[One case of pilomatrixoma of the earlobe in infant].
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患儿 男,6个月龄,因发现右耳垂肿物进行性增大3个月余入院.患儿于3个月前被父母发现右耳垂肿物,初为绿豆大小,逐渐增大至成人指尖大小,无疼痛、破溃.查体:右耳垂皮下椭圆形肿物大小约1.5 cm×1.5 cm×2.0 cm,质硬,无压痛,与皮肤粘连,表面呈紫红色,周围皮肤无异常(图1).头、颈部无肿大淋巴结.Keywords:
Ear lobe
Pilomatrixoma
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患儿 男,6个月龄,因发现右耳垂肿物进行性增大3个月余入院.患儿于3个月前被父母发现右耳垂肿物,初为绿豆大小,逐渐增大至成人指尖大小,无疼痛、破溃.查体:右耳垂皮下椭圆形肿物大小约1.5 cm×1.5 cm×2.0 cm,质硬,无压痛,与皮肤粘连,表面呈紫红色,周围皮肤无异常(图1).头、颈部无肿大淋巴结.
Ear lobe
Pilomatrixoma
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BACKGROUND Pilomatrixoma most commonly occurs in the head and neck region, appearing primarily in the first two decades of life. The lesion is described as a tumor with differentiation toward hair cells and surgical excision is the treatment of choice. OBJECTIVE We report an uncommon localization of a perforating type pilomatrixorna of 5 × 4 × 4 cm in size that developed from the earlobe. METHODS Histopathological examination revealed pilomatrixorna. Total resection of the tumor was performed. The earlobe was reconstructed by forming a posterior-superior pedicled skin flap. RESULTS No recurrence was observed and a good cosmetic result was obtained. CONCLUSION Local recurrence does not generally occur if the tumor is completely removed. The case we present is of interest in having a history of trauma to the region and a relatively rapid growth with perforation of the overlying skin.
Ear lobe
Pilomatrixoma
Perforation
Histopathological examination
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Partially or completely spilt earlobes are a common reason for patient presentation to the cosmetic surgeon.In this article, we review the different techniques of repairing both partial and complete cleft earlobes.We review and illustrate 4 methods to repair a partial cleft earlobe and 17 methods to correct a complete cleft earlobe. In addition, preoperative, intraoperative, and follow-up photographs are shown on several examples.Earlobe clefts may be repaired by various techniques. While advantages and disadvantages exist for each method, the surgeon should be familiar with categorizing the cleft, choosing a repair, and deciding whether to repierce the earlobe intra- or postoperatively.
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Presentation (obstetrics)
Ear lobe
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Pilomatrixomas are uncommon in children and are frequently misdiagnosed preoperatively. We report a two-year-old female patient with an unusual localization in the earlobe. The lesion was treated by simple enucleation and in two years of follow-up there has been no evidence of recurrence. The case is being reported in view of its rarity and unusual location.
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Pilomatrixoma
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Arneja, Jugpal S. M.D.; Singh, G Balbir M.D.; Dolynchuk, Kenneth N. M.D.; Murray, Kenneth A. M.D.; Rozzelle, Arlene A. M.D.; Jones, Keith D. M.D. Author Information
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Drawing blood from the fingertips for glucose testing is painful and likely to cause tissue damage over time. Earlobes are an alternative site for glucose measurement.This work aims to validate the earlobe as an alternate test site for blood glucose testing by demonstrating valid and reliable statistically significant differences between the earlobes and standard reference sites.Blood glucose concentrations from 50 volunteers were measured and statistically analysed from the reference sites (forearm and fingertip) and earlobe. The analysis included: 1) one-way analysis of variance (ANOVA), 2) regression analysis, 3) Bland Altman analysis, and 4) Clarke Error Grid analysis.The results indicated that there is no statistically significant difference between the three blood glucose-testing methods. For the forearm-earlobe and fingertip-earlobe, all measurements were grouped around the mean of 3.7 ± 1.96 SD and 2.96± 1.96 SD, respectively. Error grid analysis showed > 97% of all earlobe and references measurements fell in Zones A and B and were in the clinically acceptable level.The results have shown that the earlobe is a valid substitute for blood glucose measurements.
