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Biomedical subjects

A Sclaroff

Publications and source records attributed to A Sclaroff.

22 records · Page 2Linked to original sources

Intramuscular hemangioma. Report of a case.

Intramuscular hemangiomas are rare tumors. Their occurrence in the head and neck region is even more unusual. The first reported case involving the orbicularis oris muscle is presented. The histologic classification is that of the mixed-vessel type, which occurs in the head and neck region only 5 percent of the time. Included is a review of the literature, with a discussion of the current philosophy of etiology, diagnosis, and treatment. Knowledge of this type of tumor is important to the oral and maxillofacial surgeon who evaluates mass lesions.

Adult↗

Management of a patient with hereditary angioneurotic edema.

Patients with a history of hereditary angioneurotic edema can adequate and safely have nonelective surgical procedures performed with proper preoperative and postoperative management. Deficient amounts of C1 esterase inhibitor can be replaced with fresh frozen plasma; capillary permeability and spreading edema can be prevented with antifibrinolytic agents such as Amicar. Once edema has occurred peripherally and no laryngeal symptoms are present, conservative treatment is advisable. When epiglottic and laryngeal edema occurs, intubation or tracheostomy is preferred for maintenance of airway until the edema subsides. During oral surgical procedures, minimal surgical trauma must be achieved. Edema that involves the airway presents the greatest danger to patients. These attacks are usually associated with dental or some sort of oral or pharyngeal manipulation.

Angioedema↗

Augmentation genioplasty: when bone is not enough.

PURPOSE: Augmentation genioplasty is indicated to correct microgenia. When a large defect must be corrected, the additional use of a soft alloplastic implant may be indicated. METHODS: A 22-year-old patient is presented who required correction of microgenia. A 15-mm advancement of the chin was required to obtain an acceptable cosmetic result. RESULTS: An augmentation genioplasty achieved an 8-mm correction. This was supplemented by a silicone gel-filled implant inserted subperiosteally. This resulted in an outstanding cosmetic result. CONCLUSIONS: Chin contour is an important aspect of facial aesthetics. The sliding genioplasty is ideally suited for correcting most chin deformities; however, the insertion of an alloplast may augment patients with severe microgenia. Avoidance of the donor-site morbidity associated with the use of autogenous bone is a major benefit of this procedure.

Adult↗