Search

Your search keyword '"Sonja Kästner"' showing total 2 results
Start Over Author "Sonja Kästner" Search Limiters Full Text
2 results on '"Sonja Kästner"'

1. Recurrent 8-Year Ongoing Unilateral Breast Seroma Formation after PIP Implant Removal—A Case Report and Review of the Literature

Author

Sonja Kästner, Felix Julian Paprottka, Phillipp Gonser, Manuel De Villegas López, and Kai Oliver Kaye

Subjects
alcl, late seroma, breast augmentation, pip, implants, capsular contracture, autologous fat transfer, breast reconstruction, implant rupture, Surgery, RD1-811
Abstract

Late seroma formation is a rare complication after implant-based breast enlargement surgery and even less frequent after implant removal. This case report presents a case of painful recurrent seroma formation after the removal of a ruptured Poly Implants Prothèse implant. A 52-year-old patient presented herself in our clinic with a clinical history of recurrent unilateral seroma of the right breast over a period of 8 years after the initial unilateral implant removal. Removal of the remaining implant and complete bilateral capsulectomy was performed. Intraoperative findings revealed a macroscopically thickened capsule with signs of chronic inflammation on the affected side. The clinical history and the macroscopic appearance of the capsule demanded histopathological exclusion of a possible anaplastic large cell lymphoma. Histopathological and microbiological analysis of the capsule and encapsulated material revealed no signs of malignancy or infection. Immediate soft tissue reconstruction of the breast was successfully performed using autologous fat transfer. An aesthetically satisfying result regarding symmetry and volume was achieved, and no further seroma formation was observed within a 6-month follow-up period. Level of evidence: V, Case Report.

Published
2018
Full Text
View/download PDF

2. Correction and Prevention of the Pixie Ear Deformity: A Combined Technique

Author

Gabriela R Casabona, Sonja Kästner, Felix J. Paprottka, and Kai O Kaye

Subjects
Mastoid process, Adult, Male, Rotation flap, medicine.medical_specialty, Cicatrix, Hypertrophic, Esthetics, medicine.medical_treatment, 030230 surgery, Surgical Flaps, 03 medical and health sciences, 0302 clinical medicine, Postoperative Complications, Suture (anatomy), Ptosis, otorhinolaryngologic diseases, medicine, Humans, Displacement (orthopedic surgery), Earlobe, Fixation (histology), Aged, Retrospective Studies, business.industry, Incidence, Suture Techniques, Ear Deformities, Acquired, General Medicine, Middle Aged, Surgery, medicine.anatomical_structure, Treatment Outcome, Rhytidoplasty, Female, medicine.symptom, business, Rhytidectomy, Ear Auricle
Abstract

Background Ear and earlobe deformities after surgical rhytidectomy are common and can significantly diminish the aesthetic outcome. The main causes of ear/earlobe distortion are skin overresection, an imbalance between vertical/horizontal skin-lift vectors, and tractional distortions through superficial muscularaponeurotic system (SMAS) tension. Objectives To demonstrate a new method for earlobe suturing and ear fixation that would prevent aesthetics-related complications after facelift surgery. Methods A total of 105 primary SMAS facelift surgeries were performed between 2015 and 2016 by the first author. A combination technique consisting of a posterior earlobe rotation flap (PERF) and a concha-mastoid suspension suture (CMSS) was executed bilaterally within each facelift procedure (n = 210). A retrospective data analysis was conducted (preoperatively and one year postoperatively) using our hospital information system and a photometric data analysis to assess auricular displacement, earlobe distortion, and hypertrophic scarring. Results Pseudoptosis of the earlobe was noted in two cases, and auricular displacement was observed in four cases. Bilateral mild hypertrophic scarring was seen in one patient. The postoperative photometric analysis showed a natural ptosis grade I/II in all the patients, with a statistically significantly reduced postoperative earlobe size (P < 0.05). The total rate of aesthetics-related complications was 4% in our cohort (earlobe distortion with pseudoptosis: 1%; auricular displacement: 2%; hypertrophic scarring: 1%). Conclusions Our modification of the facial flap anchoring at the ear base in combination with a CMSS stabilizes the natural position of the ear and prevents distortion while allowing better control over the earlobe’s aesthetic shaping. This novel method reduces the incidence of ear/earlobe deformities and hypertrophic scarring at the ear base after rhytidectomy and, therefore, promises to be a valuable advancement. Level of Evidence: 4

Published
2018

Catalog

Books, media, physical & digital resources
See catalog results