PubMed Health⌕ Search

Biomedical subjects

C Juri

Publications and source records attributed to C Juri.

At least 19 recordsLinked to original sources

Correction of the secondary nasal tip and of alar and/or columellar collapse.

The authors present their surgical technique for the correction of the secondary nasal tip with alar and/or columellar collapse. They employ a cartilage autograft in the form of an anchor or half an anchor which is taken from the auricular concha and is designed according to the requirements of the pathology to be corrected. In their experience, they have observed neither complications with the use of these grafts nor unacceptable scars in the columellar incision.

Cartilage↗

Mammary construction and reconstruction in one surgical stage.

The authors' personal technique for mammary reconstruction, including the nipple-areola complex, is presented. The technique is simple and effective and is performed in only one surgical stage. It is applicable to mammary construction in the case of congenital absence as well as to reconstruction after mastectomy.

Breast↗

Secondary rhinoplasty.

The correction of secondary nasal deformities produced by excessive resection poses difficult problems for the surgeon. We describe our technique using cartilage autografts. Shaping the cartilage carefully, using Rethi's incision, and immobilization of the grafts have yielded excellent results in our patients.

Adult↗

Ear replantation.

The authors' tactical and technical contribution to this type of microsurgical replantation can be summarized in three main points: (1) direct sutures to the superficial temporal vessels, when these are undamaged, which simplifies the operation and makes it safer; (2) use of Kunlin's technique to make up for the great difference in diameter between the arterial vessels; and (3) deepithelialization of the posterior auricular skin to allow for creation of venous drainage channels during the first postoperative days and the enlargement of the area of contact with the recipient bed, which also helps to better immobilize the amputated part.

Accidents, Traffic↗

Correction of the secondary nasal tip.

A technique used concomitantly with Rethi's incision to reach and treat the secondary nasal tip is described. The technique involves removing the cartilage remnants of both domes and placing a shaped cartilage autograft that is immobilized by sutures. No hypertrophic scarring has been observed in the 546 patients treated.

Humans↗

Neighboring flaps and cartilage grafts for correction of serious secondary nasal deformities.

When the secondary nasal deformity is so serious that it presents loss of the soft structures, often its correction requires a neighboring flap besides the cartilage auto-grafts. In such serious cases, which are fortunately infrequent, the surgeon must resort to reconstructive techniques that typically provide very good results. Such is the case with the midforehead Indian flap, which rotated 180 degrees, allows reconstruction of the columella in the same surgical stage. In the same manner, Denonvilliers' flap may be employed to restore contour of the nasal ala, since its scar sequel is very acceptable, and Dieffenbach's flap may be used to reconstruct the columella. The flap of labial mucosa (which other authors have employed to correct septal perforations) is rotated 90 degrees to appose with another similar contralateral flap and is used to correct the seriously retracted columella. In this paper we present some cases that demanded the application of these techniques.

Adult↗

Vertical mammaplasty.

The vertical mammaplasty technique has undeniable advantages over combined techniques. It involves only the inferior pole of the breast, thus avoiding horizontal scars, which are the ones that most frequently hypertrophy. The main disadvantage of the technique is the inferior compensation, leaving visible scars in the thorax. We have modified this technique, making the compensation at the level of the areola. With this procedure, the vertical scar does not go below the submammary fold and is easily concealed.

Breast↗

Reconstruction of scalp hemicircumference.

We present a monopedicled diagonal frontoparietooccipital flap to reconstruct the pilous implant hemiline of the scalp. We use this design to obtain the greatest possible length, closing the donor site with an advancement flap.

Alopecia↗

Ear cartilage grafts to the nose.

We present our experience in the treatment of secondary nasal deformities caused by excessive resection of the nasal dorsum. We have used ear cartilage autografts, with good results and (on the whole) little or no resorption (some have been followed for 10 years). We consider it essential to correctly shape the transplant and to hold it firmly in the proper position for a period of not less than one week.

Cartilage↗

Arm dermolipectomy with a quadrangular flap and "T" closure.

We present a technique for the correction of obesity and/or ptosis of the arms. It consists of raising a lower quadrangular advancement flap, sliding the upper wound margin downward, cutting the excess off the quadrangular flap, and a T-shaped closure. A compressive elastic bandage is worn continuously for 3 months to help keep the closure scar flat and prevent its hypertrophy.

Adipose Tissue↗