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Article: Aesthetic considerations in the cervicofacial management of madelung syndrome

TitleAesthetic considerations in the cervicofacial management of madelung syndrome
Authors
KeywordsMadelung
Lipomatosis
Surgery
Treatment
Issue Date2003
PublisherInforma Healthcare. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/02844311.asp
Citation
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, 2003, v. 37, p. 34-40 How to Cite?
AbstractThe most common concern in patients with Madelung syndrome who are seeking cosmetic improvement is the deposition of fat in the cervicofacial region. Surgical experience in a series of 15 patients was summarised to provide guidelines for a rational approach to a better aesthetic outcome. The records and clinical photographs of these patients were reviewed. Outcome was assessed in terms of adequacy of debulking, final overall symmetry, smoothness of contour, prominence of scar, and necessity for multiple sessions. Open excision was the preferred primary treatment. A long mid-neck, transverse skin crease incision provided good exposure and was superior to multiple local incisions. Other surgical details worth noting include subplatysmal dissection, thick skin flaps, dissection around instead of into lipomas, appropriate removal of redundant skin, adequate reduction of tumour size instead of total excision, haemostasis, suction drainage, and layered skin closure. Liposuction was a useful adjunct for contouring the sides of the jaws in selected patients.
Persistent Identifierhttp://hdl.handle.net/10722/224457
ISSN
2011 Impact Factor: 0.935

 

DC FieldValueLanguage
dc.contributor.authorWong, DSY-
dc.contributor.authorLam, LK-
dc.contributor.authorChung, JHP-
dc.contributor.authorLi, GKH-
dc.contributor.authorChan, VSH-
dc.contributor.authorNg, RWM-
dc.date.accessioned2016-04-05T08:46:26Z-
dc.date.available2016-04-05T08:46:26Z-
dc.date.issued2003-
dc.identifier.citationScandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, 2003, v. 37, p. 34-40-
dc.identifier.issn0284-4311-
dc.identifier.urihttp://hdl.handle.net/10722/224457-
dc.description.abstractThe most common concern in patients with Madelung syndrome who are seeking cosmetic improvement is the deposition of fat in the cervicofacial region. Surgical experience in a series of 15 patients was summarised to provide guidelines for a rational approach to a better aesthetic outcome. The records and clinical photographs of these patients were reviewed. Outcome was assessed in terms of adequacy of debulking, final overall symmetry, smoothness of contour, prominence of scar, and necessity for multiple sessions. Open excision was the preferred primary treatment. A long mid-neck, transverse skin crease incision provided good exposure and was superior to multiple local incisions. Other surgical details worth noting include subplatysmal dissection, thick skin flaps, dissection around instead of into lipomas, appropriate removal of redundant skin, adequate reduction of tumour size instead of total excision, haemostasis, suction drainage, and layered skin closure. Liposuction was a useful adjunct for contouring the sides of the jaws in selected patients.-
dc.languageeng-
dc.publisherInforma Healthcare. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/02844311.asp-
dc.relation.ispartofScandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery-
dc.rightsScandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery. Copyright © Informa Healthcare.-
dc.subjectMadelung-
dc.subjectLipomatosis-
dc.subjectSurgery-
dc.subjectTreatment-
dc.titleAesthetic considerations in the cervicofacial management of madelung syndrome-
dc.typeArticle-
dc.identifier.emailWong, DSY: wongsy@hkucc.hku.hk-
dc.identifier.emailLam, LK: lklam@hkucc.hku.hk-
dc.identifier.emailChung, JHP: hpchung@hkucc.hku.hk-
dc.identifier.doi10.1080/alp.37.1.34.40-
dc.identifier.hkuros76884-
dc.identifier.hkuros73123-
dc.identifier.volume37-
dc.identifier.spage34-
dc.identifier.epage40-
dc.publisher.placeUnited Kingdom-

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