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Biomedical subjects

E Cury

Publications and source records attributed to E Cury.

8 recordsLinked to original sources

The prominent nasal tip.

The authors associate the projection of the nasal tip to hypertrophy of the alar cartilages and, more specifically, of their medial branches. The heavy, blobby, or bulbous nose is caused by an increase of the columellar-alar angle of the alar cartilages, and bears no relationship to the cephalometric nasal index. Moreover, the bulbous nose usually has excess fatty tissue present in the tip of the nose. The projecting tip may be corrected by excising a rectangular or quadrangular segment from the medial branches of the alar cartilages, or by resecting the cupula of the alar cartilages, including a small or large segment of its medial branch, in order to obtain the desired effect, namely, to lower the tip and decrease the columellar-alar angle. The nasal index remains unchanged. If in addition, the tip of the nose is bulbous, the fatty tissue should be removed at the same time.

Cartilage↗

Traumatic nasal deformities.

Lateral deviations of the nose can be caused by various violent injuries or even by unsuccessful surgery (iatrogenic). Early treatment of fractures is not only bloodless but very much easier in contrast to older injuries which can only be corrected by surgery. Under these circumstances, a complete revision and repositioning of the upper and inferior lateral cartilages or alar cartilages is advisable. In both cases, the simultaneous correction of the affected septum is fundamental. The authors recommend packing of the nasal cavities for 5 days and immobilization with an aluminum splint for 7 days.

Adolescent↗

Saddle and boxer's nose.

The deformities known as saddle nose and boxer's nose result from injuries or poorly planned nasal surgery. Boxer's nose may eventually be corrected using Straith's method. It is possible to correct both deformities by simply using a bone graft. Neither the use of cartilage grafts nor organic or inorganic inclusions are recommended, the former because they tend to deform, and the latter because they are not well tolerated. There are many advantages to using bone grafts taken from the tibia, including good integration and successful results. This personal method has been used by us since 1948, and is based on the principle of the first-class lever.

Adolescent↗

S-shaped nasal wings: rhinopteroplasty. Case reports.

The authors discuss the S-shaped nasal wing that is responsible for pseudocryptocolumella. Simple excision of a spindle-shaped cutaneous wedge from the lower rim of the nasal wings corrects this imperfection. The cosmetic appearance is satisfactory and the resulting scar scarcely noticeable.

Humans↗

Plastic surgery of the breast.

The authors divide the techniques of reduction mammoplasty into two groups. The first one is done by the so-called classical method in which the two important pedicles--the medial (internal mammary artery) and the lateral (lateral thoracic artery)--are preserved. The second one is made through the free transplant of the areolar, chiefly in those cases of large hypertrophic breasts. Both methods give good results in experienced and skillful hands, as well as good satisfaction to the majority of our patients. On the other hand, complications may arise, as in every field of plastic surgery.

Breast↗

Surgical treatment of male impotence.

There are numerous causes of male sexual impotence: these may be classified as organic or psychic. All possible clinical options should be explored before resorting to surgery for impotence. Many techniques are available for surgical correction of impotence. The authors have used Small-Carrion's implantation of a silicone prothesis with success in a number of patients, ranging in age from 28 years to 78 years.

Erectile Dysfunction↗