RESUMO
Prophylaxis of ocurrence of pathological cutaneous cicatrices is one of actual problems of plastic surgery of head and neck. Cicatricial changes of tissues, as a consequence of operative interventions and various damaging causes (mechanical, thermal and chemical impact, ionizing irradiation, deep destructive inflammation), were depicted. Propensity for formation of pathological cicatrices we consider as the organism state, in which cicatricial changes occur as an answer for minimal trauma or spontaneously. Detailed analysis of fundamental issues and periodical scientific publications witness the insufficient substantiation of this issue.
Assuntos
Cicatriz/tratamento farmacológico , Hidrocortisona/uso terapêutico , Procedimentos de Cirurgia Plástica , Cicatriz/patologia , Suscetibilidade a Doenças , Cabeça/cirurgia , Humanos , Injeções Intralesionais , Pescoço/cirurgia , Compostos Orgânicos/uso terapêuticoRESUMO
Actuality of the problem, consisting of restoration of defects and deformity zones on head and neck, is caused by great quantity of patients, surgical treatment of which constitute important medico-social problem. The flaps, raised from temporal and parietal regions, are considered perspective for replacement of defects and the deformity zones on head and neck. But, for their correct isolation and mobilization it is necessary to know the topographoanatomical peculiarities of superficial temporal artery, localization of which differs, depending on the head form. The methods of isolation and mobilization of angiosomic preauricular, postauricular and fascial temporal-parietal flaps were optimized in the clinic, basing on analysis of results of the investigations performed and computeric modeling of the superficial temporal artery branches.
Assuntos
Tecido Adiposo/irrigação sanguínea , Osso Parietal/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Pele/irrigação sanguínea , Retalhos Cirúrgicos/irrigação sanguínea , Artérias Temporais/cirurgia , Tecido Adiposo/patologia , Tecido Adiposo/cirurgia , Cadáver , Simulação por Computador , Estudos de Viabilidade , Humanos , Prontuários Médicos , Modelos Anatômicos , Pescoço/irrigação sanguínea , Pescoço/patologia , Pescoço/cirurgia , Osso Parietal/anatomia & histologia , Osso Parietal/patologia , Couro Cabeludo/irrigação sanguínea , Couro Cabeludo/patologia , Couro Cabeludo/cirurgia , Pele/patologia , Retalhos Cirúrgicos/patologia , Artérias Temporais/anatomia & histologia , Artérias Temporais/patologiaAssuntos
Face/cirurgia , Traumatismos Faciais/cirurgia , Músculos Peitorais/transplante , Músculos Superficiais do Dorso/transplante , Retalhos Cirúrgicos/transplante , Autoenxertos , Face/irrigação sanguínea , Humanos , Masculino , Pessoa de Meia-Idade , Músculos Peitorais/irrigação sanguínea , Procedimentos de Cirurgia Plástica/métodos , Músculos Superficiais do Dorso/irrigação sanguínea , Cirurgia Assistida por Computador , Retalhos Cirúrgicos/irrigação sanguíneaRESUMO
The experience of application of various methods of closure was presented for the head and neck cutaneous wound surfaces after elective operative interventions. The variant of the postoperative results estimation and optimization of the wounds healing by primary closure was proposed.
