Base de dados : MEDLINE
Pesquisa : A10.165.450.300 [Categoria DeCS]
Referências encontradas : 18693 [refinar]
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[PMID]:29205001
[Au] Autor:Ran D; Li WJ; Sun QG; Li JQ; Xia Q
[Ad] Endereço:Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, P.R.China, Shanghai 200063, China.
[Ti] Título:[Comparision of Different Methods of Area Measurement in Irregular Scar].
[So] Source:Fa Yi Xue Za Zhi;32(5):338-341, 2016 Oct.
[Is] ISSN:1004-5619
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVES: To determine a measurement standard of irregular scar area by comparing the advantages and disadvantages of different measurement methods in measuring same irregular scar area. METHODS: Irregular scar area was scanned by digital scanning and measured by coordinate reading method, AutoCAD pixel method, Photoshop lasso pixel method, Photoshop magic bar filled pixel method and Foxit PDF reading software, and some aspects of these methods such as measurement time, repeatability, whether could be recorded and whether could be traced were compared and analyzed. RESULTS: There was no significant difference in the scar areas by the measurement methods above. However, there was statistical difference in the measurement time and repeatability by one or multi performers and only Foxit PDF reading software could be traced back. CONCLUSIONS: The methods above can be used for measuring scar area, but each one has its advantages and disadvantages. It is necessary to develop new measurement software for forensic identification.
[Mh] Termos MeSH primário: Antropometria/métodos
Cicatriz/patologia
Software
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.3969/j.issn.1004-5619.2016.05.005


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[PMID]:29452655
[Au] Autor:Amici JM; Chaussade V
[Ad] Endereço:Service de dermatologie, hôpital Saint-André, Bordeaux, France. Electronic address: jmamici@gmail.com.
[Ti] Título:[How to optimize scarring in dermatologic surgery?]
[Ti] Título:Optimisation de la cicatrisation en chirurgie dermatologique et gestions des aléas..
[So] Source:Ann Dermatol Venereol;143 Suppl 2:S20-S25, 2016 Dec.
[Is] ISSN:0151-9638
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:Scarring is the response elicited by the skin surface to injury and loss of tissue material. Wound healing takes place through a complex natural repair system consisting of vascular, inflammatory and proliferative phenomena, followed by a remodelling and cell apoptosis phase. This incredible repair system is inevitable, but sometimes unpredictable due to individual differences based on multiple factors. The scar is the objective criterion of a skin surgery, both for the patient and the dermsurgeon. It is therefore crucial to establish with the patient during the preoperative consultation, the size and positioning of the expected scar, taking into account the oncologic, anatomic and surgical constraints. Scars can ideally blend into normal skin, but may also give rise to various abnormalities. We can manage and prevent these abnormalities by mastering initial inflammation, that may induce hyperpigmentation and hypertrophy. Early massage using cortocosteroid topic or anti-inflammatory moisturizers may be effective. Random individual scarring may be minimized by a dynamic personalized accompanying scarring.
[Mh] Termos MeSH primário: Cicatriz/fisiopatologia
Procedimentos Cirúrgicos Dermatológicos/efeitos adversos
[Mh] Termos MeSH secundário: Corticosteroides/administração & dosagem
Anti-Inflamatórios/administração & dosagem
Cicatriz/prevenção & controle
Cicatriz Hipertrófica/fisiopatologia
Cicatriz Hipertrófica/prevenção & controle
Terapia Combinada
Eritema/fisiopatologia
Eritema/prevenção & controle
Hiperpigmentação/fisiopatologia
Hiperpigmentação/prevenção & controle
Queloide/fisiopatologia
Massagem
Educação de Pacientes como Assunto
Fatores de Risco
Pele/fisiopatologia
Transplante de Pele
Protetores Solares/administração & dosagem
Telangiectasia/fisiopatologia
Telangiectasia/prevenção & controle
Cicatrização/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones); 0 (Anti-Inflammatory Agents); 0 (Sunscreening Agents)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180218
[St] Status:MEDLINE


