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Biomedical subjects

D W Becker

Publications and source records attributed to D W Becker.

15 recordsLinked to original sources

Use of the carbon dioxide laser in treating multiple cutaneous neurofibromas.

The CO2 laser is presented as a useful tool for the removal of large numbers of neurofibromas, the major source of cosmetic disfigurement in the patient with peripheral neurofibromatosis. Its advantages include high patient satisfaction with the rapid, staged removal of thousands of neurofibromas, with minimal morbidity and an enhanced appearance. The operative technique for each of the forms of neurofibroma, that is, pedunculated, sessile, and subcutaneous, is described. As with all procedures involving a change in appearance, it is essential that the patient be fully aware of the limitations of the procedure and the expected final result. This is easily accomplished in this procedure by the use of a "test treatment."

Adult

Laser silicone flash.

Use of the CO2 laser to remove breast siliconosis is described. The flash accompanying this use of the laser is described, and a photograph is submitted to document this previously undescribed phenomenon.

Adult

Total arm flap.

The development of an unusual and rarely indicated total arm flap is described in the context of widely indicated and automatically used principles passed down by the recognized father of plastic surgery, Sir Harold G. Gillies.

Arm

Laser deepithelialization: an adjunct to reduction mammaplasty.

A new use is described for the CO2 laser--that of deepithelialization. Deepithelialization is a technique used in a myriad of plastic surgical procedures. This paper introduces the use of the laser for deepithelialization and illustrates its advantages in 44 consecutive patients undergoing reduction mammaplasty. Advantages are the precise removal of the upper dermis and epidermis--a true deepithelialization--with preservation of the lower dermis and pilosebaceous units. Associated decreased blood loss and more rapid operating time without an increase in complications makes this an attractive adjunctive technique with a wide variety of applications. No adverse effects or contraindications to the use of the CO2 laser for deepithelializing have been found.

Adolescent

Management of first trimester breast enlargement with necrosis.

We describe our management of two patients who had massive breast enlargement with necrosis in the first trimester. First, a therapeutic abortion was done to stop the breast growth, then we skin grafted the large ulcerated areas on the breasts, and finally we did a simple mastectomy with silicone gel implants for reconstruction. The latter procedure was to prevent almost certain recurrence of the problem during any succeeding pregnancy.

Abortion, Therapeutic

Musculocutaneous flaps in reconstructive pelvic surgery.

Gracilis musculocutaneous flaps are useful in reconstruction of many crippling pelvic defects. They are especially beneficial for vaginal reconstruction at the time of pelvic exenteration. Twenty patients having vaginal reconstruction with musculocutaneous flaps are presented. Nineteen (95%) have vaginas adequate for sexual function.

Adult