Gluteal retractions: classification and treatment techniques.
Background: The buttocks can be affected by many different kinds of retractile notches, all of them caused by histologic alterations of the subcutaneous tissues, gluteal fascia, or muscle at different levels of severity. Until now, no attempt has been made to systemize the diagnosis of these defects...
| Publicado en: | Aesthetic Surgery Journal Vol. 26; no. 5; pp. 537 - 551 |
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| Autores principales: | , |
| Formato: | algorithm pictorial tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Sep2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106277178&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106277178 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1090820X 1XDY jtl: Aesthetic Surgery Journal issn: 1090820X maglogo: N pubinfo: dt: Sep2006 vid: 26 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 106277178 NLM19338942 2009318698 10.1016/j.asj.2006.08.007 NLM19338942 106277178 ppf: 537 ppct: 14 formats: tig: atl: Gluteal retractions: classification and treatment techniques. aug: au: Gonzalez R Gonzalez, Raul sug: subj: Buttocks Surgery Surgery, Plastic Methods Buttocks Physiopathology Female Female ab: Background: The buttocks can be affected by many different kinds of retractile notches, all of them caused by histologic alterations of the subcutaneous tissues, gluteal fascia, or muscle at different levels of severity. Until now, no attempt has been made to systemize the diagnosis of these defects or to describe a treatment approach from the aesthetic viewpoint.Objective: We present a definition and a classification of gluteal retractions based on the anatomic structures affected, the assessment used to identify each type of defect, and the techniques used to correct different problems.Methods: The affected muscle fibers or fibrous fascial segments were lysed and removed through an incision on the intergluteal crease, under epidural block. Subcutaneous defects were treated percutaneously by fat grafting and fiber lysis and addressed under local anesthesia or epidural anesthesia when combined with correction of a muscular or fascial retraction.Results: Treatment results in a series of 214 patients were satisfactory. Complications included seroma in 2 cases of fascial fibrosis, 1 of which was followed by infection; residual inelastic muscle fibers in 2 cases; overcorrection in 8 cases; and infection in 1 case of fat grafting. In 31.2% of patients with subcutaneous defects, more than one fat grafting session was required to correct subcutaneous defects.Conclusions: The classification system and algorithm based on physical examination presented here for the treatment of gluteal retractions have been shown to be useful tools for diagnosis and treatment of specific types of defects. pubtype: Academic Journal doctype: algorithm pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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