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[PMID]:29452656
[Au] Autor:Cartier H; Mazer JM
[Ad] Endereço:Groupe Laser de la Société française de dermatologie.
[Ti] Título:[Optimization of the healing process after laser procedure, except photorejuvenation].
[Ti] Título:Optimisation et gestion de la cicatrisation après acte laser, en dehors du photo-rajeunissement..
[So] Source:Ann Dermatol Venereol;143 Suppl 2:S26-S32, 2016 Dec.
[Is] ISSN:0151-9638
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:The use of Lasers in dermatology implies a crucial follow-up in order to optimize the final result and avoid any side effects. With the use of ablative laser devices, the initial phase is characterized by the development of crusts. These crusts necessitate the application of sterile ointments (regularly repeated throughout the day) as well as an antibiotic ointment two times a day. In a second step, comes a secondary inflammatory state, in the dermis, which is generally observed at the outset of all other laser treatments. The main purpose is to avoid it from being too sustained over time, but also to prevent the occurrence of post inflammatory hyperpigmentation. Obviously, a solar eviction will be strongly recommended. The risk being maximized with dark phototypes, the choice of the Laser, as well as its specific parameters will be specific and decisive.
[Mh] Termos MeSH primário: Cicatriz/prevenção & controle
Terapia a Laser/efeitos adversos
Complicações Pós-Operatórias/prevenção & controle
Dermatopatias/cirurgia
Cicatrização/fisiologia
[Mh] Termos MeSH secundário: Seres Humanos
Hiperpigmentação/prevenção & controle
Cuidados Pós-Operatórios/métodos
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180218
[St] Status:MEDLINE


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[PMID]:29417680
[Au] Autor:Timmerman D
[Ad] Endereço:KU Leuven, Department of Development and Regeneration, University Hospitals Leuven, Leuven, Belgium.
[Ti] Título:Re: Validation of prediction model for successful vaginal birth after Cesarean delivery based on sonographic assessment of hysterotomy scar. A. Baranov, K. Å. Salvesen and O. Vikhareva. Ultrasound Obstet Gynecol 2018; 51: 189-193.
[So] Source:Ultrasound Obstet Gynecol;51(2):167, 2018 02.
[Is] ISSN:1469-0705
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Cicatriz
Histerotomia
[Mh] Termos MeSH secundário: Cesárea
Feminino
Seres Humanos
Parto
Gravidez
Nascimento Vaginal Após Cesárea
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1002/uog.18999


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[PMID]:29390374
[Au] Autor:Tang S; Wu X; Shen H; Wang Y; Li J; Zhang J
[Ad] Endereço:Plastic and Aesthetic Surgery Department of Hangzhou First People's Hospital.
[Ti] Título:Use of small needle knife in autologous fat grafting for the treatment of depressed scar: A case report.
[So] Source:Medicine (Baltimore);96(50):e9266, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Scars always related to functional limitations, cosmetic impairment, and social and emotional problems. Clinical improvements in scar characteristics after autologous fat grafting are well described. In this paper, we present an innovative approach to treat depressed scars. PATIENT CONCERNS: We presented a 29-year-old woman with multiple depressed scars in the left upper arm and near the elbow joint after trauma in childhood. DIAGNOSES: The patient was diagnosed as having multiple depressed scars accompanied with retraction and pain. INTERVENTIONS: We used small needle knife during fat grafting to treat the depressed scar. Vancouver Scar Scale was used to assess the effect. OUTCOMES: Aesthetic and functional improvements were observed. Resolution of pain and improvement in scar elasticity were objectively assessable. Improvement of both clinical evaluation and patient perception was obtained. LESSONS: Use of small needle knife during fat grafting is a good alternative for the treatment of depressed scars.
[Mh] Termos MeSH primário: Tecido Adiposo/transplante
Braço
Cicatriz/cirurgia
Agulhas
[Mh] Termos MeSH secundário: Adulto
Autoenxertos
Desenho de Equipamento
Feminino
Seres Humanos
Medição da Dor
[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.0000000000009266


