ISSN:0148-7043    

出版商:OVID    

年代:1984

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

The nasal deformity in the cleft lip patient is produced by the lower lateral cartilage being subluxed inferiorly and laterally, which falsely lengthens the nose on the cleft side. The columella is not short. It simply extends laterally to a dipped area in the rim of the nostril. The cleft lip nasal deformity is correctable at the time of primary lip repair by advancing the lower lateral cartilage superiorly and mediatly. The correction will last with the cartilage fixed to the upper lateral cartilage-septal junction, its normal position. A deficient repair will not improve. A good repair will last, will not interfere with growth of the nose, and will free the patient from years of unnecessary embarrassment.Correction of the cleft lip nasal deformity in the adult requires repositioning of the lower lateral cartilage similar to what can be and should be done in the infant.

ISSN:0148-7043    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A model was designed for evaluating protocol and management strategies in the multidisciplinary approach to cleft lip and palate treatment. The treatment history and present status of 45 patients 14 to 22 years of age were evaluated by a plastic surgeon, orthodontist, and speech pathologist. Results indicated that only about half of these patients had completed treatment by one of the specialties by the time they were 14 years or older. Even more surprisingly, only 7 patients (16%) had completed treatment by all three specialties by this age. Factors that may contribute to this low percentage of completed treatments are discussed.

ISSN:0148-7043    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Sphincter pharyngoplasty is our procedure of choice for cases of velopharyngeal incompetence with good mobility of the lateral pharyngeal walls. The technique and results in 16 patients are discussed.

ISSN:0148-7043    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

An experimental model for limb transplantation as a composite tissue transfer has been developed using two genetically well defined strains of rats, BUF and LEW. The study shows that cyclosporin A (CyA) is very effective as an immunosuppressive agent in preventing refection of transplanted limbs in rats. It is found to suppress rejection of the homotransplants as long as treatment is continuous. No untoward side effects have been noted at the current experimental dosage of the medication. CyA is superior to the conventional agents, such as azathioprine and prednisolone, which allow rejection of the limbs while treatment is in progress. There is a period of immune tolerance following CyA treatment; however, this period becomes shorter as the length of the treatment is increased. This may indicate that CyA treatment should be continuous and not pulsed at the dosage used in this experimental model. Additional experiments are underway to further elucidate this phenomenon.

ISSN:0148-7043    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Selecting appropriate patients for facial cosmetic surgery can reduce patient management problems as well as increase the number of patients satisfied with their treatment and with the aesthetic result. In addition to medical considerations, the psychological make-up of a particular patient should play an important role in the decision to operate. Research with 55 patients undergoing aesthetic regenerative facial surgery has produced data which indicate particular personality characteristics to consider in the selection process. These four characteristics—self-evaluation of attractiveness, anxiety, fear, and expectation—are represented by the acronym SAFE; they are presented in this article along with the techniques for a surgeon to use when evaluating a patient for each characteristic. This method aids in selecting SAFE patients for surgery.

ISSN:0148-7043    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A prospective clinical study using standardized measurements for dissection was undertaken to determine the effectiveness of an extended superficial musculoaponeurotic system (SMAS) procedure in correcting platysma bands. Favorable results were obtained in 77 consecutive patients without the risk of midline deformities. All patients were followed for one year; some have now been followed for 2 1/2 years. The maxi-SMAS operation has a low complication rate and there was no nerve damage in this series.

ISSN:0148-7043    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

This article reviews the author's series of 750 rhytidectomies done over an eight-year period, beginning with the earlier pure Skoog technique with no subcutaneous undermining and evolving into the present technique with widespread undermining except in the lower face. The current technique, which is a tri-plane dissection, is discussed in detail. The upper face dissection is in the subcutaneous plane. The lower face dissection is in the sub-SMAS plane and the neck dissection is in the preplatysmal plane. Ways to avoid postoperative neck deformities are discussed. The conclusion is that whether one undermines the skin of the lower face or not probably makes no difference in the aesthetic results, but this technique would appear to minimize complications, particularly hematoma formation.

ISSN:0148-7043    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Periosteal chondroma has not been previously described as a cause of carpal tunnel syndrome. This report describes a case of periosteal chondroma developing in the floor of the carpal canal and presenting as carpal tunnel syndrome.

ISSN:0148-7043    

出版商:OVID    

年代:1984

数据来源: OVID