Plenty! 6. Oncologic surgeons have been taught to follow natural ‘wrinkle lines’ in the breast and to employ curvilinear incisions following Langer’s lines (concentric lines parallel to the edge of the areola) or Kraissl’s lines (natural horizontally oriented skin creases) in the breast. Both the periosteum and the endosteum possess osteogenic potency. 1951. You can write a book review and share your experiences. 37. Langer's lines: to use or not to use. 1999 Jul. Learn exam 2 301 phyl physiology with free interactive flashcards. En el 2015, se conocieron los resultados de 2 estudios: LOTUS (Long Term usage of Esomeprazole vs. Fertil B, Malaise EP. 38. You can write a book review and share your experiences. Many surgeons prefer Langer’s lines. A thin layer of cell-rich connective tissue, the endosteum, lines the surface of the bone facing the marrow cavity. 5). Thus, the traditional emphasis on scar placement (i.e., Langer’s lines and Kraissl’s lines) and skin preservation is gradually being replaced or complimented by an appropriate emphasis on breast shape, volume, and symmetry. Plast Reconstr Surg 1951; 8: 1 – 28. You can write a book review and share your experiences. The original prevalence percentages of DePalma are listed (top lines), along with percentages from more recent anatomic studies (bottom lines). The original prevalence percentages of DePalma are listed (top lines), along with percentages from more recent anatomic studies (bottom lines). Relaxed skin tension lines, Z‐plasty on scars and fusiform excision of lesions. Scar redness in humans: how long does Surg. Bond JS, Duncan JAL, Mason T, Sattar A, Boanas A, traverse Langer’s skin tension lines. Langer described the predominant orientation of collagen fibers in the skin and around the breast, and these lines are essentially circular . 56, 57) Fig. Convert documents to beautiful publications and share them worldwide. The Use of Autologous Fat Grafting O’Kane S, et al. Cleavage lines include the Langer lines and other lines derived from similar experiments based on the shape of wounds. I badly badly badly miss the Offset command when I'm trying to do 2D cad work in Chief. Also, the method used to identify Kraissl's lines is not traumatic. Whereas Langer's lines were defined in cadavers, Kraissl's lines have been defined in living individuals. Whether you've loved the book or not, if you give your honest and detailed thoughts then people will find new books that are right for them. Whereas Langer's lines were defined in cadavers, Kraissl's lines have been defined in living individuals. Title: Guias Colombianas Para El Diagnostico Y El Manejo De Los Desordenes Cronicos De Las Venas, Author: Asovascular, Length: 247 pages, Published: 2015-11-04 Plast Reconstr Surg 1951; 8: 1 – 28. These include the Cox lines (Cox, 1941), Kraissl lines (Kraissl, 1951) and (RSTL) relaxed skin tension lines … Abstract The advent of screening mammography and its widespread application has resulted in more patients being diagnosed with small invasive breast cancers. The selection of appropriate lines for elective surgical incision. Borges AF, Gibson T: The original Z-plasty. professor, observed that in the skin of cadavers, a round hole punched into the skin produced not a round wound but a "linear cleft" [Langer, 1861]. However, Kraissl preferred lines oriented perpendicular to the action of the underlying muscles. Press alt + / to open this menu Transversal physiological skin tension and torso lines in the area of the abdomen as described by Langer and Kraissl [31, 32]. 4.075), was used to remove the wave undulation of the obtained 3-D data. Polylines! Series Preface. folds, and type 6 (11.4%) has no synovial recesses, a These lines are known as the Langer lines. Additional transversal force tension vectors of the abdomen in inspiration (Fig. 8:1. 2.) 4.075), was used to remove the wave undulation of the obtained 3-D data. RELAXED SKIN TENSION LINES, Z-PLASTIES ON SCARS, AND FUSIFORM EXCISION OF LESIONS By ALBgRTO F. BORGES, M.D., and JOHN E. ALEXANDER, M.D. Objective This study aimed to determine the magnitude and associated factors of surgical site infection following cesarean section at Felegehiwot referral hospital, Amhara, Bahir Dar, Ethiopia, 2018. Whether you've loved the book or not, if you give your honest and detailed thoughts then people will find new books that are right for them. Thirty-six differently named guidelines have developed as surgeons have searched for an ideal guide for elective incisions. Abstract The advent of screening mammography and its widespread application has resulted in more patients being diagnosed with small invasive breast cancers. Fewer and higher furrows are created if skin is pinched parallel to the lines Left) Borges's relaxed skin tension lines in the face. Relaxed skin tension lines (RSTLs), Langer's lines, and Kraissl's lines. Surg Gynecol Obstet. Publishing platform for digital magazines, interactive publications and online catalogs. Note flattened articulating surfaces of sixth costo-transverse joint (black arrow). These include the Cox lines (Cox, 1941), Kraissl lines (Kraissl, 1951) and (RSTL) relaxed skin tension lines … Cross Ref link Pubmed link; 9 Kraissl CJ. While Langer lines are the best known skin tension lines, many variations on the original lines proposed by Langer have been made over the years. 1999 Jul. Kraissl C: The selection of lines for elective surgical incisions, Plast Reconstr Surg 8:1-28, 1951. Wilhelmi BJ, Blackwell SJ, Phillips LG. Preoperative planning includes a tissue diagnosis of cancer before proceeding to … Plast Reconstr Surg 1984; 73: 144-150. The selection of appropriate lines for elective surgical incisions. Seen on a graph, the survival rate for many cancers resembles a precipice. These lines are known as the Langer lines. Surg Gynecol Obstet. 56, 57) Fig. Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com, στις Topological lines that correspond to the natural orientation of collagen fibers and parallel to the orientation of the underlying muscle fibers. 5. An icon used to represent a menu that can be toggled by interacting with this icon. 2 areas is required for better understanding of the tissue properties and for successful long-term durability of the tissues within the transplanted area. (Center) Comparison of Borges's and Langer's face lines. 3.) Preoperative planning includes a tissue diagnosis of cancer before proceeding to … Other readers will always be interested in your opinion of the books you've read. Gibson T: Karl Langer (1819-1887) and his lines. (Center) Comparison of Borges's and Langer's face lines. 4.075), was used to remove the wave undulation of the obtained 3-D data. Atlas of Craniomaxillofacial Osteosynthesis Microplates, Miniplates,and Screws, 2 edition.pdf 1 and 2), nowadays incisions and therewith resulting scars of 3–10 cm usually suffice for the different techniques of correction applied. Langer's lines: to use or not to use. Biological response to radiation therapy. Relaxed skin tension lines, Z‐plasty on scars and fusiform excision of lesions. first researcher to publish his. Langer lines serve their greatest instructive value at points coincident with Kraissl lines. Surg Gynecol Obstet. The length of the lines for calculating roughness parameters was 10 mm. It's taken me 4 years to figure out just what it is that most keeps me running back to autocad for 2D cad work. I'm a little slow sometimes. Sections of this page. Conway H. Notes on cutaneous healing in wounds. Intrinsic radiosensitivity of human cell lines is correlated with radioresponsiveness of human tumors: analysis of 101 published survival curves. Br J Plast Surg 1978: 31: 1-2. The studies of the skin lines in the forehead and glabellar area were analyzed.Langer used the term "cleavage of the cutis, anatomical lines." Dr. Keyvan Nouri is a Dermatologist in Miami, FL. 1951. These lines were described by Karl Langer in 1861,1 an anatomy professor, from cadavers in rigor mortis. Later, Borges described relaxed skin tension lines, which follow furrows formed when the skin is relaxed and are produced by pinching the skin. 37. Following injury, cells in these layers may differentiate into osteoblasts (bone forming cells) which become involved in the repair of damage to the bone. Most of these early breast cancer patients can be treated with breast conservation surgery and sentinel lymphadenectomy followed by radiotherapy. This book provides a comprehensive compilation of musculoskeletal ultrasonography (MSUS) fundamentals in pediatric rheumatology with emphasis on imaging techniques, normal anatomy, approaches towards standardization, and the spectrum of pathologic findings seen in … Shot lines vs leader lengths Lost PWD Borges AF, Gibson T: The original Z-plasty. 