Chemical peeling. A facial plastic surgeon's perspective.
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Biomedical subjects
Publications and source records attributed to W H Beeson.
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The nasal septum plays a paramount role in determining nasal aesthetics and nasal function. Surgical management of the nasal septum often presents a challenge to even the most skilled nasal surgeon. A firm understanding of anatomic and physiologic aspects of the nasal septum will allow the rhinoplasty surgeon to better deal with this component of nasal reconstruction.
Chemical face peeling is a simple surgical procedure which usually provides dramatic results. The potential for serious complications does exist and cautious assessment and management is essential. Aesthetically pleasing long-term results can be obtained by using chemexfoliation without taping, when employed with a "moist dressing" technique. This technique eliminates the need for repeated anesthetics and postoperative visits in order to remove facial taping, and provides an atmosphere for accelerated wound healing.
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The use of calcium sulfate (plaster of Paris) has been advocated to repair bony defects because of its unique capability of stimulating osteoneogenesis. Plaster of Paris can be used as a bony alloplast, and it can be analyzed histologically. Sinus roentgenograms and technetium Tc 99m medronate bone scanning further support the use of plaster of Paris as an alloplast and assess its osteoneogenic capacity when implanted in the frontal sinus of dogs; complete bone regeneration was demonstrated in six dogs within four to six months. The use of plaster of Paris for bone reconstruction in the head and neck can be applied in surgery. The experience with plaster of Paris to date, although limited, shows it to be safe and highly encouraging as an effective bone allograft.
Fibrosarcoma is uncommon in the head and neck and constitutes less than 1% of malignancies and approximately 6% of the soft tissue sarcomas. Congenital fibrosarcomas are characterized by rapid proliferation and frequent local recurrence following excision. Unlike other sarcomas, metastasis is a rare event. The literature contains less than 50 cases of congenital, solitary fibrosarcoma, with none occurring in the oral cavity. This paper describes a unique case of fibrosarcoma in the oral cavity of a neonate. A 12 month follow-up is provided with an analysis of the histopathology including electron microscopy. The spectrum of fibroproliferative lesions in the pediatric patient is reviewed, and the evaluation and treatment modalities applicable to this age group are outlined.