Treatment of Skin Depression with Combined Upward Suture Traction and Percutaneous Subcision.

Autor:	Pereira O; Plastic Surgery Department, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil; Universidade Federal de Santa Catarina; Universidade do Vale do Itajaí; and Universidade Federal de Santa Catarina -Clinica Jane- ILHA Hospital., Bins-Ely J; Plastic Surgery Department, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil; Universidade Federal de Santa Catarina; Universidade do Vale do Itajaí; and Universidade Federal de Santa Catarina -Clinica Jane- ILHA Hospital., Paulo EM; Plastic Surgery Department, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil; Universidade Federal de Santa Catarina; Universidade do Vale do Itajaí; and Universidade Federal de Santa Catarina -Clinica Jane- ILHA Hospital., Lee KH; Plastic Surgery Department, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil; Universidade Federal de Santa Catarina; Universidade do Vale do Itajaí; and Universidade Federal de Santa Catarina -Clinica Jane- ILHA Hospital.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2015 Sep 14; Vol. 3 (10), pp. e534. Date of Electronic Publication: 2015 Sep 14 (Print Publication: 2015).
DOI:	10.1097/GOX.0000000000000486
Abstrakt:	Unlabelled: Scar retraction and soft-tissue depression may compromise aesthetics and cause social embarrassment. The purpose of this study was to evaluate the results of treating soft-tissue depressions or retractions at varied anatomy regions with combined upward suture traction and percutaneous subcision. Methods: There were 40 patients (age: mean, 39 years; range, 22-55 years; 39 women and 1 man) (total, 77 soft-tissue lesions) who had treatment with the present technique from 1996 to 2013. Postoperative follow-up was from 6 months to 2 years. The treated anatomic areas were evaluated in 5 groups: (1) face (8 patients; 8 lesions); (2) gluteal (16 patients; 46 lesions); (3) breast (7 patients; 10 lesions); (4) abdomen (7 patients; 7 lesions); and (5) lower limb (2 patients; 6 lesions). The technique included placing a 2-0 nylon monofilament suture deep at the core of the depression, pulling vertically up with the suture, and using a needle or miniblade (placed percutaneously or through a small incision) to release the adhesions. Results: The depressions were released successfully in all patients. Bruises around treated areas persisted for 2-3 weeks. Moderate induration persisted until 3 months. In the gluteal region, 6 patients who had retracted areas with diameter >5 cm developed seroma after treatment; the seromas resolved after needle aspiration or placement of a Penrose drain for 2 weeks (2 patients). Conclusion: The present results confirmed the efficacy of the combined subcision method with upward traction at diverse body sites as previously reported for inverted nipple in the breast.
Databáze:	MEDLINE
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