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Thoracic paravertebral block for breast surgery.
[UNLABELLED] Cosmetic and reconstructive breast augmentation is a frequently performed surgical procedure. Despite advances in medical treatment, surgical intervention is often associated with postoperative pain, nausea, and vomiting. Parav…
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Prominent ears and their correction: a forty-year experience.
The technique described in this article correcting the protruding ear deformity has evolved over 40 years. The original procedures and our subsequent modifications are described, including 20-year followup results. The possible pitfalls in …
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The inferior dermal-pyramidal type breast reduction: long-term evaluation.
The evolution of the technique of breast reduction using an inferior dermal pyramidal flap is discussed, including the changes we have found to enhance this procedure. The recommended use of a wide-based pyramidal breast parenchyma with a d…
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The orticochea pharyngoplasty and primary palatoplasty: an evaluation.
A primary Orticochea pharyngoplasty with a primary palatoplasty was studied in 15 children with cleft palates. Although all children demonstrated velopharyngeal competence, radiographic, endoscopic, and oral examinations suggested that 54% …
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To share or not to share.
We describe our extensive experience in nipple reconstruction on breasts formed by subpectoral implants, latissimus dorsi musculocutaneous flaps, or rectus abdominis musculocutaneous flaps.…
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A rationale for the treatment of difficult basal cell and squamous cell carcinomas of the skin.
During a 56-month period, 1,348 patients with either basal cell or squamous cell carcinoma of the skin underwent microscopically controlled excision (Mohs' fresh-tissue technique) by a dermatologic surgeon. Of these 1,348 patients, 394 requ…
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Long-term clinical outcome of immediate reconstruction after mastectomy.
Immediate reconstruction of a breast removed for treatment of carcinoma can be accomplished without altering the cancer-ablative surgical procedure. The theoretical possibility that reconstruction might compromise the cure rate has tempered…
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Potential problems with the transverse rectus abdominis myocutaneous flap in breast reconstruction and how to avoid them.
The transverse rectus abdominis myocutaneous flap offers a versatile and reliable technique of repair provided certain anatomical, physiological and surgical principles are closely followed. The operative technique and technical details are…
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Immediate reconstruction of the breast following modified radical mastectomy for carcinoma of the breast.
Immediate reconstruction offers an adjunct to the standard modified radical mastectomy for carcinoma of the breast in highly selected patients. It provides early reestablishment of breast form with a low complication rate and high patient s…
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A rationale for modifying the site of insertion of the orticochea pharyngoplasty.
A modification of the insertion level of Orticochea flaps is proposed. The purpose of the modification is to place the pharyngoplasty at a higher site, in the area of attempted velopharyngeal contact. The site of velopharyngeal contact can …
- Outpatient anesthesia for augmentation mammaplasty and capsulotomy at Duke Hospital.
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Modified radical mastectomy with immediate reconstruction for carcinoma of the breast.
Fifty patients undergoing immediate reconstruction of the breast following modified radical mastectomy for carcinoma were characterized by their clinical findings and the pathologic features of their tumors. Evidence of nipple--areolar invo…
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Is there a reduction mammaplasty for "all seasons?".
No technique will serve the needs of all patients requiring a reduction mammaplasty and mastopexy. However, the modified, inferiorly-based dermal flap technique appears to us to offer the most advantages and the greatest latitude for a pred…