SEARCH · Search PubMed
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
We present a case of a forehead skin neuroendocrine carcinoma associated to an oncocytic tumor of parotid gland. Its clinical, morphological and immunocytochemical characteristics are being discussed with the recent bibliography.
Within the scope of studies on efficacy of skin disinfection an alcoholic preparation with a cation-active substance (Octeniderm) was tested by way of the quantitative cotton swab method. To study the remanent effectiveness the skin of the upper arm was contaminated with Staph. epidermidis (10(2), 10(3) and 10(6)/cm2 skin) a) 1 minute and b) 2 h after disinfection. Swabs of the contaminated skin areas were taken after 1 min, 10 min and 2 h. It was shown, that Octeniderm compared with 70% Isopropanol and with the preparation without the active substance lead to a significant higher reduction of the contamination flora. Recent studies showed, that alcoholic disinfection of skin areas with many sebaceous glands was as good as inefficacious. A first experiment with Octeniderm on the forehead brought a significant better effect than 70% Isopropanol, but too the mean log reduction factors (RF) amount only to 0.76 for the aerobic and 0.64 for the anaerobic bacteria (exposure time of the disinfectant: 10 min) respectively 0.75 (aerobe) and 0.95 (anaerobe) one hour after disinfection.
Using the forehead skin test, we investigated the combined application of 10 v/v% Dermofug solution and 3 w/v% salicylic acid tincture or 1 v/v% phenol acid tincture. The former combination showed better antibacterial efficacy against the coagulase-negative staphylococci and Propionibacterium spp. in the stratum corneum/acroinfundibulum as well as in the infrainfundibulum of the sebaceous glands. No antibacterial efficacy could be determined against Propionibacterium spp. in the infrainfundibulum of the sebaceous glands after the combined application of Dermofug solution and 1 v/v% phenol acid tincture. In contrast, the combined application of Dermofug solution and 3 w/v% salicylic acid tincture led to a long-term reduction of the cfu-counts of Propionibacterium spp. in the infrainfundibulum of the sebaceous glands. The following conclusions can be drawn from our study and applied to external therapy: a detergent like Dermofug should be used instead of an alcohol to enhance the penetration of a drug into the infrainfundibulum of the sebaceous glands, since the former can block the growth of Propionibacterium spp. in the infrainfundibulum. Secondly, it should be kept in mind that the addition of salicylic acid to a topical antibiotic ointment does not only enhance the penetration of the antibiotic into the infrainfundibulum of the sebacous glands, but that the antibacterial effect of the salicylic acid itself may be the reason for the better clinical antibacterial efficacy of such combinations.
Extensive knowledge in reconstructive surgery of the face and head area is the basis for successful functional reconstructive surgery after injuries and tumor resection. Particularly in the tumor therapy reconstructive surgery is an essential curative element, because lacking this knowledge radical tumor surgery will not always be possible. The purpose of this paper is to summarize and discuss the proved and fundamental methods out of the immense number of reconstructive surgical methods published. For six regions of the face and head (forehead, nose, orbit, cheek, lip and auricle) the most important and basic operative procedures are reviewed. In some cases of surgical techniques the historical development was investigated, because the origin of these methods was not always clearly enough known or reported.
Currently, 50 cases of craniocarpotarsal dysplasia, or whistling face syndrome (WFS), have been reported, with more than 60 anatomical anomalies involving the head, hands, and feet, in addition to the face. In spite of the fact that there is much information concerning the surgical correction of many of these deformities, such as the surgical program for the hands outlined by Call and Strickland in 1981, there is little information concerning the surgical correction of facial deformities. In view of this, we present here a case report of a patient with WFS and our surgical approach to the facial deformities involved. Since January 24, 1983, when this 7-year-old girl first came into our care, she has successfully undergone a total forehead reshaping, correction of congenital upper eyelid ptosis, and a bilateral commissuroplasty. Follow-up for more than three years has shown stable surgical results.
The present study reviews our clinical experience with tissue expansion in head and neck reconstruction. The clinical series consists of 33 expansions performed in 29 patients between 1983 and 1986. The results of tissue expansion in the head and neck were distinguished by a high complication rate, necessitating some revision in the original treatment plan in 48 percent of patients. Despite this high incidence of complications, sufficient tissue was generated to successfully complete the planned reconstruction in 79 percent of patients. Specific complications were observed with particularly high frequency within distinct anatomic sites. The highest incidence of complications occurred in the cheek and neck (69 percent) and forehead (50 percent) regions. Complications in the eyelid region (33 percent) and scalp (17 percent) were less common. Implant exposure was the most frequently observed complication. Other sequelae noted in this series included intractable pain, infection, and bone resorption.
A technique for nasal lengthening is described in 3 cases using nasolabial flaps for lining and an island forehead flap for skin reconstruction. It is basically a 2-stage procedure with short hospitalisation.
Craniosynotosis affects approximately one infant out of 1000. The increase of intracranial pressure and the risks of functional problems are more frequent than usually estimated, especially in monosutural synostosis. Frontocranial remodeling will correct both functional and aesthetic consequences of craniosynostosis. The best operative period is the first year of life, 2 to 3 months of age for the brachycephalies, and 6 to 9 months of age for the other craniosynostoses. Not only does growth not adversely affect the results of the forehead remodeling, but the adjacent orbitonasal areas improve with time. In Crouzon's disease and Apert's syndrome, early frontal advancement does not prevent the midface retrusion, and a radical frontofacial advancement may be indicated in very severe cases.
