This large-particle stabilized hyaluronic acid-based gel is well tolerated and provides relatively long-lasting esthetic correction of the cheeks and chin after subcutaneous or supraperiosteal injection.
This paper describes the use of the Mitek Mini GII Anchor System for tendon reinsertion in medial canthopexy. The system is simple, fast to insert, and easy to use. It allows precise placement with minimal dissection, which is limited to the ipsilateral orbit.
Hyaluronic acid filler use, user groups, and indications have expanded significantly in the past several years. This group of fillers is extremely safe in experienced hands. Complications are infrequent but can be devastating. There can be no substitution for recognized and specific training. Prompt recognition and proper treatment of serious complication can moderate and even prevent serious sequelae. This article describes the most frequent and serious complications, their prevention, and treatment.
Restylane SubQ is well tolerated and maintains aesthetic correction of the cheeks and chin for at least 3 months after subcutaneous and/or supraperiostal treatment.
Surg 1996;4(2):94-98. There is general agreement that congenital giant pigmented nevi (CGPN) are precursors to malignant melanoma; however, the magnitude of the risk of malignant transformation is the subject of wide controversy. The goal of this study was to present the authors' experience with CGPN and more specifically their experience with the risk of malignancy. To identify the general features of CGPN a detailed retrospective chart review was performed at The Hospital for Sick Children in Toronto (1979Toronto ( to 1994. There were 39 boys and 45 girls. The average size at presentation was 5.24% of the body surface area, and 36.9% of the nevus were located on the head and neck. An important finding was the high percentage of associated extra cutaneous disorders in patients with CGPN (23%) including a case of leptomeningeal melanocytosis. Tissue expansion was the most commonly used treatment modality. One case of malignant melanoma arising from CGPN was identified. To ensure that all cases of malignant melanoma were identified in this cohort, a questionnaire was sent to all plastic surgeons in Ontario (n=118), and data from the Ontario Cancer Registry were reviewed using the diagnostic codes for malignant melanoma and for pigmented nevus. One case of malignant melanoma was identified in all records. Thus CGPN poses a significant management challenge to the plastic surgeon and the risk of malignancy is low.
Key Words: Congenital nevus, Giant hairy nevus, Malignant melanoma
Naevi pigmentaires géants congénitaux: Caractéristiques cliniques et risque de cancer RÉSUMÉ :On s'entend en général sur le fait que les naevi pigmentaires géants congénitaux (NPGC) soient des précurseurs du mélanome malin; or, l'ampleur du risque d'une évolution maligne fait l'objet d'une importante controverse. Le but de cette étude était de présenter l'expérience des auteurs en matière de NPGC et plus précisément, leur expérience à mesurer le risque d'une évolution néoplasique. Pour identifier les caractéristiques générales des NPGC, un bilan rétrospectif sous forme de tableau détaillé a été dressé au Hospital for Sick Children de Toronto (1979 à 1994. Le groupe comprenait 39 garçons et 45 filles. La taille moyenne au moment de la première consultation était de 5,24 % de la surface corporelle, et 36,9 % des naevi se trouvaient dans la région de la tête et du cou. Une importante observation a été le fort pourcentage CAN
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