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Lydia Masako Ferreira - One of the best experts on this subject based on the ideXlab platform.

  • support system for decision making in the identification of risk for body dysmorphic disorder a fuzzy model
    International Journal of Medical Informatics, 2013
    Co-Authors: Maria Jose Azevedo De Brito, Fabio Xerfan Nahas, Neli Regina Siqueira Ortega, Taki Athanassios Cordas, Gal Moreira Dini, Miguel Sabino Neto, Lydia Masako Ferreira
    Abstract:

    Abstract Purpose To develop a fuzzy linguistic model to quantify the level of distress of patients seeking cosmetic surgery. Body dysmorphic disorder (BDD) is a mental condition related to body image relatively common among cosmetic surgery patients; it is difficult to diagnose and is a significant cause of morbidity and mortality. Fuzzy cognitive maps are an efficient tool based on human knowledge and experience that can handle uncertainty in identifying or grading BDD symptoms and the degree of body image dissatisfaction. Individuals who seek cosmetic procedures suffer from some degree of dissatisfaction with appearance. Methods A fuzzy model was developed to measure distress levels in cosmetic surgery patients based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), diagnostic criterion B for BDD. We studied 288 patients of both sexes seeking abdominoplasty, rhinoplasty, or Rhytidoplasty in a university hospital. Results Patient distress ranged from "none" to "severe" (range=7.5–31.6; cutoff point=18; area under the ROC curve=0.923). There was a significant agreement between the fuzzy model and DSM-IV criterion B ( kappa =0.805; p Conclusion The fuzzy model measured distress levels with good accuracy, indicating that it can be used as a screening tool in cosmetic surgery and psychiatric practice.

  • A stratigraphic approach to the superficial musculoaponeurotic system and its anatomic correlation with the superficial fascia.
    Aesthetic plastic surgery, 2006
    Co-Authors: Lydia Masako Ferreira, Rafael Fagionato Locali, Bernardo Hochman, Leonardo Quicoli Rosa-oliveira
    Abstract:

    The superficial musculoaponeurotic system (SMAS) is not included in the International Anatomic Terminology, although it is a fundamental anatomical structure in plastic surgeons. In the literature, the concept of the SMAS is not clear, leading to repercussions in the treatment of the SMAS via the various techniques for Rhytidoplasty. This review article, in its aim to conceptualize the SMAS, has as a referential parameter the basic stratigraphic pattern of the human body construction. A systematic review of the literature was performed through Medline, ISI-Web of Science, and Lilacs databases as well as through classical treatises of anatomy for analyses of the stratigraphic principle of SMAS and its relationship to the fascia. In fact, SMAS, an anatomic entity, is part of this construction model. The stratigraphic approach followed in this article to describe the SMAS is novel in the literature and allows for a unified anatomic understanding of SMAS for the scientific community.

  • facial nerve in Rhytidoplasty anatomic study of its trajectory in the overlying skin and the most common sites of injury
    Annals of Plastic Surgery, 2003
    Co-Authors: Rolando Zani, Romeu Fadul, Marco Dias A Da Rocha, Rafael De Almeida Santos, Marcos Chaves De Arruda Alves, Lydia Masako Ferreira
    Abstract:

    The anatomic study of the facial nerve is closely related to the prevention of nerve injury that may occur in facial surgeries. The purpose of this study is to analyze the most susceptible areas in the face regarding the probability of facial nerve injury, based on the demarcation of its trajectory in the overlying skin. Three hundred cadaveric hemifaces were dissected (172 male, 128 female) and the facial nerve trajectory was followed from the stylomastoids foramen to the mimic muscles. The trajectory of the facial branches was delimited in the overlying skin by six diverging lines, with the following reference points: the upper and lower portions of the tragus, the most cranial wrinkle of the frontal region, the lower facial wrinkle of the frontal muscle, the nasal midpoint, an imaginary point 1 cm caudal to the oral commisura, another imaginary point also caudal to the oral commisura at the lower margin of mandible, and the clavicle midpoint. The temporal branches have the highest probability of being injured, followed by the mandibular marginal and buccal branches. The areas with greater risk of injury are the temporofrontal region (between the hairline and the lateral limit of the frontal muscle), the area near the angle of the mandible, and the preparotid region.

Gabbai,alberto Alain - One of the best experts on this subject based on the ideXlab platform.

  • Peroneal nerve palsy due to compartment syndrome after facial plastic surgery
    Academia Brasileira de Neurologia - ABNEURO, 2007
    Co-Authors: Godeiro-júnior,clécio O., Oliveira,acary Sousa Bulle, Felício,andré Carvalho, Gabbai,alberto Alain
    Abstract:

    A 25-year-old white man, right after bilateral Rhytidoplasty, presented with agitation, necessiting use of haloperidol. Some hours after, he developed severe pain in his legs and a diagnosis of neuroleptic malignant syndrome (NMS) was considered. Even with treatment for NMS he still complained of pain. A diagnosis of lower limb compartment syndrome (CS) was done only 12 hours after the initial event, being submitted to fasciotomy in both legs, disclosing very pale muscles, due to previous ischemia. This syndrome was not explained only by facial surgery, his position and duration of the procedure. It can be explained by a sequence of events. He had a history of pain in his legs during physical exercises, usually seen in chronic compartment syndrome. He used to take anabolizant and venlafaxine, not previously related, and the agitation could be related to serotoninergic syndrome caused by interaction between venlafaxine and haloperidol. Rhabdomyolisis could lead to oedema and ischmemia in both anterior leg compartment. This report highlights the importance of early diagnosis of compartment syndrome, otherwise, even after fasciotomy, a permanent disability secondary to peripheral nerve compression could occur

  • Paralisia de nervo fibular devido a síndrome compartimental após cirurgia plástica da face
    'FapUNIFESP (SciELO)', 2007
    Co-Authors: Godeiro-júnior, Clécio De Oliveira, Oliveira,acary Sousa Bulle, Felício,andré Carvalho, Barros Newton, Gabbai,alberto Alain
    Abstract:

    A 25-year-old white man, right after bilateral Rhytidoplasty, presented with agitation, necessiting use of haloperidol. Some hours after, he developed severe pain in his legs and a diagnosis of neuroleptic malignant syndrome (NMS) was considered. Even with treatment for NMS he still complained of pain. A diagnosis of lower limb compartment syndrome (CS) was done only 12 hours after the initial event, being submitted to fasciotomy in both legs, disclosing very pale muscles, due to previous ischemia. This syndrome was not explained only by facial surgery, his position and duration of the procedure. It can be explained by a sequence of events. He had a history of pain in his legs during physical exercises, usually seen in chronic compartment syndrome. He used to take anabolizant and venlafaxine, not previously related, and the agitation could be related to serotoninergic syndrome caused by interaction between venlafaxine and haloperidol. Rhabdomyolisis could lead to oedema and ischmemia in both anterior leg compartment. This report highlights the importance of early diagnosis of compartment syndrome, otherwise, even after fasciotomy, a permanent disability secondary to peripheral nerve compression could occur.Logo após ritidoplastia bilateral, um jovem de 25 anos apresentou agitação, necessitando uso de haloperidol. Algumas horas após, desenvolveu dor intensa em membros inferiores, e o diagnóstico de síndrome neuroléptica maligna foi considerado. Mesmo com o tratamento para tal, persistiu com dor. Após 12 horas do início do quadro, foi realizado o diagnóstico de síndrome compartimental de membros inferiores e o jovem foi submetido a fasciotomia bilateral. Uma seqüência de eventos desencadeou esta síndrome, já que sua ocorrência dificilmente seria justificada pela cirurgia facial e/ou posição do paciente durante o procedimento. O jovem apresentava previamente dor em membros inferiores aos exercícios, sugerindo a ocorrência de uma síndrome compartimental crônica. Ele fazia uso de anabolizantes e venlafaxina, não relatado no início do quadro, e a agitação poderia ser explicada por uma síndrome serotoninérgia desencadeada pela interação deste último medicamento e haloperidol. A rabdomiólise secundária a estes eventos causou edema e isquemia nos compartimentos anteriores de ambos os membros inferiores, levando a uma compressão secundária do nervo fibular. O caso em questão ilustra a importância do diagnóstico precoce da síndrome compartimental pois, caso contrário, mesmo com fasciotomia, uma complicação permanente devido à compressão de nervos periféricos pode se estabelecer.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Department of Neurology and NeurosurgeryUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Department of Vascular SurgeryUNIFESP, EPM, Department of Neurology and NeurosurgeryUNIFESP, EPM, Department of Vascular SurgerySciEL

Maria Jose Azevedo De Brito - One of the best experts on this subject based on the ideXlab platform.

  • support system for decision making in the identification of risk for body dysmorphic disorder a fuzzy model
    International Journal of Medical Informatics, 2013
    Co-Authors: Maria Jose Azevedo De Brito, Fabio Xerfan Nahas, Neli Regina Siqueira Ortega, Taki Athanassios Cordas, Gal Moreira Dini, Miguel Sabino Neto, Lydia Masako Ferreira
    Abstract:

    Abstract Purpose To develop a fuzzy linguistic model to quantify the level of distress of patients seeking cosmetic surgery. Body dysmorphic disorder (BDD) is a mental condition related to body image relatively common among cosmetic surgery patients; it is difficult to diagnose and is a significant cause of morbidity and mortality. Fuzzy cognitive maps are an efficient tool based on human knowledge and experience that can handle uncertainty in identifying or grading BDD symptoms and the degree of body image dissatisfaction. Individuals who seek cosmetic procedures suffer from some degree of dissatisfaction with appearance. Methods A fuzzy model was developed to measure distress levels in cosmetic surgery patients based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), diagnostic criterion B for BDD. We studied 288 patients of both sexes seeking abdominoplasty, rhinoplasty, or Rhytidoplasty in a university hospital. Results Patient distress ranged from "none" to "severe" (range=7.5–31.6; cutoff point=18; area under the ROC curve=0.923). There was a significant agreement between the fuzzy model and DSM-IV criterion B ( kappa =0.805; p Conclusion The fuzzy model measured distress levels with good accuracy, indicating that it can be used as a screening tool in cosmetic surgery and psychiatric practice.

Gabbai, Alberto Alain [unifesp] - One of the best experts on this subject based on the ideXlab platform.

  • Paralisia de nervo fibular devido a síndrome compartimental após cirurgia plástica da face
    Academia Brasileira de Neurologia - ABNEURO, 2007
    Co-Authors: Godeiro-júnior, Clécio De Oliveira [unifesp], Oliveira, Acary Souza Bulle [unifesp], Felício, André Carvalho [unifesp], Barros, Newton [unifesp], Gabbai, Alberto Alain [unifesp]
    Abstract:

    A 25-year-old white man, right after bilateral Rhytidoplasty, presented with agitation, necessiting use of haloperidol. Some hours after, he developed severe pain in his legs and a diagnosis of neuroleptic malignant syndrome (NMS) was considered. Even with treatment for NMS he still complained of pain. A diagnosis of lower limb compartment syndrome (CS) was done only 12 hours after the initial event, being submitted to fasciotomy in both legs, disclosing very pale muscles, due to previous ischemia. This syndrome was not explained only by facial surgery, his position and duration of the procedure. It can be explained by a sequence of events. He had a history of pain in his legs during physical exercises, usually seen in chronic compartment syndrome. He used to take anabolizant and venlafaxine, not previously related, and the agitation could be related to serotoninergic syndrome caused by interaction between venlafaxine and haloperidol. Rhabdomyolisis could lead to oedema and ischmemia in both anterior leg compartment. This report highlights the importance of early diagnosis of compartment syndrome, otherwise, even after fasciotomy, a permanent disability secondary to peripheral nerve compression could occur.Logo após ritidoplastia bilateral, um jovem de 25 anos apresentou agitação, necessitando uso de haloperidol. Algumas horas após, desenvolveu dor intensa em membros inferiores, e o diagnóstico de síndrome neuroléptica maligna foi considerado. Mesmo com o tratamento para tal, persistiu com dor. Após 12 horas do início do quadro, foi realizado o diagnóstico de síndrome compartimental de membros inferiores e o jovem foi submetido a fasciotomia bilateral. Uma seqüência de eventos desencadeou esta síndrome, já que sua ocorrência dificilmente seria justificada pela cirurgia facial e/ou posição do paciente durante o procedimento. O jovem apresentava previamente dor em membros inferiores aos exercícios, sugerindo a ocorrência de uma síndrome compartimental crônica. Ele fazia uso de anabolizantes e venlafaxina, não relatado no início do quadro, e a agitação poderia ser explicada por uma síndrome serotoninérgia desencadeada pela interação deste último medicamento e haloperidol. A rabdomiólise secundária a estes eventos causou edema e isquemia nos compartimentos anteriores de ambos os membros inferiores, levando a uma compressão secundária do nervo fibular. O caso em questão ilustra a importância do diagnóstico precoce da síndrome compartimental pois, caso contrário, mesmo com fasciotomia, uma complicação permanente devido à compressão de nervos periféricos pode se estabelecer

Ferreira, Lydia Masako - One of the best experts on this subject based on the ideXlab platform.

