete clefts as part of the surgical repair procedure. OBJECTIVE: We present a nonsurgical procedure for incomplete earlobe cleft repair using trichloroacetic acid 90%. METHODS AND MATERIALS: We assessed 32 patients with a total of 53 earlobes to be noninvasively repaired. RESULTS: Complete treatment varied from 2 to 50 days, an average of 15 days between the first and last application of trichloroacetic acid 90%. No recurrences were observed during 1 year of follow-up. All of the clefts were totally repaired, and all of the patients were satisfied with the aesthetic results. CONCLUSIONS: Considering the surgical limitations, the noninvasive procedure described here may be considered to be a good option for incomplete earlobe cleft repair because of its good functional and cosmetic results, low cost, minimum risk, and easy application.