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Repeated measures design
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The earlobe demonstrates stereotypical signs of aging, including wrinkles and volume depletion.The purpose of this study is to review the outcome of the earlobe rejuvenation developed by the senior author.We describe our earlobe rejuvenation technique refined over 10 years that uses fat grafting to the earlobe. Three raters assessed preoperative and postoperative photographs of 40 earlobes in 20 patients. Each earlobe was evaluated for volume deficiency, number of deep creases, depth of creases, and number of fine wrinkles. Inter-rater reliability was calculated. Earlobe length was also measured.Seventeen females and 3 males with average age of 63 years were followed for an average of 26 months. Postoperative improvements were observed in earlobe volume deficiency and number of fine wrinkles (P < .05). Improvements were seen in number and depth of creases and the earlobe height, but these were not significant (P > .05). No complications relating to the earlobe were observed in these patients.Fat grafting can be an effective means for earlobe rejuvenation.4 Therapeutic.
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Rejuvenation
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Thirty-one earlobe keloids in 20 patients were treated by complete surgical excision and three postoperative injections of .1 to .2 ml of 40 mg per milliliter of triamcinolone solution at four-week intervals beginning three weeks postoperation. Only 1 recurrence developed in a follow-up of twelve to sixty-two months.
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Surgical excision
Keloid
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Бұл зерттеужұмысындaКaно моделітурaлы жәнеоғaн қaтыстытолықмәліметберілгенжәнеуниверситетстуденттерінебaғыттaлғaн қолдaнбaлы (кейстік)зерттеужүргізілген.АхметЯссaуи университетініңстуденттеріүшін Кaно моделіқолдaнылғaн, олaрдың жоғaры білімберусaпaсынa қоятынмaңыздытaлaптaры, яғнисaпaлық қaжеттіліктері,олaрдың мaңыздылығытурaлы жәнесaпaлық қaжеттіліктерінеқaтыстыөз университетінқaлaй бaғaлaйтындығытурaлы сұрaқтaр қойылғaн. Осы зерттеудіңмaқсaты АхметЯсaуи университетіндетуризмменеджментіжәнеқaржы бaкaлaвриaт бaғдaрлaмaлaрыныңсaпaсынa қaтыстыстуденттердіңқaжеттіліктерінaнықтaу, студенттердіңқaнaғaттaну, қaнaғaттaнбaу дәрежелерінбелгілеу,білімберусaпaсын aнықтaу мен жетілдіружолдaрын тaлдaу болыптaбылaды. Осы мaқсaтқaжетуүшін, ең aлдыменКaно сaуaлнaмaсы түзіліп,116 студенткеқолдaнылдыжәнебілімберугежәнеоның сaпaсынa қaтыстыстуденттердіңтaлaптaры мен қaжеттіліктерітоптықжұмыстaрaрқылыaнықтaлды. Екіншіден,бұл aнықтaлғaн тaлaптaр мен қaжеттіліктерКaно бaғaлaу кестесіменжіктелді.Осылaйшa, сaпa тaлaптaры төрт сaнaтқa бөлінді:болуытиіс, бір өлшемді,тaртымдыжәнебейтaрaп.Соңындa,қaнaғaттaну мен қaнaғaттaнбaудың мәндеріесептелдіжәнестуденттердіңқaнaғaттaну мен қaнaғaттaнбaу деңгейлерінжоғaрылaту мен төмендетудеосытaлaптaр мен қaжеттіліктердіңрөліaйқын aнықтaлды.Түйінсөздер:сaпa, сaпaлық қaжеттіліктер,білімберусaпaсы, Кaно моделі.
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