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At least 397 records · Page 22Linked to original sources

Prurigo pigmentosa affecting the forehead.

A little-known dermatosis, prurigo pigmentosa, is characterized by itchy reddish lesions and gross reticular pigmentation which occurs mainly on the trunk. Histologically, it is characterized by lichenoid tissue reaction. We present a 23-year-old male patient who showed typical eruption not only on the trunk but also on the forehead. Although the etiology remains to be explained, this unusual distribution of the eruption might help to know the real cause of this peculiar disorder.

Adult↗

FNAC in the diagnosis of recurrent dermatofibrosarcoma protuberans of the forehead. A case report.

BACKGROUND: Dermatofibrosarcoma protuberans is a rare cutaneous soft tissue tumor of intermediate malignant potential with a characteristic tendency for recurrence. Metastases are unusual. This tumor usually occurs in the trunk and extremities and, infrequently, on the face and scalp. Its cytologic appearance on fine needle aspiration has only been rarely reported. It is characterized by numerous fibroblastlike cells that arrange as single cells or in clusters of spindle cells arrayed in a storiform pattern. CASE: A 42-year-old male presented with a one-year history of an enlarging left forehead mass (lateral brow) that was adjacent to an old surgical scar. Fine needle aspiration revealed a low grade spindle cell neoplasm morphologically identical to a dermatofibrosarcoma protuberans excised 15 years earlier, indicating tumor recurrence. CONCLUSION: Distinguishing dermatofibrosarcoma protuberans from other spindle cell tumors and fibrohistiocytic lesions may pose significant challenges to the pathologist. However, in the appropriate clinical setting and applying strict diagnostic criteria, fine needle aspiration cytology is a reliable tool in establishing the diagnosis of this neoplasm.

Adult↗

Effect of papaverine hydrochloride on cerebral blood flow as measured by forehead thermograms.

Using the atraumatic diagnostic technique of forehead thermography to indirectly evaluate cerebral arterial circulation, nine patients with vascular disease in the extracranial or intracranial carotid arterial system were given 300 mg. papaverine hydrochloride. All patients demonstrated some degree of improvement after the drug was administered as determined by comparing control thermograms to thermograms obtained 1, 4 and 8 hours after administration of the drug. Improvement was attributed to increased cerebral blood flow due to the direct vasodilating effect of papaverine hydrochloride. In conclusion, this study suggests that if potential stroke victims can be detected at an early stage with thermography (and/or with other atraumatic diagnostic techniques), drug therapy may prove to be of immediate therapeutic value. The response of any given patient to drug therapy may be determined simply and atraumatically by thermographic examinations in which each patient is used as his own control.

Aged↗

Intraoral keloid: complication of forehead flap.

Intraoral keloids are rare de novo, but can occur on transplanted skin. A case in which an unusual complication of forehead flap reconstruction resulted in the formation of a large keloid in the oral cavity is presented. Therapy is discussed.

Carcinoma, Squamous Cell↗

The midline vertical forehead flap.

The midline vertical forehead flap is an unheralded flap that has valuable and specific application. It is ideal for certain reconstructions around the nose, orbit, and upper melonasal regions. The color match is excellent. The donor area is repaired per primum and because there is a double blood supply it rarely fails when nondelayed and rotated 180 degrees.

Cheek↗

Mohs wounds of the forehead: healing by secondary intention.

Accurate prediction of the course of wound healing allows patients with Mohs surgical wounds on the face to be objectively selected either for surgical repair or for spontaneous healing. Parameters affecting wound healing--location, depth and size of wound--were documented at intervals for 135 patients who had full-thickness defects in the forehead after Mohs surgery, which were left to heal by secondary intention. Quality of cosmesis was determined at least four months after surgery. Final cosmetic result was predictable on the basis of wound location, size and depth. Allowing selected Mohs surgical wounds to heal spontaneously offers optimal cancer surveillance, simplified wound care and elimination of reconstructive procedures along with their associated costs and potential complications.

