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Biomedical subjects

B A Matti

Publications and source records attributed to B A Matti.

11 recordsLinked to original sources

Dermal and facial autografts in facial aesthetic surgery.

Results are presented of dermis grafts used in conjunction with surgery for aging changes in the face. During a two-year period grafts were used to correct crease lines in the glabella and nasolabial creases, as well as angles of the mouth and vermilion. Volume of the grafts was well maintained and very few complications occurred. This technique offers better long-term results than can be obtained by collagen or fat injections. The results and techniques are presented in detail.

Adult↗

Clinical use of Zyplast in correction of age- and disease-related contour deficiencies of the face.

The authors present their experience with the use of Zyplast (glutaraldehyde crosslinked collagen) for the treatment of skin creases in the aging face, lip augmentation, scars, and facial atrophy. One hundred female patients were studied over a nine-month period. The results were found to be superior in some aspects compared with Zyderm II collagen, but there is loss of correction after six months and repeated "top-up" injections are needed every four to six months to maintain a satisfactory cosmetic correction. Zyplast collagen has not reduced the number of patient visits nor the cost of treatment.

Adolescent↗

Phalloplasty using the free radial forearm flap.

Our experience of phalloplasty using the radial forearm flap in five transsexual cases is reported. The results are disappointing due to the high incidence of complications. We had partial success in two cases, both complicated by a fistula, and complete failure in three cases due to vascular thrombosis.

Female↗

A method of phalloplasty using the deep inferior epigastric flap.

Penile reconstruction remains a difficult surgical problem. To produce a phallus capable of erection and with a water-tight urethra to the tip has not been solved satisfactorily even by the introduction of free flap transfers. We present a method used in four cases, three transsexuals and one pseudohermaphrodite, in which a phallus was successfully constructed using the deep inferior epigastric flap.

Abdominal Muscles↗

Open capsulotomy by the transaxillary approach.

The release of capsular contracture through the axillary approach is presented. The technique is used in cases that have previously undergone breast augmentation, through the same approach and using the same blunt instrumentation for dissection.

Axilla↗

Use of Orthoplast as nasal splint.

Nasal splintage is routinely employed in standard rhinoplasty. For 3 years one of the authors has used Orthoplast as an alternative to plaster of Paris, which has proved to have many advantages.

Humans↗

A supero-medial thigh flap for urethral reconstruction in epispadias and hypospadias.

A reliable axial flap from the adductor region has been used for many years to repair a series of urethral defects formerly regarded as difficult problems. In particular the flap has proved invaluable in the treatment of epispadias "cripples". Suggestions are also made for correcting the reverse chordee deformity due to the shortage of skin on the dorsum which, if untreated, spoils the functional result. The use of a supero-medial thigh flap was reported by Hirshowitz et al. (1980, 1982) for repair of the scrotum and vulva. The same flap had been discovered independently in 1978 in this department and used for the repair of epispadias and hypospadias "cripples". Its reliability was soon recognised and the presence of axial vessels from the medial femoral circumflex artery and vein were demonstrated by transillumination at the time of surgery and by study in the post-mortem room. Some patients with epispadias are referred at puberty with an unrepaired scarred penis and a reverse chordee deformity. The defect cannot be repaired with local tissue alone and the same difficulty is encountered with some hypospadias "cripples". Occasionally untreated cases of perineal hypospadias are seen with a marked shortage of local tissue. In our experience scrotal flaps may fail to heal and orthodox groin flaps may have difficulty in reaching the target. Although the superomedial thigh flap will require at least two stages it is a reliable technique and it provides a generous amount of tissue with which to solve what may at first sight seem to be an insuperable problem.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Donor site morbidity post-conchal cartilage grafting.

Morbidity of the conchal cartilage donor site is evaluated in this article. Forty-two patients (from 1984-1994) with 44 donor sites were reviewed retrospectively. In 27 cases an anterior approach was used and in 17 cases a posterior approach was used. Four complications were observed: two cases of delayed healing in the post auricular approach, one case of flattening of the ear after an anterior approach, and one case with an anterior hypertrophic scar was seen. Only one case needed further surgical intervention. The anterior approach is technically easy, safe, and quick to perform but should be avoided in patients with a history or genetic predisposition to keloid or hypertrophic scars.

Ear, External↗