RESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Cancro/diagnóstico , Cancro/tratamento farmacológico , Ceftriaxona/uso terapêutico , Doxiciclina/uso terapêutico , Granuloma Inguinal/diagnóstico , Granuloma Inguinal/tratamento farmacológico , Penicilina G Benzatina/uso terapêutico , Cancro/classificação , Cancro/complicações , Cancro/fisiopatologia , Febre/complicações , Febre/tratamento farmacológico , Febre/etiologiaRESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Alopecia/diagnóstico , Aneurisma Intracraniano/diagnóstico , Aneurisma Intracraniano/terapia , Embolização Terapêutica , Procedimentos Endovasculares/efeitos adversos , RadiodermiteAssuntos
Alopecia/etiologia , Embolização Terapêutica , Procedimentos Endovasculares , Aneurisma Intracraniano/terapia , Radiodermite/etiologia , Radiografia Intervencionista/efeitos adversos , Alopecia/diagnóstico , Embolização Terapêutica/métodos , Procedimentos Endovasculares/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Radiodermite/diagnósticoRESUMO
BACKGROUND: Titanium mesh has been employed in neurosurgery, plastic surgery, and maxillofacial surgery as a bone replacement in diverse conditions. We first reported on its use as a substitute for osteocartilaginous nasal structure with satisfactory functional and aesthetic results in 2009. OBJECTIVES: To assess the utility and tolerance of titanium mesh as a substitute of the osteocartilaginous portion of the nose. MATERIALS AND METHODS: Eleven patients were identified who had a nasal reconstruction with titanium mesh. We retrospectively searched for infection, extrusion, nasal valve collapse, second surgery, and patient satisfaction in the patients' records. All patients presented with various types of non-melanoma skin cancer in the nasal pyramid. In the reconstruction of full-thickness nasal defects, local flaps were used, employing titanium mesh as a support structure. RESULTS: No mesh extrusions, infections, or collapse of the nasal valve were noted in patients with a mean follow-up of five years. Only one patient needed a second surgery to debulk the flap. Patient satisfaction achieved a mean score of 7.5 out of 9 in 10 patients. CONCLUSIONS: As cartilage grafts need a second surgical site, with consequent morbidity, the use of titanium mesh proves useful and safe in the reconstruction of nasal full-thickness defects. The results of our series of patients demonstrate the suitability of this material in the repair of nasal osteochondral defects, as well as its low rate of complications.
Assuntos
Carcinoma Basocelular/cirurgia , Carcinoma de Células Escamosas/cirurgia , Procedimentos Cirúrgicos Dermatológicos/instrumentação , Recidiva Local de Neoplasia/cirurgia , Neoplasias Nasais/cirurgia , Nariz/cirurgia , Neoplasias Cutâneas/cirurgia , Telas Cirúrgicas , Titânio , Idoso , Idoso de 80 Anos ou mais , Procedimentos Cirúrgicos Dermatológicos/métodos , Feminino , Seguimentos , Humanos , Masculino , Satisfação do Paciente , Próteses e Implantes , Reoperação , Estudos Retrospectivos , Retalhos CirúrgicosAssuntos
Dermatite Alérgica de Contato/etiologia , Glucocorticoides/efeitos adversos , Dermatoses da Mão/induzido quimicamente , Prednisolona/análogos & derivados , Adulto , Budesonida/imunologia , Doença Crônica , Reações Cruzadas , Dermatite Alérgica de Contato/diagnóstico , Feminino , Glucocorticoides/imunologia , Dermatoses da Mão/diagnóstico , Humanos , Hidrocortisona/análogos & derivados , Hidrocortisona/imunologia , Testes do Emplastro , Prednisolona/efeitos adversos , Prednisolona/imunologiaRESUMO
BACKGROUND: The nasal pyramid is frequently affected by nonmelanoma skin cancer. In full thickness defects of the nose, reconstruction of all the layers results in better outcomes. METHODS: We present a case in which the combination of two flaps adequately reconstructs a full thickness defect of the nasal ala. RESULTS: The images provide proof of the excellent functional and aesthetic results. CONCLUSIONS: Our technique is a simple, one-stage procedure, with no distant donor site morbidity that achieves good coverage of the internal nasal lining with good external aesthetic result.
