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Biomedical subjects

Brent R Moody

Publications and source records attributed to Brent R Moody.

11 recordsLinked to original sources
PubMed2005

Anesthesia for office-based oculoplastic surgery.

BACKGROUND: Many common oculoplastic surgical procedures can be performed in an office-based setting. OBJECTIVE: To describe a system of local anesthetic use that provides superb anesthesia administered in a nearly painless manner. METHODS: Combined conjunctival, topical, and injected local anesthesia is used in outpatient oculoplastic surgical procedures. The use of optional adjuvant oral sedation can decrease pain and anxiety in selected patients. RESULTS: We have successfully employed our described system of local anesthesia for office-based oculoplastic surgery. CONCLUSION: In suitable patients, the shifting of operative location from the hospital or ambulatory surgery center to the office provides many benefits to both the patient and the surgeon.

Ambulatory Surgical Procedures↗
PubMed2005

Enhanced cosmetic outcome with running horizontal mattress sutures.

BACKGROUND: Cutaneous sutures should provide good wound eversion, firm closure, and cosmetically elegant results. Simple running sutures are commonly employed in cutaneous surgery but may not always be effective in achieving wound eversion. OBJECTIVE: We compared the cosmetic results of simple running nonabsorbable sutures with running horizontal mattress sutures in primary closures of facial defects. METHODS: Fifty-five patients with facial Mohs surgery defects appropriate for primary multilayer repair were randomized into one of two arms. Either the superior or the inferior half of the wound was closed with a running horizontal mattress suture. The other half of the wound was closed with a traditional simple running suture. At 1 week, 6 weeks, and 6 months, the cosmetically superior half of the wound, if any, was blindly determined by the investigators. RESULTS: The running horizontal mattress suture was significantly more cosmetically pleasing than the simple running suture. Forty-seven patients completed the study. At the 6-month follow-up, 25 patients did better with the horizontal suture and 5 did worse, and with 17 patients, there was no clinically perceptible difference. The 6-week scores predicted the outcome at 6 months, but the 1-week scores did not. CONCLUSIONS: In primary closures of the face, the running horizontal mattress suture is a cosmetically elegant alternative to a traditional running cutaneous suture. The final scar appears smoother and flatter than those produced by traditional simple running sutures.

Dermatologic Surgical Procedures↗
PubMed2003

Collagen remodeling after 585-nm pulsed dye laser irradiation: an ultrasonographic analysis.

BACKGROUND AND OBJECTIVES: Nonablative dermal remodeling is an evolving technology that has generated great interest among both laser surgeons and patients. Evidence indicates that dermal collagen formation is the key mechanism of action for the nonablative techniques. We studied, with ultrasound, new collagen formation after nonablative laser irradiation. METHODS: Ten patients with facial rhytids underwent a single treatment with a 585-nm pulsed dye laser. The patients were all female, ranging in age from 47 to 67, and were Fitzpatrick skin types I-III. Laser parameters were as follows: an energy fluence of 2.4 to 3.0 J/cm2, a pulse duration of 350 microsec, and a spot size of 5 mm with no overlap. Ultrasonographic assessments of dermal collagen were taken at baseline and at 30 and 90 days after treatment. RESULTS: Ultrasonography demonstrated an increase in dermal collagen after a single treatment with the 585-nm pulsed dye laser. The greatest degree of neocollagenesis occurred periocularly. CONCLUSION: A single treatment with a 585-nm pulsed dye laser appears to increase dermal collagen. This increase in dermal collagen can be assessed with noninvasive cutaneous ultrasound.

Aged↗
PubMed2002

Surgical rosacea.

BACKGROUND: Rosacea is a common cutaneous disease. The dermatologic surgeon will frequently encounter rosacea in the surgical patient. OBJECTIVE: To describe observations regarding surgical and wound care techniques that facilitate and improve outcomes in the rosacea patient. METHODS: We present a compilation of our clinical experience and observations regarding rosacea in the dermatologic surgery. CONCLUSION: Simple interventions such as disease recognition and treatment, proper wound care and suture selection, as well as patient counseling have proven beneficial in optimizing surgical outcomes in the rosacea patient.

Dermatologic Surgical Procedures↗
PubMed2002

Standing cone avoidance via advancement flap modification.

BACKGROUND: Tissue redundancy manifesting as a standing cutaneous cone is a common surgical problem. OBJECTIVE: We describe modifications to traditional advancement flap design that allows for standing cutaneous cone avoidance. METHODS: In addition to traditional incisions employed in advancement flaps, an additional curvilinear incision is made along one or more limbs of the flap. By removing tissue along the length of the flap incision, redundant tissue is redistributed along the length of the incision. A standing cutaneous cone is thereby avoided. RESULTS: Use of the technique provides standing cone avoidance without lengthening a surgical scar. There has been no increase in flap failure or other complications with the described technique. CONCLUSION: The modified advancement flap allows for standing cone avoidance. Improved cosmesis can also be achieved when the modified flap limb is placed in a facial line or subunit junction.

Cicatrix↗