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[PMID]:29390385
[Au] Autor:Chin YP; Lai WF; Chiang MT; Chang SC
[Ad] Endereço:Faculty of Medicine, National Yang-Ming University, Taipei.
[Ti] Título:Esophageal neuroendocrine tumor with initial presentation as painless forehead and neck masses: A case report.
[So] Source:Medicine (Baltimore);96(50):e9282, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Esophageal neuroendocrine tumors (NETs) are a rare type of esophageal tumor which are usually positive for chromogranin A, synaptophysin, and CD56 in tumor immunohistochemical staining. The most common symptoms of esophageal NETs are gastrointestinal symptoms such as dysphagia and/or abdominal discomfort. While esophageal NETs have the potential for distant metastasis, there have only been a few reports of brain metastasis originating from esophageal NET. PATIENT CONCERNS: We report the case of a 60-year-old Taiwanese female who initially presented with a 1 month history of painless forehead and bilateral neck masses. She did not complain of any other symptoms, which complicated the diagnosis. DIAGNOSES: Chest and abdominal computed tomography were arranged for a thorough evaluation, and a paraesophageal lesion as well as multiple metastases in the liver, bilateral adrenal glands, and bone were found. Panendoscopy and pathology confirmed the diagnosis of an esophageal NET. INTERVENTIONS: Best supportive care. OUTCOMES: The clinical course of this case deteriorated drastically, and she died of tumor progression 10 days after the diagnosis had been made. LESSONS: To the best of our knowledge, this is the first article in the literature to report a case of esophageal NET whose initial presentation was painless forehead and bilateral neck masses. Clinicians should be aware of the early signs and symptoms of esophageal NET to allow for a prompt diagnosis.
[Mh] Termos MeSH primário: Neoplasias Esofágicas/diagnóstico
Tumores Neuroendócrinos/diagnóstico
[Mh] Termos MeSH secundário: Biópsia
Diagnóstico Diferencial
Diagnóstico por Imagem
Evolução Fatal
Feminino
Testa
Seres Humanos
Meia-Idade
Pescoço
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009282


  2 / 3139 MEDLINE  
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[PMID]:29384856
[Au] Autor:Atas Berksoy E; Bag Ö; Yazici S; Çelik T
[Ad] Endereço:University of Health Sciences, Tepecik Education and Research Hospital, Pediatric Emergency Clinic, Izmir.
[Ti] Título:Use of noncontact infrared thermography to measure temperature in children in a triage room.
[So] Source:Medicine (Baltimore);97(5):e9737, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We compared the accuracy and utility of 3 infrared (IFR) thermographs fitted with axillary digital thermometers used to measure temperature in febrile and afebrile children admitted to an emergency triage room.A total of 184 febrile and 135 afebrile children presenting to a triage room were consecutively evaluated. Axillary temperature was recorded using a digital electronic thermometer. Simultaneously, IFR skin scans were performed on the forehead, the neck (over the carotid artery), and the nape by the same nurse. Fever was defined as an axillary temperature ≥37.5°C. The temperature readings at the 4 sites were compared.For all subjects, the median axillary temperature was 37.7 ±â€Š1.5°C, the IFR forehead temperature was 37 ±â€Š1.1°C, the IFR neck temperature was 37.6 ±â€Š1.5°C, and the IFR nape temperature was 37 ±â€Š1.2°C. A Bland-Altman plot of the differences suggested that all agreements between IFR and axillary measures were poor (the latter measure was considered the standard). The forehead measurements had a sensitivity of 88.6% and a specificity of 60% in patients with temperatures ≥36.75°C. The sensitivities of the neck measurement at cut-offs of ≥37.35°C and ≥36.95 were 95.5% and 78.8% for those aged 2 to 6 years. Thus, 11.4% of febrile subjects were missed when forehead measurements were performed.An IFR scan over the lateral side of neck is a reliable, comfortable, rapid, and noninvasive method for fever screening, particularly in children aged 2 to 6 years, in busy settings such as pediatric triage rooms.
[Mh] Termos MeSH primário: Termografia
Triagem
[Mh] Termos MeSH secundário: Adolescente
Temperatura Corporal
Criança
Pré-Escolar
Feminino
Febre/diagnóstico
Febre/fisiopatologia
Testa
Seres Humanos
Lactente
Raios Infravermelhos
Masculino
Pescoço
Enfermeiras e Enfermeiros
Estudos Prospectivos
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Pele/fisiopatologia
Termômetros
Triagem/métodos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009737


