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Facial transplantation

Russo, J; Genden, E.
Facial Plastic Surgery Clinics of North America, 2016-08-01, Volúmen 24, Número 3, Pages 367-377

portada - Facial Plastic Surgery Clinics of North America - Vol. 24; No. 3 (2016)Reconstruction of severe facial deformities poses a unique surgical challenge: restoring the aesthetic form and function of the face. Facial transplantation has emerged over the last decade as an option for reconstruction of these defects in carefully selected patients. As the world experience with facial transplantation grows, debate remains regarding whether such a highly technical, resource-intensive procedure is warranted, all to improve quality of life but not necessarily prolong it. This article reviews the current state of facial transplantation with focus on the current controversies and challenges, with particular attention to issues of technique, immunology, and ethics.

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Quality of life following total mastectomy with and without reconstruction versus breast conserving surgery for breast cancer: a case controlled cohort study

Howes, B. et als.
Journal of Plastic, Reconstructive & Aesthetic Surgery, 2016-09-01, Volúmen 69, Número 9, Pages 1184-1191

portada - JPRAS - Vol. 69; No. 9 (2016)Patient reported outcomes and quality of life following mastectomy are not well understood. This study evaluates the quality of life following surgery for breast cancer and compares outcomes following breast conserving surgery versus total mastectomy with or without reconstruction.
A case-controlled cross-sectional study was conducted using the validated BREAST-Q™ questionnaire and a study-specific questionnaire to determine patient’s views about surgical outcomes. Questionnaires were completed by patients following breast-conserving surgery and total mastectomy with or without reconstruction and by controls without breast cancer. A one-way ANOVA was used to compare mean BREAST-Q™ scores between groups and post hoc analysis using Tukey’s and Kruskal–Wallis tests.

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ASPS Clinical Practice Guideline summary on breast reconstruction with expanders and implants

Alderman, A; Gutowski, K; Ahuja, A; Gray, D.
Plastic & Reconstructive Surgery – October 2014 – Volume 134 – Issue 4 – p 648e–655e

portada - PRS - Vol. 132; No. 2 (2013) In March of 2013, the Executive Committee of the American Society of Plastic Surgeons approved an evidence-based guideline on breast reconstruction with expanders and implants, as developed by a guideline-specific work group commissioned by the society’s Health Policy Committee. The guideline addresses ten clinical questions: patient education, immediate versus delayed reconstruction, risk factors, radiation therapy, chemotherapy, hormonal therapy, antibiotic prophylaxis, acellular dermal matrix, monitoring for cancer recurrence, and oncologic outcomes associated with implant-based reconstruction.

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Diffusion and perfusion: the keys to fat grafting

Khouri, R. et als.
Plastic and Reconstructive Surgery – Global Open, September 2014 – Volume 2 – Issue 9 – p e220

portada - PRS Golbal Open - Vol. 1; No. 3 (2013)Fat grafting is now widely used in plastic surgery. Long-term graft retention can be unpredictable. Fat grafts must obtain oxygen via diffusion until neovascularization occurs, so oxygen delivery may be the overarching variable in graft retention.
We studied the peer-reviewed literature to determine which aspects of a fat graft and the microenvironment surrounding a fat graft affect oxygen delivery and created 3 models relating distinct variables to oxygen delivery and graft retention.

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Injectables in the nose

Walsh Thomas, W; Bucky, L; Friedman, O.
Facial Plastic Surgery Clinics of North America, 2016-08-01, Volúmen 24, Número 3, Pages 379-389

portada - Facial Plastic Surgery Clinics of North America - Vol. 24; No. 3 (2016)Nasal injectables and surface treatments alter the appearance of the nose both primarily and following nasal surgery. Fillers such as hyaluronic acids, calcium hydroxyapatite, and fat have a variety of advantages and disadvantages in eliminating small asymmetries postrhinoplasty. All nasal injectables have rare but severe ocular and cerebral ischemic complications. The injection of steroids following nasal reconstruction has a role in preventing supratip swelling and can improve the appearance of grafts to the nose. Resurfacing techniques reduce the appearance of autotransplanted grafts to the nose; there is little controversy about their benefit but surgeon preference for timing is varied.

Publicado: . En: Artículos recomendados, Propuesta del editor. #

Vínculo entre estrés oxidativo y enfermedad por quemaduras

Rodríguez Rodríguez, Y; Beato Canfux, A; García Sánchez, M.
Rev Cub Med Mil. vol.41, no.1, ene.-mar. 2012, p. 105-115

portada - Revista Cubana de Medicina Militar - Vol. 28; No. 2 (1999)_small

Se realizó una revisión bibliográfica sobre estrés oxidativo, teniendo en cuenta la fisiología normal de este mecanismo metabólico, las causas de su alteración y el daño que se produce, al descompensarse los sistemas de defensa del organismo. Todo ello, con el objetivo de evidenciar el vínculo entre el daño oxidativo a las células y la fisiopatología de las lesiones producidas por quemaduras mayores, a partir del análisis de las fuentes bibliográficas nacionales e internacionales impresas y en formato digital.

Publicado: . En: Artículos de autores cubanos. #

Desbalance redox en pacientes quemados mayores

Rodríguez Rodríguez, Y; Beato Canfux, A; García Sánchez, M.
Rev Cub Med Mil. vol.41, no.1, ene.-mar. 2012, p. 66-75

portada - Revista Cubana de Medicina Militar - Vol. 28; No. 2 (1999)_small

Acorde con las investigaciones actuales, respecto al paciente quemado, resulta de gran interés poder valorar las alteraciones del estrés oxidativo, buscando su vínculo con la fisiopatología de esta entidad nosológica y su posibilidad de establecer pronósticos de vida. Se evaluó el comportamiento de marcadores prooxidantes y antioxidantes de pacientes quemados mayores, e identificaron la posible relación entre los valores de estos marcadores con el grupo en que se ubican los pacientes, dentro de la clasificación cubana de pronósticos de vida.

Publicado: . En: Artículos de autores cubanos. #

Critical care of burn patients. New approaches to old problems

Lavrentieva, A.
Burns, 2016-02-01, Volúmen 42, Número 1, Páginas 13-19

Burns - Vol. 40 (2014)

Recent publications on treatment options in critically ill patients change beliefs and clinical behaviors. Many dogmas, which the modern management of critical illness relies on, have been questioned. These publications (consensus articles, reviews, meta-analysis and original papers) concern some fundamental issues of critical care: interventions in acute respiratory distress syndrome (ARDS), hemodynamic monitoring, glucose control and nutritional support and revise our views on many key points of critical care of burn patients.

Publicado: . En: Artículos recomendados. #

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