Biomedical subjects

A Gary-Bobo

Publications and source records attributed to A Gary-Bobo.

At least 19 recordsLinked to original sources

PubMed1994

[Notes apropos of cartilage grafts in secondary rhinoplasties according to Sheen's technique. Apropos of an analysis of 67 cases].

Between 1989 and 1992, eighty-one rhinoplasties included the addition of free autologous cartilage grafts, sixty-seven of which were secondary procedures. The aesthetic and respiratory results were assessed with at least one year of follow-up post-op for fifty four cases representing the true material of the study. This paper illustrates the advantages of septal cartilage graft versus conchal grafts, particularly for restitution of the dorsum of the nose. No "open rhinoplasty" procedure was necessary in this series. The authors conclude that "Sheen's" procedure using multiple isolated pockets in such cases is reliable if its basic rules are strictly applied and if one accepts that septal cartilage grafts must be preferred as far as possible.

Cartilage↗

PubMed1992

[Histological typing of the breast by multifocal biopsies].

The current concept of high risk mastopathy was revolutionised by the work of Dupont and Page (1985), who demonstrated the importance of proliferative mastopathies in the assessment of the risk, particularly when they are associated with epidemiological factors. Based on these data, the Montpellier breast pathology study and research group (GERPAMM) developed on original method designed to define the precise histological profile of women considered to be at risk of breast cancer, despite the absence of any focal mammographic signs. This typing, consisting of a rigorous surgical protocol strictly complying with Page's histological definitions, was performed in women presenting a certain risk defined by clinical, cytological and radiological criteria (density and disseminated microcalcifications). This paper presents a preliminary review of 6 years' experience in 162 cases. The preliminary results confirm than many cases of atypical hyperplasia are not associated with a focal mammographic abnormality. However, in the absence of focal signs, certain types of disseminated microcalcifications with a morphological appearance suggestive of an intraductal origin, are significantly associated with high-risk histological signs. Histological typing is therefore useful to predict the cancer risk, to dedramatise cases without significant hyperplasia and to propose an adapted and justified approach to cases with a high histological risk.

Adult↗

PubMed1991

[Surgery of mammary hypertrophy and ptosis using the dermal vault technique. 5 years' use (apropos of 230 surgically-treated patients].

Using the simplest possible criteria, the author reviews the results obtained in 230 patients who underwent breast reduction using the dermal vault technique. A part from the usual criticisms of the technique defined by J.P. Lalardrie, the analysis reveals: 44% of "good" or "very good", 42% of "acceptable" results and 14% of "unacceptable results". The increase of "good" cases and decrease of "unacceptable" cases with time and the number of cases confirm the author in his opinion that it is worthwhile to continue with operative procedure.

Breast↗

PubMed1990

[Specificity of hatchet flaps in the laterofacial region].

The hatchet flap, well known for the repair after skin resection of the nasal pyramid, is adapted, in a cutaneo-aponeurotic form, to the laterofacial region. The authors describe the principle of the technique which they illustrate by several clinical cases. Its simplicity, its harmonious adaptation and its reliability led them to consider that it has a place in the therapeutic arsenal for skin repair after resection of jugal and temporo-jugal lesions.

Aged↗

PubMed1990

[Mammaplasty on breast implants (or cutaneous expansion in treating distended skin)].

The authors present their experience of the use of skin expansion in secondary surgery to previously implanted breasts. This technique constituted a relatively simple solution with minimal scarring for certain cases in which the residual breast volume was insufficient or non-existent and in which it was impossible to reconstruct a breast with acceptable shape and volume after removal of the implant.

Female↗

PubMed1990

[Tuberous breast: clinical and therapeutic considerations. Report of 20 cases].

Tuberous breast is a so-called mammary deformity which associates: deficient and contracted base, enlarged nipple-areolar complex, glandular herniation through the areola. The parenchyma is reduced, cylindrical, asymmetric, and frequently posted. Surgery reveals a basic glandular ring. The gland passes through this ring like a "glove's finger", revealing the herniation. All the cases are very different, but the surgical correction is common: concentric skin excision for areolar reduction. "V" vertical excision, allowing gland dissection. Via the skin wedge of the "V", extended dissection is carried out and half of the breast is denuded. The inferior mammary sulcus is released. The basal ring is cut and the posterior breast tissue is radially incised to expanding base, the parenchyma is stretched out. Correction of volume abnormalities: augmentation (implant), posterior reduction of symmetry. Correction of ptosis by skin redraping over the new mammary shape.

Breast↗

PubMed1989

[Esthetic surgery of large nasal tips. Contribution of the "flying wing" procedure].

The "flying wing" procedure has been known for a long time. It is classically used in the treatment of moderately severe saddle nose. The author proposes the use of this technique for the aesthetic correction of certain flattened nasal tips. Technically, the original procedure is modified by: a transcartilaginous rather than marginal approach, partial rather than total transfer of the lateral crus to preserve the alar ring, resection as required at the junction of the two crura to allow transposition without deformation of the nostril aperture, the possible association with suture-approximation of the domes in order to accentuate the projection of the nasal tip. This procedure may be indicated in secondary, dysmorphic or simply unsightly fattened tips whenever the preoperative assessment reveals a low profile of the nasal spine with osteocartilaginous disjunction, even minor, associated with flattening of the tip, simultaneously resulting in: the need for reinclusion for harmonization of the profile and the need to shorten elevate and reduce the tip. Application of this technique to a limited series (11 cases) does not eliminate any other procedures, particularly reinclusions; the principle of the "flying wing" adapted in this way and respecting the continuity of the two arches of the alar cartilage, is nevertheless attractive.

Esthetics↗

PubMed1989

[Breast reconstruction using skin expansion after radiotherapy: limitations of the procedure. Apropos of 10 cases].

The incidence of failure, be it partial or possibly total, in breast reconstruction after amputation and radiotherapy, appears to be too high in the author's experience. The analysis of ten of such cases focuses attention on what was really done concerning X-ray therapy. It is no longer acceptable to rely on a dose limit on of 50 GY for, expressed in this way, it is not sufficiently accurate. Attention is drawn to the need for a better knowledge of what has really been done before attempting breast reconstruction using temporary expansion.

Breast↗

PubMed1989