  3 / 3139 MEDLINE  
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[PMID]:28468220
[Au] Autor:Lam K; Ho T; Yao WC
[Ad] Endereço:*Department of Otolaryngology, Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, VA †Department of Otorhinolaryngology, Head and Neck Surgery, University of Texas McGovern Medical School, Houston, TX.
[Ti] Título:Sinocutaneous Fistula Formation After Forehead Recontouring Surgery for Transgender Patients.
[So] Source:J Craniofac Surg;28(3):e274-e277, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Forehead recontouring is a common part of facial feminization surgery. The procedure, which alters the shape and structure of the frontal bone, is regarded as safe and well tolerated by patients. The occurrence of delayed complications, however, is much less understood. The authors describe a patient involving the development of a sinocutaneous fistula as a delayed complication of forehead recontouring surgery. The clinical presentation and management of this patient are discussed. As facial feminization surgery expands as a cosmetic option for patients who desire more feminine facial features, practitioners should recognize the potential risk of sinonasal complications associated with forehead recontouring surgery.
[Mh] Termos MeSH primário: Fístula Cutânea/etiologia
Feminização
Testa/cirurgia
Doenças dos Seios Paranasais/etiologia
Complicações Pós-Operatórias
Ritidoplastia/efeitos adversos
Pessoas Transgênero
[Mh] Termos MeSH secundário: Idoso
Fístula Cutânea/diagnóstico
Endoscopia
Feminino
Fístula/diagnóstico
Fístula/etiologia
Seio Frontal
Seres Humanos
Masculino
Doenças dos Seios Paranasais/diagnóstico
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003524


  4 / 3139 MEDLINE  
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[PMID]:29202824
[Au] Autor:Oyama F; Ishibashi K; Iwanaga K
[Ad] Endereço:Department of Design Science, Graduate School of Engineering, Chiba University, 1-33 Yayoicho, Inage, Chiba, Chiba Prefecture, 263-8522, Japan.
[Ti] Título:Cathodal transcranial direct-current stimulation over right posterior parietal cortex enhances human temporal discrimination ability.
[So] Source:J Physiol Anthropol;36(1):41, 2017 Dec 04.
[Is] ISSN:1880-6805
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Time perception associated with durations from 1 s to several minutes involves activity in the right posterior parietal cortex (rPPC). It is unclear whether altering the activity of the rPPC affects an individual's timing performance. Here, we investigated the human timing performance under the application of transcranial direct-current stimulation (tDCS) that altered the neural activities of the rPPC. METHODS: We measured the participants' duration-discrimination threshold by administering a behavioral task during the tDCS application. The tDCS conditions consisted of anodal, cathodal, and sham conditions. The electrodes were placed over the P4 position (10-20 system) and on the left supraorbital forehead. On each task trial, the participant observed two visual stimuli and indicated which was longer. The amount of difference between the two stimulus durations was varied repeatedly throughout the trials according to the participant's responses. The correct answer rate of the trials was calculated for each amount of difference, and the minimum amount with the correct answer rate exceeding 75% was selected as the threshold. The data were analyzed by a linear mixed-effects models procedure. RESULTS: Nineteen volunteers participated in the experiment. We excluded three participants from the analysis: two who reported extreme sleepiness while performing the task and one who could recognize the sham condition correctly with confidence. Our analysis of the 16 participants' data showed that the average value of the thresholds observed under the cathodal condition was lower than that of the sham condition. This suggests that inhibition of the rPPC leads to an improvement in temporal discrimination performance, resulting in improved timing performance. CONCLUSIONS: In the present study, we found a new effect that cathodal tDCS over the rPPC enhances temporal discrimination performance. In terms of the existence of anodal/cathodal tDCS effects on human timing performance, the results were consistent with a previous study that investigated temporal reproduction performance during tDCS application. However, the results of the current study further indicated that cathodal tDCS over the rPPC increases accuracy of observed time duration rather than inducing an overestimation as a previous study reported.
[Mh] Termos MeSH primário: Lobo Parietal/fisiologia
Percepção do Tempo/fisiologia
Percepção do Tempo/efeitos da radiação
Estimulação Transcraniana por Corrente Contínua
[Mh] Termos MeSH secundário: Adulto
Eletrodos
Feminino
Testa/fisiologia
Seres Humanos
Masculino
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.1186/s40101-017-0157-3


