Background: Closing of defects of the lower limb after skin cancer excision poses a challenge in lower limb skin. Although the concept of relaxed skin tension lines has been established as ideal on the face, on the lower limb there remains confusion between Langer's lines and wrinkle lines, and this study was done with the task of identifying and mapping biodynamic excisional skin tension (BEST) lines on the lower limb. Methods: Following studies on BEST lines elsewhere on the body, the author investigated BEST lines on the lower limb. Using a specially designed tensiometer, inherent skin tension (pretension) and wound-closing tension were studied along with the force needed to bring the wound edges together after excision of a lesion in 23 cases with defects ranging from 1.5 to 4.5 cm in diameter. Skin tension measurements of skin lines (relaxed skin tension lines (RSTL) versus BEST) and vertical closure (BEST) versus vertical closure with a parallel relaxing incision were undertaken and followed by statistical analyses utilizing the paired t test and the unpaired Student's t tests. Results: BEST lines run in the vertical direction on the lower limb, that is, closure in a vertical direction resulted in a statistically significant reduction in closing tension when compared with other directions. Using a parallel relaxing incision can offer further reduction in tension, if needed. Conclusion: BEST lines of the lower limb are discussed, and a new technique of using parallel relaxing incisions to achieve closure of larger defects is also presented as an alternative to cutaneous flaps or grafts in the lower limb.
from #ORL-AlexandrosSfakianakis via ola Kala on Inoreader http://ift.tt/2n25sF2
Αρχειοθήκη ιστολογίου
-
►
2023
(269)
- ► Φεβρουαρίου (133)
- ► Ιανουαρίου (136)
-
►
2022
(2046)
- ► Δεκεμβρίου (165)
- ► Σεπτεμβρίου (161)
- ► Φεβρουαρίου (165)
-
►
2021
(3028)
- ► Δεκεμβρίου (135)
- ► Σεπτεμβρίου (182)
- ► Φεβρουαρίου (324)
-
►
2020
(1051)
- ► Δεκεμβρίου (292)
- ► Σεπτεμβρίου (60)
- ► Φεβρουαρίου (28)
-
►
2019
(2277)
- ► Δεκεμβρίου (18)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (89)
-
▼
2018
(26280)
- ► Δεκεμβρίου (189)
- ► Φεβρουαρίου (6130)
-
▼
Ιανουαρίου
(7050)
-
▼
Ιαν 23
(244)
- American Society for Enhanced Recovery and Periope...
- Age Does Not Affect Metoprolol’s Effect on Periope...
- Using the Ventrain With a Small-Bore Catheter: Ven...
- The Effects of Agrin Isoforms on Diabetic Neuropat...
- Electroencephalography and Brain Oxygenation Monit...
- In Response
- Comparison of Intranasal Dexmedetomidine and Oral ...
- Free flaps for head and neck cancer in paediatric ...
- Evidence establishing a link between prenatal and ...
- NKX6.1 hypermethylation predicts the outcome of st...
- Wiring taste receptor cells to the central gustato...
- Evidence establishing a link between prenatal and ...
- Clinicopathological and 123I-FP-CIT SPECT correlat...
- Hydration prevents chronic hyperglycaemic patients...
- Electroclinical findings and long-term outcomes in...
- A review discussing fluciclovine (18F) PET/CT imag...
- The prognostic analysis of different metastatic pa...
- Nutritional and Environmental Influences on Athlet...
- Upper Respiratory Symptoms, Gut Health and Mucosal...
- Cover Image
- Author Guidelines
- Issue Information
- Endoscopic ultrasonography (EUS)-guided laser abla...
- Congratulations to Abby Wade, CA Speech-Language-H...
- Developmental patterns and variation among early t...
- Differentiation and classification of thoracolumba...
- Changes in biodistribution on 68 Ga-DOTA-Octreotat...
- Neuromyelitis optica spectrum disorder secondary t...
- Shifting breast cancer surveillance from current h...
- Direct augmented reality computed tomographic angi...
- Fc-mediated Anomalous Biodistribution of Therapeut...
- Keratin 19 expression in hepatocellular carcinoma ...
- Myeloma Cells are Activated in Bone Marrow Microen...
- Downregulation of membrane trafficking proteins an...
- Tumor-stroma IL-1{beta}-IRAK4 feedforward circuitr...
