摘要:

Annals welcomes two new members to its Editorial Board, Alston Callahan, M.D., as Consultant in Ophthalmology and Oculoplastic Surgery, and Eugene S. Kilgore, Jr., M.D., as Consultant in Hand Surgery.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

We present the surgical technique of reverse abdominoplasty combined with mammary reduction in a single stage. The technical details are described, with special reference to patient selection and postoperative care. Comments about the midsternal scar line are also included.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A review of the Cleveland Clinic experience in malignant melanoma from the years 1969 to 1975 was undertaken to evaluate factors of significance in prognosticating the course of the disease. We classified melanomas of 145 patients according to clinical stage and histological presentation, using the levels of Clark and the micrometer thickness measurements of Breslow as criteria.The worst prognostic factors were distant metastases and lymph node involvement, having a 70% mortality by the end of follow-up. The most important early prognostic indicator was the histology of the initial lesions. Patients with Clark's level I and II melanomas had a 70% survival, while patients with level IV and V melanomas had a 17% survival. Lesions less than 2 mm thick had a more favorable prognosis (63% survival), while thicker lesions had a 15% survival. Level III fell into two groups, with favorable lesions having thicknesses of less than 2mm (70% survival), and lesions thicker than 2 mm carrying a poor prognosis (20% survival).Another significant indicator was tumor site—truncal lesions having less favorable courses. Age, sex, and local recurrences were all found to have little significance.Based on these findings, we present our approach to therapy.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A simple procedure has been developed to correct this laxity of the upper, inner thighs. This consists of symmetrical resection of a crescent-shaped segment of skin and subcutaneous tissue having the distribution of an L1 embryological dermatome, just inferior to the inguinal crease. Despite temporary sensory loss and spreading of scars in some patients, the procedure has been gratifying to both patient and surgeon. Patients must be carefully selected, as the procedure does not correct either trochanteric lipodystrophy or ptosis, or lipodystrophy medial to and just superior to the knee.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

The intercostal island flap is a new omnipotential flap that is extremely valuable for torso reconstruction, provided one understands the intricacies of intercostal anatomy. Human cadaver dissections were done to determine the precise course and branching pattern of the lower (T7-T11) intercostal neurovascular bundles. On the basis of these dissections, the intercostal structures can be divided into four anatomical segments: vertebral, costal groove, inter-muscular, and rectus. The anatomical segments can be safely combined in many ways to create versatile skin flaps. Three different clinical applications with requisite modifications in surgical technique are described in detail to exemplify important anatomical observations. The potential value of the intercostal island flap in reconstructive surgery is discussed.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

The author presents a study of 280 cases of frontal face lift out of 2,934 cases of rhytidectomy, and his personal technique for correction of frontal and glabellar wrinkles. The anatomical and physiological aspects of the facial musculature, especially the procerus and corrugator muscles, are described. Emphasis is placed on the technique of vertical and horizontal cuts in the aponeurosis of the frontal region.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

The microscopic anatomy of the alar margins of the nose shows that skin abuts skin without intervening subcutaneous tissues. It is the only place in humans where this occurs.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID