Lymphedema fat graft: an ideal filler for facial rejuvenation.
Identifieur interne : 001282 ( PubMed/Curation ); précédent : 001281; suivant : 001283Lymphedema fat graft: an ideal filler for facial rejuvenation.
Auteurs : Fabio Nicoli [Italie] ; Ram M. Chilgar [Taïwan] ; Stamatis Sapountzis [Taïwan] ; Davide Lazzeri [Italie] ; Matthew Yeo Sze Wei [Taïwan] ; Pedro Ciudad [Taïwan] ; Marzia Nicoli [Italie] ; Seong Yoon Lim [Taïwan] ; Pei-Yu Chen [Taïwan] ; Joannis Constantinides [Royaume-Uni] ; Hung-Chi Chen [Taïwan]Source :
- Archives of plastic surgery [ 2234-6163 ] ; 2014.
Abstract
Lymphedema is a chronic disorder characterized by lymph stasis in the subcutaneous tissue. Lymphatic fluid contains several components including hyaluronic acid and has many important properties. Over the past few years, significant research has been performed to identify an ideal tissue to implant as a filler. Because of its unique composition, fat harvested from the lymphedema tissue is an interesting topic for investigation and has significant potential for application as a filler, particularly in facial rejuvenation. Over a 36-month period, we treated and assessed 8 patients with lymphedematous limbs who concurrently underwent facial rejuvenation with lymphedema fat (LF). We conducted a pre- and post-operative satisfaction questionnaire survey and a histological assessment of the harvested LF fat. The overall mean general appearance score at an average of 6 months after the procedure was 7.2±0.5, demonstrating great improvement. Patients reported significant improvement in their skin texture with a reading of 8.5±0.7 and an improvement in their self-esteem. This study demonstrates that LF as an ideal autologous injectable filler is clinically applicable and easily available in patients with lymphedema. We recommend the further study and clinical use of this tissue as it exhibits important properties and qualities for future applications and research.
DOI: 10.5999/aps.2014.41.5.588
PubMed: 25276654
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Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy. ; Department of Immunology, University of Rome "La Sapienza", Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", Rome, Italy. ; Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy. ; Department of Immunology, University of Rome "La Sapienza", Rome</wicri:regionArea></affiliation></author><author><name sortKey="Lim, Seong Yoon" sort="Lim, Seong Yoon" uniqKey="Lim S" first="Seong Yoon" last="Lim">Seong Yoon Lim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Pei Yu" sort="Chen, Pei Yu" uniqKey="Chen P" first="Pei-Yu" last="Chen">Pei-Yu Chen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pathology, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Pathology, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Constantinides, Joannis" sort="Constantinides, Joannis" uniqKey="Constantinides J" first="Joannis" last="Constantinides">Joannis Constantinides</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan. ; Department of Plastic and Reconstructive Surgery, St. Thomas' Hospital, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan. ; Department of Plastic and Reconstructive Surgery, St. Thomas' Hospital, London</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25276654</idno><idno type="pmid">25276654</idno><idno type="doi">10.5999/aps.2014.41.5.588</idno><idno type="wicri:Area/PubMed/Corpus">001282</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001282</idno><idno type="wicri:Area/PubMed/Curation">001282</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001282</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lymphedema fat graft: an ideal filler for facial rejuvenation.</title><author><name sortKey="Nicoli, Fabio" sort="Nicoli, Fabio" uniqKey="Nicoli F" first="Fabio" last="Nicoli">Fabio Nicoli</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", Rome, Italy. ; Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan. ; Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", Rome, Italy. ; Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan. ; Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Chilgar, Ram M" sort="Chilgar, Ram M" uniqKey="Chilgar R" first="Ram M" last="Chilgar">Ram M. Chilgar</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Sapountzis, Stamatis" sort="Sapountzis, Stamatis" uniqKey="Sapountzis S" first="Stamatis" last="Sapountzis">Stamatis Sapountzis</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Lazzeri, Davide" sort="Lazzeri, Davide" uniqKey="Lazzeri D" first="Davide" last="Lazzeri">Davide Lazzeri</name><affiliation wicri:level="1"><nlm:affiliation>Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Sze Wei, Matthew Yeo" sort="Sze Wei, Matthew Yeo" uniqKey="Sze Wei M" first="Matthew Yeo" last="Sze Wei">Matthew Yeo Sze Wei</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Ciudad, Pedro" sort="Ciudad, Pedro" uniqKey="Ciudad