Facial skin: contemporary topics for the surgeon
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pa.
Elsevier
2013
|
| Schriftenreihe: | Facial plastic surgery clinics of North America
21,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIII, 170 S. Ill., graph. Darst. |
| ISBN: | 9781455770861 |
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Datensatz im Suchindex
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| adam_text | Facial
Skin: Contemporary Topics for the Surgeon
Contents
Preface: Facial Skin: Contemporary Topics for the Surgeon
xv
David B.
Hom
and Adam Ingraffea
Biology and Function of Fetal and
Pediatrie Skin
1
Alice King, Swathi Balaji, and Sundeep G. Keswani
The development of the integumentary system is a series of events that starts in
utero
and continues throughout life. Although at birth, skin in full-term infants is an¬
atomically mature, functional maturity develops during the first year of life.
Pediatrie
skin transitions again with the onset of puberty. At each stage, there are changes in
transepidermal water loss, skin hydration, and skin acidity that define the specific
period of development.
Update on Techniques for the Quantitation of Facial Skin Characteristics
7
Marty O.Visscher and Brian S. Pan
The purpose of this article is to review the strategies and methods for quantifying
treatment outcomes, perhaps defined by the consumer/patient as a decrease in
perceived age. The demand for the rejuvenation of facial skin is expected to in¬
crease as the population ages and seeks optimal outcomes from the array of avail¬
able treatment modalities. This information will be of value to the plastic surgeon in
collaborating with patients on evaluation and treatment strategies.
Benign Skin Neoplasms
21
Adam Ingraffea
Benign neoplasms of the skin are commonly seen by all physicians. It is vital to dis¬
tinguish these proliferations from malignant lesions. Despite their benign nature,
many of these neoplasms cause aesthetic or symptomatic distress and require
removal. Some of these benign neoplasms may serve as markers for internal disease
or genetic syndromes. Multiple forms of therapy, including excision, cryotherapy,
curettage, laser therapy, and pharmacotherapy, are available. This article discusses
the epidemiology, clinical presentation, and recent advances in the management of
these benign lesions.
Melanoma
33
Adam Ingraffea
The incidence of cutaneous malignant melanoma continues to increase worldwide.
It is the deadliest form of skin malignancy. This article focuses on the epidemiology,
diagnosis, prevention, and new staging criteria of melanoma. The author presents
the latest information on melanoma staging, non-invasive diagnostic techniques
and new targeted therapies for metastatic melanoma.
Nonmelanoma Skin Cancer
43
Lauren E.
Dubas
and Adam Ingraffea
Nonmelanoma skin cancer (NMSC) is the most common form of malignancy in hu¬
mans. The incidence of NMSC continues to increase despite increased awareness
vi
Contents
Contents
and sun-protective measures. If neglected or mismanaged, NMSC can cause signif¬
icant morbidity and even death. The most common forms of NMSC on the head and
neck include basal cell carcinoma, squamous cell carcinoma, sebaceous carci¬
noma, eccrine porocarcinoma,
Merkel
cell carcinoma, atypical fibroxanthoma, and
microcystic adnexal carcinoma. Surgery is the mainstay of treatment (standard
excision, Mohs
micrographie
surgery, curettage); however, other modalities exist,
including radiation, topical immunomodulators, photodynamic therapy, and new
systemic medications.
Effects of Topicals on the Aging Skin Process
J. Regan Thomas,
Tatiana
К.
Dixon, and
Tapan
К.
Bhattacharyya
This article summarizes the antiaging properties of retinoids, glycolic acid, ascorbic
acid, and
peptide
topicals. The supporting evidence is taken from the literature and
the primary author s research, consisting of previously published data and new
results from ongoing projects.
Photodamage:
Treatments and Topicals for Facial Skin
Marty O.Visscher, Brian S. Pan, andW. John
Kitzmiller
This article provides an overview of current therapies for photodamaged facial skin
and their efficacy, with particular focus on studies that use the objective, quantitative
evaluation methods discussed in the previous article. The role of topically applied
agents including prescription drugs and cosmetics is discussed. From this informa¬
tion, a schema for the relative effectiveness of therapeutic modalities in reducing
perceived age is presented. This information assists the facial plastic surgeon in
evaluating patient expectations and selecting the most effective program.