Adolescent↗

Pityrosporum ovale culture from the forehead of healthy children.

One hundred and thirty-eight children aged between 2 months and 15 years were investigated to determine the prevalence and quantity of the yeast Pityrosporum ovale. Samples were taken from the forehead and cultured on a medium containing cow's milk, glycerol, glycerol monostearate and Tween 60 as the lipid source. Eighty-seven per cent of all children were positive in the qualitative culture. The largest number of colonies of P. ovale was found among children aged 2-23 months and among children older than 9 years.

Adolescent↗

Multiple dermoid cysts on the forehead. Case report.

A 41-year-old man presented with multiple tumours on the forehead which had developed over a 20-year period. Preoperative computed tomography of the brain showed multiple subcutaneous lesions in the frontal region with no intracranial extension. Histological examination of a biopsy specimen from one of the tumours showed a dermoid cyst. The patient underwent excision of the tumours, and the resulting skin defect was covered with a full-thickness skin graft. His postoperative course was uneventful. Dermoid cysts of the head and neck are relatively rare, and usually occur in childhood as solitary lesions.

Adult↗

EMG potentials elicited by forehead taps in the sternocleidomastoid muscles and lower leg muscles--a study on patients with vestibular lesions.

The aim of the present study was to determine whether a tap on the forehead evokes a vestibulospinal reflex in the sternocleidomastoid muscles and the lower leg muscles in patients with vestibular lesions. Although first positive-negative short-latency EMG potentials with a mean positive potential peak of about 12.6 ms and a mean negative potential peak of about 17.3 ms were found in the bilateral sternocleidomastoid muscles in normal subjects, they were lacking in patients with vestibular lesions. The first negative short-latency EMG potentials had a mean latency of 48.3 +/- 3.1 ms (onset) to 98.3 +/- 6.3 ms (end) in both gastrocnemius muscles in normal subjects, but they were delayed in patients with vestibular lesions.

Adult↗

Pott's puffy tumour: a rare cause of forehead swelling in a child.

We report a case of Pott's puffy tumour in a 12-year-old. Owing to the late development of the frontal sinuses, frontal sinus infection in children is rare. When present it can lead to osteomyelitis associated with forehead swelling. Early diagnosis and active treatment prevent progression to life-threatening intracranial spread.

Child↗

[Medicine and history. Concerning of the case of a man with a tumour on his forehead].

This case report is about the sickness of a 59 year old priest, politician and war veteran who died in 1844. The case history is based on the detailed report of his doctor, gathered in a diary and later published. The collected clinical data relied exclusively on touch and observation. The patient's illness started with a painful lump on his forehead that was in part excised. Surgical exploration revealed a soft tissue mass that bled easily and involved the frontal bone. In the following months, the lesion, which had been treated with complex topical medications, became ulcerated and extended to the orbit and the chin. The patient died postrated and in severe undernutrition one year after the onset of the symptoms. The case discussion, presented in the format of a clinicopathological conference, concluded that a metastasis of a renal cell carcinoma or an osseous lymphoma were the more likely diagnoses.

Argentina↗

Subperiosteal rejuvenation of the forehead.

Subperiosteal rejuvenation of the forehead may be performed through several small incisions in the brow. Small incisions are placed in the hairline and within the hair-bearing portion of the brow. The procedure provides a safe and reliable way to improve the position of the brow. The addition of resorbable screw fixation improves the stability of the brow position postoperatively and facilitates healing in the desired location. Subperiosteal brow lift may be performed successfully by way of minimally invasive incisions with favorable results.

Forehead↗

[Changes in forehead and sole tissue temperature during cardiopulmonary bypass for acquired cardiac disease].

The forehead tissue temperature (FT-T) and the sole tissue temperature (ST-T) were measured and recorded by a deep body thermometer (Terumo Corp.) during open heart surgery. The changes in FT-T and ST-T after cardiopulmonary bypass (CPB) showed two characteristic patterns; the convergence pattern and the dissociation pattern. It is said that the dissociation pattern can notes a poor peripheral circulation. The deverging point of the two patterns was studied in 65 patients with acquired cardiac disease. We divided the patients into two groups taking 3.5 degrees C of the FT-T and ST-T difference (DT) after 2 hour weaning from CPB. The number of the patients in convergence group (group I) was 42, and that in the dissociation group (group II) was 23. The two groups were compared with the DT and the time required for the rise in each temperature from CPB rewarming to CPB weaning. There was no intergroup difference in the DT when the FT-T began to rise upon CPB rewarming. However, the DT was 3.8 +/- 2.3 (mean +/- SD) degrees C in group I and 7.1 +/- 1.8 degrees C in group II when the ST-T began to rise, and 4.2 +/- 2.5 degrees C in group I and 6.9 +/- 1.4 degrees C in group II when the FT-T reached its peak; the figures were significantly lower in group I (P < 0.01). The time required for the rise in ST-T was significantly shorter in group I (14.8 +/- 17.1 min) than in group II (25.8 +/- 14.7 min).(ABSTRACT TRUNCATED AT 250 WORDS)

Cardiopulmonary Bypass↗

[Subfascial lipoma of the forehead].

Three patients with subfascial lipoma of the forehead are presented. These deeply placed lipomas are seen in up to fifty percent of the lipomas of the scalp. A characteristic feature is the intact skin line pattern over the tumour. Surgical treatment involves incision of the aponeurosis of the M. occipitofrontalis.

Adult↗

[Surgical treatment of forehead and glabellar wrinkles].

Many surgeons concerned with aging in the jowl and neck often overlook more objectionable changes in the upper face. These changes produce not only an old or aged appearance but inappropriate expressions as well. This paper outlines the elements of aging in the upper face and details the planning and execution of the foreheadplasty. Topics discussed include inappropriate facial expressions, upper facial aesthetics, incisions for bald or balding men and techniques for minimizing scars. For many years the evolution and application of techniques for rejuvenation of the upper face lagged behind that of procedures used to correct aging in the cheek and neck. Men were generally overlooked as candidates for foreheadplasties by surgeons who believed these procedures not to be possible on bald or balding scalps. In addition, patients were frequently disappointed after surgery due to objectionable secondary deformities. These include bizarre expressions from over-resection of forehead muscles, contour irregularities following imprecise muscle sculpturing, inappropriate appearances due to eyebrow malpositioning and aesthetic imbalances resulting from hairline shifting. For these and other reasons some surgeons deemed the procedure to be of questionable value. The author would like to share current concepts and new techniques which have overcome these problems and delivered satisfaction and happiness to many patients.

Forehead↗

Dural arteriovenous fistulae after forehead knife-cut injury.

Dural arteriovenous fistulae (DAVF) is a rare intracranial vascular disease. It is pathologically characterized by direct shunting of the intracranial artery and vein, which results in cerebral ischemia, intracranial hemorrhage, neural deficit and intracranial murmur. The etiological mechanism of DAVF is not well known, but most researchers think it is associated with congenital abnormal development, especially abnormal development of dural blood vessels at the stage of embryogenesis. Recently, some researchers have found that DAVF is also associated with some acquired factors. This article reports a case who developed DAVF within 2 years after debridement of frontal bone fragmentation, depressed fracture, left frontal lobe contusion and superior sagittal sinus injury due to forehead knife-cut injury. The pathogenic mechanism was explored through a review of the related literatures.

Adult↗

The subperiosteal forehead lift.

The subperiosteal forehead lift has proved to be a safe, rapid, and effective way to approach rejuvenation of the upper one half of the face. This approach incorporates repositioning of the brows and release of the orbital rim periosteum. Advantages are easy repositioning of the lateral canthi when indicated, absolute safety with regard to the frontal branches of the facial nerves, and simple variations to deal with a variety of hairlines.

Female↗