RESUMO
Xanthoma palpebrarum is the most common form of xanthoma that appears in the eyelids. Usually there is no functional loss in the eyelids and plaque formation is typical. In this article, we present a patient who had xanthomatic masses that covered the whole upper eyelids. The masses caused a serious degree of ptosis in both upper eyelids. This patient was searched for systemic disease. After removal of the xanthoma palpebrarum, extensive ptosis has been relieved.
Assuntos
Blefaroptose/cirurgia , Doenças Palpebrais/cirurgia , Xantomatose/cirurgia , Adulto , Blefaroptose/patologia , Doenças Palpebrais/patologia , Pálpebras/patologia , Pálpebras/cirurgia , Seguimentos , Humanos , Masculino , Xantomatose/patologiaRESUMO
The main challenge after total laryngopharyngeal and cervical oesophageal resection for laryngopharyngeal carcinoma, is to provide a suitable feeding conduit which improves the quality of life for the patient. Réconstruction with a tubed free forearm flap can solve the feeding problem to some extent, providing a thin and pliable fasciocutaneous conduit that accommodates well with the thin mucosa of the pharynx and oesophagus. In this study immediate reconstruction of the pharyngo-oesophagus by free forearm flaps is reported in nine patients with advanced laryngopharyngeal and oropharyngeal carcinoma. The vascularization of the flap is very good, thus rendering this flap to be reliable. The average time for the commencement of oral feeding was 16 days. There was one flap failure (11 per cent), due to venous thrombosis which was replaced by a deltopectoral flap. Long term stenosis did not occur because of the two triangles created at the distal end of the flap which were inserted to the opposite triangular defects at the proximal oesophageal stump.
Assuntos
Carcinoma/cirurgia , Esôfago/cirurgia , Neoplasias Hipofaríngeas/cirurgia , Laringe/cirurgia , Faringe/cirurgia , Retalhos Cirúrgicos , Adulto , Feminino , Seguimentos , Antebraço , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do TratamentoRESUMO
The scapular flap described by Saijo and dos Santos, presents some advantages such as a thin and hairless flap, large vessel diameters, and a long vascular pedicle with a constant anatomy. Furthermore, it provides combined use of skin and vascularized bone tissue from the scapula. Between the years 1988 and 1991, we have successfully used free scapular flaps for the reconstruction of various defects in twelve patients.
Assuntos
Queimaduras/cirurgia , Contratura/cirurgia , Traumatismos do Pé , Fraturas Expostas/cirurgia , Microcirurgia/métodos , Lesões do Pescoço , Retalhos Cirúrgicos/métodos , Fraturas da Tíbia/cirurgia , Adolescente , Adulto , Transplante Ósseo/métodos , Criança , Fixadores Externos , Feminino , Humanos , Masculino , Cicatrização/fisiologiaRESUMO
A case report is presented on the successful use of a bipedicled scapular osteocutaneous free flap in a young woman, whose hemimandible was resected because of sarcoma, 1 year prior to presentation. The postoperative course was uneventful and donor site morbidity minimal.
