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Biomedical subjects

E G McCollough

Publications and source records attributed to E G McCollough.

8 recordsLinked to original sources
PubMed1991

Nasal tip projection. Quantitative changes following rhinoplasty.

Fifty-one patients were enrolled in a study and underwent primary rhinoplasty. Serial nasal tip projection measurements were made preoperatively, intraoperatively, and 6 months postoperatively. Actual changes in measured nasal tip projection were evaluated with respect to preoperative goals and specific procedures used to accomplish these goals in the nasal tip. Several useful observations are made from these data: (1) The most important components of nasal tip projection in the postsurgical nasal tip are the medial crura, their attachment to the caudal septum, and the presence of additional cartilaginous grafts placed between the medial crura or beneath the crural feet. (2) Actual nasal tip projection will decrease postoperatively, unless measures to increase the length and strength of the medial crural segment are taken (ie, McCollough-modified Goldman tip procedure, cartilage struts, plumping grafts, etc), regardless of the preoperative goal. (3) The double-dome unit procedure is effective in narrowing the wide or bulbous lobule but alone does not permanently increase nasal tip projection. (4) Conservative tip procedures, such as a complete strip, result in decreased nasal tip projection and should therefore be used in patients in whom retrodisplacement of the nasal tip is the intended result.

Adult↗
PubMed1991

Beyond critical care: appearance-related afflictions.

There is no reason to believe that humans will not continue in their never-ending quest for self-fulfillment, for in it mankind carries forward the purpose of life itself. Through the art and science of aesthetics, specialists throughout the various health professions are cooperating to help individuals from all socio-economic backgrounds overcome appearance-related afflictions and improve the quality of life. (Figure 10).

Adult↗
PubMed1990

Augmentation mentoplasty using Mersilene mesh.

Many different materials are available for augmentation mentoplasty. However, the optimal implant material for chin implantation has yet to be found. During the past several years, a number of experienced surgeons have turned to the use of Mersilene mesh. Mersilene mesh is a non-absorbable Dacron polyester fiber that can be conformed easily into layers to achieve tailored dimensions and shape. At the McCollough Plastic Surgery Clinic PA, Birmingham, Ala, 277 patients over a 10-year period underwent chin augmentation with Mersilene mesh implants. The material provides excellent tensile strength, durability, and surgical adaptability. The overall complication rate was 3.2% (nine patients); infection rate, 2.5% (seven patients); and removal secondary to infection, 1.7% (five patients). Based on this 10-year experience, Mersilene mesh remains our material of choice for chin augmentation.

Adult↗
PubMed1989

SASMAS suspension rhytidectomy. Rationale and long-term experience.

Prudent surgeons who perform face-lifting operations continue to alter techniques to reduce morbidity and achieve lasting results. The philosophy and technique herein described arose from the premise that suspension of the superficial musculoaponeurotic system (SMAS) suspends the skin-adipose unit (SA). In turn, suspension of the skin-adipose unit (SA) suspends the SMAS. When proper suspension is achieved, both systems function in tandem as a single unit, ie, the SASMAS (skin-adipose superficial musculoaponeurotic system). The SASMAS technique has been performed in approximately 1200 patients with gratifying results and minimal complications.

Female↗
PubMed1989

Rhinoplasty: a humbling experience.

Rhinoplasty can produce a dramatic improvement in one's appearance, but if not performed properly, a lasting deformity exists. Appearance-related surgery places the surgeon's professional reputation at stake more than with other types of surgery. Artistic skills are needed, along with knowledge of anatomy and physiology of the nose, and recognition of factors that produced the problem. The standards of our society demand consistently good results: a surgeon performing rhinoplasty is considered proficient only after approximately 8 years of experience and continuing education. The unpredictable response of nasal tissues to the surgery can present a humbling experience to the surgeon who critically evaluates his or her results.

Female↗
PubMedDate not supplied

Augmentation of facial defects using Mersilene mesh implants.

The use of Mersilene mesh in both office and hospital practice was surveyed. Seventy patients received a total of 83 implants, 66 (80%) of which were Mersilene mesh. Of these 83 implants, 76 (91%) were used in chin augmentation, preponderantly by the intraoral route. An infection rate of 9% (8) was encountered; 4 (5%) of these required removal. The ideal implant material has not yet been discovered, but hopefully, with continued research and with the sharing of ideas, a more suitable implant will be found.

Adipose Tissue↗