RESUMO
The present methods for a droopy ears correction do not guarantee the optimal cosmetic effect achievement. Optimal borders of deformity in cutaneo-adiposal flap of the mastoid region while cosmetic otoplasty performance were studied. Basing on analysis of biomechanical investigations, there were determined the optimal corners of stretching and direction of the strength vector in cutaneo-adiposal flaps while otoplasty performance, securing conditions for surgical intervention performance with preservation of a natural topographo-anatomical ratios in the head and neck tissues.
Assuntos
Orelha Externa/cirurgia , Processo Mastoide/cirurgia , Modelos Estatísticos , Pescoço/cirurgia , Transplante de Pele/métodos , Tecido Adiposo/irrigação sanguínea , Tecido Adiposo/cirurgia , Fenômenos Biomecânicos , Orelha Externa/anormalidades , Orelha Externa/irrigação sanguínea , Humanos , Processo Mastoide/irrigação sanguínea , Microcirculação , Pescoço/anormalidades , Pescoço/irrigação sanguínea , Retalhos Cirúrgicos , Resultado do TratamentoRESUMO
The urgency of the problem of determining the biomechanical features adipose-cutaneous grafts due to a significant increase in the frequency of performing cosmetic surgery and the lack of a unified concept for such interventions. In 32 women aged 35 to 65 years, which will eliminate the excess soft tissues in the implementation ritidectomy and other surgical interventions, isolated patches of adipose-cutaneous flaps to determine the mechanisms of its plastic deformation. Based on the analysis of biomechanical research targeted the optimal stretching the boundaries of adipose-cutaneous flaps zygomatic--to (0.45 ± 0.021) cm and temporal--by (0.0165 ± 0.002) cm refer to areas that allowed to perform surgery with preservation of natural topographoanatomic relations persons in the performance of the upper ritidectomy.
Assuntos
Tecido Adiposo/cirurgia , Face/cirurgia , Obesidade/cirurgia , Ritidoplastia/métodos , Tecido Adiposo/irrigação sanguínea , Adulto , Idoso , Fenômenos Biomecânicos , Elasticidade , Face/irrigação sanguínea , Feminino , Humanos , Pessoa de Meia-Idade , Obesidade/patologia , Pele/irrigação sanguínea , Retalhos Cirúrgicos/irrigação sanguíneaRESUMO
The article is devoted to finding ways to optimize the expertise of professional suitability of patients with hearing loss on the basis of practical experience. The paper discusses the need for the revision of the criteria for determining contraindications to continuing to work in noise and other harmful factors on the basis of current evidence-based medicine.