RESUMEN
As we age, a number of factors distort the contour of the cervicomental angle. Submental adipose deposits, anterior laxity of the platysma muscle, and relaxation of cervical skin contribute to this undesirable result. Comprehensive rhytidectomy will frequently involve enhancement of the cervicomental angle as an adjunctive procedure. Facial aesthetic surgeons have devised numerous techniques to deal with the aging neck. Commonly, the approach combines submental adipose tissue excision with posterosuperior-based support, either by preauricular or postauricular incision. Herein, we describe a technique incorporating standard submental suction lipectomy with a novel method of contralateral midline platysma suspension that creates a dynamic support system involving both rigid suture-based and flexible muscle-based components. This technique delivers quality aesthetic results and superior postoperative patient satisfaction.
Asunto(s)
Músculos del Cuello/cirugía , Ritidoplastia/métodos , Humanos , Músculos del Cuello/anatomía & histologíaRESUMEN
We report a case of perineural invasion of the facial nerve by a cutaneous squamous cell carcinoma in a 59-year-old man who presented with a slowly progressive facial paralysis. We performed a distal facial nerve dissection and a simple mastoidectomy with facial recess exposure for resection to negative margins. We also performed a simultaneous facial reconstruction and reanimation procedure with excellent results. External-beam radiation completed the treatment regimen. In addition to describing this case, we review current concepts in diagnosis and therapy, as well as the historical background of malignant perineural invasion of the cranial nerves.
Asunto(s)
Carcinoma de Células Escamosas/patología , Neoplasias Faciales/patología , Nervio Facial/cirugía , Parálisis Facial/etiología , Carcinoma de Células Escamosas/cirugía , Neoplasias Faciales/cirugía , Nervio Facial/patología , Humanos , Masculino , Persona de Mediana Edad , Invasividad NeoplásicaAsunto(s)
Endoscopía/métodos , Pólipos Nasales/diagnóstico , Senos Etmoidales , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Mucosa Nasal/patología , Pólipos Nasales/cirugía , Procedimientos Quirúrgicos Otorrinolaringológicos/métodos , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
Solitary fibrous tumors are relatively rare mesenchymal neoplasms that were originally described as pleural- or peritoneal-based lesions. Although they were considered a form of mesothelioma, subsequent investigation failed to reveal mesothelial differentiation. Characterization of their histologic and immunohistochemical features, as well as identification in a multitude of nonmesothelial-based locations has further served to distinguish these lesions from the more diffuse and aggressive mesothelioma. Reports of solitary fibrous tumor in the larynx are extremely rare. We report a case of solitary fibrous tumor of the larynx in a 38-year-old man.