RESUMO
OBJECTIVE: To describe a modified technique of liposuction that combines endoscopic techniques and a soft tissue shaver for neck recontouring. DESIGN: Nonrandomized, nonblinded, retrospective evaluation of endoscopic liposhaving for patients requiring neck recontouring in a facial plastic surgery practice. INTERVENTIONS: Endoscopic liposhaving was performed on 5 patients undergoing neck recontouring with platysma plication using a small submental incision. MAIN OUTCOME MEASURES: Subjective evaluation by the surgeon. RESULTS: Direct visualization with the endoscope ensures complete removal of excess fat while maintaining a small amount of fat over the platysma muscle and on the skin flap. The fat was easily and precisely removed with minimal trauma and edema. There were no resulting facial nerve injuries, dimpling, hematomas, or significant asymmetries. CONCLUSIONS: Endoscopic liposhaving for neck recontouring is a precise and less traumatic method of lipectomy than the current techniques. Direct fat visualization with an endoscope allows more accuracy than the external visualization and palpation relied on in conventional liposuction or direct liposhaving. Using these 2 newer modalities can lead to quicker recovery time. There are no known previous reports of use of these 2 techniques together. Arch Facial Plast Surg. 2000;2:264-268
Assuntos
Endoscopia/métodos , Lipectomia/métodos , Pescoço/cirurgia , Ritidoplastia/métodos , Terapia Combinada , Endoscopia/efeitos adversos , Humanos , Lipectomia/efeitos adversos , Lipectomia/instrumentação , Estudos Retrospectivos , Ritidoplastia/instrumentação , Resultado do TratamentoAssuntos
Epiglote/patologia , Epiglotite/microbiologia , Infecções por Escherichia coli/patologia , Hospedeiro Imunocomprometido , Neutropenia/induzido quimicamente , Procainamida/efeitos adversos , Idoso , Complexos Cardíacos Prematuros/tratamento farmacológico , Epiglotite/imunologia , Epiglotite/patologia , Infecções por Escherichia coli/imunologia , Feminino , Humanos , Necrose , Procainamida/uso terapêuticoRESUMO
Intramuscular myxoma of the head and neck is a rare lesion with only six cases documented in the literature. The tumor demonstrates a benign clinical course without a tendency to recur and is occasionally associated with fibrous dysplasia. It thus deserves to be considered in a separate class from other soft tissue myxomas. The seventh case of a head and neck intramuscular myxoma is presented and the clinical, pathological, and CT characteristics of this tumor are reviewed.
Assuntos
Neoplasias de Cabeça e Pescoço , Músculos , Músculos do Pescoço , Idoso , Diagnóstico Diferencial , Feminino , Neoplasias de Cabeça e Pescoço/diagnóstico por imagem , Neoplasias de Cabeça e Pescoço/patologia , Neoplasias de Cabeça e Pescoço/ultraestrutura , Humanos , Recidiva Local de Neoplasia , Tomografia Computadorizada por Raios XRESUMO
Neurogenic tumors consist of schwannomas, neurofibromas, and neurosarcomas that arise from the Schwann cell of a peripheral nerve. Their occurrence in the larynx is rare, with only 115 cases having been reported. Three new cases are presented, the literature is reviewed, and the first computed tomographic (CT) scan of a benign schwannoma of the larynx is demonstrated. The diagnosis and treatment of these tumors and the CT scan analysis are discussed.
Assuntos
Neoplasias Laríngeas/diagnóstico por imagem , Neurilemoma/diagnóstico por imagem , Adulto , Feminino , Humanos , Neoplasias Laríngeas/cirurgia , Masculino , Pessoa de Meia-Idade , Neurilemoma/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Mucoepidermoid carcinomas of minor salivary gland origin rarely arise in the nasal cavity. A patient with such a tumor in association with bilateral sphenoid sinus mucoceles is presented. This diagnosis was established preoperatively by CT and allowed an attempt at curative surgery to be made. The CT and pathological findings are discussed.
