Biomedical subjects

J C de Faria

Publications and source records attributed to J C de Faria.

7 recordsLinked to original sources

PubMed1995

[Electrical burns of the upper limbs].

During a period of 27 months, between 1991 and 1993, 15 patients with upper limb lesions caused by electrical hazards were admitted in the Burn Emergency Service of the Hospital das Clinicas-FMUSP. This lesion is usually a dramatic condition and requires a sound physiopathologic knowledge by the surgeon. These accidents may have permanent incapacitating sequelae, and due to long periods of treatment (2 months), social-economic costs are very high. Based on our experience, we suggest a less aggressive approach (no amputation at emergency), and a close continuous surveillance.

Adolescent↗

PubMed1995

[Microsurgical reimplantation of scalp: case report].

With the introduction of modern techniques in plastic surgery, severe injuries concerning the extremities and scalp are now amenable to surgical treatment. Successful reimplantation of the scalp either total or partial have been rarely reported in the literature. We treated a patient with avulsion affecting 2/3 of the scalp, the right ear and a cutaneous flap on right side of the face. We report here the initial care and operative procedure. The avulsed scalp was revascularized through microanastomoses of the temporal artery and vein. The reimplantation was well succeed and cosmetic results were satisfactory.

Accidents, Occupational↗

PubMed1995

[Skin aging and collagen].

The Aging process is a dynamic and unchangeable phenomenon which affects all systems in the body. In the skin, the old appearance is represented by wrinkles and sagging and results from structural alterations on the molecular level. Modifications in collagen, the most important protein of the connective tissue, era responsible for these anatomic changes. The investigation of the qualitative and quantitative distribution of the collagen fibrils has been very useful for understanding the structural and functional alterations that occur during the aging process. The modulation of this phenomenon will only be possible if we understand its physiopathology.

Adolescent↗

PubMedDate not supplied

[The early correction of the hand deformities in Apert's syndrome. A preliminary report].

The correction of cranial and limb malformations of the Apert's syndrome requires efforts of a multidisciplinary team. The esthetic and functional repercussions that this syndrome brings to their carriers are severe and so the treatment should aim tom improve the function of the hands in order to integrate these patients in a more normal social live. In our Service, in the period from 1989 to 1992 five patients carrying this syndrome had their hand correction completed before the age of three years. It was observed that surgery was possible in this early stage with no additional complication rate. Quadrangular flaps for the neocomissure and for the coverage of the fingers were successfully used even with skeletal deviations. There was improvement of the esthetics of the hands, but their function could not be evaluated properly. Anyway, because of complex abnormalities the results will never be perfect. The early treatment of these alterations allows the gain of a better hand function and moreover accelerates the physical and intellectual development of the children.

Acrocephalosyndactylia↗

PubMedDate not supplied

[Treatment of lip angiomas].

The experience with the treatment of 25 patients with angiomas of the lips is presented. Among the several methods of treatment indicated in the literature, the authors have experimented with surgery, surgery and embolization, and systemic corticotherapy. Local application of corticosteroids and sclerosing agents were used just as a complementary therapy to the surgery. Surgery performed in one or more stages when necessary, were considered a safe and reliable method for treatment of mature venous angiomas, as well as for immature ones with no involution after a period of five years.

Adolescent↗

PubMedDate not supplied

[Surgical treatment of hidradenitis suppurativa].

Hidradenitis suppurativa is a cutaneous disease of peculiar localization, related to the presence of apocrine glands. It results from the obstruction of the glandular follicle with subsequent rupture and local infection. The evolution uses to be prolonged and follows progressive course if not adequately treated. The therapeutic options have not been standardized yet. This study aims to analyze the therapeutic procedures applied in 32 patients of the University Hospital of São Paulo. Concerning to localization, 75% of the lesions were perianal, followed by a similar incidence at axillary and inguino-perineal regions. Considering the recurrence index and evolution of the disease we came to the conclusion that the surgical treatment produced the best results.

Adolescent↗

PubMedDate not supplied

[Pulmonary lesion in electric injury: report of a case].

Major electrical injuries constitute approximately 5% of all admissions to Burn Units. Visceral complications are associated with a high mortality rate. The most common visceral lesions associated to electric burns are cardiac lesions. Pulmonary compromise is rare, if compared to inhalation injuries in termical burns. Although, when the entry or exit ports are the toracic wall, pleural effusion, hemotorax and pneumonitis may occur. A rare case of high-voltage electrical injury with massive pulmonary lesion is presented, regarding to clinical course and roentgenographic patterns.

Adult↗