Association between cutaneous occlusive vascular disease, cigarette smoking, and skin slough after rhytidectomy
This prospective study attempted to determine if nonreversible occlusive vascular changes in the skin contribute to skin slough after rhytidectomy. The dermal microvasculature from 83 consecutive rhytidectomies was evaluated for intimal proliferation and/or hyalin sclerosis. Occlusive vascular disea...
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| Veröffentlicht in: | Plastic and reconstructive surgery (1963) 1986-04, Vol.77 (4), p.592-595 |
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| container_title | Plastic and reconstructive surgery (1963) |
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| creator | RIEFKOHL, R WOLFE, J. A COX, E. B MCCARTY, K. S. JR |
| description | This prospective study attempted to determine if nonreversible occlusive vascular changes in the skin contribute to skin slough after rhytidectomy. The dermal microvasculature from 83 consecutive rhytidectomies was evaluated for intimal proliferation and/or hyalin sclerosis. Occlusive vascular disease increased progressively with age in all patients, but smokers and ex-smokers had significantly greater involvement than nonsmokers at any given age (p = 0.03). Severe occlusive vascular disease and skin slough were associated (p = 0.02), and there was a strong trend toward an association between active smoking and skin slough (p = 0.06). Among smokers, there was a significant relationship between skin slough and failure to abstain from smoking postoperatively (p = 0.006). We conclude that with aging, nonreversible occlusive changes develop in the dermal microvasculature. These changes appear to be accelerated by cigarette smoking. Our data, however, show that these nonreversible occlusive vascular changes by themselves do not completely account for the occurrence of skin slough after rhytidectomy. |
| doi_str_mv | 10.1097/00006534-198604000-00013 |
| format | Article |
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We conclude that with aging, nonreversible occlusive changes develop in the dermal microvasculature. These changes appear to be accelerated by cigarette smoking. Our data, however, show that these nonreversible occlusive vascular changes by themselves do not completely account for the occurrence of skin slough after rhytidectomy.</description><identifier>ISSN: 0032-1052</identifier><identifier>EISSN: 1529-4242</identifier><identifier>DOI: 10.1097/00006534-198604000-00013</identifier><identifier>PMID: 3952215</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Face - surgery ; Female ; Humans ; Male ; Medical sciences ; Microcirculation - pathology ; Middle Aged ; Postoperative Complications - etiology ; Postoperative Complications - pathology ; Prospective Studies ; Skin - blood supply ; Skin - pathology ; Skin plastic surgery ; Smoking ; Surgery (general aspects). 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A</creatorcontrib><creatorcontrib>COX, E. B</creatorcontrib><creatorcontrib>MCCARTY, K. S. JR</creatorcontrib><title>Association between cutaneous occlusive vascular disease, cigarette smoking, and skin slough after rhytidectomy</title><title>Plastic and reconstructive surgery (1963)</title><addtitle>Plast Reconstr Surg</addtitle><description>This prospective study attempted to determine if nonreversible occlusive vascular changes in the skin contribute to skin slough after rhytidectomy. The dermal microvasculature from 83 consecutive rhytidectomies was evaluated for intimal proliferation and/or hyalin sclerosis. Occlusive vascular disease increased progressively with age in all patients, but smokers and ex-smokers had significantly greater involvement than nonsmokers at any given age (p = 0.03). Severe occlusive vascular disease and skin slough were associated (p = 0.02), and there was a strong trend toward an association between active smoking and skin slough (p = 0.06). Among smokers, there was a significant relationship between skin slough and failure to abstain from smoking postoperatively (p = 0.006). We conclude that with aging, nonreversible occlusive changes develop in the dermal microvasculature. These changes appear to be accelerated by cigarette smoking. Our data, however, show that these nonreversible occlusive vascular changes by themselves do not completely account for the occurrence of skin slough after rhytidectomy.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Face - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microcirculation - pathology</subject><subject>Middle Aged</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - pathology</subject><subject>Prospective Studies</subject><subject>Skin - blood supply</subject><subject>Skin - pathology</subject><subject>Skin plastic surgery</subject><subject>Smoking</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery, Plastic - adverse effects</subject><subject>Surgical Flaps</subject><subject>Vascular Diseases - etiology</subject><subject>Vascular Diseases - pathology</subject><subject>Wound Healing</subject><issn>0032-1052</issn><issn>1529-4242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1r3DAQQEVp2G6T_ISCDqWnOJGsD1vHEJI0sNBLcjayNN5Va1upRk7Zfx-1u90BMRLzZsQ8Qihn15yZ5oaV0ErIiptWM1leVTlcfCBrrmpTyVrWH8maMVFXnKn6E_mM-LMQjdBqRVbCqLrmak3iLWJ0weYQZ9pD_gMwU7dkO0NckEbnxgXDG9A3i24ZbaI-IFiEK-rC1ibIGShO8VeYt1fUzp5iuVIc47LdUTtkSDTt9jl4cDlO-wtyNtgR4fKYz8nLw_3z3fdq8-Px6e52UzkpZK50azgfnOTKMDW4huuh9WVh4bxwg9QSas1N37TW995Dz5UtBBfAeg8cvDgn3w5zX1P8vQDmbgroYBwPi3WNbqQSWhewPYAuRcQEQ_eawmTTvuOs--u6---6O7nu_rkurV-Ofyz9BP7UeJRb6l-P9eLOjkOyswt4wlptjDZCvAN6Yok_</recordid><startdate>19860401</startdate><enddate>19860401</enddate><creator>RIEFKOHL, R</creator><creator>WOLFE, J. A</creator><creator>COX, E. B</creator><creator>MCCARTY, K. S. JR</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19860401</creationdate><title>Association between cutaneous occlusive vascular disease, cigarette smoking, and skin slough after rhytidectomy</title><author>RIEFKOHL, R ; WOLFE, J. A ; COX, E. B ; MCCARTY, K. S. JR</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-68911fc415905fc716f8d6533cd3cf464e2619b78adbddeb15a6f813e0bde1ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Face - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microcirculation - pathology</topic><topic>Middle Aged</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - pathology</topic><topic>Prospective Studies</topic><topic>Skin - blood supply</topic><topic>Skin - pathology</topic><topic>Skin plastic surgery</topic><topic>Smoking</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery, Plastic - adverse effects</topic><topic>Surgical Flaps</topic><topic>Vascular Diseases - etiology</topic><topic>Vascular Diseases - pathology</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RIEFKOHL, R</creatorcontrib><creatorcontrib>WOLFE, J. A</creatorcontrib><creatorcontrib>COX, E. B</creatorcontrib><creatorcontrib>MCCARTY, K. S. JR</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RIEFKOHL, R</au><au>WOLFE, J. A</au><au>COX, E. B</au><au>MCCARTY, K. S. JR</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between cutaneous occlusive vascular disease, cigarette smoking, and skin slough after rhytidectomy</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><addtitle>Plast Reconstr Surg</addtitle><date>1986-04-01</date><risdate>1986</risdate><volume>77</volume><issue>4</issue><spage>592</spage><epage>595</epage><pages>592-595</pages><issn>0032-1052</issn><eissn>1529-4242</eissn><abstract>This prospective study attempted to determine if nonreversible occlusive vascular changes in the skin contribute to skin slough after rhytidectomy. The dermal microvasculature from 83 consecutive rhytidectomies was evaluated for intimal proliferation and/or hyalin sclerosis. Occlusive vascular disease increased progressively with age in all patients, but smokers and ex-smokers had significantly greater involvement than nonsmokers at any given age (p = 0.03). Severe occlusive vascular disease and skin slough were associated (p = 0.02), and there was a strong trend toward an association between active smoking and skin slough (p = 0.06). Among smokers, there was a significant relationship between skin slough and failure to abstain from smoking postoperatively (p = 0.006). We conclude that with aging, nonreversible occlusive changes develop in the dermal microvasculature. These changes appear to be accelerated by cigarette smoking. Our data, however, show that these nonreversible occlusive vascular changes by themselves do not completely account for the occurrence of skin slough after rhytidectomy.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>3952215</pmid><doi>10.1097/00006534-198604000-00013</doi><tpages>4</tpages></addata></record> |
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| ispartof | Plastic and reconstructive surgery (1963), 1986-04, Vol.77 (4), p.592-595 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Biological and medical sciences Face - surgery Female Humans Male Medical sciences Microcirculation - pathology Middle Aged Postoperative Complications - etiology Postoperative Complications - pathology Prospective Studies Skin - blood supply Skin - pathology Skin plastic surgery Smoking Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery, Plastic - adverse effects Surgical Flaps Vascular Diseases - etiology Vascular Diseases - pathology Wound Healing |
| title | Association between cutaneous occlusive vascular disease, cigarette smoking, and skin slough after rhytidectomy |
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