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Bibliographic Details
Main Author:	Paula Hitomi Sakiyama
Format:	Artículo científico
Language:	pt
Published:	Sociedade Brasileira de Dermatologia 2021
Subjects:	Medicina Cirurgia de Mohs Neoplasias nasais Retalhos cirúrgicos Neoplasias cutâneas Carcinoma basocelular
Online Access:	https://www.redalyc.org/articulo.oa?id=265568337003 https://www.redalyc.org/journal/2655/265568337003/ https://www.redalyc.org/journal/2655/265568337003/html/ https://www.redalyc.org/journal/2655/265568337003/265568337003.epub https://www.redalyc.org/journal/2655/265568337003/movil
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Reconstrução de defeito de espessura total em asa nasal utilizando retalho de transposição do sulco nasogeniano combinado com retalho em dobradiça Paula Hitomi Sakiyama Thiago Augusto Ferrari Raíssa Rigo Garbin Alexandre Luiz Weber Medicina Cirurgia de Mohs Neoplasias nasais Retalhos cirúrgicos Neoplasias cutâneas Carcinoma basocelular A região nasal é local frequente de carcinomas queratinocíticos, e sua anatomia, seu relevo e sua tridimensionalidade peculiares tornam o reparo cirúrgico desafiador. Eventualmente, em situações de maior complexidade, uma única técnica pode não ser suficiente para a restauração da anatomia original, sendo necessária a associação de métodos. Neste artigo, descrevemos uma estratégia para reconstrução de defeito de espessura total em asa nasal, incluindo margem nasal, a partir da combinação de retalho de transposição do sulco nasogeniano com retalho em dobradiça. Trata-se de um procedimento seguro, dependente da mobilização de tecido local e realizado em um único tempo cirúrgico. 2021 artículo científico 1984-5510 https://www.redalyc.org/articulo.oa?id=265568337003 https://www.redalyc.org/journal/2655/265568337003/ https://www.redalyc.org/journal/2655/265568337003/html/ https://www.redalyc.org/journal/2655/265568337003/265568337003.epub https://www.redalyc.org/journal/2655/265568337003/movil 10.5935/scd1984-8773.2021130007 pt http://www.redalyc.org/revista.oa?id=2655 Surgical & Cosmetic Dermatology application/pdf Sociedade Brasileira de Dermatologia Surgical & Cosmetic Dermatology (Brasil) Vol.13

if (filemtime($filename) + $maxlifetime < time()) { unlink($filename); $count++; } } return $count; } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ protected function saveSession($sessId, $data): bool { $sessFile = $this->path . '/sess_' . $sessId; if ($handle = fopen($sessFile, 'w')) { $return = false; // Lock the file for exclusive access to avoid issues with multiple // processes writing session simultaneously: if (flock($handle, LOCK_EX)) { $return = fwrite($handle, $data); // Make sure that there's no trailing data by truncating the file to // the correct length: ftruncate($handle, strlen($data)); fflush($handle); flock($handle, LOCK_UN); } fclose($handle); if ($return !== false) { return true; } } // If we got this far, something went wrong with the file output... // It is tempting to throw an exception here, but this code is called // outside of the context of exception handling, so all we can do is // echo a message.

// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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