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At least 1,783 records · Page 99Linked to original sources
PubMed1981

Reconstructive rhinoplasty of the tip.

Loss of the nasal tip has a more disastrous effect on the face than the size of the deformity would suggest, thus reconstruction becomes vital. Immediate replacement of the severed piece is first choice. If this is not possible and the defect is no more than 1.25 cm at its thickest depth, an auricular chondrocutaneous graft is next choice. When the tip defect is more extensive, a midline vertical forehead flap or, in rare cases, an arm flap is indicated.

Adolescent↗
PubMed1981

Indications for and treatment of frontal and glabellar wrinkles in an analysis of 3,404 consecutive cases of rhytidectomy.

In recent years, there has been an increase in the percentage of forehead lifts in patients undergoing face lift surgery on our service. Also we find that younger patients are having the surgery. We describe our present technique and choices of incisions. We avoid incisions anterior to the hairline whenever possible, since they may produce conspicuous scars. Our treatment of the aponeurotic expansion by vertical and horizontal incisions has produced very satisfying results (Figs. 11 through 15). No postoperative complications are reported in our series.

Adult↗
PubMed1995

Restrictive ophthalmopathy associated with linear scleroderma.

A patient with a coup de sabre lesion of the forehead developed progressive ipsilateral limitation of ocular motility, primarily involving adduction and depression. Investigation disclosed no other explanation for the ocular motility disturbance, which we suspect represents restrictive myopathy maximally involving ocular muscles immediately subjacent to the area of linear scleroderma.

Adult↗
PubMed1995

[Botulinum toxin in the treatment of frontoglabellar and periorbital wrinkles. An initial study].

Glabellar frown lines and crow's feet are wrinkles of facial expression related to an underlying muscular activity, which is particularly strong during facial expression. Classic treatments of these wrinkles only give partially satisfactory are associated with results, and secondary effects, whether they involve skin and muscle lifting, surgical section of muscles, dermal stimulation by thread or injectable fillers, chemical or mechanical abrasion, transient or permanent soft tissue augmentation with various materials. The authors studied the efficacy and safety of intramuscular injections botulinum A Exotoxin in glabellar and crow's feet areas in 19 well-informed and consenting patients. Botulinum toxin injections have been used since 1980 in the treatment of focal dystonia (blepharospasm, oromandibular dystonia, spasmodic torticollis, spasmodic dysphonia and writer's cramp) and safety hemifacial spasm. Their wide use in these indications has highlighted their excellent and efficacy, and the need to repeat injections every 3 to 4 months. The dose required was progressively adjusted around glabellar and orbital areas, while injections of the peri-buccal and forehead areas are still being evaluated. The 19 patients were examined clinically, filmed and photographed every month over a period of 12 to 24 months, and skin prints were performed. Evaluation criteria included the percentage improvement as assessed by the patients themselves, and also evaluation by the investigators of the data of clinical examination, and blind comparison of photographic, videoscopic, and prints. The authors obtained a significant decrease of wrinkles of the areas studied, with a "smoothing" effect during the period of activity of the toxin, which lased an average of 3 to 4 months at the beginning, and 6 to 9 months after several injections. No secondary effects, either general or local, were observed. The product's specificity means that the operator must have a complete mastery of the injection technique and a thorough knowledge of its pharmacology.

Adult↗
PubMed1994

Surgical correction of metopic suture synostosis.

Premature fusion of the metopic suture is an uncommon form of craniosynostosis, historically reported with an incidence of less than 10% among the various forms of craniosynostoses. Despite its infrequency, it is the most obvious deformity associated with premature fusion of a single suture with its prominent frontal keel, narrow forehead, and close-set eyes. This article discusses the timing, long-term results, and recent advances of surgical techniques.

Child, Preschool↗
PubMed1994

[Microsporum langeronii dermatophytosis in a newborn infant contaminated in France].

Dermatophytosis due to Microsporum langeronii was observed in a 21-day neonate born in Bordeaux, France to a mother of West African origin. A typical misleading manifestations were: non alopecic squamation of the scalp with seborrhoea associated with circineous vesiculo-squamous lesions of the forehead. The source of the contamination was undoubtedly the mother who presented squamation without alopecia of the scalp. M. langeronii were observed in the scales and the hair. Epidemiological search for tinea should be carried out in the family as well as in schools attended by the brothers and sisters. Familial contamination is more frequent.

Dermatomycoses↗
PubMed1994

[Darier-Ferrand dermatofibrosarcoma. Apropos of a case with frontal involvement].

One case of dermato-fibro-sarcoma protuberans is reported on a 36 years old man. It was an extensive forehead tumor which needed a radically surgical treatment. These excision called a reconstruction with cutaneous graft and scalp flaps. Three years after treatment, there was no evidence of recurrence or lymphadenopathy. The aesthetic results is good. The authors recalled with this observation the important points of this disease particularly characterized by slow invasive growth and local recurrence.

Adult↗
PubMed1994

Assessment of actinic skin damage by 20-MHz sonography.

