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Biomedical subjects

P Tepavicharova

Publications and source records attributed to P Tepavicharova.

At least 19 recordsLinked to original sources
PubMed2004

[Health-related quality of live in breast cancer patients--actuality and problems].

Women with early breast cancer have three surgical options fir this current moment: conservative treatment (lumpectomy, quadrantectomy); mastectomy alone and mastectomy plus reconstruction (immediate or delayed). When randomized trials showed oncological safety of breast--conservative treatment compared with mastectomy, the question of cosmetic results assessment become actual, because of its impact on quality of live. The current state of the art permits achievement of good oncological results and good cosmetics ones. There are some technical factors affecting cosmetic results after breast--conservative treatment: orientation of resection; the breast / resection ratio; tumor localization; orientation of axillary dissection. Combination of extended resection (quadrantectomy) plus axillary dissection through the same incision results in cosmetic failure. After operation there is a remarkable breast asymmetry, retraction of the mammilla and inferior contour distortion. The main reasons for cosmetic failures are: volume of resection (lumpectomy, quadrant-ectomy), postoperative radiotherapy, deviation from normal breast morphology and tumor location. There are a lot of questionnaires for quality of live assessment. For Bulgarian population N. Mashonov created and adopted original questionnaire. The author investigated quality of live among patients with hard failure during recovery period.

Breast Neoplasms↗
PubMed2000

[Lower blepharoplasty with and without fat resection. Analysis of 175 patients].

Blepharoplasty I certainly one of the most demanding and commonly performed aesthetic procedures. In young individuals the main desire is to get rid of the baggy eyelids with make the person look tired. In older age group there is skin excess associated with the herniated fat as well as muscle festoons, which may descend below the orbital rim. The analysis of the results of lower blepharoplasty with and without fat removal in 175 patients shows the benefit of fat conservation technique for the final aesthetic result. Real increase in the volume of orbital far can be found in Graves disease and this is the sole indication.

Adipose Tissue↗
PubMed1999

[Hair transplantation with Calvitron - experience with 25 patients (preliminary report)].

Between 20 and 30% of the male and 5% of the female population is affected by baldness. This 'androgenic' alopecia is linked to a genetic and hormonal characteristic. The surgical options for the treatment of the alopecia are numerous, however none of it do not produced single solution that is applicable to all problems. In approximately 90% of the cases treated, the hair graft transplants comes to the forefront of the therapeutic methods. The method is applied in 25 patients and the Calvitron was used for the purpose. The patients were followed for 6 months after the implantation. From 300 to 620 grafts or 600 to 1200 hair follicules were implanted in one section.

Alopecia↗
PubMed1999

[Complications in plastic surgery breast reconstruction with TRAM flap. Preventive methods and treatment modalities].

The breast reconstruction with the TRAM-flap is sophisticated and demanding procedure, requiring careful planning and technical proficiency. Despite these efforts, the outcome of the breast reconstruction can be compromised by factors such as vascular insufficiency, scar contraction, errors in planning of the flap, or in the technique of building the new breast. Preventing the problems and complications in breast reconstruction require careful preoperative study, proper patient selection, accurate analysis of the results and immaculate technical performance.

Adult↗
PubMed1999

[Cosmetic rhinoplasty: open versus closed access. Results with 70 patients].

Because of its central location, the nose is an important element in facial aesthetics. The size and the shape is conditioned by the volume and the strength of the osteocartilaginous framework and the thickness of the soft-tissue cover. Rhinoplasty is a complex procedure requiring understanding of the anatomy and how each element contributes to the shape of the nose. In an attempt to obtain a pleasing aesthetic result and to have a satisfied patient 70 patients were operated. The results of open and closed approaches in rhinoplasty and the indications for the open approach are discussed.

Adult↗
PubMed1997

[The comparative characteristics of methods for breast reconstruction after a mastectomy].

Ablation of the breast because of cancer is a damaging operation leading the patients on a heavy psycho trauma. At the background of the main disease--cancer, deformation of the chest wall, caused by mastectomy their depression deteriorates. Therefore the breast reconstruction today is considered as an indivisible part of the complex treatment process. The techniques by means of witch the reconstruction could be achieved are: implantation of breast prosthesis, pedicle or free myocutaneous flaps. We enclose the comparative characteristic of the treatment results of 70 patients using different techniques.

Adult↗
PubMed1997

[Planning the TRAM flap in reconstructive breast surgery after mastectomy. Transverse rectus abdominis muscle].

