Current Issue : October - December Volume : 2015 Issue Number : 4 Articles : 5 Articles
Importance: Dermal filler use in aesthetic clinics, are now widespread and although complications\nare rare, the formation of granulomas or abscesses and subsequent defects can be devastating to\nthe patient. Design: Retrospective chart review of 4 cases over the period of 10 years, from 2002-\n2012 were examined from The Nasal and Facial Plastic Cosmetic Surgery Institute. Results: Four\nfemale patients experienced delayed onset reactions (>2 weeks) with sterile abscess formation\nand eventual resolution with serial drainage and macrolide antibiotics were observed over a prolonged\nperiod until resolution occurred. Only 1 case identified an organism (streptococci) on culture\nafter 8 months, however, the initial culture still showed only sterile abscess. All 4 had a history\nof previous injectable fillers, 2 patients had evidence of pre existing autoimmune disorders.\nConclusions and Relevance: Since the treatment of all of these patients, there is new evidence that\ninfections may present as delayed onset sterile abscesses due to biofilm formation. Fluorescent in\nsitu hybridization (FISH) test has shown to be as specific in identifying responsible organisms in\nbiofilm infections as simple culture but is more sensitive; thus preventing misdiagnosis of sterile\nabscess. Counter intuitively steroid injection may promote abscesses, while hyaluronidase may be\nuseful....
This study aimed at understanding the level of awareness and elucidates the attitude and disposition of healthcare workers to\ncosmetic surgery in Osogbo, Nigeria. A questionnaire-based survey was done at LAUTECH Teaching Hospital, Osogbo, in 2012.\nQuestionnaireswere administered to 213workers and students in the hospital.Thesewere then analysed using SPSS version 16.0 with\nfrequencies, means, and so forth. Respondentswere 33 doctors, 32 nurses, 79 medical students, 60 nursing students, 4 administrative\nstaff, 1 pharmacist, and 4 ward maids. There is fair awareness about cosmetic surgery generally with 94.5% and its availability in\nNigeria with 67.0%. A fewer proportion of the respondents (44.5%) were aware of the facility for cosmetic surgery in their locality.\nA large percentage (86.5%) favorably considers facilities outside Nigeria when making choice of facility to have cosmetic surgery\ndone. 85.5% considered the information about cosmetic surgery reliable while 19.0% objected going for cosmetic surgery of their\nchoice even if done free. Only 34.0% consider cosmetic surgery socially acceptable. Although the awareness of health workers about\ncosmetic surgery is high, their disposition to it is low. There is a need to increase the awareness in order to increase cosmetic surgery\npractice in Nigeria....
Currently in lower blepharoplasty, the transconjunctival approach indication has been limited to\nyoung patients without skin excess and prominence of bags; in our practice this access has become\nthe preferred technique in most of our cases because it is simpler, faster, prevents bad scarring,\nproduces less orbicularis muscle trauma, and decreases postoperative edema and possible retractions\n(ectropion) in patients with decreased lower palpebral tone. Objective: To identify important\nconcepts when deciding this approach. Material and Methods: Retrospective review of 177\npatients who underwent lower blepharoplasty by a single surgical group. Regarding techniques,\nthe transconjunctival approach was selected in 42% of patients while the transcutaneous technique\nwas preferred in 58%. Results: A lower rate of complications was observed by the transconjunctival\napproach, with greater patient satisfaction. Conclusions: In our experience, due to\nits simplicity and less traumatic effect on the patient, the transconjunctival approach is an ideal\ntechnique, except in cases where there is lower eyelid weakness and surgical resolution is needed....
We report a case of 77 years old male patient who presented to our hospital with bleeding from a\nfungating mass of the nose. Investigations revealed the lesion to be moderately differentiated basaloid\ntype squamous cell carcinoma, with lung, liver and spleen metastasis. Oncologists started\npalliative chemotherapy for the patient. Excision of the tumour required removal of most of the\nnose including the lateral nasal cartilages and the nasal septum. Nasal reconstruction was done by\nusing left nasolabial flap after deepithelialising 3 parts of it and covering that flap with a forehead\nflap. Residual tumour of the upper lip required further excision later on and coverage with a fan\nflap. The patient survived about 6 months after the surgery in a good appearance and was accepted\nand approached well by his family. We think that this type of reconstruction is suitable for\nlate stages cancer nose considering the life expectancy of this category of patients....
Background: Most data on laser resurfacing have come from studies of people with Fitzpatrick\nskin types 1 - 3; however, the worldâ��s population is comprised mostly of Fitzpatrick skin types 4 - 6,\nwhich are more susceptible to post-inflammatory hyperpigmentation (PIH). Objective: For the\npurpose of expanding the expertise of plastic surgeons treating patients with darker skin types,\nthis study examined the incidence of PIH in Asians who underwent laser resurfacing, including a\nhistologic arm on fractional ablative resurfacing. Methods & Materials: The clinical study included\nsix subjects of Vietnamese origin who underwent single-depth fractionated CO2 laser resurfacing.\nThe histologic study involved a seventh subject. The MiXto SX�® laser with a new scanning handpiece\nwas used, along with magnifying loupes to assess ablative depth after each of three laser\npasses performed. Photographs were taken at various postoperative intervals. Results: All six\nclinical subjects showed cosmetic improvement in skin texture and tone with no post-inflammatory\nhyperpigmentation. In the histologic study, H&E stained sections revealed uniform diathermy.\nConclusion: It is possible to significantly reduce PIH in darker skinned subjects through use of a\nnew scanning handpiece and a technique using loupes to assess the depth of ablative resurfacing.\nThe histologic study confirms these findings....
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