Ninety people were evaluated on age-related changes of the dermal connective tissue in light-exposed and protected skin areas non-invasively by 20-MHz sonography. The method allows sonographic structures to be measured and densitometric values to be quantified in a region of interest. Sonography of sun-exposed skin regions shows an echo-poor band in the upper dermis, which corresponds to actinic elastosis in the histological picture. The band is sharply demarcated from the entry echo. The border towards the non-actinically altered dermis below is often serrated. The sonographic phenomena can be explained by the micromorphological changes that develop in the upper dermis in actinic elastosis. An increased amount of elastic material and the destruction of the fiber architecture as well as an increase in ground substance and a mild inflammatory reaction cause a reduction in echogenicity. The extent of elastotic alterations and their progression is expressed in the densitometric values. These are low in areas of high sun exposure (the forehead and the infraorbital region). The echogenicity of the echolucent band (ELB) diminishes with increasing age. In highly exposed regions we found the lowest densitometric values already in the 41- to 50-year-olds. However, the width of the ELB remains relatively constant, extending in all locations to the middle dermis. This finding differs from earlier publications. On the buttock skin as a nonexposed area, an ELB could only be found in 6.7% of the cases.

Adipose Tissue↗
PubMed1994

[Validity of non-invasive deep body thermometry to evaluate thermoregulation].

We evaluated, as an index of thermoregulation and hemodynamics, the validity of deep body thermometry that measures deep tissue temperature transcutaneously by creating an area under an insulated thermistor probe of zero thermal flow between skin and subcutaneous tissue in 27 patients undergoing cardiac surgery. Deep body temperatures (DBT) were measured at the forehead (FH) and palm (P), and the DBT gradients (DBTFH-P) were compared with simultaneously measured mean arterial pressure (MAP), cardiac index (CI), systemic vascular resistance (SVR), the gradients (TESODBTP, TRECDBTP) of the esophageal and rectal temperatures and palm DBT during a three hour period after discontinuing cardiopulmonary bypass. Among the body temperature and hemodynamics measurements, the closest linear relationship was found between DBTFH-P and TESODBTP [0.35 + 0.95 x TESODBTP (degrees C), r = 0.98, SEE = 0.45, P < 0.0001]. There were no correlations between DBTFH-P and MAP, CI and SVR. We conclude that the measurement of DBTFH-P is useful as a reliable non-invasive method of monitoring core and shell temperature to evaluate thermoregulation.

Body Temperature Regulation↗
PubMedDate not supplied

Magnetically elicited blink reflex: an alternative to conventional electrical stimulation.

Magnetically and electrically elicited blink reflexes were studied in 11 normal subjects and in 5 patients with partial peripheral facial nerve palsy. Both methods were able to elicit a reproducible blink reflex. In both groups the latencies of the magnetically elicited reflexes were equal to those that followed electrical stimulation. The magnetic stimulation technique offered 2 advantages over the electrical stimulation: (1) it was less painful and therefore better tolerated and (2) the coil position in the middle of the forehead was sufficient to elicit a bilateral blink reflex because the windings of the stimulation coil excited both supraorbital nerves simultaneously. This bilateral response enables one to reduce the number of stimuli and can be used in the examination of patients that have peripheral facial nerve palsies without the concomitant impairment of the reflex pathway in the brainstem. The magnetic technique can also elicit a blink reflex at stimulation points distant from the supraorbital notch. This finding offers an alternative explanation of the late responses of facial muscles following transcranial magnetic stimulation of the motor cortex.

Adult↗
PubMed1993

The biomechanics of brow and frontalis function and its effect on blepharoplasty.

Understanding the biomechanics and dynamics of eyebrow and frontalis function is essential to controlling the outcome of blepharoplasty. Ignoring the forehead in the pursuit of blepharoplasty excellence dooms to failure any eventual outcome. If, however, the principles laid out in this article become the basis for planning and execution, the final result, measured in the quality of aesthetic repair, will surely improve immensely.

Adult↗
PubMed1995

[Comparison of temperatures from 7 points in the patients under intraperitoneal hyperthermic perfusion].

We measured the temperatures from 7 points in the patients under intraperitoneal hyperthermic perfusion (IPHP), associated with induced hypothermia. The temperatures from the 7 points were as follows, pulmonary artery blood temperature (PAT), bladder temperature (BT), sole deep body temperature (ST), forehead deep body temperature (FT), external aural cannal temperature (EAT), esophageal temperature (ET), and rectal temperature (RT). We studied the relationship between PAT and the other 6 temperatures. During IPHP, DT rose up to nearly 40 degrees C, and we considered it very useful to judge the temperatures of the other intra-abdominal organs, which were in contact with the perfusate of IPHP. Judging from the difference of PAT and ST, ST was found useful to estimate the degree of insufficiency of the peripheral circulation. We calculated the correlation coefficients with PAT among the four points, and the order of the correlation coefficients was EAT > ET > FT > RT. EAT showed the highest correlation coefficient with PAT (r = 0.981), and we considered EAT can be a substitute for PAT during IPHP. ET also showed a high correlation with PAT (r = 0.959), but it showed an unusual rise in a case of hydrothorax with hot perfusate for IPHP. Therefore, ET cannot be used solely as a substitute for PAT, but ET can be used as a marker to find a complication of IPHP, hydrothorax.