The guidelines for postmastectomy breast reconstruction are the contralateral healthy breast. We tend to provide symmetrical reconstruction without or with minimal modification of the contralateral breast. The technique we are using for preoperative planning allows immediate de-epithelialization and tailoring of the dermoadipose extensions of the flap at the beginning and not at the end of the operation. This reduced operative time and the need for secondary correction and contralateral mammaplasty.

Abdominal Muscles↗
PubMed1990

Breast reconstruction following mastectomy.

Immediate reconstruction contributing to prompt elimination of the postmastectomy psychological sequelae, and not interfering with the postoperative adjuvant treatment, is recommended in clinical stages T1, 2N1M0 patients. Delayed reconstruction is recommended in the other clinical stages, and in tumors located in the inner quadrants. In case of limited peritumoral tissue excision the reconstruction is effected by simple techniques with expanders and implants. In case of extensive peritumoral tissue removal myocutaneous flaps have to be used. The methods of breast and nipple-areola reconstruction should be considered with a reference to the individual requirements of the patient and the experience of the surgeon.

Adult↗
PubMed1989

Rare location of Recklinghausen's disease (case report).

The Recklinghausen disease may affect all systems of human body. This requires a multidisciplinary approach to diagnosis and treatment of the disease. Plastic surgery is mainly concerned with the cutaneous stigmata of the disease. An unusual case of a huge angioneurofibroma involving the vulva and surrounding structures, causing difficulty in the intercourse of a 26 year old woman, is presented. A two-stage operation was performed and a subtotal removal was achieved. The removed portion measured 60 X 42 cm and weighed 1,690 g. The post-operative period was uneventful. The patient is satisfied with the result.

Adult↗
PubMed1989

[One-step breast reconstruction].

The mental trauma induced by removal of the mammary gland for cancer may be overcome by reconstruction of the breast. One-step reconstruction applied on 4 patients showed considerable advantages over a postponed reconstruction: technically it is easier to perform; a single stay of the patient in hospital makes it cheaper. It is no obstacle to perform pre- and postoperative radio- and chemotherapy. According to available data in the literature, implanted prosthesis or transposed flap do not veil a local relapse.

Adult↗
PubMed1989

[Short-acting anesthesia in cosmetic surgery of the breasts].

Fourteen patients subjected to short-term cosmetic operations on the mammary glands comprise the study group. Anesthesia was performed with ketamine 0.07 mg/kg/min, applied against the background of droperidol 0.1 mg/kg or diazepam 0.2 mg/kg and spontaneous ventilation with nitrous oxide and oxygen in proportion 3:1. At the end of the ketamine anesthesia 1.0 g pyracetam was applied. There was negligible decrease in the systolic arterial pressure and decreased occurrence of psychotic reactions during the early postoperative period.

Adult↗
PubMed1989

[The mask lift--an improved concept for correcting the aging face].

The operative interventions for correction of the ageing face have passed through an almost centenary development. Starting from simple skin excision, then through broad skin separation, reshaping of the platysma and cutting bands from the superfascial musculo-aponeurotic layer, one reaches to the present method of subperiosteal facial correction. Mask lift allows to obtain a more radical esthetic effect, creating facilities for remodelling of individual elements of the facial skeleton as well. The technique was applied on three patients with a very good esthetic result.

Aging↗
PubMed1989

[Reconstruction of large facial and neck defects with skin-muscle flaps].

Operative interventions for malignant neoplasms and other large tumors in the facial-maxillary area produce large defects, which require reconstruction for functional and esthetic purposes. Arterialized skin-muscle flaps furnish reliable opportunities for reconstructions, as they are more resistant to the unfavourable conditions after radiation treatment and have functional and esthetic advantages over skin plasty and the plasty with Filatov's stem. Three patients with malignant neoplasms in the facial-maxillary area are reported. Reconstruction was accomplished with skin-muscle flaps m.latissimus dorsi and m.pectoralis major.

Face↗
PubMed1989

[Complications and adverse results in corrective mammoplasty].

A total of 179 patents (330 breasts) with different deformities--micro- and macromastia, mammary ptosis--have been operated at the clinic of plastic reparatory and aesthetic surgery in Sofia. All patients were under observation during the early-postoperative period, and 157 were subject of catamnestic study. The complications and under lying causative factors were analyzed. Recommendations are given for their prevention.

Breast↗