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2. Ridha H, Colville RJ, Vesely MJ.

1. Davanco RA, Sabino Neto M, Garcia How happy are patients with their
EB, et al. Quality of life in the surgical gynaecomastia reduction surgery?. J
treatment of gynecomastia.
Piast Reconstr Aesthet Surg. Aug 28
Aesthetic
Ptast
Surg.
Oct
25 2008;[Medline].
2008;[Medline].

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I- II
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Keywords: Breast augmentation,
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:
Javier De Benito, Kyrenia Sanchez. ey
points in mastopexy. Aesthetic Plastic
Surgery, December 2010, Volume 34,
Issue 6, pp 711-715.
Javier De Benito. Secondary breast
augmentation: managing each case.
Instituto Universitario Dexeus Barcelona,
Spain. Aesthetic Plast Surg 34:691-700,
2010
Conder MA, Cohen AT, Hester TR.
Complications in breast augmentation:
prevention and correction. Clin Plast
Surg. 2001;28:587595
Tebbets JB. Breast augmentation with
full-height anatomic saline implants.
The pros and cons. Clin Plast Surg.
2001;28:567577
Omar D, Ventura H, Gaspar A. Treatment
of the fibrous capsule on mammary
implants:
a
technical
innovation
for changing the implant from the
subglandular to the submuscular plane.
Aesth Plast Surg. 2008;32:365367.

67

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Ulloa, M.G.: The Ageing Face. Piccin,

Turin 1983
Sulamanidze, M.A., Fournier, P.F.,
Paikidze, T.G., Sulamanidze, G.M.:
Removal of facial soft tissue ptosis
with special threads. Dermatol Surg
2002;28:367-371
Ramirez OM, Maillard GF, Mussolas
A. The extended subperiosteal facelift:
a definitive soft tissue remodeling for
facial rejuvenation. Plast Reconstr Surg
1991;88:227-236
Saylan Z. The S-lift for facial rejuvenation.
Int J Cosmet Surg 1999;7:18-24
Sasaki GH, Cohen AT. Meloplication
of the malar fat pads by percutaneous
cable-suture technique for midface
rejuvenation: outcome study (392 cases,
6 years experience) Plast Reconstr Surg
2002;110:635-654

http://nauka.bg

. 68

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Magic of plastic surgery: shortening the
scar after excision
Yordan P. Yordanov MD, PhD
Unit of Plastic Surgery and BurnsMilitary Medical Academy, Sofia

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Abstract
The most common post-excisional defect
to be reconstructed in the field of plastic
surgery and dermatosurgery is the
circular one. Conventional direct closure
of this type of skin defects causes unsightly
protrusions and standing deformities
(dog ears). Conversion of the defect into
fusiform with angles of 30 degrees or
less reduce protrusion but may require
excision of larger volumes and lengths
of healthy skin and subcutaneous tissue
than is often undesirable.
Material and method: All cases of
plastic repair of post-excisional defects
by using unilateral M-plasty technique
between February 2011 and May 2013
were reviewed.
Results: Five patients with mean age
50.4 y were included in the study. In
three of then a benign surgical excision
was performed and in two patients a basal
cell carcinoma was excised. An affection
of certain anatomical structures and scar
lengthening was avoided by applying the
M-plasty technique. No functional and
aesthetic postoperative complications
were observed. A 100% of the patients
were satisfied with the final outcome.
Conclusion: M-plasty technique is an
effective reconstructive method which
shortens the scar and protects vital
anatomic structures. It preserves the
intact tissue (skin) reduce while still
allowing use of 30 degrees angles at
maximum.
Key words: M-plasty, elliptical excision,
local plasty, dog ears.

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1998; 8(8): 548-50.
Asken S. A modified M-plasty. J Dermatol
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- ,

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2008 Jun 12.
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75

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http://nauka.bg/forum/index.php?showtopic=11317

http://nauka.bg

- ; . - ,

Contemporary
concepts
and
laser
treatment
of
infantile
haemangiomas
Aylin Shef, MD; Prof. Miroslava
Kadurina, MD, DSc
Department of Dermatovenereology and
Allergology, Military Medical Academy,
Sofia

:
() -
.
.
,

, ,
.
, .
,
.
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-

.
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Abstract: Infantile haemangiomas (IH)
are the most common tumors of infancy
and childhood. Most IH are medically
insignificant; however, a proportion will
require treatment because of interference
with vital structures, threat of significant
disfigurement, ulceration, or bleeding.
This article reviews briefly current
concepts, definitions and classifications
of
IH. The most
controversial
issues regarding the purposes and
indications for treatment are discussed.
Special emphasis is put on the most
contemporary treatment of these lesions
with laser systems. In Bulgarian science
and practice laser treatment of IH still
remains unclear.
Key words: vascular anomalies,
infantile haemangiomas, treatment,
lasers.
, .

http://nauka.bg

. 68

,
-

77

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/ .
[1].
,
Mulliken Glowacki [2] 1982,


.
1996.
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[3].
(ISSVA)
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10-12%
[4]. 20% -

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(ISSVA)

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, 80-90 %
4

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-,

(.4).

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(.4)

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79


- 25-35% ; , (.5).
(.5)

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1963. Leon Goldman [21].
(IPLs)
, 1983.
Aderson Parrish [22].
,

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.
.
,
, ,

.
- , ,
. -

532-nm potassium titanyl phosphate
(KTP) , 755-nm alexandrite
long-pulse 1064-nm neodymium-doped
yttrium aluminium garnet (Nd:YAG) .
(IPLs).
Batta [23]
PDL,
121
. ,

(
). 1993. Ashinoff Geronemus
[24] PDL

,
,
.
PDL

 [19], 1,2 mm .
, long-pulse
1064-nm Nd:YAG (.7) [25].

(.7)

(.7)

. Nd:YAG
,

[26].
KTP 532
mn
. Nd:YAG ,
1064 nm
,
. , Achauer [27]
Burstein [28].

.
,
,
, , -.
[29],
,
.
,
,

- [30].

-
5-6 mm,

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83

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infancy. Curr Opin Pediatr 2004; 16(4):

373-7.
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., . , .. .


- . . ., 52, 2014,
2: 64-68.

:
-

,
- ,
1606 ,
3
-mail: ailinshef@abv.bg

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plasty technique. Military Medicine 2011

(LXIII suppl 1): 29-31.
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, . : port wine stains . -

85

6. :
() ; ()
1. ( ) ; ()
.
2. ( ) 7. :
3.
() ; ()
4.
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pulse 1064 nm Nd: YAG laser.

- (International Conference on Information

Technologies InfoTech)

, .

100 .
www.1913.nauka.bg

, .
,
. 68

86

, !
http://nauka.bg/forum/index.php?showtopic=11317

http://nauka.bg

THERA-BAND
FLEX-BAR
:

Functional recovery of the elbow

after intraarticular fractures with
THERA-BAND
and
FLEX-BAR
exercises
Ana Nikolova
Department of orthopedic, traumatology
and reconstructive surgery, Military
Medical Academy-Sofia

.
:
15 ,
.
. e
- ().
:
, 121,
-19,5.
3
3,6 .

.


.

.
: : -

http://nauka.bg

. 68

, ,
-

87


Conclusion: Contemporary tools and
methods of kinesitherapy are giving
now more and more opportunities for
fast recovery of elbow function. We are
encouraged by the initial results obtained
after early implementation of elastic
resistance.
Keywords:
kinesitherapy,
elastic
: , - resistance, intraarticular elbow fractures,
, goniometry, manual-muscle testing.
, , - .

Abstract
-
The elbow fractures are among the most 7% , 1/3
difficult for treatment and kinesitherapy , 33% injuries of the upper limb. Restriction 20%
of movements in this joint may lead to a .
significant reduction of working capacity ,
with great social and professional impact. There is much controversy on which Monteggia [1-3]. one is the most appropriate method of treatment and recovery model.

. Materials and methods: Participating
in the study were 15 patients who had intraarticular fractures of the elbow ,
treated surgically. Patients have been
subjected to early postoperative recovery .
program of kinesitherapy with active
exercises using elastic resistance.
Goniometry and manual-muscle testing . (MMT) were used for ongoing follow-up. ,
- Results: An improvement in the range
of motion in sagittal plane was achieved: , flexion reached 121, while deficit in - ,
extension was of -19.5. At the final stage -
of the study the reported deficit in muscle - [4].
strength was 3 MMT for flexor muscles and 3.6 for extensors muscles.
(70-90) -

. 68

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88

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m.biceps
brachii m.triceps brachii [5,6].

[7].

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- .

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TheraBand Flex Bar Thera-Band
1,20 (,
).

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