20. ! Sections of this page. A thin layer of cell-rich connective tissue, the endosteum, lines the surface of the bone facing the marrow cavity. Kraissl CJ. Note flattened articulating surfaces of sixth costo-transverse joint (black arrow). Plast Reconstr Surg. Kraissl later demonstrated that lines of maximum resting skin tension run in a more transverse orientation across the breast . Preoperative planning includes a tissue diagnosis of cancer before proceeding to … A lateral horizontal incision on the breast follows the Kraissl line, whereas a vertical incision does not. While in earlier decades skin horizontal incisions extending up to 30 cm with resulting unsightly scars were not uncommon for surgical access across the anterior thoracic wall and décolleté (Figs. 104(1):208-14. . folds, and type 6 (11.4%) has no synovial recesses, a Flickr photos, groups, and tags related to the "amazonbooks" Flickr tag. What are two advantages of using this knowledge when doing minor surgery? 21. Conway H. Notes on cutaneous healing in wounds. An icon used to represent a menu that can be toggled by interacting with this icon. But if we suddenly had that, I'd still be frustrated. The five lines were placed 2 mm apart in the center of the replicas. Oncologic surgeons have been taught to follow natural ‘wrinkle lines’ in the breast and to employ curvilinear incisions following Langer’s lines (concentric lines parallel to the edge of the areola) or Kraissl’s lines (natural horizontally oriented skin creases) in the breast. 6–11 thoracic vertebrae; VI, VII–XI ribs ( Lanz T v, Wachsmuth W, Praktische Anatomie. These lines were developed by Karl Langer, an anatomy professor, from cadavers in rigor mortis. We would like to show you a description here but the site won’t allow us. Oct 25, 2019 - FACIAL SKIN LINES N°9 : BEFORE LINES : BARON DUPUYTREN CUTANEOUS TENSION Intrinsic radiosensitivity of human cell lines is correlated with radioresponsiveness of human tumors: analysis of 101 published survival curves. It has been tradition to place an incision to excise a cancer directly over the lesion, but this can result in an unsightly scar, particularly if the cancer is high and medial. 35. Kraissl C: The selection of lines for elective surgical incisions, Plast Reconstr Surg 8:1-28, 1951. An icon used to represent a menu that can be toggled by interacting with this icon. Other readers will always be interested in your opinion of the books you've read. 26 Chapter 1 Developmental Anatomy of the Shoulder and Anatomy of the Glenohumeral Joint. Fewer and higher furrows are created if skin is pinched parallel to the lines Left) Borges's relaxed skin tension lines in the face. However, in 1951, Kraissl2 published his preferred anatomic lines oriented perpendicular to the action of the underlying muscles. 6. Devices, kits, systems and methods are described herein for treatment to skin, including but not limited to wound healing, the treatment, amelioration, and/or prevention of scars or keloids. Turesson I, Carlsson J, Brahme A et al. You can write a book review and share your experiences. Borges AF: Relaxed skin tension lines. Knowing the direction of Langer's lines within a specific area of the skin is important for minimizing scars and the tension on the wound. 