A 32-year-old man had multiple asymptomatic, yellowish to normal skin-colored, moderately firm papules that were disseminated on the forehead, temple, and periauricular region. The histologic, enzyme histochemical, and ultrastructural findings were those of steatocystoma multiplex.
A woman of 29 developed a slowly growing subcutaneous tumor (1.5 X 1 X 0.5 cm) of the forehead. This neoplasm showed the histological pattern of neurilemmoma with the presence of dispersed rectangular cells having acidophilic fine granular cytoplasm imitating those of Abrikosov's tumor. This case as well as a few others described in the literature seem to confirm the thesis of neurilemmal origin of the so-called Abrikosov's myoblastoma.
An aneurysm of the superficial temporal artery is a rare lesion, which should be suspected after blunt trauma to the forehead that is followed by the appearance of a pulsatile cystic lesion in the region of the superficial temporal artery. Treatment by excision of the aneurysm with ligation of the afferent and efferent arteries is curative. As this lesion may be mistaken clinically for an epidermal inclusion cyst, aneurysm should be included in the differential diagnosis prior to therapy.
A patient with constant intumescences of the forehead due to bilateral hypertrophy of mimic muscles is reported.
The value of rhytidectomy as a preventive measure is principally shown in the psychological sphere. It restores the patient's self-confidence and consequently a natural demeanor and secures social and professional advantages in addition. If this surgery is to have a preventive character it must deal with the first signs and consequently be instituted in stages. Even smaller measures like blepharoplasty can alter the entire expression positively. Interventions in the periorbital and forehead regions are very advantageous for the appearance. In some cases rhytidectomy should be supplemented by further measures as eg nasal correction and dermabrasion to achieve a really positive effect.
Reconstruction of defects in the area of the naso-canthal angle is described. There are four possibilities of a defective closure: 1.) primary wound closure 2.) regional flaps 3.) distant flaps 4.) free transplants. For clinical application the regional flaps are most frequently used, and hence they are discussed in detail. These flaps can be prepared from the regions of the nose, forehead, and cheek; combined methods are also possible. The techniques of distant flaps are not described, since they form the subject of a separate paper. Free transplants are used in exceptional cases only, in which we prefer the composite grafts. Several graphical representations and clinical illustrations are added.
Great advances in the field of reconstructive head and neck surgery have been made in the last 20 years, and although the nape of neck flap has not been used as frequently as the deltopectoral flap or the forehead flap, its contribution in this field has been significant. This paper discusses the flap's history, anatomical basis, and clinical applications. Advantages, disadvantages, and complications are discussed and the flap's role in modern head and neck reconstructive surgery is examined.
In the past decade there has been a remarkable increase in the number of patients having cosmetic operations to achieve a more youthful appearance. Demographic, social and economic factors in our society have contributed to this phenomenon, along with an increase in the number of trained plastic surgeons. Moreover, there recently have been major technical advances in aesthetic surgical procedures, including innovations in anesthetic techniques. The newer procedures for forehead-plasty, blepharoplasty and face lift are based on improved understanding of the facial anatomy. The operations are more complex and extensive, but experience has shown that they can be done safely. Correction of the changes of facial aging has been enhanced and the duration of the result has been prolonged.
A total of 292 transcutaneous bilirubin (TcB) measurements were performed in 157 white full-term infants: 157 were obtained from the forehead and 135 from the midsternum. TcB measurements correlated well with serum bilirubin determinations (r = .93, P less than .0001). The sensitivity of the test was 100% and the specificity 97%. It was possible to establish guidelines for the TcB measurement which identified all infants whose serum bilirubin concentrations exceeded 12.9 mg/100 ml (221 mumoles/liter) with no false-negative and only five false-positive determinations (3%). The positive predictive value for the TcB measurements was 58%. This implies that, in our population, an infant with a TcB index greater than or equal to 24 has a 58% chance of having a serum bilirubin concentration greater than 12.9 mg/100 ml. The negative predictive value was 100%. Thus, a negative test will correctly predict the absence of hyperbilirubinemia in all cases. As these measurements were obtained prospectively in a well-baby population with a prevalence of hyperbilirubinemia (greater than 12.9 mg/100 ml) of 4.5%, the positive predictive value should be applicable to other similar populations and will, in fact, increase in populations with a higher prevalence of hyperbilirubinemia. TcB measurements can be recommended for the identification of significant neonatal jaundice in full-term infants. It is important to recognize, however, that because of potential variations in TcB meters as well as serum bilirubin measurements in different laboratories, each institution should establish its own criteria for the use of this instrument.
In 71 adult postsurgical patients, simultaneous measurement of core (tympanic membrane) and shell (liquid crystal adhesive temperature strip) cutaneous temperature was assessed on admission and every 15 minutes throughout the recovery room stay. Tympanic membrane sensors were inserted into the ear and adhesive temperature strips were applied to the forehead. Although temperature strip temperatures on admission to the recovery room were correlated significantly with tympanic membrane temperatures on admission to the recovery room (r = 0.61, p less than 0.001), subsequent readings 15, 30, 45, and 60 minutes after admission demonstrated decreasing correlation coefficients. Moreover, changes in temperature strip temperatures over the first 15, 30, and 45 minutes of monitoring in the recovery room did not correlate significantly with changes in tympanic membrane temperatures over the same time period. These data suggest that shell temperature (temperature strip) is not a reliable or valid trend indicator of core temperature (tympanic membrane) in postanesthetic adults.