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Z-plasty
Z-plasty is a versatile plastic surgery technique that is used to improve the functional and cosmetic appearance of scars. It can elongate a contracted scar or rotate the scar tension line. The middle line of the Z-shaped incision (the central element) is made along the line of the greatest tension or contraction, and triangular flaps are raised on opposite sides of the two ends and then transposed. The length and angle of each flap are usually the same to avoid mismatched flaps that may be difficult to close. Some possible complications of Z-plasty include flap necrosis, Hematoma, haematoma (blood clot) formation under the flaps, wound infection, trapdoor effect and sloughing (necrosis) of the flap caused by wound tension and inadequate blood supply. Classification Z-plasties can be functional (elongate and relax scars) or cosmetic (realign scars to make them less noticeable). They can be single or multiple. Variations include skew and planimetric Z-plasties. Technique The tran ...
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Charles-Pierre Denonvilliers
Charles-Pierre Denonvilliers (4 February 1808 – 5 July 1872) was a French surgeon who was a native of Paris. In 1837 he received his medical doctorate, and later was a professor of surgery and anatomy in Paris. Denonvilliers was a pioneer of facial reconstructive surgery. In 1856 he independently performed the second Z-plasty operation for treatment of lower lid ectropion, after Horner in 1837. He is credited for providing the first description of the rectoprostatic fascia, which is sometimes called "Denonvilliers' fascia". Also, another name for the puboprostatic ligament is "Denonvilliers' ligament". With Auguste Bérard (1802-1846) and Léon Athanase Gosselin (1815-1887), he was co-author of the three-volume ''Compendium de chirurgie pratique'' (1845-1861).Bibliography
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Z Plasty
Z, or z, is the twenty-sixth and last letter of the Latin alphabet. It is used in the modern English alphabet, in the alphabets of other Western European languages, and in others worldwide. Its usual names in English are ''zed'' (), which is most commonly used in British English, and ''zee'' (), most commonly used in American English, with an occasional archaic variant ''izzard'' ()."Z", ''Oxford English Dictionary,'' 2nd edition (1989); ''Merriam-Webster's Third New International Dictionary of the English Language, Unabridged'' (1993); "zee", ''op. cit''. Name In most English-speaking countries, including Australia, Canada, India, Ireland, New Zealand, South Africa and the United Kingdom, the letter's name is ''zed'' , reflecting its derivation from the Greek letter ''zeta'' (this dates to Latin, which borrowed Y and Z from Greek), but in American English its name is ''zee'' , analogous to the names for B, C, D, etc., and deriving from a late 17th-century English dialect ...
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Scar
A scar (or scar tissue) is an area of fibrosis, fibrous tissue that replaces normal skin after an injury. Scars result from the biological process of wound repair in the skin, as well as in other Organ (anatomy), organs, and biological tissue, tissues of the body. Thus, scarring is a natural part of the healing process. With the exception of very minor lesions, every wound (e.g., after accident, disease, or surgery) results in some degree of scarring. An exception to this are animals with complete Regeneration (biology), regeneration, which regrow tissue without scar formation. Scar tissue is composed of the same protein (collagen) as the tissue that it replaces, but the fiber composition of the protein is different; instead of a random basketweave formation of the collagen fibers found in normal tissue, in fibrosis the collagen cross-links and forms a pronounced alignment in a single direction. This collagen scar tissue alignment is usually of inferior functional quality to the ...
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Necrosis
Necrosis () is a form of cell injury which results in the premature death of cells in living tissue by autolysis. The term "necrosis" came about in the mid-19th century and is commonly attributed to German pathologist Rudolf Virchow, who is often regarded as one of the founders of modern pathology. Necrosis is caused by factors external to the cell or tissue, such as infection, or trauma which result in the unregulated digestion of cell components. In contrast, ''apoptosis'' is a naturally occurring programmed and targeted cause of cellular death. While apoptosis often provides beneficial effects to the organism, necrosis is almost always detrimental and can be fatal. Cellular death due to necrosis does not follow the apoptotic signal transduction pathway, but rather various receptors are activated and result in the loss of cell membrane integrity and an uncontrolled release of products of cell death into the extracellular space. This initiates an inflammatory response in ...
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Hematoma
A hematoma, also spelled haematoma, or blood suffusion is a localized bleeding outside of blood vessels, due to either disease or trauma including injury or surgery and may involve blood continuing to seep from broken capillaries. A hematoma is benign and is initially in liquid form spread among the tissues including in sacs between tissues where it may coagulate and solidify before blood is reabsorbed into blood vessels. An ecchymosis is a hematoma of the skin larger than 10 mm. They may occur among and or within many areas such as skin and other organs, connective tissues, bone, joints and muscle. A collection of blood (or even a hemorrhage) may be aggravated by anticoagulant medication (blood thinner). Blood seepage and collection of blood may occur if heparin is given via an intramuscular route; to avoid this, heparin must be given intravenously or subcutaneously. Signs and symptoms Some hematomas are visible under the surface of the skin (commonly called bruise ...
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Burn Scar Contracture
Burn scar contracture is the tightening of the skin after a second or third degree burn. When skin is burned, the surrounding skin begins to pull together, resulting in a contracture. It needs to be treated as soon as possible because the scar can result in restriction of movement around the injured area. This is mediated by myofibroblasts. Diagnosis Treatment The treatment of burn scar contracture and deformity begins upon hospitalization. Wound care and functional outcomes can be predicted from the initial assessment of wound depth and location. Epidermal and partial thickness wounds heal in 1 to 3 weeks through epithelial migration from the wound edges and epithelial budding from the appendages of the sweat and hair glands. These wounds pose only a small risk of contracture and hypertrophic scarring. Full-thickness (FT) injuries cause dermal wound healing, which is characterized by maturation (contraction and increased tensile strength), proliferation (collagen synthesis l ...
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Wilhelm E
Wilhelm may refer to: People and fictional characters * William Charles John Pitcher, costume designer known professionally as "Wilhelm" * Wilhelm (name), a list of people and fictional characters with the given name or surname Other uses * Wilhelm (name), disambiguation page for people named Wilhelm ** Wilhelm II (1858–1941), king of Prussia and emperor of Germany from 1888 until his abdication in 1918. * Mount Wilhelm, the highest mountain in Papua New Guinea * Wilhelm Archipelago, Antarctica * Wilhelm (crater), a lunar crater * Wilhelm scream, stock sound effect used in many movies and shows See also * Wilhelm scream, a stock sound effect * SS ''Kaiser Wilhelm II'', or USS ''Agamemnon'', a German steam ship * Wilhelmus, the Dutch national anthem * William Helm William Helm (March 9, 1837 – April 10, 1919) was an American Sheep-rearing, sheep farmer and among the early pioneer settlers of Fresno County, California, Fresno County, California. He was instrumental in t ...
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Ectropion
Ectropion is a medical condition in which the lower eyelid turns outwards. It is one of the notable aspects of newborns exhibiting congenital harlequin-type ichthyosis, but ectropion can occur due to any weakening of tissue of the lower eyelid. The condition can be repaired surgery, surgically. Ectropion is also found in dogs as an inherited, developmental condition. Causes *Congenital *Aging *Scarring *Mechanical *Allergic *Facial nerve paralysis, Facial nerve palsy *Anti-cancer treatments such as erlotinib, cetuximab, and panitumumab, which block the function of EGFR (the epidermal growth factor receptor). In dogs Ectropion in dogs usually involves the lower eyelid. Often the condition has no symptoms, but tearing and conjunctivitis may be seen. Breeds associated with ectropion include the St. Bernard (dog), Saint Bernard, the Bloodhound, the Clumber Spaniel, Newfoundland (dog), Newfoundlands, and the Neapolitan Mastiff. It can also result from Physical trauma, trauma or nerv ...
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