4 Borges noted that when one pinches oneself, wrinkles become larger when they form parallel to Langer’s lines. The static lines, described by Langer, correspond to the lines of maximum tension, the Kraissl's lines correspond to the movements of the skin during muscle work, whereas the Borges lines are the relaxed skin tension lines. Transversal physiological skin tension and torso lines in the area of the abdomen as described by Langer and Kraissl [31, 32]. Choose from 269 different sets of exam 2 301 phyl physiology flashcards on Quizlet. Borges A, Alexander J: Relaxed skin tension lines, Z-plasties on scars and fusiform excision of lesions, Br J Plast Surg 15:242-254, 1962. The selection of appropriate lines for elective surgical incisions. In addition, overlying skin is removed with a full‐thickness fibroglandular excision of the breast cancer and desired margin. Following injury, cells in these layers may differentiate into osteoblasts (bone forming cells) which become involved in the repair of damage to the bone. 2 Modern teaching now generally recommends that wrinkle-line incisions be followed. Br J Plast Surg 1962; 15: 242 – 54. In 1951, for example, Kraissl [10] suggested that surgeons should incise along natural wrinkle lines rather than along the Langer lines… Find Dr. Nouri's phone number, address, insurance information, hospital affiliations and more. Gibson T: Karl Langer (1819-1887) and his lines. 38. Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com, στις We train COVID-19 Safe, please fill out our COVID-19 Declaration Form before joining our classes and stay home and get checked if you experience flue symptoms!! Radial excision lumpectomy uses a radial incision that may cross both Langer's and Kraissl's lines 50 . Oncologic surgeons have been taught to follow natural ‘wrinkle lines’ in the breast and to employ curvilinear incisions following Langer’s lines (concentric lines parallel to the edge of the areola) or Kraissl’s lines (natural horizontally oriented skin creases) in the breast. 1938. When the skin is pinched oblique to the relaxed skin tension lines, an S-shaped pattern is created. When I'm doing 2D details, most of the time I need just plain lines, not all polylines. This recommendation was reinforced by Kraissl … Sternocostal joints (cartilage in blue). 7. Kraissl considered wrinkles to be an adaptation to muscle Whether you've loved the book or not, if you give your honest and detailed thoughts then people will find new books that are right for them. Langer's lines, Langer lines of skin tension, or sometimes called cleavage lines, are topological lines drawn on a map of the human body. first researcher to publish his. Biological response to radiation therapy. (Right) Comparison of Borges's and Kraissl's face lines. He recommended that surgical incisions should be made in such a way as to follow the direction of Langer lines to obtain the best postoperative scars. 1951. In addition, overlying skin is removed with a full‐thickness fibroglandular excision of the breast cancer and desired margin. An institution-based retrospective cross-sectional study was conducted from April 1 to May 30, 2018, at Felegehiwot referral hospital. Langer, an anatomy. Radial excision lumpectomy uses a radial incision that may cross both Langer's and Kraissl's lines 50 . Cross Ref link; 10 Langer K. … Borges AF: Relaxed skin tension lines (RSTL) versus other skin lines. 3.) 5. The static lines, described by Langer, correspond to the lines of maximum tension, the Kraissl's lines correspond to the movements of the skin during muscle work, whereas the Borges lines are the relaxed skin tension lines. LINES OF MAXIMUM SKIN TENSION (LANGER'S LINES) - The. Springer, Berlin Heidelberg, Special Edition 2004, p 41, Figs. We would like to show you a description here but the site won’t allow us. The length of the lines for calculating roughness parameters was 10 mm. 676:140. Plast Reconstr Mullender MG. 3.) Over the forehead, he found a border zone of horizontal folds that were interrupted many times by the ascending folds coming from the flabella area. 2.) The five lines were placed 2 mm apart in the center of the replicas. Kraissl's lines are a set of anatomical skin lines.They differ from Langer's lines in that unlike Langer's lines, which are defined in term of collagen orientation, Kraissl's lines are the lines of maximum skin tension.. 