  6 / 18693 MEDLINE  
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[PMID]:29447693
[Au] Autor:Johnson AMF; DePaolo RW
[Ad] Endereço:Division of Gastroenterology, Department of Medicine, University of Washington, Seattle, WA, USA.
[Ti] Título:Infectious Scarring: Setting the Trigger for Intestinal Inflammation.
[So] Source:Cell Host Microbe;23(2):154-156, 2018 02 14.
[Is] ISSN:1934-6069
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The initiating factors that trigger inflammatory bowel disease (IBD) are poorly understood. In a recent paper, Yang et al. (2017) demonstrate that IBD-like syndrome in mice can develop as a consequence of recurrent pathogen infection. Pathogenic triggering of inflammatory disease is a re-emerging concept that has significant therapeutic implications.
[Mh] Termos MeSH primário: Cicatriz
Inflamação
[Mh] Termos MeSH secundário: Animais
Doenças Inflamatórias Intestinais
Intestinos
Camundongos
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180216
[St] Status:MEDLINE


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[PMID]:28463159
[Au] Autor:Bakker A; Kolff MW; Holman R; van Leeuwen CM; Korshuize-van Straten L; de Kroon-Oldenhof R; Rasch CRN; van Tienhoven G; Crezee H
[Ad] Endereço:Department of Radiation Oncology, Academic Medical Center (AMC), Amsterdam, The Netherlands. Electronic address: akke.bakker@amc.uva.nl.
[Ti] Título:Thermal Skin Damage During Reirradiation and Hyperthermia Is Time-Temperature Dependent.
[So] Source:Int J Radiat Oncol Biol Phys;98(2):392-399, 2017 06 01.
[Is] ISSN:1879-355X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To investigate the relationship of thermal skin damage (TSD) to time-temperature isoeffect levels for patients with breast cancer recurrence treated with reirradiation plus hyperthermia (reRT + HT), and to investigate whether the treatment history of previous treatments (scar tissue) is a risk factor for TSD. METHODS AND MATERIALS: In this observational study, temperature characteristics of hyperthermia sessions were analyzed in 262 patients with recurrent breast cancer treated in the AMC between 2010 and 2014 with reirradiation and weekly hyperthermia for 1 hour. Skin temperature was measured using a median of 42 (range, 29-82) measurement points per hyperthermia session. RESULTS: Sixty-eight patients (26%) developed 79 sites of TSD, after the first (n=26), second (n=17), third (n=27), and fourth (n=9) hyperthermia session. Seventy percent of TSD occurred on or near scar tissue. Scar tissue reached higher temperatures than other skin tissue (0.4°C, P<.001). A total of 102 measurement points corresponded to actual TSD sites in 35 of 79 sessions in which TSD developed. Thermal skin damage sites had much higher maximum temperatures than non-TSD sites (2.8°C, P<.001). Generalized linear mixed models showed that the probability of TSD is related to temperature and thermal dose values (P<.001) and that scar tissue is more at risk (odds ratio 0.4, P<.001). Limiting the maximum temperature of a measurement point to 43.7°C would mean that the probability of observing TSD was at most 5%. CONCLUSION: Thermal skin damage during reRT + HT for recurrent breast cancer was related to higher local temperatures and time-temperature isoeffect levels. Scar tissue reached higher temperatures than other skin tissue, and TSD occurred at lower temperatures and thermal dose values in scar tissue compared with other skin tissue. Indeed, TSD developed often on and around scar tissue from previous surgical procedures.
[Mh] Termos MeSH primário: Neoplasias da Mama/terapia
Queimaduras/etiologia
Cicatriz/complicações
Temperatura Alta/efeitos adversos
Hipertermia Induzida/efeitos adversos
Recidiva Local de Neoplasia/terapia
Reirradiação/efeitos adversos
Pele/lesões
[Mh] Termos MeSH secundário: Queimaduras/epidemiologia
Queimaduras/patologia
Terapia Combinada/efeitos adversos
Terapia Combinada/métodos
Feminino
Temperatura Alta/uso terapêutico
Seres Humanos
Modelos Lineares
Modelos Logísticos
Fatores de Risco
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE


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[PMID]:29310440
[Au] Autor:Kodama H; Kumai Y; Nishimoto K; Toya Y; Miyamaru S; Furushima S; Yumoto E
[Ad] Endereço:1 Department of Otolaryngology Head and Neck Surgery, Kumamoto University Graduate School of Medicine, Kumamoto, Japan.
[Ti] Título:The Ferret as a Surgical Model for Vocal Fold Scar Creation and Treatment.
[So] Source:Ann Otol Rhinol Laryngol;127(3):146-154, 2018 Mar.
[Is] ISSN:1943-572X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To develop a vocal fold (VF) scarring procedure in the ferret, characterize the scars histologically, and test the injectability of the lamina propria (LP). Secondarily, to compare laryngeal anatomy of the ferret with rat and rabbit. MATERIALS AND METHODS: The larynges of 18 male ferrets were prepared by unilateral scarring, and normal larynges from 6 female Wistar rats and 5 male albino rabbits were used for comparative purposes. For scarring, the right VF were electrocauterized, ablating the entire LP. Prior to harvesting the larynges at 4 and 16 weeks, each ferret was re-anesthetized, and in 3 animals, India ink was injected into the LPs of both normal and scarred VFs. RESULTS: Laryngoscopic methods and instrumentation for precise visualization, scarring, and injection were developed. The scarred VFs had reduced hyaluronic acid and increased collagen type I, III, and fibronectin compared with normal VFs. The 2 timepoints (4 and 16 weeks) differed significantly only in collagen type III level (levels were higher at 4 weeks). Injected ink migrated from scarred LP to muscle layer just beneath the scarred tissue 3 hours after injection. CONCLUSION: The ferret is a promising species for creation and experimental treatment of vocal fold scar.
[Mh] Termos MeSH primário: Cicatriz
Eletrocoagulação/métodos
Laringoscopia
Membrana Mucosa
Prega Vocal/cirurgia
[Mh] Termos MeSH secundário: Animais
Cicatriz/etiologia
Cicatriz/metabolismo
Cicatriz/patologia
Colágeno Tipo I/análise
Colágeno Tipo III/análise
Feminino
Furões
Fibronectinas/análise
Laringoscopia/instrumentação
Laringoscopia/métodos
Modelos Anatômicos
Membrana Mucosa/patologia
Membrana Mucosa/cirurgia
Coelhos
Ratos
Prega Vocal/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Collagen Type I); 0 (Collagen Type III); 0 (Fibronectins)
[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:180110
[St] Status:MEDLINE
[do] DOI:10.1177/0003489417750165


