PubMed Health⌕ Search

Biomedical subjects

E H Courtiss

Publications and source records attributed to E H Courtiss.

8 recordsLinked to original sources
PubMed1979

Augmentation mammaplasty associated with a severe systemic illness.

A case report of a systemic, near-fatal illness possibly related to augmentation mammaplasty with silicone gel prostheses is presented. Twenty-four hours after the augmentation procedure, the patient, a 32-year-old woman, developed a high fever followed by diffuse arthritis, renal failure, and bilateral pulmonary infiltrates. Shortly after removal of the prostheses, the patient's condition improved dramatically. Samples from blood, urine, sputum, and breast pockets collected at the time of prosthesis removal demonstrated silicone polymers. Evidence is presented that indicates the illness was not of infectious origin.

Acute Kidney Injury↗
PubMed1979

The fate of breast implants with infections around them.

In a retrospective study of 41 infected breasts following the insertion of implants, a high incidence of postoperative hematoma was noted. When infection occurred, cultures usually demonstrated the causative organism to be Staphylococcus aureus. Treatment by conservative drainage and vigorous antibiotics was generally successful in salvaging those implants which had been inserted through an areolar incision for simple augmentation, or under the pectoralis muscle (or a dermal pedicle) after a subcutaneous mastectomy. Those patients whose augmentations had been done through an inframammary incision, or whose implant after a subcutaneous mastectomy was under the skin flap, had a statistically higher incidence of implant loss. Most breasts will salvaged implants became firm.

Breast↗
PubMed1978

Septorhinoplasty of the traumatically deformed nose.

The author has reviewed the 69 patients upon whom he has performed septorhinoplasty in treatment of posttraumatic deformities. These have been followed over a 12-year period; however, only the 59 followed over one year have been studied. In analyzing the deformities, it was noted that three characteristics occur alone or in combination: excessive width, depression, and twisting. The wide nose was best treated by removal of medial tissue, full mobilization of the nasal bones, and postoperative compression exercises. The depressed nose was built forward by onlay grafts, the first choice being septal cartilage. Finally, the twisted nose was treated by freeing the nasal components, straightening the bone and cartilage, and replacing them in their anatomical positions. Not infrequently all three problems were treated in one operative session.

Adolescent↗
PubMed1978

Resection of obstructing inferior nasal turbinates.

We report a series of 88 patients in whom 119 obstructing inferior nasal turbinates were resected for airway obstruction, and who have been followed for 3 months to 3 years. The airways were consistently improved and, to date, there have been no undesirable sequelae.

Airway Obstruction↗
PubMed1978

A new chin implant for microgenia.

We describe our experiences with a new silicone bag-gel chin implant, developed in two phases over a 4-year period. Fifty patients received the Phase I implant, and such complications as internal and external soft tissue erosion, indentation, slippage, asymmetry, infection, andd late bone resorption (two cases) were seen. Subsequently 28 patients received the Phase II implant, and have been followed up to one year. So far, the only complication has been asymmetry in one case.

Chin↗
PubMed1977

Reduction mammaplasty by the inferior pedicle technique. An alternative to free nipple and areola grafting for severe macromastia or extreme ptosis.

Patients with massive macromastia, or severe ptosis, should be candidates for a reduction mammaplasty by the inferior pedicle transposition technique, instead of by free nipple and areola grafting. With the inferior pedicle technique the blood supply to the nipple and areola remains generous, coming from the entire width of the inframammary fold. By using a keyhole skin flap pattern, a conical breast shape is achieved when the medial and lateral skin flaps are brought together as a skin brassiere. The methods seems safe and simple, and the results have been satisfactory. An unexpected benefit has been the excellent postoperative sensation of the nipple, areola, and the skin of the breasts.

Breast↗
PubMed1976

Breast sensation before and after plastic surgery.

Patients undergoing various plastic surgical procedures on their breasts were studied before and after operations with respect to sensation from crude touch, light pressure, and pain. The more extensive the operation on the breast (the more skin and breast tissue removed) the greater the postoperative decrease in sensation. Reduction mammaplasty and subcutaneous mastectomy were associated with decreased sensation in a significant number of patients. An unexpected finding was that patients having augmentation mammaplasty by either the inframammary or areola route showed a significant decrease in sensation to the nipple and apeola. At two years, 15 percent of the patients still had impaired sensory perception, although crude touch and light pressure appreciation had returned. Many of these patients had normal erectility with normal, and even enhanced, sensuality.

Breast↗