CASSIO EDUARDO ADAMI RAPOSO DO AMARAL

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  • article
    A cirurgia de mão como uma área de atuação dos cirurgiões plásticos
    (2015) DENADAI, RAFAEL; SAMARTINE JUNIOR, HUGO; DENADAI, RODRIGO; PINHO, ANDRE SILVEIRA; AMARAL, CASSIO EDUARDO RAPOSO-DO-
    ABSTRACT Introduction: Previous studies have shown that the public has misconceptions about the work of plastic surgeons in hand surgery. However, no specific Brazilian data on this issue are available. The objective of this study was to evaluate the public perceptions about the role of plastic surgeons in the field of hand surgery in Brazil. Methods: Members of the Brazilian public chose one or two specialists whom they believed to be experts in eight scenarios related to hand surgery. The patterns of the responses were distributed into “plastic surgeons” or “non-plastic surgeons.” Results: Non-plastic surgeons were significantly (p < 0.05 for all comparisons) more recognized as experts than plastic surgeons in all scenarios related to hand surgery. Conclusion: The knowledge and perceptions of the Brazilian public about the work performed by plastic surgeons in the field of hand surgery are limited.
  • article
    Retalho de Bernard-Webster para reconstrução do lábio inferior após exérese de carcinoma espinocelular: uma análise dos resultados funcionais
    (2015) DENADAI, RAFAEL; SARMENTO, GEYSON SOUZA; BUZZO, CELSO LUIZ; RAPOSO-AMARAL, CASSIO EDUARDO; RAPOSO-DO-AMARAL, CESAR AUGUSTO
    ABSTRACT Introduction: Defects in the lower lips after the excision of squamous cell carcinoma (SCC) are usually repaired using several surgical techniques. However, the functional reconstruction of full-thickness defects in the lower lip remains a challenge. Therefore, the objectives of this study were to describe surgical strategies for the reconstruction of full-thickness defects of the lower lip after surgical excision of the SCC and evaluate the functional results. Methods: This was a retrospective study of all patients with full-thickness defects in the lower lip after excisions of SCC that were greater than one third of the lip that were repaired using the Bernard-Webster flap between 2011 and 2014. The functional results (sphincteric, motor and sensory function) were evaluated according to previously used criteria. Results: Six lip defects were reconstructed without complications using Bernard-Webster flaps. During the postoperative period, the patients reported liquid incontinence (16.67%), intermittent salivary incontinence (16.67%), and difficulty fully opening the mouth (33.33%). The tests revealed sensory deficits in the labiomental areas (100%) and lower lip (33.33%). There was full recovery of all functional changes an average of 3 months after surgery. The observed late functional results were considered satisfactory. Conclusions: The Bernard-Webster flap was an excellent alternative to repairing the defects that affect more than one third of the lower lip since it allowed the use of similar local tissues, a single surgery could be performed, and the result was functionally efficient.