- Anti-estrogen therapy increases plasticity and can...
- Opium Consumption and the Incidence of Cancer: Doe...
- Hybrid capture-based genomic profiling of circulat...
- Nitric Oxide Production by Myeloid Derived Suppres...
- Acquired resistance of ER- positive breast cancer ...
- What is it about a cancer diagnosis that would wor...
- Loss in working years after a breast cancer diagnosis
- A novel Epstein–Barr virus-latent membrane protein...
- Back from the dead: TIL apoptosis in cancer immune...
- A core matrisome gene signature predicts cancer ou...
- Comment on ‘Human papillomavirus association is th...
- Development and validation of a plasma-based melan...
- Reply to ‘Comment on ‘Human papillomavirus associa...
- Postmenopausal breast cancer and oestrogen associa...
- Clinical Trial Shows Significant Hearing Improveme...
- Seltene Differenzialdiagnose therapierefraktärer c...
- HPV bei Oropharynxkarzinomen in der 8. Ausgabe der...
- Expanded Endoscopic Endonasal Resection of Retroch...
- Whole Versus Partial Bladder Radiation: Use of an ...
- Hypofractionated Versus Standard Fractionated Prot...
- The Birth of the Illegitimate Linear No-Threshold ...
- Total Lifetime and Cancer-related Costs for Elderl...
- To What Extent Does Radiotherapy Improve the Quali...
- A Phase II Study of Biweekly Cisplatin, Fixed-Dose...
- The Evolving Role of Tumor Treating Fields in Mana...
- Clinical Outcomes of Patients With Gastrointestina...
- PPX and Concurrent Radiation for Newly Diagnosed G...
- Does Delaying Surgical Resection After Neoadjuvant...
- Patterns of Care and Outcomes of Hypofractionated ...
- Successful Ifosfamide Rechallenge in Soft-Tissue S...
- A Review of Treatment for Breast Cancer-Related Ly...
- Association Between Radiation Dose and Outcomes Wi...
- Radiation and Immunotherapy in High-grade Gliomas:...
- EASY—An Instrument for Surveillance of Physical Ac...
- PHKG2 mutation spectrum in glycogen storage diseas...
- Effects and moderators of psychosocial interventio...
- Wilson's Disease in Children: A Position Paper by ...
- Pediatric Nonalcoholic Fatty Liver Disease: Curren...
- Intravenous Iron Sucrose for Treatment of Iron Def...
- The Relation Between Malnutrition and the Exocrine...
- Can Patients With Neonatal Digestive Diseases Be P...
- Autoimmune Hepatitis and Autoimmune Hepatitis Over...
- Effect of Cyproheptadine on Weight and Growth Velo...
- Resolving Malnutrition With Parenteral Nutrition B...
- Serial Balloon Dilation to Relieve Gastric Outlet ...
- Ethnic Disparity in the Incidence and Outcome of B...
- Rising Incidence of Paediatric Inflammatory Bowel ...
- Sarcopenia in Children With End-Stage Liver Disease
- Initial Pain Management in Pediatric Acute Pancrea...
- Lack of Correlation of Liver Tests With Fibrosis S...
- Changes in Proteases, Antiproteases, and Bioactive...
- Di (2-Ethylhexyl) Phthalate and Its Role in Develo...
- The Role of Combination Therapy in Pediatric Infla...
- Radiation Exposure and Attributable Cancer Risk in...
- Oral Cholic Acid Is Efficacious and Well Tolerated...
- Pediatric Gastroesophageal Reflux Disease: Systema...
- Loss in working years after a breast cancer diagnosis
- A novel Epstein–Barr virus-latent membrane protein...
- Back from the dead: TIL apoptosis in cancer immune...
- A core matrisome gene signature predicts cancer ou...
- Comment on ‘Human papillomavirus association is th...
- Development and validation of a plasma-based melan...
- Reply to ‘Comment on ‘Human papillomavirus associa...
- Postmenopausal breast cancer and oestrogen associa...
- The Important Role of Otoacoustic Emissions (OAEs)...
-
▼
Ιαν 23
(244)
-
►
2017
(33948)
- ► Δεκεμβρίου (6715)
- ► Σεπτεμβρίου (6470)
-
►
2016
(4179)
- ► Σεπτεμβρίου (638)
- ► Φεβρουαρίου (526)
- ► Ιανουαρίου (517)
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου