cosmesis
English translation: cosmetic appearance/cosmesis
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| 07:53 May 25, 2002 |
| Spanish to English translations [PRO] Medical | |||||||
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|  Selected response from: Maria Luisa Duarte Spain Local time: 16:56 | ||||||
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| 4 | Cosmesis |
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13 mins confidence: 
Cosmesis Explanation: Cosmesis in adolescent idiopathic scoliosis is an important factor to be taken into account because of its psychological impact on the patient; it is often the only indication for treatment. The aim of this study was to quantify the cosmetic defect of spinal deformity. Photographs of 100 adolescent idiopathic scoliosis patients were examined by ten non-medical judges. Each one of the judges gave a Cosmetic Spinal Score (CSS) for each patient, according to the cosmetic appearance of the patient's back. The CSS obtained for each patient was compared with an ISIS scan (Integrated Shape Imaging System, Oxford Metrics Ltd, England) performed at the same time as the photographs. The CSS proved to be reliable. The correlation between CSS and Hump Severity Score, the ISIS parameter representing the size of the rib hump, was high. The rib hump, therefore, seemed to be the single major factor influencing cosmesis. Less significant correlations were found with Lateral Asymmetry and the Cobb angle. An equation based on ISIS parameters (Hump Severity and Lateral Asymmetry) was developed, which could predict the CSS with significant reproducibility. The practical value of this equation is that the cosmetic appearance of a patient can be calculated from ISIS parameters with reasonable approximation. This provides the surgeon with a single figure that gives an impression of the severity of the cosmetic deformity. -------------------------------------------------- Note added at 2002-05-25 08:09:28 (GMT) Post-grading -------------------------------------------------- Diagnosis and surgical treatment of suspicious nonpalpable breast lesions and early breast cancer: Prev Chapter 6. Discussion Next -------------------------------------------------------------------------------- 6.6. Cosmesis (V) The cosmetic outcome of WGB for nonpalpable breast lesion in this study was excellent or good in 75.5% of the cases. Corresponding figures of 49% to 89% have been reported after BCT, but any comparison with the present results is difficult. The adverse impact of irradiation on the overall cosmetic outcome is almost impossible to evaluate. It is notable (224,242-246,250,275,276), however, and such changes were absent in our series. Cosmesis was evaluated 6 months after breast biopsy, because the surgical changes alone in the breast tend to be evident within months after lumpectomy (185), and human scar tissue maintains a relatively high level of collagen synthesis for only up to 6 months (251), though remodelling of the wound continues for 12 months or more (277). Notably, cosmetic scores after BCT deteriorate for the first 30-60 months because of postradiation changes (243,244,252). |
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