  5 / 3139 MEDLINE  
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[PMID]:29064991
[Au] Autor:Jones DH; Kerscher M; Geister T; Hast MA; Weissenberger P
[Ad] Endereço:*Skin and Laser Physicians of Beverly Hills, Beverly Hills, California; †Division of Cosmetic Science, University of Hamburg, Hamburg, Germany; ‡Merz Pharmaceuticals GmbH, Frankfurt am Main, Germany; §Merz North America, Inc., Raleigh, North Carolina.
[Ti] Título:Efficacy of IncobotulinumtoxinA for the Treatment of Glabellar Frown Lines in Male Subjects: Post-Hoc Analyses From Randomized, Double-Blind Pivotal Studies.
[So] Source:Dermatol Surg;43 Suppl 2:S235-S241, 2017 Nov.
[Is] ISSN:1524-4725
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Males are increasingly seeking minimally invasive cosmetic procedures such as botulinum toxin injection. However, few studies have specifically examined the efficacy of such procedures among men. OBJECTIVE: To assess the efficacy of incobotulinumtoxinA for treating glabellar frown lines (GFLs) in men. METHODS: Three incobotulinumtoxinA studies were included in post hoc analyses of responder rates: 2 pivotal Phase 3 US registration studies for GFLs (n = 55 males in a pooled analysis) and a European pivotal Phase 3 study for upper facial lines (UFLs; n = 21 males). RESULTS: In the pooled analysis of Phase 3 GFL studies, 55.9% of males and 81.4% of females were responders on the Facial Wrinkle Scale (FWS) at 30 days. Similarly, 54.5% and 88.0% of males and females, respectively, treated for GFLs in the upper facial line study were responders on the Merz Aesthetics Scales (MAS) at 30 days. Lower proportions of male responders on the Facial Wrinkle Scale /Merz Aesthetics Scales were consistent with results from onabotulinumtoxinA and abobotulinumtoxinA GFL studies. CONCLUSION: Compared with females, males demonstrate lower response rates on wrinkle severity scales in studies on all 3 available botulinum toxins. Variations in treatment response are potentially associated with key male anatomic differences (e.g., muscle mass). Results emphasize the need for customized treatment plans.
[Mh] Termos MeSH primário: Toxinas Botulínicas Tipo A/uso terapêutico
Testa
Fármacos Neuromusculares/uso terapêutico
Envelhecimento da Pele/efeitos dos fármacos
[Mh] Termos MeSH secundário: Método Duplo-Cego
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:CLINICAL TRIAL, PHASE III; JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Neuromuscular Agents); E211KPY694 (onabotulinumtoxinA); EC 3.4.24.69 (Botulinum Toxins, Type A); EC 3.4.24.69 (incobotulinumtoxinA)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171025
[St] Status:MEDLINE
[do] DOI:10.1097/DSS.0000000000001295