P" first="Pedro" last="Ciudad">Pedro Ciudad</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Nicoli, Marzia" sort="Nicoli, Marzia" uniqKey="Nicoli M" first="Marzia" last="Nicoli">Marzia Nicoli</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", Rome, Italy. ; Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy. ; Department of Immunology, University of Rome "La Sapienza", Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", Rome, Italy. ; Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy. ; Department of Immunology, University of Rome "La Sapienza", Rome</wicri:regionArea></affiliation></author><author><name sortKey="Lim, Seong Yoon" sort="Lim, Seong Yoon" uniqKey="Lim S" first="Seong Yoon" last="Lim">Seong Yoon Lim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Pei Yu" sort="Chen, Pei Yu" uniqKey="Chen P" first="Pei-Yu" last="Chen">Pei-Yu Chen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pathology, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Pathology, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Constantinides, Joannis" sort="Constantinides, Joannis" uniqKey="Constantinides J" first="Joannis" last="Constantinides">Joannis Constantinides</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan. ; Department of Plastic and Reconstructive Surgery, St. Thomas' Hospital, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan. ; Department of Plastic and Reconstructive Surgery, St. Thomas' Hospital, London</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author></analytic><series><title level="j">Archives of plastic surgery</title><idno type="ISSN">2234-6163</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema is a chronic disorder characterized by lymph stasis in the subcutaneous tissue. Lymphatic fluid contains several components including hyaluronic acid and has many important properties. Over the past few years, significant research has been performed to identify an ideal tissue to implant as a filler. Because of its unique composition, fat harvested from the lymphedema tissue is an interesting topic for investigation and has significant potential for application as a filler, particularly in facial rejuvenation. Over a 36-month period, we treated and assessed 8 patients with lymphedematous limbs who concurrently underwent facial rejuvenation with lymphedema fat (LF). We conducted a pre- and post-operative satisfaction questionnaire survey and a histological assessment of the harvested LF fat. The overall mean general appearance score at an average of 6 months after the procedure was 7.2±0.5, demonstrating great improvement. Patients reported significant improvement in their skin texture with a reading of 8.5±0.7 and an improvement in their self-esteem. This study demonstrates that LF as an ideal autologous injectable filler is clinically applicable and easily available in patients with lymphedema. We recommend the further study and clinical use of this tissue as it exhibits important properties and qualities for future applications and research.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">25276654</PMID><DateCreated><Year>2014</Year><Month>10</Month><Day>03</Day></DateCreated><DateCompleted><Year>2014</Year><Month>10</Month><Day>03</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2234-6163</ISSN><JournalIssue CitedMedium="Print"><Volume>41</Volume><Issue>5</Issue><PubDate><Year>2014</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Archives of plastic surgery</Title><ISOAbbreviation>Arch Plast Surg</ISOAbbreviation></Journal><ArticleTitle>Lymphedema fat graft: an ideal filler for facial rejuvenation.</ArticleTitle><Pagination><MedlinePgn>588-93</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5999/aps.2014.41.5.588</ELocationID><Abstract><AbstractText>Lymphedema is a chronic disorder characterized by lymph stasis in the subcutaneous tissue. Lymphatic fluid contains several components including hyaluronic acid and has many important properties. Over the past few years, significant research has been performed to identify an ideal tissue to implant as a filler. Because of its unique composition, fat harvested from the lymphedema tissue is an interesting topic for investigation and has significant potential for application as a filler, particularly in facial rejuvenation. Over a 36-month period, we treated and assessed 8 patients with lymphedematous limbs who concurrently underwent facial rejuvenation with lymphedema fat (LF). We conducted a pre- and post-operative satisfaction questionnaire survey and a histological assessment of the harvested LF fat. The overall mean general appearance score at an average of 6 months after the procedure was 7.2±0.5, demonstrating great improvement. Patients reported significant improvement in their skin texture with a reading of 8.5±0.7 and an improvement in their self-esteem. This study demonstrates that LF as an ideal autologous injectable filler is clinically applicable and easily available in patients with lymphedema. We recommend the further study and clinical use of this tissue as it exhibits important properties and qualities for future applications and research.