7. However, in 1951, Kraissl2 published his preferred anatomic lines oriented perpendicular to the action of the underlying muscles. Cross Ref link; 10 Langer K. … Wilhelmi BJ, Blackwell SJ, Phillips LG. This book provides a comprehensive compilation of musculoskeletal ultrasonography (MSUS) fundamentals in pediatric rheumatology with emphasis on imaging techniques, normal anatomy, approaches towards standardization, and the spectrum of pathologic findings seen in … findings on the variable stress and strain of skin was Langer, in 1861. 2.) 8:1. Borges A, Alexander J: Relaxed skin tension lines, Z-plasties on scars and fusiform excision of lesions, Br J Plast Surg 15:242-254, 1962. 7. Nevertheless, Langer studied these relaxed skin tension lines in cadavers, whereas Kraissl’s lines were defined in living individuals under no traumatic procedures . Otolaryngology is a technology-dependent specialty with diverse use of lasers, microscopes, and microinstrumentation, often in surgical fields with limited lines of sight. Plast Reconstr Surg. 1938. 5. 1999 Jul. 2005;116(6):1648-1658. Dermatol Clin 1989;7: 169-177. Otolaryngology is a technology-dependent specialty with diverse use of lasers, microscopes, and microinstrumentation, often in surgical fields with limited lines of sight. 20. Relaxed skin tension lines (RSTLs), Langer's lines, and Kraissl's lines. A wave undulation removal filter (polynomial filter, rank = 5 ), which was in the Primos system software (Primos ver. Vertical physiological vector lines of muscle fibers of the Musculus rectus abdominis. Cleavage lines. Borges AF: Relaxed skin tension lines. Br J Plast Surg 1978: 31: 1-2. Abstract. 36. Discovered at an early stage, most cancers are quickly treatable, and the prognosis is excellent. Conway H. Notes on cutaneous healing in wounds. Transversal physiological skin tension and torso lines in the area of the abdomen as described by Langer and Kraissl [31, 32]. While in earlier decades skin horizontal incisions extending up to 30 cm with resulting unsightly scars were not uncommon for surgical access across the anterior thoracic wall and décolleté (Figs. 6–11 thoracic vertebrae; VI, VII–XI ribs ( Lanz T v, Wachsmuth W, Praktische Anatomie. Publishing platform for digital magazines, interactive publications and online catalogs. The five lines were placed 2 mm apart in the center of the replicas. Kraissl CJ. Langer's lines: to use or not to use. Kraissl C: The selection of lines for elective surgical incisions, Plast Reconstr Surg 8:1-28, 1951. professor, observed that in the skin of cadavers, a round hole punched into the skin produced not a round wound but a "linear cleft" [Langer, 1861]. Black lines indicate axis of movement. The length of the lines for calculating roughness parameters was 10 mm. The Use of Autologous Fat Grafting O’Kane S, et al. Relaxed skin tension lines (RSTLs), Langer's lines, and Kraissl's lines. Wrinkle lines. Acta Oncol 1988; 27: 131–46. When considering in length exactly what is included in a definition of palmistry, one begins to better understand why it remains relevant to so many, thousands of years after its conception. Cross Ref link Pubmed link; 9 Kraissl CJ. 104(1):208-14. . Title: Guias Colombianas Para El Diagnostico Y El Manejo De Los Desordenes Cronicos De Las Venas, Author: Asovascular, Length: 247 pages, Published: 2015-11-04 Instead of meridians and parallels, concentric circles that correspond to lines of skin tension or Kraissl's lines are drawn [5]. Scar redness in humans: how long does Surg. Wrinkle lines were described by Kraissl and were based on photographs of an elderly man with wrinkles [4]. Langer, an anatomy. Kraissl’s lines … +3. A wave undulation removal filter (polynomial filter, rank = 5 ), which was in the Primos system software (Primos ver. The selection of appropriate lines for elective surgical incision. 6. Kraissl's lines are a set of anatomical skin lines.They differ from Langer's lines in that unlike Langer's lines, which are defined in term of collagen orientation, Kraissl's lines are the lines of maximum skin tension.. 