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Anthropometric Analysis of the Upper Eyelid and Eyebrow in Patients Attended by the Plastic and Reconstructive Surgery Service of the Hospital Central Sur De Petróleos mexicanos

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Journal of Biosciences and medicines 2022年第8期10卷 47-56页

作者： Alejandro Costa-Dulché Jaime García-Espinoza Daniel De-Luna-Gallardo cuahutemoc márquez-espriella Rodrigo Dávila-Díaz Blanca Arámbula-Sánchez marco Cuervo-Vergara David Flores-Soto Hospital Central Sur de Alta Especialidad de Petróleos mexicanos Mexico City Mexico

Upper eyelid blepharoplasty is one of the most frequently performed surgeries by plastic surgeons worldwide. A prospective observational study was conducted to describe the anthropometric measurements of the upper eyelid and eyebrow in a mexican population. The researcher measured the anthropometry of the eyelids and eyebrows to establish the diagnosis and surgical plan according to the checklist created and applied by the plastic and reconstructive surgery service. In anatomical position with a caliper instrument, the marginal reflex distance (mRD1), the tarsal thickness, the length of the vertical and horizontal slit, and finally the distance at which the external canthus is located with respect to the internal canthus were measured in millimeters. For the anthropometry of the eyebrows, the distance from the eyebrows to the hairline, the position in millimeters of the orbital rim with respect to the eyebrow, and the angle of its apex were measured. A sample of 210 patients was obtained, of which 65 were male and 145 females, divided by age groups. It was observed that in the three age groups, females presented a vertical palpebral fissure with a higher mean than males. Similar is the case of tarsal thickness, in which the difference was significantly greater in the female of the three age groups. On the other hand, it was observed that the horizontal slit in males was higher than that of females, while the mDR1 was similar in both sexes. Finally, it was identified that in the group of 41 to 50 years old significant decreases are observed both in the vertical cleft, tarsal thickness and the position of the external canthus compared to the group of 20 to 30 years old, this is due to the aging process. When evaluating the anthropometrics of the eyebrows, a greater distance from the trichion to the eyebrow was observed in males than in females, in contrast to the position of the eyebrow with respect to the supraorbital rim and its apex, in which it was shown that in f

关键词： Eyelid Upper-Eyelid Eyebrow Anthropometrics Facial-Analysis

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Anthropometric Breast measurements: Analysis of the Average Breast in the mexican Female Population

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Journal of Biosciences and medicines 2022年第3期10卷 124-135页

作者： David Flores-Soto Jose C. martinez-López Fernando Barbosa-Villarreal Fernando I. Recio-Espana Jaime A. García-Espinoza Alfredo Chama-Naranjo Ana P. Campollo-Lopez D. Deluna-Gallardo Alejandro Costa-Dulche cuahutemoc márquez-espriella Division of Plastic and Reconstructive Surgery Hospital Central Sur de Alta Especialidad de Petróleos Mexicanos Mexico City Mexico

Introduction: The elements and perception of beauty vary between populations around the world. To obtain better results, surgical techniques should be planned based on anthropometric characteristics of the race, location, and body mass index (BmI). Objectives: To determine which are the standard measurements and anatomical proportions of the breast in a healthy mexican women population. materials and methods: Female mexican volunteers between 20 and 60 years of age, without any history of breast illness or breast surgery were studied. Demographic information and standard breast anthropometric measurements were collected manually by one of the authors. For the statistical analysis a Student-T test was performed, and the Pearson correlation coefficient was obtained using the latest version of SPSS software. Results: 78 volunteers were included in the analysis. mean height, weight and BmI were 1.6 m, 68.9 Kg, and 26.6 Kg/m2 respectively. The mean anthropometric values found were: Supra Sternal notch to nipple distance (SSN:N) 22 cm, Breast volume (BV) 372.6 cm3, Upper breast pole length (UBPL) 11 cm, Lower Breast Pole length (LBPL) 7.7 cm, midline to Nipple distance (mL:N) 10.2 cm, Transverse diameter of the Nipple areola complex (NAC-T) 4.1 cm, Height of the Nipple Areola Complex (NAC-H) 4.1 cm, Base of the breast (BB) 13.4 cm, Upper Pole to Lower Pole Ratio (UPP:LPP) 58.9:41.1. A statistically significant difference between Right and left breast was not found. The UPP/ LPP ratio in our population is far different from what is considered internationally aesthetic (45:55). A positive correlation was found between weight/ BmI and SSN:N, BV, BB, mL:N and LBPL. Also between age and SSN:N, LBPL, BV and BB. Conclusion: This study sets the Anthropometric grounds in mexican population for an objective individual patient analysis and comparison with the female population of this and other nations.