  6 / 3139 MEDLINE  
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[PMID]:28716436
[Au] Autor:Tolkachjov SN; Chaudhry HM; Camilleri MJ; Torgerson RR
[Ad] Endereço:Surgical Dermatology Group, Birmingham, Alabama. Electronic address: stan.tolkachjov@gmail.com.
[Ti] Título:Frontal fibrosing alopecia among men: A clinicopathologic study of 7 cases.
[So] Source:J Am Acad Dermatol;77(4):683-690.e2, 2017 Oct.
[Is] ISSN:1097-6787
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Frontal fibrosing alopecia (FFA) is a lichen planopilaris-variant scarring alopecia that has rarely been described in men. OBJECTIVE: To characterize the clinicopathologic findings of FFA in men by studying a series of 7 male patients. METHODS: We conducted a retrospective review of all cases of male patients with FFA at the Mayo Clinic from 1992 to 2016. RESULTS: Seven male patients with FFA were identified. The frontal scalp (in 6 of 7 patients), sideburns (in 4 of 7), and temporal scalp (in 4 of 7) were most frequently involved. Three patients had involvement of the eyebrows. One patient had hair loss of the upper cutaneous lip. All patients had biopsy evidence of lichen planopilaris. None of the patients had associated autoimmune or thyroid disease. Two patients had hypogonadism upon testosterone studies. LIMITATIONS: Limitations include small sample size and varied follow-up. CONCLUSIONS: Although most often reported among postmenopausal women, FFA also occurs among men. The clinical and histopathologic characteristics of FFA in men parallel those described in women with FFA. Unique areas of involvement in men include sideburns and facial hair. Concomitant mucocutaneous lichen planus, autoimmune disease, and thyroid disease are infrequent among men with FFA. Distribution of hair loss and associated hormonal abnormalities aid in the recognition of FFA in men.
[Mh] Termos MeSH primário: Alopecia/tratamento farmacológico
Líquen Plano/tratamento farmacológico
[Mh] Termos MeSH secundário: Adulto
Idoso
Alopecia/complicações
Alopecia/patologia
Anti-Inflamatórios/uso terapêutico
Bochecha
Cicatriz/etiologia
Clobetasol/uso terapêutico
Fármacos Dermatológicos/uso terapêutico
Sobrancelhas
Testa
Seres Humanos
Hidroxicloroquina/uso terapêutico
Líquen Plano/complicações
Líquen Plano/patologia
Masculino
Meia-Idade
Estudos Retrospectivos
Couro Cabeludo
Tacrolimo/análogos & derivados
Tacrolimo/uso terapêutico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Inflammatory Agents); 0 (Dermatologic Agents); 4QWG6N8QKH (Hydroxychloroquine); 7KYV510875 (pimecrolimus); ADN79D536H (Clobetasol); WM0HAQ4WNM (Tacrolimus)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170927
[Lr] Data última revisão:
170927
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170719
[St] Status:MEDLINE


  7 / 3139 MEDLINE  
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[PMID]:28640760
[Au] Autor:Warner N; Marks JG; Cartee TV
[Ad] Endereço:Department of Dermatology, Penn State Hershey Medical Center, Hershey, Pennsylvania.
[Ti] Título:Successful Treatment of Angiolymphoid Hyperplasia With Eosinophilia With Arterial Ligation and Pulsed Dye Laser.
[So] Source:Dermatol Surg;43(7):981-983, 2017 07.
[Is] ISSN:1524-4725
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Hiperplasia Angiolinfoide com Eosinofilia/terapia
Testa/irrigação sanguínea
Terapia a Laser/métodos
Lasers de Corante/uso terapêutico
[Mh] Termos MeSH secundário: Biópsia
Terapia Combinada
Feminino
Seres Humanos
Ligadura
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE
[do] DOI:10.1097/DSS.0000000000001064


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[PMID]:28570726
[Au] Autor:Calloway HE; Moubayed SP; Most SP
[Ad] Endereço:Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California.
[Ti] Título:Cost-effectiveness of Early Division of the Forehead Flap Pedicle.
[So] Source:JAMA Facial Plast Surg;19(5):418-420, 2017 Sep 01.
[Is] ISSN:2168-6092
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: The paramedian forehead flap is considered the gold standard procedure to optimally reconstruct major defects of the nose, but this procedure generally requires 2 stages, where the flap pedicle is divided 3 weeks following the initial surgery to ensure adequate revascularization of the flap from the surrounding recipient tissue bed, which can cost a patient time out of work or away from normal social habits. It has previously been shown that the pedicle may be safely divided after 2 weeks in select patients where revascularization from the recipient bed was confirmed using intraoperative laser fluorescence angiography to potentially save the patient time and money. Objective: To demonstrate the cost-effectiveness of takedown of the paramedian forehead flap pedicle after 2 weeks using angiography with indocyanine green (ICG). Design, Setting, and Participants: Retrospective cohort study of all patients who underwent 2-week division of the forehead flap after nasal reconstruction. Patient, tumor, defect, and outcomes data were collected. Cost-minimization analysis was performed by comparing the overall costs of 2-week takedown with angiography to a hypothetical patient undergoing 3-week takedown without angiography. Intervention: Two-week division of the forehead flap after nasal reconstruction. Main Outcomes and Measures: Cost-minimization analysis performed by calculating the total variable costs for a patient in our cohort vs costs to a theoretical patient for whom angiography was not performed and the pedicle was divided at the 3-week mark. Results: A total of 22 patients were included (mean [SD] age, 70.3 [10.0] years; 8 women [36.4%] and 14 men [63.6%]). The selection criteria for 2-week division of the pedicle are a wound bed with at least 50% vascularized tissue present, partial-thickness defects, and absence of nicotine use. All were divided at the 2-week mark with no instances of flap necrosis. One patient had a squamous eccrine carcinoma histology before reconstruction, all other patients had basal cell carcinoma, squamous cell carcinoma, and melanoma. Cost-minimization analysis showed that the use of angiography with ICG results in cost savings of $177 per patient on average. Conclusions and Relevance: Two-week takedown of select paramedian forehead flap patients can be performed safely with verification using angiography with ICG. Although this technology inherently adds cost, it is cost-effective, saving a total of $177 per patient. Level of Evidence: NA.
[Mh] Termos MeSH primário: Angiografia/economia
Análise Custo-Benefício
Cuidados Intraoperatórios/economia
Rinoplastia/economia
Rinoplastia/métodos
Retalhos Cirúrgicos/irrigação sanguínea
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Angiografia/métodos
California
Feminino
Corantes Fluorescentes/economia
Testa
Seres Humanos
Verde de Indocianina/economia
Cuidados Intraoperatórios/métodos
Masculino
Meia-Idade
Estudos Retrospectivos
Retalhos Cirúrgicos/economia
Retalhos Cirúrgicos/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Nm] Nome de substância:
0 (Fluorescent Dyes); IX6J1063HV (Indocyanine Green)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE
[do] DOI:10.1001/jamafacial.2017.0310