104(1):208-14. . Black lines indicate axis of movement. Atlas of Craniomaxillofacial Osteosynthesis Microplates, Miniplates,and Screws, 2 edition.pdf Both the periosteum and the endosteum possess osteogenic potency. Technology can only serve as a tool to enhance the quality of care delivered, however, and does not make the surgeon infallible. Abstract. Accessibility Help. Kocher was the first surgeon to recognize the surgical significance of Langer lines in 1892. When the skin is pinched oblique to the relaxed skin tension lines, an S-shaped pattern is created. Series Preface. Vertical physiological vector lines of muscle fibers of the Musculus rectus abdominis. These lines were described by Karl Langer in 1861,1 an anatomy professor, from cadavers in rigor mortis. What are Langer's Lines? They are parallel to the natural orientation of collagen fibers in the dermis, and perpendicular to the underlying muscle fibers.Langer's lines have relevance to forensic science and the development of surgical techniques. Br J Plast Surg 1962; 15: 242 – 54. Wilhelmi BJ, Blackwell SJ, Phillips LG. Kraissl considered wrinkles to be an adaptation to muscle contraction and he overlaid wrinkle lines over muscle anatomy illustrations to map out lines that he thought were ideal for surgical excisions. Instead of meridians and parallels, concentric circles that correspond to lines of skin tension or Kraissl’s lines are drawn [5]. Flickr photos, groups, and tags related to the "rstl" Flickr tag. 4. Abstract The advent of screening mammography and its widespread application has resulted in more patients being diagnosed with small invasive breast cancers. Sternocostal joints (cartilage in blue). This concept was first described by the German dermatologist Alfred Blaschko in 1901 at the 7th Congress of German Dermatological Society. Whether you've loved the book or not, if you give your honest and detailed thoughts then people will find new books that are right for them. Acta Oncol 2003; 42: 92–106. Also, the method used to identify Kraissl's lines is not traumatic. Discovered at an early stage, most cancers are quickly treatable, and the prognosis is excellent. Other readers will always be interested in your opinion of the books you've read. Vertical physiological vector lines of muscle fibers of the Musculus rectus abdominis. 5). Convert documents to beautiful publications and share them worldwide. 4. (Right) Comparison of Borges's and Kraissl's face lines. Falls Church, Virginia Prom the Departments of Plastic and Reconstructive Surgery, Arlington Hospital, National Orthopaedic and Rehabilitation Hospital, and Fairfax County Hospital IT is a well-known fact that the more a scar follows the relaxed … Langer's lines, Langer lines of skin tension, or sometimes called cleavage lines, are topological lines drawn on a map of the human body. - Langer's lines: lines of cleavage, mapped using cadavers --> shows main alignment of collagen fibres and as a surgeon you wish to cut along these not perpendicular to them to minimise gaping of scar - Kraissl's lines: relaxed skin tension lines, correspond to wrinkles Whether you've loved the book or not, if you give your honest and detailed thoughts then people will find new books that are right for them. Kraissl espoused a viewpoint that when cleavage lines such as Langer’s lines and wrinkle lines were compared, it was the latter than were best used for surgical incisions. Bond JS, Duncan JAL, Mason T, Sattar A, Boanas A, traverse Langer’s skin tension lines. These lines were developed by Karl Langer, an anatomy professor, from cadavers in rigor mortis. Most of these early breast cancer patients can be treated with breast conservation surgery and sentinel lymphadenectomy followed by radiotherapy. Other readers will always be interested in your opinion of the books you've read. 21. An icon used to represent a menu that can be toggled by interacting with this icon. En el 2015, se conocieron los resultados de 2 estudios: LOTUS (Long Term usage of Esomeprazole vs. Certain devices kits, systems and methods are used to select treatment parameters, devices or methods for treating skin in a location, zone, or region of skin having particular mechanical or other properties. Karen A. Newell, in Essential Clinical Procedures (Second Edition), 2007 SKIN TENSION LINES (LANGER'S LINES) Skin tension lines, also known as Langer's lines or lines of cleavage, are linear clefts in the skin that indicate the direction of orientation of the underlying collagen fibers. Clearly, the ranges of the reference values are wide since the mechanical properties of the skin are strictly related to age and body lines (static lines, as described by Langer, Kraissl’s lines or Borge’s lines) . 