  • Cross-cultural validation of the FACE-Q Satisfaction with Facial Appearance Overall Scale (FACE-Q SFAOS) in Brazilian Rhytidoplasty patients
    Hospital das Clínicas Faculdade de Medicina Universidade de São Paulo, 2020
    Co-Authors: Gama, José Teixeira, Rossetto, Luís Antônio, Brito, Nathalya Botelho, Veiga, Daniela Francescato, Ferreira, Lydia Masako
    Abstract:

    OBJECTIVES: This study aimed to culturally validate the FACE-Q - Satisfaction with Facial Appearance Overall Scale (Face-Q SFAOS) in a population of Brazilian Rhytidoplasty patients. METHOD: Authorization for the translation and validation of the questionnaire was obtained from the FACE-Q SFAOS distribution rights holders. The FACE-Q SFAOS was translated and then back-translated. For cultural validation, a total of 57 women were selected 5 to 8 months after undergoing Rhytidoplasty. Twenty of them participated in the cultural adaptation, 30 participated in the reproducibility analysis, and 57 participated in the construct validation. RESULTS: The analysis identified two factors (general appearance and face geometry) that exhibited excellent internal consistency. The total satisfaction score, which comprised nine items, also presented excellent internal consistency. Good reproducibility was found for Overall Appearance, Geometry and Total. There was a difference in the satisfaction means (total and factors) between procedure locations; patients undergoing frontal, upper eyelid and lower eyelid procedures were less satisfied than those who did not undergo such procedures. Satisfaction was higher with geometry than with overall face appearance. CONCLUSION: The FACE-Q SFAOS was adapted to the cultural context of Brazilian Rhytidoplasty patients and was reproducible, and the scale exhibited face, content and construct validity

  • Support system for decision making in the identification of risk for body dysmorphic disorder: A fuzzy model
    'Elsevier BV', 2013
    Co-Authors: Azevedo De Britoa, Maria Jose, Nahas, Fabio Xerfan, Siqueira Ortega, Neli Regina, Cordas, Taki Athandssios, Dini, Gal Moreira, Neto, Miguel Sabino, Ferreira, Lydia Masako
    Abstract:

    Purpose: To develop a fuzzy linguistic model to quantify the level of distress of patients seeking cosmetic surgery. Body dysmorphic disorder (BDD) is a mental condition related to body image relatively common among cosmetic surgery patients; it is difficult to diagnose and is a significant cause of morbidity and mortality. Fuzzy cognitive maps are an efficient tool based on human knowledge and experience that can handle uncertainty in identifying or grading BDD symptoms and the degree of body image dissatisfaction. Individuals who seek cosmetic procedures suffer from some degree of dissatisfaction with appearance.Methods: A fuzzy model was developed to measure distress levels in cosmetic surgery patients based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), diagnostic criterion B for BDD. We studied 288 patients of both sexes seeking abdominoplasty, rhinoplasty, or Rhytidoplasty in a university hospital.Results: Patient distress ranged from none to severe (range=7.5-31.6; cutoff point=18; area under the ROC curve=0.923). There was a significant agreement between the fuzzy model and DSM-IV criterion B (kappa = 0.805; p

  • Quality of life and self-esteem outcomes following Rhytidoplasty
    'Ovid Technologies (Wolters Kluwer Health)', 2005
    Co-Authors: Alves Mcd, Abla, Luiz Eduardo Felipe, Santos R. D., Ferreira, Lydia Masako
    Abstract:

    To evaluate improvement in patients' quality of life and self-esteem as a result of Rhytidoplasty, 32 Caucasian female patients with facial rhytidosis, aged 46 to 68, were selected consecutively from a waiting list and underwent Rhytidoplasty. the widely used health evaluation tool Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), and the Rosenberg Self-esteem Scale, a specific tool for self-esteem assessment, were used. Evaluations were carried out preoperatively and in the second and sixth months postoperative. Significant improvements were observed in 4 out of 8 aspects evaluated through SF-36, as well as in self-esteem, 2 and 6 months after surgery.The results presented here indicate that Rhytidoplasty confers substantial improvement in health status and psychologic functioning of patients by increasing both quality of life and self-esteem.UNIFESP, EPM, Div Plast Surg, Dept Surg, São Paulo, BrazilUNIFESP, EPM, Div Plast Surg, Dept Surg, São Paulo, BrazilWeb of Scienc