ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

One hundred six cutaneous vascular abnormalities were treated over a 3-year period by the argon laser. Absorption of light energy causes heat coagulation of the hemangioma with sparing of the overlying skin and secondary skin appendages. Patients with port wine hemangiomas, capillary/cavernous hemangiomas, and telangiectasia showed good response to argon laser treatment. Superficial varicosities of the lower extremity proved to be relatively insensitive to laser treatment. The argon laser shows promise as an effective clinical tool in the treatment of hemangiomas: however, further clinical and laboratory investigation will be necessary to establish the laser as the modality of choice in the treatment of such lesions.

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

The development of radical neck dissection as a standard technique for the treatment of gross and suspected meta-static cancer in the lateral neck is traced and the current operation discussed.Radical neck dissection evolved from a series of regional and localized procedures about the oral cavity, laryngopharynx, and neck over a period of 200 years and reached its primacy in the 1950s. The concept of the operation is to remove the repository lymph node system and all associated fat, fascia, muscles, nerves, and blood vessels in that area with the exception of the carotid artery and vagus nerve, and thus to attempt to control the spread of cancer by ablation of this facility. The technique was expanded to include the primary cancer and the contralateral neck when realistic.The operation has proved effective and superior to any previous concepts of management. Counterbalancing this success are a troublesome incidence of local recurrence of neoplasm at the primary site and in the lateral neck, technical and physiological restrictions on the extent of dissection, and inevitable regional deficits in function and body image. Imaginative modifications in treatment incorporating irradiation and chemotherapy have been combined with radical neck dissection to improve local control of the cancer, but these also have some restrictions and deficits, and are now in the process of being sorted out.The basic operation has undergone modification to conserve the somatic functional architecture of the neck: only the lymph node system and its fascial envelope are removed. This conservation operation is an inevitable part of the continuing development of the therapeutic program. The understandable controversial aspects will ultimately be settled by comparisons of the curability data. At present, however, the classic radical neck dissection remains the basic method for control of metastatic cancer in the neck, sharing this responsibility with preoperative and postoperative irradiation and, in certain instances, with conservation surgery in a developing incorporation of interdisciplinary approaches.

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

In attempting to determine the suitability of an older person for cosmetic rhinoplasty, the surgeon must keep in mind not only anatomical considerations, but also, even more important, the emotional and psychological expectations of each patient. The surgeon should make every attempt preoperatively to arrive at a meeting of the minds with the patient, so that he has a thorough understanding of that patient's desires, needs, and hopes. If the surgeon believes he is able to achieve or even come close to his patient's goals by a conservative operative approach, there is no reason why a rhinoplasty should not be undertaken. However, it is the author's experience that rhinoplasty in the older patient often fails to produce a result wholly satisfactory to the patient and the physician, and it is necessary to keep this in mind when selecting patients.

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

An improved septoplasty procedure has been performed on 204 patients, 49 in combination with rhinoplasty. There were 2 minor complications: 1 small perforation and 1 septal hematoma. The use of septal sutures avoids the necessity of postoperative intranasal packing or splints. Magnification, proper lighting, and improved instrumentation have simplified the technique, and a nontraumatic anatomical dissection can more easily be performed on the most complicated septal deformities. By dispensing with intranasal packing, a one-stage septorhinoplasty can be done without fear of producing a widened dorsum from outward pressure of the packs. The sutures also increase the stability of the septum by preventing displacement of the caudal portion during the healing process. Postoperative patient discomfort is minimized, as the airway is not blocked by packs; painful removal of the packs is also eliminated.

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Patients and physicians who arc not satisfied with the results of cervical lift procedures that rely on skin tension alone frequently complain of persistent or recurring neck longitudinal bands; of lack of pleasing concave contours; or of lack of definition of the mandibular border.Platysma muscle bands can be eliminated with long-lasting improvement in the neck contour if the objectionable bands are completely incised and the platysma muscles are transformed into a deep-layer supportive neck sling. The techniques described utilize platysma muscle flaps to eliminate vertical platysma muscle bands and folds, to achieve pleasing concave neck contours, and to produce definition of the mandibular border.

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

This paper provides an in-depth analysis of the thoracic skeletal architecture. The relationship between the skeletal configuration and its implications in augmentation mammaplasty are studied. Specific explanation regarding assymetry of the breast is given and caution for a more scrupulous examination prior to augmentation is advocated.

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID