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Dermatologic Surgery : Official... Jun 2017Tear trough deformities (TTD) refer to a set of conditions leading to different shapes in the junction between the lower eyelid and the cheek. Tear trough deformity is a...
BACKGROUND
Tear trough deformities (TTD) refer to a set of conditions leading to different shapes in the junction between the lower eyelid and the cheek. Tear trough deformity is a major aesthetic concern for a lot of individuals seeking periorbital rejuvenation and is one of the most discussed landmarks in facial aesthetic surgery.
OBJECTIVE
To describe a new morphologically related classification system, providing an objective means to evaluating the deformity.
METHODS
The article proposes a new classification system exhibiting 5 different forms of a TTD based on the author's clinical experience and review of medical literature.
CONCLUSION
Five forms of a TTD include a "hill" due to the superficial infraorbital fat pad herniation; a "valley" caused by fat reduction and skin changes; a "hill-valley" resulting from the weakening of the orbital portion of the orbicularis oculi muscle and its retaining ligaments, followed by fat reduction and skin changes; a "hill-valley-hill-valley" formed by a series of changes in portions of the orbicularis oculi muscle and its retaining ligaments; and a "mixed" form depicting a range of any of the 4 deformities. Classification of TTD is of great value to aid the treating physician in choosing the appropriate treating options.
Topics: Cheek; Congenital Abnormalities; Eyelids; Humans
PubMed: 28244901
DOI: 10.1097/DSS.0000000000001056 -
Canadian Medical Association Journal Jul 1965Ten children with gross deformity of the external ear were observed. In six the facial bones were underdeveloped on the same side as the deformed ear. In all six there...
Ten children with gross deformity of the external ear were observed. In six the facial bones were underdeveloped on the same side as the deformed ear. In all six there was a congenital abnormality of the kidney or upper urinary tract, usually on the same side as the deformed ear. In addition there were usually other associated congenital defects in each case.In the remaining four children the facial bones appeared normal, and pyelography showed no abnormality of the urinary tract. In these four children there were no other associated defects.These observations emphasize the importance of investigating the urinary tract in children with gross deformity of the external ear, especially where there is an associated underdevelopment of the facial bones.
Topics: Adolescent; Child; Congenital Abnormalities; Diagnosis; Ear Deformities, Acquired; Ear, External; Facial Bones; Humans; Infant; Kidney Diseases; Urography
PubMed: 14317453
DOI: No ID Found -
The Journal of Pediatrics Nov 1963
Review
Topics: Congenital Abnormalities; Diagnosis, Differential; Ear Deformities, Acquired; Ear, External; Goldenhar Syndrome; Humans; Mandible; Mandibulofacial Dysostosis; Ophthalmology; Spinal Diseases
PubMed: 14071056
DOI: 10.1016/s0022-3476(63)80233-4 -
European Spine Journal : Official... Oct 2003Congenital scoliosis is the most frequent congenital deformity of the spine. Congenital curvatures are due to anomalous development of the vertebrae (failure of... (Review)
Review
Congenital scoliosis is the most frequent congenital deformity of the spine. Congenital curvatures are due to anomalous development of the vertebrae (failure of formation and/or segmentation). Congenital scoliosis is believed to be related to an insult to the fetus during spine embryological development, and associated malformations (heart, spinal cord, kidney.) are frequently observed. A perfect understanding of the natural history of the deformity and the treatment principles will allow best management of these complex spine deformities. New imaging techniques like three-dimensional computed tomography (CT) and magnetic resonance imaging (MRI) are important tools for analyzing the underlying deformity and understanding the evolution of the complex deformities. The mainstay of treatment is either observation or, in case of curve progression (>10 degrees /year), surgery. Different surgeries are described with two main principles: (1) prophylactic surgeries like hemiepiphysiodesis or in situ fusions that will prevent worsening or allow progressive correction over time, and (2) corrective surgeries, with spinal fusion with or without spinal resection. Exceptional procedures (e.g. spinal column resection or halo distraction) can be attempted in cases of very severe deformity. Congenital curves must be carefully observed to choose the least invasive procedure at the right time and to minimize spinal cord risks.
Topics: Child; Congenital Abnormalities; Female; Humans; Male; Orthopedic Fixation Devices; Orthopedic Procedures; Radiography; Scoliosis; Spinal Cord Injuries; Spine; Traction
PubMed: 14618384
DOI: 10.1007/s00586-003-0555-6 -
Indian Journal of Pediatrics 1997Children present with chest wall deformities to their pediatrician because of physiologic and psychologic causes. We have a 22-year experience in the operative... (Review)
Review
Children present with chest wall deformities to their pediatrician because of physiologic and psychologic causes. We have a 22-year experience in the operative management of more than 300 of these children. Initial evaluation should accurately categorize the deformity, determine the severity, assess for associated problems and refer the child at an appropriate time for further management. Pectus carinatum is the most common deformity that can cause physical pain from an intercostal neuropathy and psychologic pain from the unsightly protuberance. Poland syndrome is managed by early correction of the hand deformity and later correction of the chest wall deformity if necessary for psychologic or functional reasons. Jeune syndrome and failure of sternal fusion may have severe associated cardiopulmonary compromise. Each should be corrected in infancy for the best results.
Topics: Adolescent; Child; Child, Preschool; Congenital Abnormalities; Female; Funnel Chest; Humans; Infant; Infant, Newborn; Male; Poland Syndrome; Prognosis; Plastic Surgery Procedures; Thorax
PubMed: 10771855
DOI: 10.1007/BF02845203 -
British Journal of Plastic Surgery Jul 1969
Topics: Adult; Child, Preschool; Congenital Abnormalities; Fingers; Hand Deformities, Acquired; Humans; Infant; Male; Middle Aged; Plethysmography; Radiography; Toes
PubMed: 5387390
DOI: 10.1016/s0007-1226(69)80112-8 -
Clinical Pediatrics Jun 2019The incidence of congenital ear deformities has been documented to be as high as 58% of all newborns. Unfortunately, the majority of these deformations do not... (Review)
Review
The incidence of congenital ear deformities has been documented to be as high as 58% of all newborns. Unfortunately, the majority of these deformations do not spontaneously self-correct, leaving the child with a permanent deformity that can only be corrected through surgery. With the evolving simplicity of ear molding that can be done in the office, this can obviate the need for unnecessary surgery that comes with its own set of complications and a higher cost. Early detection and early treatment is key for successful ear molding. The purpose of this article is to review the types of deformational ear deformities and the most up-to-date literature on ear molding, increase awareness to this topic, and ultimately increase patient and parental satisfaction with their overall care.
Topics: Congenital Abnormalities; Cosmetic Techniques; Ear, External; Female; Humans; Infant, Newborn; Male
PubMed: 31007048
DOI: 10.1177/0009922819844296 -
Plastic and Reconstructive Surgery Dec 1964
Topics: Abnormalities, Multiple; Arm; Congenital Abnormalities; Genetics, Medical; Hand Deformities; Humans; Leg; Surgical Procedures, Operative; Thumb
PubMed: 14245720
DOI: 10.1097/00006534-196412000-00009 -
International Orthopaedics Nov 2013In this study, the correction accuracy of Smart Correction spatial fixators and of Ilizarov-type external fixators are compared in terms of deformity complexity. (Comparative Study)
Comparative Study
PURPOSE
In this study, the correction accuracy of Smart Correction spatial fixators and of Ilizarov-type external fixators are compared in terms of deformity complexity.
METHODS
Seventy-seven (40 male, 37 female) bone segments of 57 patients treated with a Smart Correction device were compared with 94 (51 male, 43 female) segments of 68 patients treated with an Ilizarov fixator. Mean age of the Smart Correction group was 20.69 ± 12.94 years, and or the Ilizarov group 22.45 ± 12.18 years. Patients were categorised according to limb lengthening and the number of deformity planes.
RESULTS
A longer correction period was found with Ilizarov (66.53 ± 47.7 days) compared with Smart Correction (49.05 ± 35.6 days) devices. The bone healing index of the Ilizarov group was significantly better compared with the spatial group. Residual deformity after treatment was significantly lower with the Smart Correction device; however, this relationship could not be shown between subgroups. Although there was no significant difference between subgroups, mean residual deformity was higher with the increasing number of planes of the deformity.
CONCLUSIONS
The Smart Correction fixator is an accurate device that allows ease of application and planning. It demonstrates higher accuracy for correcting deformities compared with an Ilizarov external fixator. With an increasing number of planes, the difference between the two devices becomes even more pronounced. The relationship between the complexity of the deformity and residual deformity may possibly be significantly greater in favour of the Smart Correction fixator in a study with a larger sample size.
Topics: Adolescent; Adult; Bone Lengthening; Child; Congenital Abnormalities; External Fixators; Female; Follow-Up Studies; Humans; Ilizarov Technique; Leg Bones; Male; Orthopedic Procedures; Treatment Outcome; Wounds and Injuries; Young Adult
PubMed: 24068442
DOI: 10.1007/s00264-013-2116-x -
Archives of Neurology and Psychiatry Feb 1946
Topics: Adult; Arnold-Chiari Malformation; Brain; Congenital Abnormalities; Humans; Nervous System Malformations
PubMed: 21016924
DOI: No ID Found