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[PMID]:29446559
[Au] Autor:Wynn T; Gowlett J
[Ad] Endereço:Department of Anthropology, Center for Cognitive Archaeology, University of Colorado.
[Ti] Título:The handaxe reconsidered.
[So] Source:Evol Anthropol;27(1):21-29, 2018 Jan.
[Is] ISSN:1520-6505
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Acheulean handaxe is one of the longest-known and longest-surviving artifacts of the Palaeolithic and, despite its experimentally tested functionality, is often regarded as puzzling. It is unnecessary to invoke a unique-for-mammals genetic mechanism to explain the handaxe phenomenon. Instead, we propose that two nongenetic processes are sufficient. The first is a set of ergonomic design principles linked to the production of sturdy, hand-held cutting tools in the context of a knapped-stone technology that lacked hafting. The second is an esthetic preference for regular forms with gradual curves and pleasing proportions. Neither process is a cultural meme but, operating together in a cultural context, they can account for all of the supposedly puzzling time-space patterns presented by handaxes.
[Mh] Termos MeSH primário: Ergonomia/história
Estética/história
Hominidae/fisiologia
Tecnologia/história
Comportamento de Utilização de Ferramentas/fisiologia
[Mh] Termos MeSH secundário: Animais
Arqueologia
História Antiga
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[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:180216
[St] Status:MEDLINE
[do] DOI:10.1002/evan.21552


  2 / 10163 MEDLINE  
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[PMID]:29328616
[Au] Autor:Malivukovic A; Novakovic N; Lepic M; Minic L; Stepic N; Dordevic B; Rasulic L
[Ti] Título:Cranial reconstruction with prefabricated 3D implant after a gunshot injury: A case report.
[So] Source:Vojnosanit Pregl;73(8):783-7, 2016 Aug.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Introduction: Complex defects of skull bones with different etiology, still present the challenge in reconstructive surgery. The goldstandard for cranioplasty is the autologous calvarial bone graft removed during surgery which cannot be always applied, especially in gunshot wounds for sometimes complete bone destruction. Autologous reconstruction with split calvarial, rib bones or iliac bone graft is also possible. Materials routinely used for reconstructions like titanium mesh, polymethyl metacrylate (PMMA), and other have numerous disadvantages and limitations. Case report: We presented a patient with gunshot injury to the head with residual large bone defect in the frontal region, with involvement of the skull base, and open frontal sinus. After conservative treatment, six months after the injury, reconstruction of the residual bone defect was performed. The chosen material was computerdesigned PEEK-OPTIMA® implant, manufactured on the basis of MSCT scan. This material has not been used in this region so far. The postoperative and follow-up period of the next 12 months passed without surgical complications, neurological deficit, with satisfactory functional and aesthetic results. Conclusion: Implanted bone replacement was designed and manufactured precisely according to the skull defect, and we found it suitable for the treatment of complex defects of the cranium. Early results are in favor of this cranioplasty method over standardized materials. Therefore, this material is expected to become a method of choice for reconstructive surgery of bony defects of the face and skull especially in complex cases.
[Mh] Termos MeSH primário: Projeto Auxiliado por Computador
Próteses e Implantes
Procedimentos Cirúrgicos Reconstrutivos/métodos
Crânio/lesões
Crânio/cirurgia
Ferimentos por Arma de Fogo/cirurgia
[Mh] Termos MeSH secundário: Materiais Biocompatíveis
Estética
Seres Humanos
Cetonas
Masculino
Polietilenoglicóis
Procedimentos Cirúrgicos Reconstrutivos/instrumentação
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biocompatible Materials); 0 (Ketones); 30IQX730WE (Polyethylene Glycols); 31694-16-3 (polyetheretherketone)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180113
[St] Status:MEDLINE
[do] DOI:10.2298/VSP150310043M


  3 / 10163 MEDLINE  
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[PMID]:29328583
[Au] Autor:Jovic MS; Dimitrijevic MM; Dimitrijevic AM; Stojkovic GG
[Ti] Título:Analysis of reconstructive methods in surgical treatment of nasal skin defects.
[So] Source:Vojnosanit Pregl;73(8):723-7, 2016 Aug.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Background/Aim: Surgeons often face with the problem when selecting a reconstructive method for nasal skin defects. The aim of this study was to determine functional and aesthetic character-istics of different reconstructive methods used for skin defects in different regions of the nose. Methods: The study involved 44 patients with basocellular carcinoma in nasal area. The nasal skin was divided into four subunits: the tip, the alar lobules, the side-walls and the dorsum. The average skin defect size was 10 mm in diameter. Local flaps and full thickness skin grafts were used in the study. We analyzed the functional and esthetic results of dif-ferent reconstructive methods used for nasal defects in different regions of the nose 12 months after the surgery. Results: The study shows that different reconstructive methods produce dif-ferent functional and esthetic results in the same nasal subunits and that the same reconstructive method produces different re-sults in different nasal subunits. Conclusions: Estimation the postoperative functional and esthetic characteristics of different reconstructive methods is one of the basic preconditions of suc-cessful reconstruction.
[Mh] Termos MeSH primário: Carcinoma Basocelular/cirurgia
Neoplasias Nasais/cirurgia
Rinoplastia/métodos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Estética
Feminino
Seres Humanos
Masculino
Meia-Idade
Neoplasias Cutâneas/cirurgia
Transplante de Pele
Retalhos Cirúrgicos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180113
[St] Status:MEDLINE
[do] DOI:10.2298/VSP140829052J


  4 / 10163 MEDLINE  
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[PMID]:29280880
[Au] Autor:Purnell CA; Turin SY; Dumanian GA
[Ad] Endereço:Chicago, Ill. From the Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine.
[Ti] Título:Umbilicus Reconstruction with Bilateral Square "Pumpkin-Teeth" Advancement Flaps.
[So] Source:Plast Reconstr Surg;141(1):186-189, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The creation of a neoumbilicus is a common challenge for plastic surgeons. The authors present their technique of umbilical reconstruction with bilateral square "pumpkin-teeth" advancement flaps. The technique described is applicable in both the setting of a vertical midline incision and when no midline incision is present (e.g., an abdominoplasty). The reconstruction has been performed in over 50 patients with a vertical midline incision and five patients without a midline incision. The only complications noted were persistent serous drainage in several patients with vertical incision and inadequate depth in one patient without a midline incision. This technique is quickly performed, and avoids small flaps, external incisions, and healing by secondary intention.
[Mh] Termos MeSH primário: Abdominoplastia/métodos
Procedimentos Cirúrgicos Reconstrutivos/métodos
Retalhos Cirúrgicos/transplante
Umbigo/cirurgia
[Mh] Termos MeSH secundário: Parede Abdominal/fisiopatologia
Parede Abdominal/cirurgia
Estética
Feminino
Seres Humanos
Masculino
Retalhos Cirúrgicos/irrigação sanguínea
Técnicas de Sutura
Cicatrização/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003929


  5 / 10163 MEDLINE  
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[PMID]:29280883
[Au] Autor:Tanna N; Nguyen KT; Ghavami A; Calvert JW; Guyuron B; Rohrich RJ; Gruber RP
[Ad] Endereço:New York, N.Y.; Beverly Hills and Palo Alto, Calif.; Cleveland, Ohio; and Dallas Texas From the Division of Plastic and Reconstructive Surgery, Northwell Health, Hofstra Northwell School of Medicine; the Division of Plastic and Reconstructive Surgery, University of California, Los Angeles; the Division of Plastic and Reconstructive Surgery, University of Southern California; the Department of Plastic and Reconstructive Surgery, Case Western Reserve University; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and the Division of Plastic and Reconstructive Surgery, Stanford University.
[Ti] Título:Evidence-Based Medicine: Current Practices in Rhinoplasty.
[So] Source:Plast Reconstr Surg;141(1):137e-151e, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Perform aesthetic and functional nasal analysis to guide septorhinoplasty. 2. Recognize common complications associated with rhinoplasty. 3. Select appropriate septorhinoplasty techniques to refine nasal aesthetics and treat nasal airway obstruction. 4. Identify factors leading to poor patient satisfaction following rhinoplasty. SUMMARY: Septorhinoplasty is among the most technically challenging procedures in the realm of plastic and reconstructive surgery. Moreover, it is a constantly evolving topic with extensive background literature. Surgeons must be comfortable with the traditional knowledge base and the current practices in the field. This article reviews the latest thinking on patient selection, functional indications, aesthetic analysis, and operative techniques in septorhinoplasty, with an emphasis on key cartilage grafting and tip suture techniques.
[Mh] Termos MeSH primário: Rinoplastia/métodos
[Mh] Termos MeSH secundário: Cartilagem/transplante
Estética
Medicina Baseada em Evidências
Seres Humanos
Septo Nasal/cirurgia
Osteotomia/métodos
Satisfação do Paciente
Complicações Pós-Operatórias/diagnóstico
Complicações Pós-Operatórias/prevenção & controle
Cuidados Pré-Operatórios/métodos
Técnicas de Sutura
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003977


  6 / 10163 MEDLINE  
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[PMID]:29280876
[Au] Autor:Park S; Lee TS
[Ad] Endereço:Seoul, Republic of Korea From the Center for Maxillofacial Surgery, ID Hospital.
[Ti] Título:Strategic Considerations for Effective Sagittal Resection of the Mandible to Achieve a Slim and Attractive Jawline.
[So] Source:Plast Reconstr Surg;141(1):152-155, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sagittal resection of the mandible has been widely used to reduce the width of the lower face and is usually carried out in combination with a mandibular contouring procedure. However, the surgical outcomes of this procedure are unclear because sagittal resection is rarely performed as a single procedure. The authors clarify misunderstandings regarding this procedure and introduce an improved strategic approach for sagittal resection of the mandible. METHODS: Under general anesthesia, mandible contouring was performed first with a curved osteotomy, followed by sagittal resection of the outer cortex of mandible. The amount and extent of each procedure was determined in accordance with preoperative analysis. RESULTS: From 2012 to 2014, a consecutive series of 212 patients who underwent mandible contouring surgery without concomitant chin surgery were included in the study. A total of 189 patients underwent both mandibular contouring surgery and sagittal resection, whereas 13 underwent only sagittal resection and 10 underwent only mandibular contouring surgery. All operations were carried out successfully without any severe complications, and most patients had satisfactory aesthetic outcomes. CONCLUSIONS: The authors found that the sagittal resection of the mandible should be performed in accordance with the shape of the mandible to effectively reduce facial width and achieve better aesthetic outcomes for both profile and frontal views. In an outcurved-type mandible, conventional mandibular contouring may be effective alone, whereas sagittal resection focusing on removing the mandible body region is essential for incurved-type mandibles. In straight line-type mandibles, both procedures are necessary. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
[Mh] Termos MeSH primário: Técnicas Cosméticas
Mandíbula/cirurgia
Osteotomia/métodos
[Mh] Termos MeSH secundário: Adulto
Estética
Feminino
Seguimentos
Seres Humanos
Imagem Tridimensional
Mandíbula/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003932


  7 / 10163 MEDLINE  
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[PMID]:29280870
[Au] Autor:Rohrich RJ; Afrooz PN
[Ad] Endereço:Dallas, Texas From the Dallas Plastic Surgery Institute.
[Ti] Título:Components of the Hanging Columella: Strategies for Refinement.
[So] Source:Plast Reconstr Surg;141(1):46e-54e, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The columella is a significant factor in the aesthetic balance of the nose, particularly the lower one-third of the nose. Its position is dependent on the anatomical constituents of the columella, and neighboring anatomical structures. Six components of the hanging columella have been identified: the caudal septum, medial crura, columellar skin, membranous septum, anterior nasal spine, and depressor septi nasi muscle. Columellar refinement begins with a careful analysis and diagnosis of the contributing components, followed by surgical techniques to address these components individually. The cumulative effect of correction of individual components appropriately positions the columella and contributes significantly to the enhancement of nasal aesthetics. Refinement of the columella can be achieved through appropriately trimming the caudal septum; repositioning and reshaping the medial crura; excising redundant columellar skin, membranous septum, and nasal mucosa; appropriately contouring the anterior nasal spine; and dividing the depressor nasi septi nasi.
[Mh] Termos MeSH primário: Nariz/anatomia & histologia
Rinoplastia/métodos
[Mh] Termos MeSH secundário: Adulto
Estética
Feminino
Seres Humanos
Nariz/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003569


  8 / 10163 MEDLINE  
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[PMID]:28448262
[Au] Autor:Ahmad H; Siddiqui SS
[Ad] Endereço:Dow Medical College & Civil Hospital Karachi Dow University of Health Sciences Baba-e-Urdu Road, Karachi, Sindh, Pakistan.
[Ti] Título:An Unusually Large Carbuncle of the Temporofacial Region Demonstrating Remarkable Post-debridement Wound Healing Process: A Case Report.
[So] Source:Wounds;29(4):92-95, 2017 Apr.
[Is] ISSN:1943-2704
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Skin carbuncles are debilitating skin infections commonly seen in elderly patients with diabetes. These infections develop when a cluster of adjacent furuncles coalesce to form one inflammatory mass. While they commonly occur on the nape of the neck and back, rarer sites involving the face and head have been noted. Management of these rare sites is urgent because of the potential intracranial complications and the surgical outcome is often unsatisfactory due to associated facial scarring. Intraoral drainage is advocated to avoid this; however, when the carbuncle involves a larger area, debridement from the exterior is necessary. The resultant soft-tissue defect requires a skin graft or a flap for coverage, but this may still lead to an unsatisfactory cosmetic outcome. The authors report a case of a carbuncle involving an extensive area over the right temporofacial region, including its management and the remarkable post-debridement cosmetic outcome despite avoidance of plastic surgery techniques due to the patient's high risk associated with anesthesia.
[Mh] Termos MeSH primário: Carbúnculo/patologia
Desbridamento/métodos
Face/patologia
Procedimentos Cirúrgicos Reconstrutivos/métodos
Cicatrização/fisiologia
[Mh] Termos MeSH secundário: Antibacterianos/administração & dosagem
Carbúnculo/psicologia
Carbúnculo/terapia
Cicatriz/patologia
Diabetes Mellitus Tipo 1/complicações
Diabetes Mellitus Tipo 1/fisiopatologia
Diabetes Mellitus Tipo 1/terapia
Drenagem
Estética
Transtornos da Cefaleia/etiologia
Transtornos da Cefaleia/fisiopatologia
Transtornos da Cefaleia/terapia
Seres Humanos
Falência Renal Crônica/complicações
Falência Renal Crônica/fisiopatologia
Falência Renal Crônica/terapia
Masculino
Meia-Idade
Satisfação do Paciente
Sepse/etiologia
Sepse/fisiopatologia
Sepse/terapia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180103
[Lr] Data última revisão:
180103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE


  9 / 10163 MEDLINE  
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[PMID]:29210971
[Au] Autor:Laban LC
[Ad] Endereço:Lovely C. Laban, MSN, GNP-C, is a member of Allergan's ACE training team and the elite ACE meeting faculty and the cofounder and medical director for InjectionU, LLC. She previously served as a trainer for Galderma Laboratories, L.P. She is Co-Founder and Clinical Director of Skin by Lovely, a chain of medical aesthetic practices in Oregon and California.
[Ti] Título:Understanding Age, Memories, and How They Impact Aesthetic Practice.
[So] Source:Plast Surg Nurs;37(4):144-145, 2017 Oct/Dec.
[Is] ISSN:1550-1841
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:According to the American Society for Aesthetic Plastic Surgery (), the number of nonsurgical treatments grew 650% from 1996 to 2016. As these procedures have evolved and improved, so have their ability to deliver results that enhance one's natural beauty and reverse the signs of aging. Many patients seek these procedures in the hopes of looking younger and more refreshed, but "younger" can be subjective and the patient's desired outcome may be difficult for practitioners to interpret. A recent study () of 350 women found that patients are carrying around a "memory photo" of themselves that is about 10 years younger than their actual age. Findings from this survey yielded new insights into patient perceptions of age and provides practitioners with a powerful new tool that can be applied in daily clinical practice.
[Mh] Termos MeSH primário: Envelhecimento/psicologia
Estética/psicologia
Memória
Cirurgia Plástica/psicologia
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Beleza
Feminino
Seres Humanos
Meia-Idade
Autoimagem
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1097/PSN.0000000000000202


  10 / 10163 MEDLINE  
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[PMID]:29228142
[Au] Autor:Brielmann AA; Vale L; Pelli DG
[Ad] Endereço:Department of Psychology, New York University, New York, USA.
[Ti] Título:Beauty at a glance: The feeling of beauty and the amplitude of pleasure are independent of stimulus duration.
[So] Source:J Vis;17(14):9, 2017 Dec 01.
[Is] ISSN:1534-7362
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Over time, how does beauty develop and decay? Common sense suggests that beauty is intensely felt only after prolonged experience of the object. Here, we present one of various stimuli for a variable duration (1-30 s), measure the observers' pleasure over time, and, finally, ask whether they felt beauty. On each trial, participants (N = 21) either see an image that they had chosen as "movingly beautiful," see an image with prerated valence, or suck a candy. During the stimulus and a further 60 s, participants rate pleasure continuously using a custom touchscreen web app, EmotionTracker.com. After each trial, participants judge whether they felt beauty. Across all stimulus kinds, durations, and beauty responses, the dynamic pleasure rating has a stereotypical time course that is well fit by a one-parameter model with a brief exponential onset (roughly 2.5 s), a sustained plateau during stimulus presentation, and a long exponential decay (roughly 70 s). Across conditions, only the plateau amplitude varies. Beauty and pleasure amplitude are nearly independent of stimulus duration. The final beauty rating is positively correlated with pleasure amplitude (r = 0.60), and nearly independent of duration (r = 0.10). Beauty's independence from duration is unlike Bentham's 18th-century notion of value (utility), which he supposed to depend on the product of pleasure amplitude and duration. Participants report having felt pleasure as strongly after a mere 1 s stimulus as after longer durations, up to 30 s. Thus, we find that amplitude of pleasure is independent of stimulus duration.
[Mh] Termos MeSH primário: Beleza
Emoções/fisiologia
Prazer/fisiologia
[Mh] Termos MeSH secundário: Estética/psicologia
Feminino
Seres Humanos
Masculino
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171215
[Lr] Data última revisão:
171215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE
[do] DOI:10.1167/17.14.9



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