Pub Date : 2023-08-04DOI: 10.5935/2177-1235.2023rbcp0713-pt
Gabriel de Almeida Arruda Felix, A. Garcia, J. Veiga, L. Ferreira, Daniela Veiga
. We present a rare case of a 28-year-old patient with invasive ductal carcinoma who underwent neoadjuvant chemotherapy, modified radical mastectomy, radiotherapy, and late breast reconstruction with latissimus dorsi flap associated with the implant. One year later, she underwent reconstruction of the nipple-areola complex over the cutaneous island of the latissimus dorsi flap with a total skin graft from the thigh and graft from the caudal portion of the contralateral papilla. She became pregnant six months after the reconstruction of the nipple-areola complex and, unexpectedly, presented milk production by the reconstructed breast. ■ ABSTRACT
{"title":"Produção de secreção leitosa após reconstrução mamária tardia com retalho musculocutâneo de latíssimo do dorso com implante","authors":"Gabriel de Almeida Arruda Felix, A. Garcia, J. Veiga, L. Ferreira, Daniela Veiga","doi":"10.5935/2177-1235.2023rbcp0713-pt","DOIUrl":"https://doi.org/10.5935/2177-1235.2023rbcp0713-pt","url":null,"abstract":". We present a rare case of a 28-year-old patient with invasive ductal carcinoma who underwent neoadjuvant chemotherapy, modified radical mastectomy, radiotherapy, and late breast reconstruction with latissimus dorsi flap associated with the implant. One year later, she underwent reconstruction of the nipple-areola complex over the cutaneous island of the latissimus dorsi flap with a total skin graft from the thigh and graft from the caudal portion of the contralateral papilla. She became pregnant six months after the reconstruction of the nipple-areola complex and, unexpectedly, presented milk production by the reconstructed breast. ■ ABSTRACT","PeriodicalId":21254,"journal":{"name":"Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79679480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-04DOI: 10.5935/2177-1235.2023rbcp0691-pt
Balduino Ferreira de Menezes, Lucas Vannuchi Magnani, Batista Nunes de Oliveira, Aristides Augusto Palhares
. Furthermore, the need to associate an adjuvant method with surgical excision has already been verified, but the best therapy has yet to be defined
{"title":"Radioterapia pós-operatória com feixe de elétrons sobre cicatriz queloideana: avaliação epidemiológica em hospital de ensino","authors":"Balduino Ferreira de Menezes, Lucas Vannuchi Magnani, Batista Nunes de Oliveira, Aristides Augusto Palhares","doi":"10.5935/2177-1235.2023rbcp0691-pt","DOIUrl":"https://doi.org/10.5935/2177-1235.2023rbcp0691-pt","url":null,"abstract":". Furthermore, the need to associate an adjuvant method with surgical excision has already been verified, but the best therapy has yet to be defined","PeriodicalId":21254,"journal":{"name":"Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72878628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-04DOI: 10.5935/2177-1235.2023rbcp0686-pt
Natalia Silva Zahdi, Julia Petry Trevisani, Felipe Fanine de Souza, Isabela Gasparino Boehm, Ivan Maluf
effusion, and palpable mass, among other characteristics. Because of these aspects, it is concluded that a good investigation should be carried out when nonspecific symptoms appear, regardless of the time the surgery was performed since these complications can occur years later.
{"title":"ASIA e BIA-ALCL como reações adversas aos implantes mamários de silicone","authors":"Natalia Silva Zahdi, Julia Petry Trevisani, Felipe Fanine de Souza, Isabela Gasparino Boehm, Ivan Maluf","doi":"10.5935/2177-1235.2023rbcp0686-pt","DOIUrl":"https://doi.org/10.5935/2177-1235.2023rbcp0686-pt","url":null,"abstract":"effusion, and palpable mass, among other characteristics. Because of these aspects, it is concluded that a good investigation should be carried out when nonspecific symptoms appear, regardless of the time the surgery was performed since these complications can occur years later.","PeriodicalId":21254,"journal":{"name":"Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81846218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-04DOI: 10.5935/2177-1235.2023rbcp0703-pt
Guilherme Frederico Ferro Alves, Saulo Mendes Sobreira, André Dias Coni, Catherine Maureira Oyharçabal, Thiago Sipas Teixeira Luz, Marcio Yuri de Souza Ferreira, Ricardo Jean Bertinatto, Denis Valter Calazans Loma
50% in all of the questionnaire domains.