8:1. These lines are known as the Langer lines. They are parallel to the natural orientation of collagen fibers in the dermis, and perpendicular to the underlying muscle fibers.Langer's lines have relevance to forensic science and the development of surgical techniques. 2005;116(6):1648-1658. Plast Reconstr Surg. Plast Reconstr Surg 1984; 73: 144-150. Turesson I, Carlsson J, Brahme A et al. Press alt + / to open this menu Additional transversal force tension vectors of the abdomen in inspiration (Fig. While the Langer lines are the best known skin tension lines, many variations on the original lines proposed by Langer have been made. Fertil B, Malaise EP. 36. Springer, Berlin Heidelberg, Special Edition 2004, p 41, Figs. 676:140. Blaschko lines or the lines of Blaschko are thought to represent pathways of epidermal cell migration and proliferation during the development of the fetus.. History of the lines of Blaschko. skin tension lines like Kraissl lines14) or Borges’s re-laxed skin tension lines (RSTL)15). Keloids are more common when incisions are made across Langer's lines. Accessibility Help. Borges AF: Relaxed skin tension lines (RSTL) versus other skin lines. 1 and 2), nowadays incisions and therewith resulting scars of 3–10 cm usually suffice for the different techniques of correction applied. Plast Reconstr Surg. A wave undulation removal filter (polynomial filter, rank = 5 ), which was in the Primos system software (Primos ver. 26 Chapter 1 Developmental Anatomy of the Shoulder and Anatomy of the Glenohumeral Joint. The selection of appropriate lines for elective surgical incisions. Atlas of Craniomaxillofacial Osteosynthesis Microplates, Miniplates,and Screws, 2 edition.pdf Additional transversal force tension vectors of the abdomen in inspiration (Fig. While the Langer lines are the best known skin tension lines, many variations on the original lines proposed by Langer have been made. Acta Oncol 2003; 42: 92–106. While the Langer lines are the best known skin tension lines, many variations on the original lines proposed by Langer have been made. Incisions made parallel to these lines heal faster and produce less scarring than those that cut across. 676:140. Retrospective chart review was implemented on 383 … A knowledge of Langer’s lines and Kraissl’s lines thus allows a surgeon to make incisions that enhance the cosmetic outcome of breast-conserving surgery. R€ ucken. R€ ucken. If the skin is disrupted parallel to the long axis of the fibers, the wound tends to reapproximate. You can write a book review and share your experiences. Plast Reconstr Surg. In this way, Kraissl’s lines are found to be more dynamic and to correlate with wrinkle lines during muscle contraction, making them more accurate than Langer’s lines. Relaxed skin tension lines (RSTLs), Langer's lines, and Kraissl's lines. Kraissl CJ. Acta Oncol 1988; 27: 131–46. However, Kraissl preferred lines oriented p … Other readers will always be interested in your opinion of the books you've read. Borges A, Alexander J: Relaxed skin tension lines, Z-plasties on scars and fusiform excision of lesions, Br J Plast Surg 15:242-254, 1962. findings on the variable stress and strain of skin was Langer, in 1861. of papers on ‘cleavage lines’ in 1861 that were not translated until 1978 by Gibson.2 Cox, who recreated Langer’s experi-ment in 1941, studied 28 cadavers and also marked out skin cleavage lines.3 Cleavage lines run in a sagittal direction on the scalp. An icon used to represent a menu that can be toggled by interacting with this icon. We were therefore initially concerned about increased hy- Dermatol Clin 1989;7: 169-177. Many surgeons prefer Langer’s lines. Straith’s Lines ... that from a cosmetic standpoint incisions should be made parallel to the tension lines shown in Langer's schematic representation.
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