Stem Cells and Molecular Advances in the Treatment of Facial Skin
Anthony P. Sclafani
Stem cell technology has been discussed chiefly in terms of organ replacement in
end-stage diseases. However, improved understanding of adult stem cells and
a more nuanced appreciation of aging skin as a disease state has focused greater
attention on the potential for truly regenerative and rejuvenative skin therapy with au-
tologous cells. Through enhanced understanding of the normal processes of wound
healing, systems of treatment and avenues of therapy are emerging based on
modulation and amplification of the natural processes of wound healing This article
presents skin-specific developments in stem cell and growth factor science and
suggests further avenues of investigation.
Approaching Delayed-Healing Wounds on the Face and Neck
Jeffrey! Houlton and David B.
Hom
This article provides a general approach to the assessment and treatment of poorlv
healing dermal wounds of the face and neck. When poor healing occurs it can
d
duce
significant functional and cosmetic impairment. A systematic framework fo
treating these wounds is provided, which focuses on identifying the systemic and
local factors contributing to poor healing; provides an overview of the basic tenets
of wound treatment; and focuses on a general approach to preparation of the wound
bed. In addition, approaching the challenge of an irradiated dermal wound and
adjunctive measures to help jump-start a wound are discussed.
55
61
Cutaneous Lasers
Fred G. Fedok, Frank Garritano, and Antonio
Portela
There has been a remarkable development and evolution of laser technology, lead¬
ing to adaptation of lasers for medical use and the treatment of skin problems and
disorders. Many treatments that required incisional surgery and other invasive
methods are now preferentially treated with a laser. Although laser advances have
resulted in the availability of some amazing tools, they require the clinical skill and
judgment of the clinician for their optimal use. This article provides a clinically ori¬
ented overview of many of the lasers valuable in facial plastic surgery. Basic science,
clinical adaptations, and patient management topics are covered.
Cutaneous Vascular Lesions
Ravindhra G. Elluru
In
1982,
vascular anomalies were classified as either vascular tumors or vascular
malformations. Hemangiomas were identified as benign tumors that undergo a phase
of active growth characterized by endothelial proliferation and hypercellularity,
followed by gradual tumor regression over the first decade. Vascular malformations
were described as structural congenital anomalies derived from capillaries, veins,
lymphatic vessels, arteries, or a combination of these. Unlike vascular tumors, vas¬
cular malformations were shown to have normal levels of endothelial turnover and
to grow proportionately with the child. This article describes the most common types
of vascular anomalies and available treatment modalities.
95
77
81
111
Rosacea: Pathophysiology
and Management Principles
Nitin Chauhan and David A.F. Ellis
This article presents an overview of the pathophysiology, epidemiology, and clinical
presentations of
rosacea.
It also presents the therapeutic spectrum for effective
management of this challenging and often confusing clinical entity.
The Use of Negative-Pressure Therapy in the Closure of Complex Head and Neck Wounds
Graham Michael Strub and
Kristen S.
Мое
The evolution of wound care has seen much technological advancement over many
decades. Most recently, negative-pressure therapy, by which a vacuum pressure is
applied through a wound bed, has dramatically improved the surgical outcomes of
complex wounds. Although initial studies focused on wounds to the abdomen,
torso, and extremities, more publications are appearing that demonstrate the effi¬
cacy of negative-pressure wound therapy in the head and neck. This article reviews
the history and evolution of negative-pressure therapy, highlights the current opin¬
ions on its mechanism of action, and summarizes its use in complex head and
neck wounds.
Periorbital
Rejuvenation:
Reticular
VeinTreatment
Nitin Chauhan and David A.F. Ellis
The safety profile of certain techniques, such as sclerotherapy
,
is questionable in a re¬
gion as precarious as the
periorbital
region, where complications related to vision
would be catastrophic. Other safe techniques such as phlebectomy can be per¬
formed with successful outcomes but are operator dependent, require a reasonable
127
137
147
viii Contents
degree of technical ability, and can result in scarring and other complications. The
aim of this article
isto
explore newer, laser-based treatment of these
periorbital
veins,
discuss the physiology and the therapeutic efficacy, and better delineate the safety
profile and evolution of the technique that has led to the present treatment paradigm.
Index
157
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| title | Facial skin contemporary topics for the surgeon |
| title_auth | Facial skin contemporary topics for the surgeon |
| title_exact_search | Facial skin contemporary topics for the surgeon |
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