{"title":"Qualidade de vida dos cirurgiões plásticos brasileiros","authors":"Guilherme Frederico Ferro Alves, Saulo Mendes Sobreira, André Dias Coni, Catherine Maureira Oyharçabal, Thiago Sipas Teixeira Luz, Marcio Yuri de Souza Ferreira, Ricardo Jean Bertinatto, Denis Valter Calazans Loma","doi":"10.5935/2177-1235.2023rbcp0703-pt","DOIUrl":"https://doi.org/10.5935/2177-1235.2023rbcp0703-pt","url":null,"abstract":"50% in all of the questionnaire domains.","PeriodicalId":21254,"journal":{"name":"Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery","volume":"202 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77297167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-04DOI: 10.5935/2177-1235.2023rbcp0653-pt
R. Lopes, Lucas Carvalho Lopes
Introduction: Fournier’s gangrene is characterized by tissue necrosis, which requires treatment employing debridement and antibiotics with wounds of varying sizes. The objective is to standardize the surgical techniques of reconstructions with flaps used to treat wounds after Fournier’s gangrene. Method: A study was conducted by searching the PubMed/Medline, SciELO, and LILACS databases. Results: In wounds with skin loss of 25% to 50%, a local advancement cutaneous flap or a pudendal flap from the thigh was used; in wounds, greater than 50%, a superomedial thigh flap or myocutaneous flap from the gracilis muscle was used, with the aim of to enable proper reconstruction. Conclusion: Advancement and pudendal thigh flaps were used for wounds with up to 50% loss of scrotal skin substance, while the myocutaneous gracilis flap and supero-medial flap of the thigh were indicated for wounds with more than 50% of the total scrotal surface affected, after Fournier gangrene.
{"title":"Padronização das reconstruções com retalhos após gangrena de Fournier","authors":"R. Lopes, Lucas Carvalho Lopes","doi":"10.5935/2177-1235.2023rbcp0653-pt","DOIUrl":"https://doi.org/10.5935/2177-1235.2023rbcp0653-pt","url":null,"abstract":"Introduction: Fournier’s gangrene is characterized by tissue necrosis, which requires treatment employing debridement and antibiotics with wounds of varying sizes. The objective is to standardize the surgical techniques of reconstructions with flaps used to treat wounds after Fournier’s gangrene. Method: A study was conducted by searching the PubMed/Medline, SciELO, and LILACS databases. Results: In wounds with skin loss of 25% to 50%, a local advancement cutaneous flap or a pudendal flap from the thigh was used; in wounds, greater than 50%, a superomedial thigh flap or myocutaneous flap from the gracilis muscle was used, with the aim of to enable proper reconstruction. Conclusion: Advancement and pudendal thigh flaps were used for wounds with up to 50% loss of scrotal skin substance, while the myocutaneous gracilis flap and supero-medial flap of the thigh were indicated for wounds with more than 50% of the total scrotal surface affected, after Fournier gangrene.","PeriodicalId":21254,"journal":{"name":"Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89024769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-04DOI: 10.5935/2177-1235.2023rbcp0689-pt
J. Mamede, Manoel Odorico Moraes, Gabriel Pinheiro Furtado, Francisco Vagnaldo Fechine
of
{"title":"Efeito do bevacizumabe na viabilidade de retalho inguinal livre em ratos","authors":"J. Mamede, Manoel Odorico Moraes, Gabriel Pinheiro Furtado, Francisco Vagnaldo Fechine","doi":"10.5935/2177-1235.2023rbcp0689-pt","DOIUrl":"https://doi.org/10.5935/2177-1235.2023rbcp0689-pt","url":null,"abstract":"of","PeriodicalId":21254,"journal":{"name":"Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91067480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-04DOI: 10.5935/2177-1235.2023rbcp0760-pt
Bárbara Miranda Martins, B. Galindo, Viviane Tibau Mesquita da Costa, Laércio Pol-Fachin
with a large mass neurofibroma in the gluteus and posterior surface of the right leg, in addition to café au lait stains in the distal third of the legs. He was treated with surgery to remove the tumor and a flap and graft in the affected region. The procedures were performed by a multidisciplinary team, allowing the total removal of the tumor mass, with subsequent skin grafting in the hip and thigh lesion on the right side and the fasciocutaneous flap in VY in the area. There were no significant complications in the immediate postoperative period. Conclusion: Neurofibromas can
{"title":"Neurofibromatose em glúteo e região posterior da coxa: relato de caso","authors":"Bárbara Miranda Martins, B. Galindo, Viviane Tibau Mesquita da Costa, Laércio Pol-Fachin","doi":"10.5935/2177-1235.2023rbcp0760-pt","DOIUrl":"https://doi.org/10.5935/2177-1235.2023rbcp0760-pt","url":null,"abstract":"with a large mass neurofibroma in the gluteus and posterior surface of the right leg, in addition to café au lait stains in the distal third of the legs. He was treated with surgery to remove the tumor and a flap and graft in the affected region. The procedures were performed by a multidisciplinary team, allowing the total removal of the tumor mass, with subsequent skin grafting in the hip and thigh lesion on the right side and the fasciocutaneous flap in VY in the area. There were no significant complications in the immediate postoperative period. Conclusion: Neurofibromas can","PeriodicalId":21254,"journal":{"name":"Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery","volume":"07 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86191890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-26DOI: 10.5935/2177-1235.2023rbcp0685-pt
