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Twenty years of experience in managing gender dysphoric patients: I. Surgical management of male transsexuals.
For the past 20 years, the gender treatment team formed under the auspices of the University of Texas Medical Branch Hospitals has treated 121 male individuals with gender identification disorders. The age of this group ranged between 18 an…
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Breast and subscapular pain following submuscular placement of breast prostheses.
The technique of placing the breast prosthesis beneath the pectoralis major and the serratus anterior muscles appears to minimize the incidence of the firm breast following breast reconstruction commonly seen with other techniques. However,…
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Treatment of burn alopecia with tissue expanders in children.
During the past 18 months, 60 tissue expanders were utilized in the reconstruction of 42 children with burn alopecia of the scalp not amenable to a single excision and primary closure at the Shriners Burns Institute in Galveston, Texas. The…
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Routine use of a suction drain in facial rhytidoplasty.
The effectiveness of a suction drain in facial rhytidoplasty was evaluated in 46 women ranging in age from 41 to 78 years. The drain was placed on the left side of the face in 16 and on the right in 14, and no drain was used in 16 patients.…
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Outpatient breast surgery under intercostal block anesthesia.
During the past 3 years, we have performed various breast operations in 320 patients under local anesthesia, using intercostal nerve block. The amount of local anesthetic solution required has been about 20 ml 1% lidocaine for blocking both…
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Migration of silicone gel after the "squeeze technique" to rupture a contracted breast capsule. Case report.
While the squeeze capsulotomy is a simple and effective method for managing capsular contracture around a breast implant, with extreme force the rupture of the prostheses can occur. With the concomitant use of a pressure dressing and breast…
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Hand deformities in patients with snakebite.
Over the past 25 years, 83 patients have been treated at our hospitals for poisonous snakebites of the hand. Prior to 1970, polyvalent antivenin was used, either alone or in conjunction with cryotherapy, steroids, or incision and suction me…
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Burn injuries of the eyelids.
Burns of the eyelid and surrounding structures are relatively uncommon in spite of a high incidence of thermal injuries involving the face. The etiologic factors, circumstances that precipitated the injury, and the anatomical features uniqu…
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Burn alopecia.
Our experience in managing 117 patients with burn alopecia are presented. Most often we used staged excisions of the scarred scalp areas, and by this means we could cover up to 15 percent of the scalp. When the alopecia involved the anterio…
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Relative hypoxemia during rhytidoplasty.
The results of blood gas analyses in 24 patients who had a rhytidoplasty under local anesthesia indicated that a moderate degree of hypoxemia can be elicited in these patients when they have had standard doses of the usual sedatives. While …
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Reconstruction of eyelids and eyebrows in burned patients.
The records of 283 consecutive patients treated for facial burns were reviewed. Eighteen percent of these patients had significant deformities of the eyelids or adnexal structures and underwent surgical correction. Our experience in managin…
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Adjustable razor dermatome: another efficient, economical, and portable dermatome.
The adjustable razor dermatome is another simple, portable, inexpensive, yet efficient mechanical tool for skin grafting. The dermatome is constructed easily from an ordinary household adjustable safety razor. This model, unlike those descr…