Publication date: Available online 29 March 2019Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): G.A.C. Wheble, A.T. Emam, U.M. KhanSummaryDiabetes is a global epidemic. If poorly managed, innocuous injury in a diabetic foot leads to intractable ulceration, bone and joint destruction and subsequent major amputation. It is estimated that every week in the UK there are 100 lower limb amputations of which 80 could have been prevented had diabetes been better managed. It is...
Publication date: Available online 28 March 2019Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Andreas Larsen, Mathias Ørholt, Mathilde Nejrup Hemmingsen, Mikkel Herly, Peter Vester-Glowinski
Publication date: Available online 28 March 2019Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): M.V. Muntean, F. Ardelean, S. Strilciuc, C. Peștean, A.V. Georgescu, V. MunteanAbstractBackgroundIndocyanine green angiography (ICGA) is slowly replacing conventional methods of evaluating perfusion during flap surgery. Microcirculatory changes during flap elevation create a marked state of hypoperfusion intraoperatively leading to ICGA underestimation of tissue viability and...
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Sebaceous carcinoma is an aggressive malignancy with a high mortality rate that commonly arises in the periorbital area. Rarely, the lacrimal apparatus may be involved by either contiguous or noncontiguous spread. The authors describe 2 unusual cases of sebaceous carcinoma in the lacrimal sac, presenting as a medial canthal mass simulating chronic dacryocystitis. In Case 1, the sebaceous carcinoma occurred primarily in the lacrimal sac, in the absence of concurrent or previous ocular adnexal sebaceous...
Foreign-body granuloma formation following filler injections is most commonly seen with permanent fillers; these reactions can occur years following the injections and often require either an intralesional steroid injection or surgical excision. The authors present a case of a 75-year-old woman with a history of systemic sarcoidosis previously treated with numerous immunosuppressive medications who was examined for bilateral infraorbital nodules and swelling that were unresponsive to treatment. She...
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Purpose: Amid the increasing clinical application of hyaluronic acid (HA) fillers in the ocular adnexa is a paucity of histological data concerning the fate of the injected material. The current study documents the in vivo biodegradation of HA deposited in the eyelid and orbit. Methods: The study included 22 chinchilla rabbits. The right upper eyelid of 12 rabbits received a single 0.2 ml Restylane (Galderma, Uppsala, Sweden) subcutaneous injection. In 10 different rabbits, the right orbit...
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