Biomedical subjects

D M Rheims

Publications and source records attributed to D M Rheims.

6 recordsLinked to original sources

PubMed1997

[Reconstruction of lip isocele].

The surgical treatment of labial carcinoma must allow the complete excision of the tumor. This must be performed by using an immediate reconstruction procedure with respect of the lip function and with a satisfying aesthetic result. To achieve this goal, we choose the isosceles lip reconstruction, according with Meyer's advancement flap technique, described in 1965. By using this method we can restore up to the 2/3 of the lower or upper lip and also the lip commissure, after malignant tumor surgery. For total lip reconstruction, we have to combine this method with an Abbe-Estlander flap. Our paper presents this original lip reconstruction technique and analyses the results obtained. We especially base our conclusions on functional tests, but also on aesthetical considerations. We underline the interest of this choice of surgical procedure, permitting its adaptation to all cases of lip reconstruction, with immediate possibility of reconstruction, usually in one stage, without compromising either the function or the aesthetic aspect of the reconstructed lip.

Humans↗

PubMed1995

Optic- and computer-aided surgery.

Optic- and computer-aided surgery is a new, original tool for the diagnosis of dismorphies, both in its conception (digitalization of a Moiré pattern on the body) and in its applications (predominantly surgical, for legal medicine and didactic purposes). By means of this three-dimensional (3D) method of measurement by digitalized Moiré, the forms of the body in general and those of the face in particular can be studied and quantified with a high degree of accuracy. This precision in the geometrical analysis of its forms is achieved by combining the latest developments in optics and computer technology. This article presents the current state of the authors' research in the 3D synthesis and manipulation of the human image.

Cephalometry↗

PubMed1995

[Conservative otoplastic modelling: early operative indication].

The authors presents their philosophy and their experience in the field of otoplasty in young children. The modelling and conservative characteristic of the surgical procedure, used for over 6 years, allows surgery on children as young as 3 years old. They detail the different operative steps underlining the rarity of the complications, the natural results achieved and the stability of these results with the child growth.

Ambulatory Surgical Procedures↗

PubMed1994

[OCAS (Optic and computer aided surgery)].

OCAS is a new, original tool for the diagnosis of dismorphies, both in its conception (digitalisation of a moiré pattern on the body) and in its applications (predominantly surgical, for legal medicine and didactic purposes). By means of this new 3D method of measurement by digitalised moiré, the forms of the body in general, and those of the face in particular, can be studied and quantified with a high degree of accuracy. This precision in the geometrical analysis of its forms is achieved by combining the very latest developments in optics and computer technology. The authors present the current state of their research in the 3D synthesis and manipulation of the human image.

Face↗

PubMed1989

[Alar and columellar refinement in rhinoplasty].

This paper emphasizes the value of surgical techniques of nasal sculpturing with special attention to the structural details in primary and secondary rhinoplasty to achieve a perfect aesthetic as well as functional result. The marginal resection of the alae and the columella allows the appropriate reduction adapting the nostril contour to the new proportions of the nose at the end of a rhinoplasty or to equalize the height of the alar rim in cases of harelip nose. In order to perfect the nasal contour, we also introduce cartilaginous onlays into the anterior part of the columella emphasizing the lobulo-columellar double-angle in a harmonious profile. In case of moderate fibrocicatricial retraction of the alar border, a vestibular advancement flap is dissected through the inter-cartilaginous incision and a thin cartilage graft fills the loss of tissue as a spacer. It is then held in place using transalar mattress sutures. Important losses of alar tissue necessitating composite graft are not especially considered in the paper which essentially concerns refinement procedures. The finesse of the latter seems to be indispensable to adapt the alar-tip-columellar complex to the bony structures of the nose and to ensure the harmonious equilibrium of the rhinoplasty.

Esthetics↗

PubMed1989

[Peribuccal esthetic surgery].

This paper concerns the procedures of remodelling the peribuccal area for aesthetic purposes; these techniques may be planned in isolation or as a complement to a face-lift. In our hands these interventions are helpful firstly to correct and excessively deep nasolabial fold and sublabial crease using dermis or fascia grafts. Secondly, are designed to correct the contour of the upper lip either by smoothening the fine vertical folds, excising a fine strip of skin along the cupid's bow associated with dermabrasion or by diminishing the labial height resecting a buffalo-horn shaped cutaneous strip at the nasal vestibular sill and at the base of the columella. The philtrum is sculptured by dissecting the philtral columns. The medial philtral depression is maintained using translabial mattress sutures. Furthermore the upper and lower lips themselves are able to be augmented by means of dermal or fascia grafts or on the contrary thinned by resecting an appropriate horizontal strip of vermilion or mucous membrane, without any lesion of the orbicularis muscle. To eliminate the sadness of sagging buccal angles, we model the subcutaneous tissue of the labial commissure.

Adult↗