Adult↗
PubMed1996

Cranial desmoid tumor associated with homozygous inactivation of the adenomatous polyposis coli gene in a 2-year-old girl with familial adenomatous polyposis.

BACKGROUND: Familial adenomatous polyposis (FAP) is a dominantly inherited disorder characterized by the presence of more than 100 adenomatous polyps in the colon and rectum starting in the second decade of life. FAP is associated with extra colonic manifestations, including desmoid tumors. METHODS: A 2-year-old girl presented with a rapidly enlarging tumor of the forehead and a family history of FAP. The tumor was cultured for cytogenetic studies. A DNA linkage study using flanking and intragenic polymorphisms of the adenomatous polyposis coli (APC) gene was performed to identify the allele loss in the tumor. Germline mutation identification was by single strand conformation polymorphism analysis of exon 15 of the APC gene, with subsequent double stranded sequencing of fragments with conformational changes. A mutation-induced loss of a restriction site was used to confirm allele loss in the tumor. RESULTS: Microscopically, the tumor had desmoid features. Cytogenetic analysis of the tumor demonstrated loss of chromosome region 5(q21q22). A truncating adenomatous polyposis coli (APC) gene mutation was identified in the leukocyte DNA from the child and her affected father. Linked DNA markers suggested that the tumor had lost the maternal, wild-type allele. A mutation-induced restriction endonuclease site alteration demonstrated hemizygosity of the mutant sequence in the tumor DNA. CONCLUSIONS: These findings are compatible with the presence of a "second hit" inactivation of the APC gene and implicate this gene in the pathogenesis of desmoid tumors.

Adenomatous Polyposis Coli↗
PubMed1989

Craniofacial resection. An alternative incision and skull base repair.

Neoplasia of the superior group of paranasal sinuses (frontal, ethmoidal and sphenoidal) has an extremely poor prognosis. Resection, preceded or followed by radiotherapy offers a 5 year survival of less than 30% (1). Satisfactory surgical excision has been undermined by difficulties of access to the cribriform plate area, a common site for residual disease. Furthermore the practice of piecemeal removal invariably resulted in inadequate clearance. The craniofacial approach allows not only excellent access to the anterior skull base but also in bloc excision. The results of treating 7 patients with craniofacial resection for tumours in this area are presented. Particular reference is made to a horizontal forehead skin crease incision for intracranial access. A new technique using a combination of surgical, pericranium, partial thickness skin and fibrin glue to repair the skull base defect is described.

Adult↗
PubMed1997

The reversed-flow temporoparietal fascial flap.

A patient is reported whose forehead soft-tissue defect was reconstructed by a reversed-flow temporoparietal fascial flap. This procedure can shorten the operating time. The blood circulation of the flap is satisfactory. The only drawback is the resulting scar of the skin-grafted area.

Adult↗
PubMedDate not supplied

Simultaneous multiple-modality therapy for tension headaches and neck pain.

Eighty-one patients suffering from neck pain and tension-type headaches were treated by the application of a unique physical therapy device combining transcutaneous electrical nerve stimulation (TENS), traction, massage, vibration, and acupressure applied to the forehead, posterior cervical spine, and scapula. The device employed eight silver silicone electrodes for modality application. Its safety and effectiveness were assessed by evaluating patients before and after treatment. No complication ensued. Statistical analysis of visual analog scales for neck pain and headache yielded p values < 0.0001. Analysis of fibromyalgia neck and shoulder trigger points with three controls gave nonsignificant results. Conclusions were that 1) the device is safe and effective as judged by subjective patient input and 2) fibromyalgia trigger points are unaffected by the treatments. More objective measures are needed to provide evidence of efficacy.

Acupressure↗
PubMedDate not supplied

New trends in skin tumor surgery.

Over 8 years, 1700 patients were referred from the Mohs' Surgery and Cutaneous Laser Unit after Mohs micrographic skin tumor excision to the Division of Plastic and Reconstructive Surgery. Preoperative coordination between the two divisions was emphasised in wound preparation and timing of reconstruction for maximized patient convenience and outcome. Most repairs of facial and extremity defects were carried out under local anesthesia. Techniques of repair were selected based upon algorithmic priorities emphasizing simple techniques over complex ones. Direct closure, skin grafts and flaps were used. Preference for aesthetic subunit reconstruction of the face and the use of particular flap techniques including the O-to-S, O-to-T, V-to-Y island advancement, islandized nasolabial flap for alar reconstruction and the forehead flap for nasal dorsum and tip repair are illustrated.

Basal Cell Carcinoma↗
PubMed1997

Skin smears in leprosy: is reduction in number of sites justified?

An analysis of 377 sets of positive skin smears of leprosy patients was done to determine the minimum sites needed to detect all smear positive leprosy patients. A combination of earlobe and a selective site could pick up 95.5% of the patients. An additional smear from the forehead increased the sensitivity of 97.7%. The results suggest that the sites for skin smears may be reduced to a combination of the earlobe and one selective site smear from a skin lesion to be able to detect most smear positive leprosy patients.

Buttocks↗