  9 / 3139 MEDLINE  
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[PMID]:28522041
[Au] Autor:Lin J; Valdebran M; Bergfeld W; Conic RZ; Piliang M; Atanaskova Mesinkovska N
[Ad] Endereço:Irvine School of Medicine, University of California, Irvine, Irvine, California.
[Ti] Título:Hypopigmentation in frontal fibrosing alopecia.
[So] Source:J Am Acad Dermatol;76(6):1184-1186, 2017 Jun.
[Is] ISSN:1097-6787
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Alopecia/patologia
Hipopigmentação/patologia
Líquen Plano/patologia
Dermatoses do Couro Cabeludo/patologia
[Mh] Termos MeSH secundário: Alopecia/diagnóstico
Estudos de Casos e Controles
Contagem de Células
Feminino
Fibrose/patologia
Seguimentos
Testa
Seres Humanos
Hipopigmentação/diagnóstico
Líquen Plano/diagnóstico
Masculino
Melanócitos/citologia
Melanócitos/patologia
Valores de Referência
Medição de Risco
Dermatoses do Couro Cabeludo/diagnóstico
[Pt] Tipo de publicação:COMPARATIVE STUDY; LETTER
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170520
[St] Status:MEDLINE


  10 / 3139 MEDLINE  
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[PMID]:28376026
[Au] Autor:Sanniec K; Malafa M; Thornton JF
[Ad] Endereço:Dallas, Texas From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.
[Ti] Título:Simplifying the Forehead Flap for Nasal Reconstruction: A Review of 420 Consecutive Cases.
[So] Source:Plast Reconstr Surg;140(2):371-380, 2017 Aug.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The forehead flap is an important tool in nasal reconstruction. The authors present objective data and recommendations based on over a decade of consecutive forehead flap nasal reconstructions performed by the senior author (J.F.T.). In addition, the authors separate the technique into its individual steps and provide details of the senior author's approach to each. METHODS: The authors performed a retrospective analysis of patients who underwent nasal reconstruction with the forehead flap over a 10-year period performed by the senior author (J.F.T.). Each case was evaluated for defect location, pedicle design, time of division, number of stages, use of cartilage grafts, lining reconstruction, donor-site closure, and complications. RESULTS: Four hundred twenty patients underwent forehead flap nasal reconstruction. Average time to pedicle division was 32 days. Three-fourths of patients completed reconstruction in two stages. Defects most commonly involved the nasal ala and tip. Approximately half of patients received cartilage grafts and half underwent lining reconstruction. There were 16 complications, ranging from partial flap loss to postoperative death (n = 1). CONCLUSIONS: Confidently grasping the nuances of forehead flap nasal reconstruction arms the reconstructive surgeon with a reliable tool that can effectively treat a variety of defects. It is safe to use in an outpatient setting even in elderly patients. Recommendations include ipsilateral flap design and turn-in component as the first choice for lining replacement. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
[Mh] Termos MeSH primário: Testa/cirurgia
Rinoplastia/métodos
Retalhos Cirúrgicos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Guias de Prática Clínica como Assunto
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170405
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003540



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde