O. NEGREA; O. LIVIU; Mihalca, A; V. MICLĂUS
This experiment has as purpose an evaluation of cicatrix stimulation and healing capacity of some accidental wounds produced by different body regions to a livestock of 20 horses, young stock and adult animals, during the year 2007, by local treatment with hydrogel ointment prepared from 8 medicinal plants, namely Echinaceea palida, Calendula officinalis, Populus nigra, Symphytum officinalis, Arnica montana, Thuja occidentalis, Veronica officinalis and Salvia officinalis. To the end of experi...
Full Text Available This experiment has as purpose an evaluation of cicatrix stimulation and healing capacity of some accidental wounds produced by different body regions to a livestock of 20 horses, young stock and adult animals, during the year 2007, by local treatment with hydrogel ointment prepared from 8 medicinal plants, namely Echinaceea palida, Calendula officinalis, Populus nigra, Symphytum officinalis, Arnica montana, Thuja occidentalis, Veronica officinalis and Salvia officinalis. To the end of experiment, the best results, in epithelium making and wound contraction, were obtained with Calendule officinalis ointment, which has shortened this stage with 6 days, comparatively to witness wounds and those treated with Veronica officinalis, with 5 days facing to Thuja occidentalis and Salvia officinalis, with 4 days facing to Symphytum officinalis and Arnica montana , with 2 days facing Populus nigra and one day facing to Echinaceea palida.
Ribault, L; Martin, J P; Larroque, G
The authors report their experience of the treatment of 81 cases of keloid scars in Africa. Many methods have been proposed and used but they do not consistently lead to good results. The fact that many operations have been indicates their back of efficacy. The natural tendency towards recurrence dictates the correct choice of operation. The best result is obtained by combining surgery with radiotherapy. PMID:1456722
Van den heede, C.; Coppejans, E.
Descriptions and illustrations are provided of 14 species. Codium, collected in Kenya, Zanzibar and the Seychelles Archipelago from 1985 to 1994 of C. arabicum, C. cicatrix, C. duthieae, C. dwarkense, C. extricatum, C. geppiorum, C. lucasii, C. ovale, C. pocockiae, C. prostratum, C. repens, C. taylorii, C. vaughanii and C. sp. Codium cicatrix and C. repens are new records for Kenya; C. extricatum, C. lucasii and C. pocockiae are new for Tanzania; C. arabicum, C. cicatrix, C. extricatum, C. va...
Full Text Available ... out the area of cicatrix, we preparing a window now which will allow us to pass a ... supply to the vas. We'll make a window underneath the vas, pass a tongue blade through ...
Jacobsen, S; Honnens de Lichtenberg, M; Jensen, C M; Tørholm, C
typically soreness over implant and cicatrix, reduced movement of the ankle joint, and strain-related pain. About 75% of these patients reported improvement after removal. The AO mode of fixation, i.e., typically by lateral semitubular plating and transsyndesmotic screw and a medial screw or pins, and the...
Francesco Inchingolo, Marco Tatullo, Fabio M. Abenavoli, Massimo Marrelli, Alessio D. Inchingolo, Roberto Corelli, Andrea Servili, Angelo M. Inchingolo, Gianna Dipalma
Full Text Available The presence of tattoos on the skin of people of all ages is on the rise. On occasion, the tattoo is in close proximity to an area which has to undergo a surgical operation, therefore why not using the tattoo itself to cover the cicatrix?The case we treated was that of a 39 year old female who, for a couple of years, had a large lipoma on her right shoulder which she never treated because it was beneath a large tattoo. During the surgical treatment of the lipoma, we followed the exact lines of the tattoo itself thus obtaining precise access for lipoma removal which minimized visible post operative cicatrix while maintaining the original tattoo design.No similar case was found in literature.
Thinda, Sumeer; Vaphiades, Michael S; Mawn, Louise A
Blepharoplasty with fat repositioning is a technique used to fill the tear trough in the aging lower eyelid. We describe a patient who underwent transcutaneous lower eyelid blepharoplasty with fat repositioning who subsequently developed mechanical oscillopsia in the right eye exacerbated by facial movement. Surgical exploration revealed cicatrix between the inferior oblique muscle and the anterior superficial musculoaponeurotic system. Excision of the scar bands led to immediate amelioration of symptoms. When performing blepharoplasty with fat repositioning, it is essential to be aware of the anatomic location of the inferior oblique in the anterior inferomedial orbit to avoid incarceration of this muscle. PMID:23222371
The results of comprehensive radiodiagnosis in 44 patients previously operated on for lumbar hernias were analyzed. All the findings nuclear magnetic tomography (NMT) and computer tomography (CT) were divided into 3 groups: (1) natural consequences of a surgical intervention without clinical manifestations; (2) complications after a surgical intervention; (3) recurrent hernias or hernias on an adjacent level. The most intricate problem was the differential diagnosis between a recurrent hernia and a posoperative epidural cicatrix. The optimal variant for NMT examination of the patients operated on was shown to be a combination of NMT and CT
Kishkovskij, A.N.; DudareV, A.L. (Voenno-Meditsinskaya Akademiya, Leningrad (USSR))
An analysis of the results of radiation therapy of 587 patients with postoperative and traumatic complications has shown that special ..gamma..-therapy used at early time following trauma or surgical intervention, with the first clinical signs of an incipient inflammatory process (the so-called ''anticipating'' irradiation), makes it possible to avoid the development of serious postoperative, post-traumatic complications: wound suppuration, fistulas, secondary parotitis, postamputation pain syndrome, ''needle'' osteomyelitis, keloid cicatrix, skin graft rejection, etc. In the author opinion, this promising trend in radiotherapy of nontumorous diseases is worth a wider using in clinical practice.
李俊峰; 徐佳; 李鑫; 姜秋霞; 刘杰; 马俊平
A 10-year-old girl had presented with papulae and plaque on the sacrococcygeal region for 9 years. Physical examination showed clustered soft papulae on die aacrococcygeal region with amber color,and anastomosis inequality of size. Two cicatrix were appearanced on center of erylhra with 1.0cm × 1.5cm. Histopathological examination showed hyperkeratinizalion, stratum spinosum hyperplasia, abnormal position adipocytes distributed in lamina superficialis and intercellular layer of dermis. A diagnosis of nevus lipomatosus superfi-cialis was established.%患者女,10岁.骶尾部丘疹、融合性斑块9年余.皮肤科情况:骶尾部可见簇集分布的米粒大淡黄色丘疹,质地柔软,融合成多处大小不等斑块或斑片,皮疹中央可见2处1.0cm×1.5cm大瘢痕增生.皮损组织病理示:表皮轻度角化过度,棘细胞层增生,真皮浅中层胶原束间可见成群分布异位脂肪细胞.诊断:浅表脂肪瘤样痣.
Bostwick, J.; Stevenson, T.R.; Nahai, F.; Hester, T.R.; Coleman, J.J.; Jurkiewicz, M.J.
Major complications of radiation directed to the breast, axilla, and mediastinum were treated in 54 patients from 1974 to 1983. A classification of these complications facilitates both an understanding of the pattern of injury and the development of a treatment plan. Classification: I. Breast necrosis; II. Radionecrosis and Chest Wall Ulceration; III. Accelerated Coronary Atherosclerosis with Median Sternotomy Wound Failure After Coronary Revascularization; IV. Brachial Plexus Pain and Paresis; V. Lymphedema and Axillary Cicatrix; VI. Radiation-induced Neoplasia. The treatment has evolved during the 10-year study period to excision of the necrotic wound, including any tumor, and closure with a transposed muscle or musculocutaneous flap of latissimus dorsi (II, III, V) or rectus abdominis (I, II, VI). This strategy reflects a change from primary use of the omentum during the first years of the study. The vascularity, oxygen and antibiotic delivery of these muscle and musculocutaneous flaps promote wound healing, usually with one operation. The transfer of these muscles has not caused significant functional deficits.
Full Text Available The Australian Thrasorinae are revised and Mikeius is transferred to Mikeiinae Paretas-Martínez & Pujade-Villar, subfam. n., and M. clavatus Pujade-Villar & Restrepo-Ortiz, sp. n., is described. Two new genera of Thrasorinae are erected: Cicatrix Paretas-Martínez, gen. n., including C. pilosiscutum (Girault, comb. n. from Amblynotus, C. schauffi (Buffington, comb. n. from Mikeius, and C. neumannoides Paretas-Martínez & Restrepo-Ortiz, sp. n.; and Palmiriella Pujade-Villar & Paretas-Martínez, gen. n., including P. neumanni (Buffington, comb. n. from Mikeius, Thrasorus rieki Paretas-Martínez & Pujade-Villar, sp. n., is also described. A phylogenetic analysis of 176 morphological and biological characters, including all these new taxa and all genera previously included in Thrasorinae, was conducted. All subfamilies were recovered as monophyletic, with the following relationships: Parnipinae (Euceroptrinae (Mikeiinae (Plectocynipinae (Thrasorinae. A worldwide key to the subfamilies of Figitidae is provided that includes the new subfamily, as well as a key to genera Thrasorinae.
Zhernov, A A; Zhernov, An A
Experience of treatment of 24 patients, suffering neck deformity and contracture, using stretched flaps with axial type of blood circulation, was summarized. In total 43 expanders were implanted. The cutaneo-fascial flaps stretching was performed in the neck and thorax. In all the flaps a nutrition artery was included. The neck-brachial flaps, including supraclavicular artery, were applied in 25 (58.1%) patients, the neck-thoracic flaps, using superficial neck artery--in 12 (27.91%), the occipital-neck flaps on a musculocutaneous perforating vessels of occipital artery--in 6 (13.95%). The methods of the expander implantation, the stretching, transposition regimes of plastic material and its fixation were elaborated. The donor sites were closed using stretched tissues, left in place after formation of flaps. Flaps were fixed, using mechanical method of the tissues connection with duplicature formation from deepidermized portion of cicatrix or with polypropylene mesh, which played a role of a dense framework. Then a strong connective tissue bolt was formed, securely fixing transposedstretched tissues. While application of a complex-component vascularized flaps a suppuration have occurred in 3 (6.97%), partial necrosis--in 2 (4.64%) observations. Inclusion of nutritive vessels permit to form large size flaps with a small risk of necrosis occurrence. The stretched perforant flaps application permits to achieve positive result in 95.3% of observations--in immediate and in 81.82%--in far remote period. PMID:22702123
Rrecaj, Shkurta; Hysenaj, Hajrie; Martinaj, Merita; Murtezani, Ardiana; Ibrahimi-Kacuri, Dafina; Haxhiu, Bekim; Buja, Zene
Objective: Burn injuries in hands are much more complex and the appearance of contractures is a common complication. Hand burn injuries often result in limited functionality, flexion and extension of fingers and present a major hindrance in rehabilitation. The aim of physical therapy and splinting after hand burn injury is to maintain mobility, prevent the development of the contracture and to promote the functionality of hand and good cosmetic results. The purpose of this study is to presents our experience of 38 children with hand burn injuries, admitted and treated at the Department of Plastic Surgery, UCCK-Pristina, Kosovo, during the years 2012-2015. Methods: Physical therapy is focused on active/passive range of motion in affected joints, management of cicatrix, strengthening exercise, coordination and use of splints for correction contractures. Patients were evaluated in three, six months and the definitive evaluation is done after 9 months of physical therapy and splinting. Results: We have improvement in range of motion (ROM), functionality, coordination, muscle force, decrease of keloids scars. Conclusion: This study shows the importance of physical therapy and splinting, achieving good results in preventing contracture, improving range of motion, muscle force and good cosmetic results. PMID:26889095
Weigend, Maximilian; Luebert, Federico; Selvi, Federico; Brokamp, Grischa; Hilger, Hartmut H
onto six independent lineages, members of Omphalodes onto three independent lineages. At least 11 of the genera here sampled are deeply nested in other genera. The data show that individual details of nutlet morphology (e.g., winged margins, glochidia) are highly homoplasious. Conversely, a complex of nutlet characters (e.g., characters of the gynobase and cicatrix together with nutlet orientation and sculpturing) tends to circumscribe natural units. Geographical distribution of major clades suggests that the family originated in Africa and western Asia and radiated to eastern Eurasia, with several independent dispersal events into Australia and the New World. PMID:23608129
Sharp, Patricia A; Pan, Brian; Yakuboff, Kevin P; Rothchild, Dawn
Pressure therapy has been considered standard, first-line intervention for the treatment of hypertrophic scars since its introduction in the 1960s. Although widely used, this scar management technique has historically been based on a wide array of anecdotal evidence as opposed to strong scientific support. Evidence has become more prevalent in recent years, necessitating a synthesis to develop an evidence-based clinical guideline. The clinical question was asked, "Among individuals with or at risk to develop active hypertrophic scars, does treatment with pressure therapy improve aesthetic and functional outcomes?" An evidence-based practice project was completed with aims to synthesize relevant literature to determine recommendations for the use of pressure therapy in individuals at risk for hypertrophic scars. A systematic search of the literature was conducted for the dates January 1950 to February 2014 of the following databases: MEDLINE, CINAHL, Cochrane Database for Systematic Reviews, Burntherapist.com, Cochrane Libraries, Ebsco, Google Scholar, OT Seeker, Ovid, MedLine, PEDro.org, Pubmed.gov, Pubmed Clinical Queries, and hand search of relevant articles through use of reference lists. Search terms included scar, hypertroph*, pressure therapy, compression therapy, pressure garment, burn, scald, trauma as well as MeSH terms cicatrix and hypertrophic. Articles were reviewed in terms of ability to answer the clinical question as well as strength of conclusions. A total of 45 articles were found and critiqued, 28 of which were relevant to the clinical question. Evidence strength ranged from level 1 to level 5. Results from the studies were synthesized to create clinical recommendations to guide treatment. Based on best available evidence, it is recommended that pressure therapy is utilized to decrease scar height and erythema that it is used for grafts and wounds requiring 14 to 21 days to heal, for 23 hours/day for 12 months, fit to achieve 20 to 30 mm Hg of
Full Text Available Mohammad Javed Ali,1 Alkis James Psaltis,2 Peter John Wormald2 1Dacryology Service, L V Prasad Eye Institute, Hyderabad, Telangana, India; 2Department of Surgery–Otorhinolaryngology, Head and Neck Surgery, The University of Adelaide, Adelaide, SA, Australia Aim: This study aims to provide a systematic protocol for the evaluation of a dacryocystorhinostomy (DCR ostium and to propose a scoring system to standardize the assessment.Methods: Retrospective evaluation of 125 consecutive lacrimal ostia post-DCR was performed. Medical records were screened, and photographs and videos were assessed to note the details of various ostial parameters. The major time points in evaluation were 4 weeks, 6 weeks, 3 months, and 6 months post-DCR. The ostia were defined and parameters like shape, size, location, and evolution of ostium were noted. Evaluation parameters were defined for internal common opening (ICO, ostium stents, and ostium granulomas. Ostium cicatrix and synechiae were graded based on their significance. Surgical success rates were computed and ostium characteristics in failed cases were studied.Results: A total of 125 ostia were evaluated on the aforementioned ostium parameters. Because five ostia showed a complete cicatricial closure with no recognizable features, the remaining 120 ostia were studied. The ostium location was anterior to the axilla of middle turbinate in 85.8% (103/120 of the cases. Moreover, 76.6% (92/120 of the ostia were circular to oval in shape, with a shallow base. The ostium size was >8×5 mm in 78.3% (94/120 of the cases. The ICO was found to be located in the central or paracentral basal area in 75.8% (91/120. The anatomical and functional success rates achieved were 96% and 93.6%, respectively. All the five cases with anatomical failures showed a complete cicatrization and the ICO movements were poor in all the three cases of functional failure.Conclusion: The article attempts to standardize the postoperative
刘毅; 刘萍; 宋玫; 肖斌; 陈黎明; 姜疆; 徐承新; 孙晓晨
Objective To summarize the experience of emergency treatment and cosmetic repair of bite wound by dog. Methods The curative effects of 119 wounds from 51 cases of bite wound by dog, to be treated from January 2010 to August 2012, were analyzed retrospectively. The principles of medical aesthetics and plastic and cosmetic surgery were followed. A wound without skin and soft tissue defect was sutured accurately according to tissue zonation with a new suture technique, and the needle distance or side distance was limited in 0.2cm to 0.3cm. Otherwise, the wound was repaired by full-thickness skin graft or various flaps according to the principle of "rather near than further, rather simple than complicated". Delayed repair was emphasized. It was pay attention to rehabilitation care. Results After debridement, 37 wounds were sutured directly, 23 wounds were repaired by full-thickness skin grafting and 29 wounds by various flaps. 111wounds healed on the first stage, and the healing rate reached 93.3%. The wounds were in satisfactory apposition and without obvious cicatrix. Any organs didn't appear in malposition and deformity. Eight wounds which were repaired on the first stage didn't heal, and they were repaired by changing dressings or second operations. 84 wounds from 37 cases were followed up. The results showed good appearance and slight cicatrix hyperplasia, a pigmentation in different degree appeared in five wounds covered by skin grafting. In addition, partial excalation of eyebrow or auricle appeared in 3 cases, and facial neuralgia in one case. Conclusion During treating emergency cases of bite wound by dog, if an idea " cosmetic repair of trauma" is followed, the theory of aesthetics and the techniques of plastic and cosmetic surgery are fully used, and a prompt and accurate treatment is put into practice, the aim of cosmetic repair could be come true. In addition, with those wounds, which couldn't be repaired on the first stage, delayed repair would be
刘毅; 刘萍; 宋玫; 肖斌; 张鲜英; 陈黎明; 张绪生; 张诚
Objective To summarize the experience of emergency treatment and cosmetic repair of facial trauma.Methods The clinical materials of 584 wounds from 291 cases of facial trauma,recruited in hospital from January 2010 to August 2012,were summed up retrospectively.The principles of medical aesthetics and plastic and cosmetic surgery were followed.A high pressure douching technique was employed to carry out thorough debridement,but occasion of the debridement did not emphasize with intensive attention.A wound without skin and soft tissue defect was sutured accurately according to tissue zonation with a new suture technique,and the needle distance or side distance was limited in 0.2 cm to 0.3 cm.Otherwise,the wound was repaired by full-thickness skin graft or various flaps according to the repair principle of " rather near than further,rather simple than complicated".Attention was paid to rehabilitation care.Results After debridement,328 wounds were sutured directly,147 wounds were repaired by full-thickness skin grafting and 109 wounds by various flaps.A total of 571 wounds healed on the first stage,and the healing rate reached 97.8％.The wounds were in satisfactory apposition and without obvious cicatrix.Five senses did not appear in malposition and deformity.The other 13 wounds did not heal because of bad taking of skin grafts and flaps or wound splitting.Among them,4 wounds were repaired by second operation,and 9 wounds healed by changing dressings.By means of rehabilitation care,scar hyperplasia and pigmentation appeared slightly in those 13 wounds.A total of 454 wounds from 217 cases were followed up.The results showed good appearance and slight cicatrix hyperplasia,a pigmentation in different degree appeared in 11 wounds covered by skin grafting.In addition,eyebrow excalation,auricle excalation or total lose appeared in 12 cases.Conclusion During treating emergency cases of facial injuries,if an idea "cosmetic repair of trauma"is followed,the theory of aesthetics
高雁; 郑惊雷; 刘玉生; 牛占国; 刘小容; 陈可琼; 黄伟龙
Objective:To study the therapy effect on chest keloid based on skin soft tissue expansion under keloid. Method:29 chest keloid patients were randomly divided into two groups, the skin expander was buried under the keloid in group A, while under the normal skin around the keloid in group B.Then both of the groups received regular water injection treatment to expansion.After reoperation to remove the dilator and to resect the keloid, radiotherapy continued for 5 days.The total length of the operation scar was measured, and the cases of complication and recurrence followed up for 6 months -2 years were counted, and the difference between the both groups was compared.Result:The total length of operation scar was (7.68±1.30)cm in group A while the length was (10.25±2.05)cm in group B, which had significant difference (P0.05). Conclusion:Tissue expansion under the cicatrix has the advantages of safer,less trauma and less operation scar for chest keloid.%目的：探讨在瘢痕疙瘩下埋置扩张器治疗胸前瘢痕疙瘩的临床效果。方法：将29例胸前瘢痕疙瘩患者随机分成两组：A组于瘢痕疙瘩下方埋置皮肤扩张器，B组于瘢痕疙瘩旁埋置皮肤扩张器，两组定期扩张注水治疗，二期手术取出扩张器切除瘢痕，配合电子线连续照射5 d，分别测量二期手术后瘢痕的总长度，随访6个月~2年，统计并发症例数及复发病例数，比较两组差异。结果：A组患者术后瘢痕总长度（7.68±1.30）cm，B组患者术后瘢痕长度（10.25±2.05）cm，两组比较差异有统计学意义（P0.05）。结论：在瘢痕疙瘩下埋置扩张器治疗对于中小面积胸前瘢痕疙瘩是较好的手术方法，提高手术效果。