Patient with facial telangiectasias. a) Photos of a patent with arborizing facial telangiectasia (black arrows); b) Photo of the same patient immediately after the treatment with hand cautery. 

Patient with facial telangiectasias. a) Photos of a patent with arborizing facial telangiectasia (black arrows); b) Photo of the same patient immediately after the treatment with hand cautery. 

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Article
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Facial telangiectasias are superficial cutaneous vessels that can result in noticeable aesthetical imperfections. This study presents a technique for the removal of facial telangiectasias using hand cautery. Twenty-five patients with facial telangiectasias were treated using hand cautery (Medicell Inc, Athens, Greece) during 2009-2013. Photo docume...

Citations

... Promising results are reported using dynamic external fixators by various authors [6,7,[11][12][13]. These fixators are advantageous as they allow early motion after surgery avoiding immobilization of the PIP joint, which is the most significant reason for a diminished range of motion [14]. ...
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Introduction Several methods treating proximal interphalangeal joint (PIP) fracture dislocations have been established providing early joint mobilization. The aim of this study was to evaluate the clinical and radiological outcome of unstable fracture dislocations of the PIP treated with a parabolic dynamic external fixator consisting of two Kirschner (K)-wires. Materials and methods Twenty-one patients who sustained a pilonoidal fracture of the PIP joint and were treated with a dynamic external fixator were evaluated retrospectively. The active range of motion, pain level, DASH score, Buck Gramcko Score, and the patient’s satisfaction and acceptance were assessed. X-ray images were evaluated for bone healing, joint alignment, and signs of osteoarthritis. Results Mean PIP joint range of motion was 76°. Patients showed very mild discomfort (mean 0.7), high patient satisfaction (mean 1.9), and a moderate acceptance (mean 2.7). The mean DASH score was 11.6 and the Buck Gramcko score 13. All patients showed bone healing. One patient suffered from a recurrent dislocation, and another a subluxation of the PIP joint while wearing the fixator. Both joints could be corrected by modifying the fixator under image intensifier. Twenty patients (95%) showed a concentric and stable aligned joint. Three patients showed an osteoarthritis stage 0, five stage 1, nine stage 2, three stage 3, and one stage 4 according to the Kellgran–Lawrence Score. Conclusion The use of a parabolic dynamic external fixator constructed from two K-wires restores joint alignment and stability in unstable pilonoidal PIP joint disclocation fractures. It allows immediate PIP joint mobilization to avoid adhesions. Modifications of the radius of the parabolic construct within cases of postoperative malalignment, without anesthesia, can restore joint axis and malalignment. This fixator is a cost-effective alternative, showing a good clinical outcome.
... Early repositioning of the bony fragments and rigid orbit reconstruction repositions the globe and helps maintain visual acuity. [9][10][11] Surgical management of unusual complex problems is highly challenging as they do not follow any set protocols. Sticking to the basic tenets of reconstruction with matching of the anatomical landmarks and reconstructing in layers gives very satisfying outcomes even in the most ghastly injuries. ...
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Complex facial injuries with soft tissue degloving and bony avulsion are very devastating to the patient. Partial degloving injuries are described but hemifacial degloving with zygoma avulsion are rare. The author presents a case of post-traumatic degloving of the left upper lip, nose, part of forehead, upper and lower eyelids and cheek with avulsion of the left zygoma. The management included immediate resuscitation and early surgery to reposition the skeletal as well as soft tissue avulsion. The wound was thoroughly washed and primary repositioning and fixation were done. Early one stage surgery with meticulous debridement and alignment of the anatomical landmarks results in very good aesthetic and functional outcome.
... The above mentioned characteristics lead the CO 2 laser to become one of the most appropriate solutions for the supplement treatment accompanied with antibiotics in some of the infectious diseases. [7][8][9] According to the surgeon at the center, it was more likely to be occurred necrotisin fasciitis, and the surgeon recommended the debridement. After the patient examination, the orthopedist diagnosed the amputation; while, after the hematological evaluation, it was recommended to perform a control test in relation to the anemia and thrombocytopenia according to the normal blood lamella. ...
Chapter
Die Haut (Cutis) gliedert sich in die Epidermis (Oberhaut) und das Dermis/Corium (Lederhaut). Unter der kutanen Varikose versteht man eine Manifestation der Varikose, die sich auf den Bereich der Dermis beschränkt. Diese Varizen werden in deutschen Schrifttum als Besenreiser und im internationalen Schrifttum als Teleangiektasien bezeichnet. Je nach der Größe unterscheidet man Besenreiser (bis zu 1 mm) von retikulären Varizen (1–3 mm). Zur Therapie stehen chemische und thermische Obliterationsverfahren zur Verfügung.
Article
Background: Many patients complain of prominent vertical veins in the center of their forehead, worse when smiling, wrinkling the forehead in bright light, leaning forward, and when vasodilated in heat, when exercising, or with alcohol. Previous attempts to treat these with external laser, sclerotherapy, and phlebectomy have not been successful. Objective: To describe a new method of treating prominent vertical forehead veins and to report the early results. Materials and methods: We used endovenous laser ablation with a 1470 nm diode laser in 15 patients (F:M 12:3; mean age 38.4 years range 24-69). A bare fiber was used once and a 400-μm single ring radial fiber (Biolitec, Vienna, Austria) in all other cases. Tumescence was placed around the vein and a power of 2 to 3 W with a pullback of 7 to 10 seconds per centimeter. Results: Twelve of the 15 patients (80%) ended up with a good cosmetic result and were satisfied, although 2 needed redo treatment. One patient had minor skin tethering, and 2 (13%) suffered burns-one was the only bare fiber case and the other, the only one where 4 W was used. Conclusion: We present a novel technique to treat prominent vertical forehead veins, with apparently good early results.
Article
Background Laser treatment of vascular skin conditions is very useful option yet remains to be a very challenging task. Objective To evaluate the efficacy of 577‐nm diode laser for treating facial telangiectasia. Patients and methods Thirty patients with facial telangiectasia were included in this prospective study. All participants received 3 sessions of a single pass 577‐nm diode laser. Sessions were delivered on a monthly basis and digital photographic assessment was made at baseline and on follow‐up 1 month after the last treatment. Results At the final visit, there was a significant improvement (> 50%) reported in 21/30 (70%) patients while a poor response was reported in 2/30 (6.7%) patients. The skin photoype and site of the lesions significantly affected the result outcome (p <0.05) while none of the patients age, sex or duration of facial telangiectasia significantly affected the treatment outcome (p>0.05) Post‐inflammatory hyperpigmentation occurred in 2(6.7%) patients which resolved within 1.5 months. Conclusion Facial telangiectasia can be successfully treated with a 577‐nm diode laser with minimal side effects