Endoscopic median nerve decompression.
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Biomedical subjects
Publications and source records attributed to C H Manstein.
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A technique is presented by which predictable curvilinear scars can be produced by using asymmetrical lenticular excisions. This is particularly useful for the excision of skin tumors of the cheeks and lateral to the commissures of the lips. It must be remembered not to compromise the surgical resection margins in order to achieve the optimal aesthetic result.
An experiment with an animal model was designed to investigate whether an arterialized and innervated muscle flap has an optimal tension when being inset. Arterialized pedicle muscle flap operations using various tensions at the time of insetting were performed on beagles. At three months no acute, recent, or chronic changes were noted in the muscle fiber or in the surrounding connective tissue when biopsy samples were examined microscopically. We conclude that the tension of a pedicle muscle flap makes no difference in its long-term compliance or morphology.
The differential diagnosis for a mass overlying the angle of the mandible but not attached to it includes lymphatic masses, benign and malignant parotid lesions, cysts, and vascular malformations. Thrombosis of the facial vein is a rare entity that now must be added to the list. This article details the first English-language description of such a thrombosis presenting as a mass. The possible causes are antecedent trauma, infection, or thrombosis of contiguous venous structures. While the diagnosis could be made preoperatively by selective venography or ultrasonography, it most likely will be made by surgical excisions. The preoperative diagnosis may be suggested by the "turkey wattle sign" (i.e., fluctuation in the size of the mass with bending the head downward). In this article the entity and differential diagnosis are reviewed and discussed.
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The use of a stockinette as a collection and filtering device in suction-assisted lipectomy is described. Various sized stockinettes may be used depending on the volume of adipose tissue to be aspirated.
Sodium warfarin is one of the most commonly used oral anticoagulants. It is not without complications. A case is presented of a 56-year-old woman on well-regulated sodium warfarin therapy who suffered unexplained necrosis and gangrene of the breast. She underwent total mastectomy for debridement because of the extensive nature of the infarction. Possible pathophysiological mechanisms for this process are discussed.
A technique is described in which the pectoralis minor muscle is rotated as a muscle pedicle flap to be used in immediate reconstruction of the breast. The advantages of this procedure are that it provides additional muscle coverage over the prosthesis as well as preventing lateral displacement. Seven patients have undergone this technique with excellent results.
A patient is presented with bilateral neuromata incontinuity of the great auricular nerves 8 years following face lift. The neuromata were excised and repaired utilizing the operating microscope.
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