关键词： Average Breast Anthropometric measurements mexico Breast Anthropometric measurements mexico

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Isolation of microorganisms According to Burned Body Surface: Experience in a Reference Center in mexico City

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Journal of Biosciences and medicines 2021年第6期9卷 106-113页

作者： Carlos I. Navarro-Delgadillo Jaime Aron García-Espinoza Daniel De Luna-Gallardo José martínez-López cuahutemoc márquez-espriella marco Cuervo-Vergara Rodrigo Dávila-Díaz Hospital Central Sur de Alta Especialidad PEmEX Ciudad de México Mexico

Background: Burns is one of the most common and severe forms of trauma, as they cause an alteration in the protective barrier exerted by the skin. The objective of this work is to describe the bacterial pathogens that cause infections in the different body segments as well as to know the susceptibility in patients with burns during a period of two years. methods: This study was conducted over a period of 2 years, January 2017 to January 2019. The analysis of the isolated microbiological agents was obtained from culture samples in different anatomic areas. The variables were measured in the general population and also by groups, considering: age, sex, TBSA with Wallace's rule of nine, anatomic area affected, type of burn, depth of burn, microorganism reported in cultures, antibiotics empirically administered and mortality rate. Results: Regardless of the anatomical segment studied, the most frequently isolated microorganism was m>Pseudomonas aeruginosam>. Conclusions: Identification of the microorganisms that cause infection reduces the hospital stay, as well as the admission to the ICU. A fundamental research guideline is to pay more attention to the post-burn consequences, and the sequelae and functional limitations that it entails, since few since few studies focus on this aspect.

关键词： Burn Injury Hospital Stay Specialized Burn Unit Pseudomona

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Upper Blepharoplasty Scar and Patient Satisfaction Evaluation in a Plastic Surgery Center in mexico

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Journal of Biosciences and medicines 2020年第6期8卷 77-88页

作者： Victor Hugo Avalos Gómez Jaime Aron García Espinoza José Carlos martínez López Carlos Illich Navarro Delgadillo Blanca Yadira Arámbula Sánchez Alejandro Costa Dulche cuahutemoc márquez espriella Esteban Israel Campos Serna Division of Plastic and Reconstructive Surgery Hospital Central Sur de Alta Especialidad de Petróleos Mexicanos Mexico City Mexico

Background: Eyes are one of the most important facial features, their appearance being associated with state of mind, age and beauty. Therefore, upper blepharoplasty is one of the most common procedures performed in plastic surgery. Standardized tools allow for measurement of outcomes through patient satisfaction and surgeon experience. Objectives: Our objective was to measure the satisfaction index and scar quality of patients who underwent upper blepharoplasty using the Patient-reported Outcome measure Questionnaire (PROm-Q) and Patient and Observer Scar Assessment Scale (POSAS). methods: A retrospective review of patients that underwent upper blepharoplasty in our institution was performed. We included those with a preoperative anthropometric analysis, standardized incision markings (developed in our center), same operative technique and a 3-month postoperative evaluation with PROm-Q and POSAS. The sample for this study consists of 67 patients, all of them operated between January 1 2019 and June 30 2019 at the Department of Plastic Surgery, South Central High Specialty Hospital, Pemex, mexico City, mexico. Results: A total of 67 patients were included, 73% female and 27% male. The most frequent indication for surgery was functional visual symptoms. The index of PROm-Q at 3 months demonstrated an increased satisfaction above 90%, and the evaluation with POSAS reported an almost imperceptible scar. Conclusion: Evaluating outcomes with objective tools provides data useful to improve the surgical protocols of patients subjecting to aesthetic procedures.

关键词： Upper Blepharoplasty Satisfaction Index PROm-Q Quality of Life Scar

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Patient Satisfaction Index and Quality of Life measurement with Breast-Q after Breast Reconstruction in a Plastic Surgery Center in mexico

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Journal of Biosciences and medicines 2021年第6期9卷 94-105页

作者： Jose C. martinez-López Jaime A. García-Espinoza David Flores-Soto Carlos I. Navarro-Delgadillo cuahutemoc márquez-espriella Rodrigo Dávila-Diaz Esteban I. Campos-Serna Víctor H. Avalos-Gómez Division of Plastic and Reconstructive Surgery Hospital Central Sur de Alta Especialidad de Petróleos Mexicanos Mexico City Mexico

Introduction: Cancer is one of the most devastating pathologies to affect the breast. mastectomy stigmas are associated with depression, body image dysmorphia, and decreasing quality of life. BREAST-Q is a PROm (Patient Reported Outcome measures) that has proven useful in measuring satisfaction with breast reconstruction results from the patient’s point of view. Objectives: To measure the satisfaction index and improvement in quality of life after breast reconstruction for breast cancer sequelae in our hospital in the last 5 years. materials and methods: Descriptive Study that includes patients with Breast cancer diagnosis that underwent mastectomy and breast reconstruction (prosthesis or autologous tissue) in “Hospital Central Sur de Petroleos mexicanos” (January 2015 to January 2020), whose satisfaction index was measured with BREAST-Q one year after reconstruction. Results: 153 patients were included in the analysis. mean global satisfaction was 74 points. We observed a tendency towards higher psychosocial, sexual and appearance satisfaction in patients who underwent reconstruction with autologous tissue. The mean satisfaction with provided information was 64 points and with the medical team > 90 points. Conclusion: Breast reconstruction is associated to a high satisfaction index and quality of life improvement regardless of the technique. BREAST-Q proved to be useful in evaluating patient experience and it helped us identify areas of opportunity to improve our care.

关键词： BREAST-Q Breast Reconstruction PROm’s Satisfaction Index Quality of Life mexico

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Botulinum Toxin A, Effect on Tensile Strength of Skin Wounds;Animal Study

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Journal of Biosciences and medicines 2020年第2期8卷 17-24页

作者： Carlos A. Gonzalez-Alvarado Juan Garzon-muvdi Roxanna Perez-Garmendia Victoria Ramirez Luz Graciela Cervantes Adriana Rodriguez-Gomez Rodrigo Davila-Diaz cuahutemoc marquez-espriella Plastic and Reconstructive Surgery Division Hospital Central Sur de alta Especialidad de Petroleos Mexicanos Mexico City Mexico Experimental Surgery Department Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubiran Mexico City Mexico Pharmacology Department Instituto Nacional de Cardiologia Ignacio Chavez Mexico City Mexico Pathology Department Hospital Angeles del Pedregal Mexico City Mexico

Wound healing and cicatrization is a process that involves several phases. The main goal of a surgeon and specially the plastic surgeon is to achieve the best cosmetic results and avoid complications. Several tools are available to achieve the best result. One of the tools recently studied is the use of Botulinum toxin. The use of Botulinum toxin has showed to be a useful aid by improving macroscopic cosmetic changes, as histopathologic ones. The increase of the tensile strength is also one of the positive changes that come with the use of botulinum toxin.

关键词： Botulinum Toxin Wound Tensile Strength

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Breast Reconstruction: Does It Worth to Start If the Patient Is Not Sure to Take All the Process Along?

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Journal of Biosciences and medicines 2022年第8期10卷 201-209页

作者： Jesús Ricardo García-Corral José martínez-Lopez Rodrigo Davila-Diaz Blanca Arambula-Sanchez marco Cuervo-Vergara Fernando Barbosa-Villarreal Daniel De Luna Ana Priscila Campollo Lopez Fernando Isaac Recio Espana Alfredo Chama Naranjo Jaime García Alejandro Costa David Flores-Soto Selina marioni-manriquez Patricia Lopez-medellin Erika Barlandas-Quintana Edgar Guillen-martinez Steve Rodriguez-Alanis cuahutemoc marquez Departamento de Cirugía Plástica y Reconstructiva Hospital Central Sur de Alta Especialidad PEMEX Mexico City Mexico

Introduction: Breast cancer is the most common cancer in women worldwide, representing a major public health problem. There is still little information comparing the satisfaction of the patients who finished their process against the ones who start it but did not finish it. The aim of our retrospective study was to analyze the results in terms of satisfaction after one year of undergoing to complete breast reconstruction (CBR) vs incomplete breast reconstruction (IBR). materials and methods: Retrospective study of patients that underwent breast reconstruction (BR) surgery after mastectomy for breast cancer treatment. Performed at Hospital Central Sur de Alta Especialidad PEmEX in mexico City, including patients from January 1, 2015 to January 01, 2020. Demographic baseline variables were included. BREAST-Q satisfaction questionnaires one year after the last reconstructive procedure were analyzed. Results: A total of 44 patients fulfilled the inclusion criteria. Of these 44 patients, 11 were included in the IBR group, and 33 patients in the CBR group. There were no statistically significant differences between the two groups in terms of age (IBR 56.09 vs CBR 53.06 years, p = 0.321);BmI (IBR 27.94 vs CBR 26.40, p = 0.253), time from mastectomy to first reconstructive procedure (IBR 22.8 vs CBR 31 months, p = 0.957), history of chemotherapy (IBR 27.3% vs CBR 33.3%, p = 0.709) and radiotherapy (IBR 54.5% vs CBR 42.4%, p = 0.484), additionally type of reconstruction, affected side or complication rate were not significantly different. Regarding postoperative satisfaction, only the second module of satisfaction with breasts displayed statistically significant differences, with a higher score in the CBR group (46.27 vs 52.27, p = 0.019). Other items explored didn’t show significant differences. Discussion: The data reported in this study suggest that regardless of whether the last stage of a BR is reached, the results in these settings can be very similar in terms of psych

关键词： BREAST-Q Breast Reconstruction Satisfaction Index Quality of Life Breast Cancer Patient’s Decision making

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