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[PMID]:29384943
[Au] Autor:Geiger S; Bobylev A; Schädelin S; Mayr J; Holland-Cunz S; Zimmermann P
[Ad] Endereço:Department of Pediatric Surgery, University Children's Hospital Basel.
[Ti] Título:Single-center, retrospective study of the outcome of laparoscopic inguinal herniorrhaphy in children.
[So] Source:Medicine (Baltimore);96(52):e9486, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Laparoscopic hernia repairs are used increasingly in children.The purpose of this single-center cohort observational research study was to analyze the outcome of children treated surgically for unilateral or bilateral inguinal hernia using laparoscopy.We did a STROBE-compliant retrospective outcome analysis of pediatric, laparoscopic hernia repair. Consecutive laparoscopic herniorrhaphies in 123 children done between March 2, 2010, and March 1, 2014, were included in this analysis. Data analysis was based on reviewing the hospital records and a prospective questionnaire. We evaluated postoperative hernia recurrence rate, occurrence of postoperative complications, duration of postoperative pain medication, and wound cosmesis.We first performed laparoscopic inguinal herniorrhaphy according to the techniques described by Schier et al and Becmeur et al in March 2010. We treated 46 girls and 77 boys with laparoscopically confirmed inguinal hernias, and their ages ranged from 0 to 16 years. Of these, 77 children suffered from unilateral hernias, 30 from unilateral hernias with contralateral patency of the vaginal process, and 16 from indirect bilateral hernias. The median follow-up interval was 38 months (range: 13-58 months). Overall, 8 (6.5%) of these 123 patients experienced a recurrence of the inguinal hernia. Two patients (1.6%) suffered a postoperative infection. Postoperative pain medication was administered by parents for 1 to 3 days in 67 (63.8%) of the 105 families who answered the question, and no pain medication was administered by 5 (4.0%) parents. Wound cosmesis was rated by the parents as invisible or barely visible in 106 (86.2%) of 123 patients and esthetically disturbing in 4 (3.2%) children.Laparoscopic inguinal hernia repair carries a learning curve and is safe and efficient in children thereafter. Further prospective studies are required to evaluate the long-term outcome of laparoscopic inguinal hernia repair in children.
[Mh] Termos MeSH primário: Hérnia Inguinal/cirurgia
Herniorrafia/métodos
Laparoscopia/métodos
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Cicatriz
Feminino
Herniorrafia/efeitos adversos
Seres Humanos
Lactente
Recém-Nascido
Laparoscopia/efeitos adversos
Masculino
Duração da Cirurgia
Dor Pós-Operatória/tratamento farmacológico
Complicações Pós-Operatórias/epidemiologia
Recidiva
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009486


  10 / 18693 MEDLINE  
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[PMID]:29297623
[Au] Autor:Svistushkin VM; Starostina SV; Lyundup AV; Dedova MG; Budeikina LS; Svistushkin MV; Krasheninnikov ME; Baranovskiy DS
[Ti] Título:The Possibilities of Cell Technologies in the Treatment of Cicatricial Lesions of the Vocal Folds.
[So] Source:Vestn Ross Akad Med Nauk;71(3):190-9, 2016.
[Is] ISSN:0869-6047
[Cp] País de publicação:Russia (Federation)
[La] Idioma:eng
[Ab] Resumo:The article is a brief review of publications devoted to the problem of persistent dysphonia. The main cause of voice disorders is the scarring of the vocal folds resulting from trauma, surgical manipulation, inflammatory process. Treatment of cicatricial lesions of the vocal folds remains a challenge, as far as existing methods do not ensure the recovery of the ultrastructure of the vocal folds. The authors present modern data on the structure of the vocal folds at the cellular level. Considered pathologic processes occur in different stages of scarring. Applied technologies of phonosurgery and conservative treatment, their effectiveness and shortcomings are covered. Analysis of experimental research conducted in the world demonstrates the promise of using the methods of tissue engineering to treat scarring of the vocal folds and to restore the microstructure of the latter. Identified current issues remain unresolved, which leads to the need for further experimental and clinical studies in the treatment of this pathology.
[Mh] Termos MeSH primário: Terapia Baseada em Transplante de Células e Tecidos/métodos
Disfonia
[Mh] Termos MeSH secundário: Cicatriz/complicações
Cicatriz/diagnóstico
Disfonia/etiologia
Disfonia/terapia
Seres Humanos
Engenharia Tecidual/métodos
Disfunção da Prega Vocal/complicações
Disfunção da Prega Vocal/diagnóstico
Prega Vocal/patologia
Prega Vocal/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180104
[St] Status:MEDLINE



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