RESUMEN
OBJECTIVES/HYPOTHESIS: The objectives were to present a case report of a woman with recurrent disease during consecutive pregnancies and to discuss the diagnosis and management of granular cell tracheal tumors, with particular attention to pregnancy and hyperestrogenic states. STUDY DESIGN: Case report and literature review. METHODS: A Medline search and comprehensive review of literature to assess all cases of granular cell tumors of the trachea were compared and collected, with particular attention to individual cases of pregnancy or cases related to the hyperestrogenic state. RESULTS: Thirty-two cases of granular cell tumors of the trachea were found. Only a few cases related to the hyperestrogenic state were obtained. The case report describes a woman with recurrent disease in subsequent pregnancies during the later stages of pregnancy. CONCLUSION: Few cases of granular cell tumors of the trachea have been reported, with even fewer being pregnancy related. The diagnosis and management of these tumors include careful attention to patient symptoms and airway management.
Asunto(s)
Tumor de Células Granulares/epidemiología , Recurrencia Local de Neoplasia/epidemiología , Complicaciones Neoplásicas del Embarazo/epidemiología , Neoplasias de la Tráquea/epidemiología , Adulto , Femenino , Tumor de Células Granulares/diagnóstico , Tumor de Células Granulares/cirugía , Humanos , Recurrencia Local de Neoplasia/cirugía , Embarazo , Complicaciones Neoplásicas del Embarazo/diagnóstico , Complicaciones Neoplásicas del Embarazo/cirugía , Neoplasias de la Tráquea/diagnóstico , Neoplasias de la Tráquea/cirugíaRESUMEN
Many procedures have been developed in an attempt to improve facial ptosis. These have ranged from subcutaneous dissections with skin excision to deeper dissections focused on supporting the superficial musculoaponeurotic system and even the periosteal layer. These deeper dissections, although theoretically giving better and longer lasting results, also carry an increased risk of complications. This article describes a new facelift technique that minimizes complications while maximizing cosmetic results (especially in the neck and jowl areas) and patients' comfort and satisfaction. Aesthetic results (as determined by pre- and postoperative photographs) and complications of 35 consecutive patients undergoing both traditional rhytidectomy and minimal incision facelift are compared. The minimal incision facelift technique has shown improved cosmetic results and a decreased complication rate compared with traditional rhytidectomy and is a safe and very effective technique for the treatment of facial ptosis.