Biomechanical Properties of Skin

Gibson, T.; Kenedi, R. M.

doi:10.1016/s0039-6109(16)38180-4

Cited by 139 publications

(62 citation statements)

References 7 publications

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“…7 They described two main properties of the skin as mechanical creep and stress relaxation. Mechanical creep is the property of the skin, that when a constant force is applied for a time, the skin stretches beyond its limits.…”

Section: Discussionmentioning

confidence: 99%

A Good Option For Medial Canthal Region Defects: Purse String Closure

Filinte¹,

Yıldırım²,

Bilgiç³

et al. 2013

Turkiye Klinikleri J Med Sci

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efects of the medial canthal region frequently appear after tumor excision. In an effort to obtain good functional and aesthetic results considering delicate properties of this area, the characteristics of the skin must be preserved as much as possible. The skin of this region is thinner than the surrounding tissues and thicker than the eyelids. Also lack Turkiye Klinikleri J Med Sci 2013;33(2) 339A Good Option For Medial Canthal Region Defects: Purse String Closure A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Reconstruction of the defects in the medial canthal region are often challenging for the plastic surgeons because of the particular properties of the surrounding skin. Although there are several reconstructive options reported for this region, there is no single procedure that achieves the best result. In this paper we reported the use of the purse string closure method in medial canthal region defects. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Eight patients with lesions in the medial canthal region were operated in our clinic. All of the defects were closed with the purse string method. Sutures were removed after 3 weeks and patients were followed for 6 to 36 months (median:16.5 months). R Re es su ul lt ts s: : All of the lesions were diagnosed as basal cell carcinomas. In the early postoperative period, 4 patients complained about skin tension and restriction of eyelid movements, one patient additionally had a minimal wound dehiscence. Eyelid movements and skin tension improved at the end of 1 st week. The wound dehiscence healed after the 2 nd week without any intervention. Rugae formation and skin distortion disappeared within 6 to 8 weeks. No tumor recurrences were observed. C Co on nc cl lu us si io on n: : The convenience and the facility of the method to deal with complications offers a good choice for reconstruction of the defects in medial canthal region.K Ke ey y W Wo or rd ds s: : Carcinoma, basal cell; skin neoplasms Ö ÖZ ZE ET T A Am ma aç ç: : Medial kantal bölge defektlerinin rekonstrüksiyonu çevre dokunun özelliklerinden dolayı plastik cerrahlar için genellikle zordur. Her ne kadar bu bölge için bildirilmiş birçok rekonstrüksiyon seçeneği olsa da en iyi sonuca ulaştıran tek bir metot yoktur. Bu makalede medial kantal bölge defektlerinde kullandığımız purse-string kapama yöntemini bildirmekteyiz. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Kliniğimizde medial kantal bölgede defekti olan 8 hasta ameliyat edildi. Tüm defektler purse-string yöntemiyle kapatıldı. Dikişler 3 hafta sonra alındı ve hastalar 6-36 (ortalama:16,5 ay) ay boyunca takip edildi. B Bu ul lg gu ul la ar r: : Tüm lezyonlar patolojik olarak bazal hücreli karsinom olarak teşhis edildi. Erken postoperatif dönemde 4 hasta cilt gerginliğinden ve gözkapağı hareketlerinde kısıtlılıktan şikayet etti. Ayrıca bir hastada az miktarda yara ayrışması oldu. Birinci haftanın sonunda göz hareketleri ve cilt gerginliği gerilerken, yara ayrılması 2. haftanın sonunda kendiliğinden iyileşti. Katlantı ol...

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Section: Discussionmentioning

confidence: 99%

A Good Option For Medial Canthal Region Defects: Purse String Closure

Filinte¹,

Yıldırım²,

Bilgiç³

et al. 2013

Turkiye Klinikleri J Med Sci

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“…Исследователи полагали, что растяжение кожи увеличивает ее размеры до 3-4 раз. Было предложено использовать это явле-ние при закрытии ран [15]. Феномен растяжения ткани был широко использован отечественными и зарубежными специалистами и и фактически спо-собствовал революции в области реконструктив-ной хирургии кожи, в настоящее время отмечается его широкое использование в коррекции врожден-ных пороков и лечении ожогов [2, 3, 5-9, 19, 20].…”

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“…МДТР подразделяют на механические и биоло-гические [16]. В качестве фактора, вызывающего растяжение, при биологическом методе выступа-ют физиологические или патологические процес-сы в организме.…”

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Biophysical and Pathogenetic Justification of Using of Dosed Skin Expansion Method in Vast Wound Defects Treatment

Pyatakov¹,

Завражнов²,

Lukyanchenko³

et al. 2017

Kuban. nauсh. med. vestnik

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Лечение гнойных заболеваний и травматических повреждений кожи и мягких тканей сопряжено с образовани-ем обширных раневых дефектов. Успешное раннее восстановление кожного покрова определяет благоприятный исход заболевания и социальную реабилитацию пациентов. В последнее время специалисты вновь проявляют большой интерес к методу дозированного тканевого растяжения (МДТР) для закрытия обширных раневых дефек-тов. Нами проанализированы литературные данные в отношении биофизического и патогенетического обоснова-ния применения МДТР. Полученные материалы дают аргументированные предпосылки к разработке современных инновационных методов решения проблемы закрытия раневых дефектов в гнойной хирургии и хирургии травм и повреждений.Ключевые слова: рана, дозированное растяжение кожи.

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“…The extensibility of the skin varied in relation to the lines of skin tension (Longer, 1862a), but no reference was made to the effect of age. It is probable that the collagen and elastic fibres are being straightened out during the phase of limit strain, whereas during the phase of terminal stiffness the collagen and/or elastic fibres are being stretched, as shown histologically by Gibson and Kenedi (1967). During the second phase, Hooke's law applies therefore and Young's modulus of elasticity can be cal culated.…”

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confidence: 99%