Júnia Lira Carneiro, Alessandra Haddad, Iago Bretas Righi, L. Ferreira
Skin quality deteriorates with age for a variety of reasons, including hormonal deficiencies. In women, the decline in estrogen levels during menopause plays an important role in skin degeneration, with consequent atrophy, collagen reduction, loss of elasticity and impaired wound healing. Research has shown beneficial effects of topical phytoestrogen in the prevention and repair of skin aging, with localized action and without side effects. The aim of this study was to review the literature relevant to the subject, demonstrating that this can be a safe and effective alternative for the treatment of skin in perimenopausal women. ■ ABSTRACT ■ RESUMO
{"title":"Alternativa promissora para peles maduras: os efeitos dos fitoestrógenos na pele humana e seu uso tópico","authors":"Júnia Lira Carneiro, Alessandra Haddad, Iago Bretas Righi, L. Ferreira","doi":"10.5935/2177-1235.2023rbcp0685-pt","DOIUrl":"https://doi.org/10.5935/2177-1235.2023rbcp0685-pt","url":null,"abstract":"Skin quality deteriorates with age for a variety of reasons, including hormonal deficiencies. In women, the decline in estrogen levels during menopause plays an important role in skin degeneration, with consequent atrophy, collagen reduction, loss of elasticity and impaired wound healing. Research has shown beneficial effects of topical phytoestrogen in the prevention and repair of skin aging, with localized action and without side effects. The aim of this study was to review the literature relevant to the subject, demonstrating that this can be a safe and effective alternative for the treatment of skin in perimenopausal women. ■ ABSTRACT ■ RESUMO","PeriodicalId":21254,"journal":{"name":"Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery","volume":"366 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77428143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-26DOI: 10.5935/2177-1235.2023rbcp0682-pt
Leonardo Boscolo Bigarelli, Luiz Henrique Camargo Bigarelli, R. Nisihara
surgery patients who underwent routine EPO in a plastic surgery hospital in 2019. Results: 978 patients were studied, and 51% had some abnormality in EPO. 93.7% were women, with a mean age of 46.5 years. 12.3 exams were performed per patient, and abnormality was observed in 6.1% of EPO. The exams that had the most abnormalities were the lipidogram (23.8%) and the cardiac evaluation (14.1%). Hypothyroidism was the most common comorbidity (18.4% of patients); 70% of diabetics had a glycemic level above the recommended level. Only 3.4% of the patients suffered a change in
{"title":"Anormalidades em exames pré-operatórios de pacientes de cirurgia plástica","authors":"Leonardo Boscolo Bigarelli, Luiz Henrique Camargo Bigarelli, R. Nisihara","doi":"10.5935/2177-1235.2023rbcp0682-pt","DOIUrl":"https://doi.org/10.5935/2177-1235.2023rbcp0682-pt","url":null,"abstract":"surgery patients who underwent routine EPO in a plastic surgery hospital in 2019. Results: 978 patients were studied, and 51% had some abnormality in EPO. 93.7% were women, with a mean age of 46.5 years. 12.3 exams were performed per patient, and abnormality was observed in 6.1% of EPO. The exams that had the most abnormalities were the lipidogram (23.8%) and the cardiac evaluation (14.1%). Hypothyroidism was the most common comorbidity (18.4% of patients); 70% of diabetics had a glycemic level above the recommended level. Only 3.4% of the patients suffered a change in","PeriodicalId":21254,"journal":{"name":"Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87148015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-19DOI: 10.5935/2177-1235.2023rbcp0642-pt
P. Pinto, Juliane Bustamante SÁ Dos Santos, Antônio CASTELO-BRANCO, Cindy Maki Sato, Marconi Delmiro Neves DA Silva, Ricardo Henrique Alves da Silva
,
{"title":"Ear shut e Odontologia: abordagem ética e legal","authors":"P. Pinto, Juliane Bustamante SÁ Dos Santos, Antônio CASTELO-BRANCO, Cindy Maki Sato, Marconi Delmiro Neves DA Silva, Ricardo Henrique Alves da Silva","doi":"10.5935/2177-1235.2023rbcp0642-pt","DOIUrl":"https://doi.org/10.5935/2177-1235.2023rbcp0642-pt","url":null,"abstract":",","PeriodicalId":21254,"journal":{"name":"Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery","volume":"116 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84925298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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