ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Lymphaticovenous anastomosis has proved valuable in the treatment of obstructive lymphedema. Histological studies of this anastomosis have shown the lymphatic component to be almost inactive in anastomotic healing. In order to clarify the role of the lymphatics, experimental lymphaticolymphatic anastomoses were performed in canine femoral lymphatics. The technique developed calls for eight to ten 19 μ sutures to prevent vessel wall collapse, and preservation of the vasa vasorum. Vessels were harvested from one hour to six weeks after anastomosis. Scanning electron microscopy and conventional light histology revealed the lymphatics to have active healing of the intima with complete reendothelialization by two weeks. The techniques developed in this study are directly applicable to human lymphaticovenous anastomosis.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A technique utilizing the inferiorly based dermal pedicle nipple-areolar flap is described. The advantages of this technique are: (1) predictable breast shape based on preoperative markings; (2) direct visibility of all areas for ease of resection and hemostasis; (3) retention of normal nipple duct connections; (4) no impairment of subjective sensation; and (5) adequate blood supply.This technique has particular application in younger women, in whom nipple sensation is quite important. The interruption of the intercostal nerve branches is usually limited because of the thickness and width of the inferior pedicles. Utilizing our modifications of the technique originally described, this versatile flap can now be used routinely in reduction mammaplasties requiring the removal of either small amounts (200 gm) or quite large amounts (2,500 gm) of tissue with consistently satisfactory aesthetic results and excellent patient satisfaction.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

The much-debated procedure of subcutaneous mastectomy has demonstrated the ability to turn up clinically or radiogrophically undetected carcinoma or precancerous lesions in about 21% of patients undergoing the procedure when adequate screening is performed. This detection rate appears superior to that for close follow-up or radiographic screening procedures in detecting preinvasive or early invasive carcinoma. The main objection—that residual breast tissue remains which is at high risk for subsequent malignant degeneration—is valid, but to date the reported incidence of 0.5% may mean the operation is a worthwhile means of prophylaxis for selected patients whose risk of developing carcinoma is in the range of 20 to 30%.Although the procedure is not a totally sure means of prophylaxis or a cosmetically pleasing operation, its acceptance has been widespread by women in high-risk categories. The lack of acceptance by the surgical community before statistically significant followup evaluations can prove or disprove its safety may derive from Halstedian tradition in evaluating breast procedures. For now, it appears the most useful course is to select patients stringently for the procedure and to follow them individually and as a group nationally. Only such data will show whether subcutaneous mastectomy should continue to be used as a compromise alternative in averting breast cancer and lowering its mortality.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Carpal tunnel syndrome associated with laceration of the median nerve in the distal forearm sometimes occurs. The presenting symptoms related to the initial trauma and the obvious sequelae of the nerve injury itself may focus attention on the neuroma, but the neurological disability may be due in great part to carpal tunnel compression of the nerve distal to the neuroma. Operative decompression usually results in prompt recovery. The possibility of post-traumatic carpal tunnel syndrome must be considered by hose evaluating and caring for the primary nerve injury.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Two major and 18 minor complications in a series of 408 private patients undergoing partial or full-face phenol chemical peeling in a five-year period prompted a fundamental evaluation of several factors relevant to the procedure.Pigmentary change was the most common problem. Human skin pigment and factors that affect it such as hormone intake, cold exposure, ultraviolet light, medication, contact agents, and trauma are unanswered questions relative to at least pigmentary problems. Depigmentary factors were studied in an attempt to evaluate treatment of postoperative pigmentary changes.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Any lip without a complete philtral complex looks unnatural. This important anatomical entity can be recovered in many lips primarily closed with straight-line or Mirault-Blair-Brown-McDowell procedure. In these patients, combining a rotation-advancement upper lip revision with tubercle reconstruction using a cross-lip vermilion-orbicularis oris muscle flap results in a rotation-advancement scar ideally located in the skin of the upper lip and no scar in the skin of the lower lip. The tubercle is reconstructed as a unit from lower lip vermilion and muscle. The scar in the lower lip is restricted to the vermilion and therefore becomes extremely subtle and difficult to detect. The many scars resulting from a standard Abbe flap are avoided. Even patients with lip deformities considered too mild for a standard Abbe flap no longer need be denied lip revision when the cupid's bow is deficient.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

The authors present a technique for cosmetic correction of protruding ears used in over 100 cases during the last ten years with good cosmetic results and no significant complications.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

The most common cause of nasal obstruction is chronic enlargement of the inferior turbinate bones. The variety of medical and surgical treatments available for this condition bears testimony to their frequent ineffectiveness and the frustration of the physician or surgeon caring for these patients. Removal or destruction of the inferior turbinates has received strong criticism from rhinologists, although at present there is renewed interest in turbinectomy combined with rhinoplasty.A technique employing intranasal injections of long-acting corticosteroids has been used successfully for over twenty years in treating obstructing inferior turbinates secondary to allergic and vasomotor rhinitis. The indications, technique, and complications of this method are reviewed; the technique is presented as an alternative to destruction or resection of the inferior turbinates.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

The advantages and disadvantages of the Ribeiro reduction mammaplasty are cited. It is a very good technique when used with the described modifications in properly selected patients.

ISSN:0148-7043    

出版商:OVID    

年代:1979

数据来源: OVID