Franz Wilhelm Baruffaldi Preis

Sternalis Muscle: An Uncommon Finding During Aesthetic Breast Surgery

The sternalis muscle is an uncommon anatomic variant of the chest wall musculature. It was first reported in Anatomes Elenchus Accuratissimus in 1604.1,2 Few reports of this muscle have appeared in the literature, and there is debate about its anatomic origin, insertions, function, and innervations. Reported as an inconstant finding in Netter’s Atlas ,3 the sternalis muscle is described as an analogous muscle that develops along with the rectus abdominis muscle but resorbs when chest development occurs during intrauterine life. Over the years, anatomists have coined a number of terms to refer to the sternalis muscle, such as the accessorius ad rectum and the parasternal, pectoris rectus , or praesternalis muscle .4 The sternalis is an accessory muscle that can originate from the upper sternum and the infraclavicular region, which inserts upon the anterior pectoral fascia, the lower ribs, the costal cartilages, the sheath of the rectus abdominis muscle, and the aponeurosis of the abdominal external oblique muscle. An adipose tissue layer can be interposed between the pectoralis major and sternalis muscles. Some anatomists consider the sternalis a rudiment of the panniculus carnosus in humans.5 Existence of the sternalis muscle varies between the sexes and among ethnic groups; it is reported in …

The Impact of Cosmetic Plastic Surgery on Body Image and Psychological Well-Being: A Preliminary Study

The relationship between body image and cosmetic surgery represents a new generation of research on the psychological aspects of cosmetic surgery. This preliminary study intends to investigate the role of distress relating to body image in conditioning the levels of post-operatory patient benefit both the impact of cosmetic surgery on the state of psychological well-being and body image through the analysis of the differences between the pre and post-operative stages.

Bilateral Endogenous Endophthalmitis Caused by Candida albicans After Breast Implant Surgery.

1 g/d intravenously for 3 days, and then transitioned to oral prednisone, 20 mg, with twice daily mycophenolate mofetil, 1000 mg, and cyclophosphamide, 50 mg. Within a week, VA improved to 20/300 OD and 20/200 OS with angiographic reperfusion. One week later, he received dexamethasone intravitreal implants (0.7 mg) in each eye, followed by panretinal photocoagulation (PRP) and intravitreous bevacizumab (1.25 mg) in each eye for neovascularization. Cyclosporine, 3 mg/ kg/d, with mycophenolate mofetil, 40 mg/kg/d, replaced cyclophosphamide after 7 months. Over 28 months, he received 8 anti–vascular endothelial growth factor (VEGF) injections for cystoid macular edema and vitrectomy for epiretinal membranes. His VA stabilized at 20/100 OD and 20/80 OS, coincident with revascularization noted on angiography (Figure, B).

Therapeutic Algorithm for Congenital Ptosis Repair with Levator Resection and Frontalis Suspension: Results and Literature Review

ABSTRACT Background: Several treatments have been described for the treatment of congenital ptosis, but there are few studies that analyze the effectiveness of a therapeutic approach rather than a single technique. Aims: In this study, we aim to evaluate the effectiveness of our therapeutic algorithm, which relies on levator muscle resection and frontalis suspension with silicone rods, polytetrafluoroethylene (PTFE), or autologous fascia lata. Methods: We retrospectively analyzed all patients affected by congenital ptosis who underwent corrective surgery at a single department between January 1998 and January 2016. Results: A total of 116 procedures were performed in 86 patients, accounting for 35 levator resections, 67 frontalis suspensions, and 14 revisions. A satisfactory result was observed in 65 cases after one procedure (75.6%). Complications occurred in 13 cases after primary surgery (15.1%). Ptosis relapse was observed in 25 cases after primary procedure (21.5%). Frontalis suspension displayed a higher number of complications than levator resection (22.2% vs 3.1%, p=0.02). Conclusion: Our therapeutic algorithm was effective in 75.6% after one procedure. Frontalis suspension procedures encountered a higher rate of complication than levator resection. Fascia lata should be preferred to silicon rods whenever possible due to the lower recurrence rate. These issues confirm the therapeutic algorithm, although larger prospective studies are necessary to validate our approach.

Trimmed Lateral Crura of Lower Lateral Cartilages as Spreader Grafts

Trimmed Lateral Crura of Lower Lateral Cartilages as Spreader Grafts To the Editor We congratulate Yeung et al1 on their study that evaluates the improvement in nasal obstruction after reconstruction with cartilage graft, concluding that both spreader and alar grafts are effective in treating nasal valve insufficiency. According to their article,1 the source of cartilage graft was mainly septal (65%), auricular (28%), and costal (18%). This means that a second surgical site is opened in more than onethird of cases. We suggest consideration of the cephalic portion of the lower lateral cartilages as a potential source for a spreader graft. In our opinion, this is a valuable option in aestheticfunctional rhinoplasties when septal cartilage is not available and the potentially trimmable portion of the alar cartilages measures at least 3 to 4 mm. A cephalic alar trim is able to correct “boxy” nasal tips2 and predictably elevate the tip.3 This procedure is performed in 99% of aesthetic rhinoplasties to refine the nasal tip shape.4 In addition, the convexity of the trimmed segment of the lateral crus could be properly used to improve the spreading action of the graft. Alar trimming should leave a 6-mm rim strip to support the nostril rim, to prevent retractions, and to maintain an adequate reshaping.4 The incision should preserve the natural width of the domal notch and follow the scroll junction with the upper lateral cartilages cephalically. Kuran et al5 propose the use of an interesting crural flap, consisting in a strip of cephalic portion of lateral crura, attached to the medial crus by a 2-mm strip. This flap is raised bilaterally, rotated, and incorporated as spreader graft. This procedure allows the surgeon to stabilize the nasal tip and perform a spreader graft at the same time. We believe that this simple procedure permits the use of spreader grafts in patients with boxy nasal tips without the necessity of harvesting septal, auricular, or costal cartilage. This technique combines an aesthetic and functional procedure and should be considered in patients affected by nasal valve obstruction.1

Useful method to create a precise, sterile, and inexpensive areola marker.

Several areolar markers have been described in the literature. “Cookie-cutter” areola markers are commonly employed, although custom-made instruments have also been designed for this purpose, including washer sets,1 wires,2 stainless steel instruments,3 “wavy-line” markers,4 and electrocardiography dots.5 In this letter, we would like to describe a method of creating a disposable and sterile areola marker that is useful for both preoperative and intraoperative markings. First, a plastic ruler …

An Inexpensive, Fast, and Easy Way to Harvest Large Volumes of Adipose Tissue for Autologous Grafting

Autologous fat grafting is a procedure commonly employed in aesthetic and reconstructive surgery. Since its first modern description by Coleman,1 several refinements have been reported in the literature. This procedure often requires huge volumes of adipose tissue (eg, up to 450 mL for breast augmentation2). In these cases, the prompt harvesting of large fat volumes is fundamental. This procedure is usually performed either with a liposuction cannula or syringe.3 In this Letter to the Editor, we propose a practical and cheap method to …