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nicoli</LastName><ForeName>Fabio</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", Rome, Italy. ; Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan. ; Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chilgar</LastName><ForeName>Ram M</ForeName><Initials>RM</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sapountzis</LastName><ForeName>Stamatis</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lazzeri</LastName><ForeName>Davide</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sze Wei</LastName><ForeName>Matthew Yeo</ForeName><Initials>MY</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ciudad</LastName><ForeName>Pedro</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nicoli</LastName><ForeName>Marzia</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", Rome, Italy. ; Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy. ; Department of Immunology, University of Rome "La Sapienza", Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lim</LastName><ForeName>Seong Yoon</ForeName><Initials>SY</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Pei-Yu</ForeName><Initials>PY</Initials><AffiliationInfo><Affiliation>Department of Pathology, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Constantinides</LastName><ForeName>Joannis</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan. ; Department of Plastic and Reconstructive Surgery, St. Thomas' Hospital, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Hung-Chi</ForeName><Initials>HC</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>09</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>Korea (South)</Country><MedlineTA>Arch Plast Surg</MedlineTA><NlmUniqueID>101577999</NlmUniqueID><ISSNLinking>2234-6163</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Plast Reconstr Surg. 2007 Nov;120(6 Suppl):41S-54S</RefSource><PMID Version="1">18090342</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 1998 Dec;31(4):173-9</RefSource><PMID Version="1">9949388</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Dermatol Surg Oncol. 1992 Mar;18(3):179-84</RefSource><PMID Version="1">1531838</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Plast Surg. 2007 Aug;59(2):173-9</RefSource><PMID Version="1">17667412</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Maxillofac Surg. 2013 Mar;71(3):610-21</RefSource><PMID Version="1">22883321</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Plast Surg. 2001 Jan;28(1):111-9</RefSource><PMID Version="1">11248861</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Facial Plast Surg Clin North Am. 2008 Nov;16(4):391-9, v</RefSource><PMID Version="1">19056051</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Semin Cutan Med Surg. 2004 Dec;23(4):218-22</RefSource><PMID Version="1">15745228</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 2002 Mar;35(1):15-22</RefSource><PMID Version="1">11939568</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Aesthet Surg J. 2012 Jul;32(5):622-33</RefSource><PMID Version="1">22745452</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lymphat Res Biol. 2003;1(1):67-70</RefSource><PMID Version="1">15624323</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Plast Reconstr Surg. 2012 Apr;129(4):838-47</RefSource><PMID Version="1">22456356</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 2004 Mar;37(1):6-14</RefSource><PMID Version="1">15109072</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Plast Reconstr Surg. 2013 Sep;132(3):580-9</RefSource><PMID Version="1">23985633</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Clin Oncol. 2009 Apr 20;27(12):2007-14</RefSource><PMID Version="1">19289624</PMID></CommentsCorrections></CommentsCorrectionsList><OtherID Source="NLM">PMC4179366</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Adipose tissue</Keyword><Keyword MajorTopicYN="N">Esthetics</Keyword><Keyword MajorTopicYN="N">Hyaluronic acid</Keyword><Keyword MajorTopicYN="N">Lymphedema</Keyword><Keyword MajorTopicYN="N">Rejuvenation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>03</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>05</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>06</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>10</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>10</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>10</Month><Day>3</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25276654</ArticleId><ArticleId IdType="doi">10.5999/aps.2014.41.5.588</ArticleId><ArticleId IdType="pmc">PMC4179366</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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