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While Langer’s work was valuable and serves as a guide for providers making decisions, his theory has been improved upon. Langer’s research on skin tension lines was done on cadavers. Anatomical skin lines on living human beings are a bit different. The Kraissl's lines developed by Cornelius J Kraissl, who maintained that scars were least conspicuous when placed in wrinkle lines. Kraissl recognized that wrinkles occurred perpendicular to muscle action. From this, he developed a scheme for elective incisions which were parallel to the lines of greatest tension on the skin. 2002-09-01 · Wrinkle Lines In 1935Jerome P. Webster first suggested that rather than use Langer's lines, surgeons should place incisions in Operative Techniques in General Surgery, Vol 4, No 3 (September), 2002: pp 199-206 199 200 Waldorf et al natural wrinkle lines (Fig 2), and in 1951, Cornelius Kraissl extended the use of wrinkle lines to the whole body.3 Kraissl transposed wrinkle lines over diagrams In the 1950s, Cornelius Kraissl [4,5] proposed lines oriented perpendicular to the action of the underlying muscles [Figure 4A-C] by demonstrating histologically that the adherent connective tissue bands run from the skin to the underlying fascia, perpendicular to the long axis of the muscles, especially at joints such as wrist and knee.

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Kraissl lines - A map. / Maranda, Eric Laurent; Heifetz, Robert; Cortizo, Jacqueline; Hafeez, Farhaan; Nouri, Keyvan.. In: JAMA Dermatology, Vol. 152, No. 9, 01.09 Kraissl Lines-A Map. @article{Maranda2016KraisslLM, title={Kraissl Lines-A Map.}, author={E. Maranda and Robert Heifetz and Jacqueline Cortizo and Farhaan Hafeez and K. Nouri}, journal={JAMA dermatology}, year={2016}, volume={152 9}, pages={ 1014 } } Langer's lines, Langer lines of skin tension, or sometimes called cleavage lines, are topological lines drawn on a map of the human body.

In the 1950s, Cornelius Kraissl [4,5] proposed lines oriented perpendicular to the action of the underlying muscles [Figure 4A-C] by demonstrating histologically that the adherent connective tissue bands run from the skin to the underlying fascia, perpendicular to the long axis of the muscles, especially at joints such as wrist and knee.

They are the lines most commonly used by surgeons and often erroneously defined as Langer’s Lines. Conclusions: RSTLs are most useful for guiding facial incisions and they correlate well with actual incisions made by surgeons. Borges's and Kraissl's lines (not Langer's) may be the best guides for elective incisions of the face and body, respectively.

Kraissl lines

The lines must be checked before setting a lateral decubitus position for the thoracotomy - "Z-Shaped Skin Incision Applying Kraissl's Lines for an Axillary Thoracotomy" Fig. 2. A simple method of demonstrating Kraissls lines is to contract the muscles or to gently compress the skin.4 a,b Kraissls lines in the axillary region at 1 year of age.

Kraissl lines

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Kraissl CJ. The selection of appropriate lines for elective surgical incisions. Plast Reconstr Surg (1946).1951;8(1):1-28. 2. Kraissl CJ, Conway H. Excision of small tumours of the skin of the face with special reference to the wrinkle lines. 1949;25(4):592-600.
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1976;18(5 Langer's lines: lt;pre|>|Langer's lines|, sometimes called |cleavage lines|, are |topological lines| drawn on a m World Heritage Encyclopedia, the aggregation of the largest online encyclopedias available, and the most definitive collection ever assembled. 2007-04-01 · Langer's cleavage lines, Kraissl and Conway's wrinkle lines, or lines of relaxation, and Borges' relaxed skin tension lines all illustrate directional mechanical properties of skin. The fact that they do not entirely agree with each other suggests that these lines are variable and not static and that each one may be a ‘snapshot’ of the wider dynamic picture demonstrated by our study.
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