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Biomedical subjects

A L Spinowitz

Publications and source records attributed to A L Spinowitz.

9 recordsLinked to original sources

Partial-thickness wedge and advancement flap for upper lip repair.

Reconstruction of upper lip defects demands careful attention in order to reconstitute both normal function and normal appearance. These defects may involve mucosa, orbicularis oris muscle, skin, vermilion, or any combination of these structures. We will describe five cases in which there were defects created by Mohs micrographic surgery and present the concept of partial-thickness wedge in combination with a flap to repair these wounds.

Adult

Flap elevation and mobilization by blunt liposuction cannula dissection in reconstructive surgery.

One may accomplish certain closures without tension or distortion using blunt liposuction cannula dissection with or without suction-assisted lipectomy. If closure cannot be accomplished with adequate undermining and an appropriate flap design, the surgeon may first aspirate fat to allow use of the focally expanded skin over the fat. If still unsuccessful, fibrous neurovascular septae are progressively sacrificed as necessary to allow adequate movement and closure. Preservation of the maximal number of blood vessels and nerves within the flap is a given fact. These techniques provide more rapid and safe methods for elevating flaps with significantly less morbidity than sharp dissection methods alone.

Adipose Tissue

Mohs' surgery.

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Humans

Stability-time profile of trichloroacetic acid at various concentrations and storage conditions.

Trichloroacetic acid (TCA) is a deliquescent chemical widely used for a variety of procedures. Stability of various concentrations of TCA in both amber glass and plastic bottles stored under refrigeration and at room temperature was measured at several time points. Extended stability data suggest that TCA potency is stable for 23 weeks and would best be maintained in glass amber bottles stored under refrigeration.

Drug Stability

The treatment of multiple lipomas by liposuction surgery.

When lipomas reach 4 cm or more in size or are multiple, liposuction becomes an excellent alternative to excisional surgery, which is the treatment of choice for small lipomas. Two cases of multiple lipomas treated by liposuction surgery are presented.

Aged