Biomedical subjects

E H Farrior

Publications and source records attributed to E H Farrior.

6 recordsLinked to original sources

PubMed1999

Dramatic refinement of the nasal tip.

Every aspect of nasal anatomy that may influence tip aesthetics must be considered when dramatic refinement of the nasal tip is the goal. The nasal dorsum, ala, columella, supratip, and nasal base have to be evaluated in their relationship to the tip. Whether it be gross abnormalities of the tip cartilage, columella, caudal septum, tip skin, or nasal base, it is imperative that the patient have realistic expectations for refinement and not perfection.

Cartilage↗

PubMed1997

Revision rhinoplasty for monographs in facial plastic surgery contemporary rhinoplasty.

Revision rhinoplasty represents the amalgamation of years of knowledge, judgment, technique, communication, self-critique, and patient selection. The surgeon's ego, economics, or personality should not persuade or dissuade him or her from undertaking revision rhinoplasty. This decision should be made after critical evaluation of his/her skills at technical execution, and communicating with the patient, as well as the patient's perception and expectations. If any concern exists, delay. Re-evaluation and referral become prudent. These patients may already be angry. They are obviously dissatisfied with their results and have frequently had attempts at revision by the previous surgeon. All these factors complicate the psychological aspects of an already difficult task. One other realization is the fact that this now becomes your result if it is the revision of a colleague's surgery. When comfortable with all of these factors, revision rhinoplasty can then be undertaken. The need for revision may be subtle or grotesque and can result from a multitude of factors: unrecognized deformities at the primary surgery; misunderstood consequences of technique; poor technique; unfavorable healing; postsurgical injury; the inevitable need for revision surgery in a difficult nose; and poor aesthetic judgment. Revision of one's own results is emotionally more difficult, but functionally and technically easier. A complete understanding of the primary surgery, access to the initial photographs, and a rapport with a patient who is willing to return are all helpful in achieving a satisfactory result. In approaching the correction of postoperative deformities, it is important to have an understanding of the anatomic abnormality as well as the aesthetic deformity. Recognizing the anatomic cause of the postsurgical deformity is more relevant to their avoidance and to the maturation of the surgeon than to their correction and the desired aesthetic result except when functional abnormalities exist and need correction. Ultimately it is the deformity that needs to be corrected, and this may or may not require the restoration of anatomic normalcy.

Humans↗

PubMed1993

Hair replacement surgery for male pattern alopecia.

Male pattern alopecia is the most common type of hair loss encountered. Although this malady has no direct adverse consequences on physical health, physicians should be aware of the impact hair loss may have on a man's self-esteem. This type of hair loss and current hair replacement surgical techniques are discussed.

Alopecia↗

PubMed1988

Use of arterialization of the venous system in reattachment of the avulsed auricle.

We attempted to demonstrate that the totally amputated rabbit auricle could survive on nutrient flow provided through arterialization of the venous system. It has been demonstrated by Mundy and Panje that a free flap placed on a large recipient bed and receiving nutrients through retrograde venous flow will survive as frequently as one in which a conventional microvascular anastomosis has been performed. Our groups examined (1) conventional microvascular anastomosis of the amputated appendage to establish survival and demonstrate proficiency with the technique; (2) survival when only venous egress is maintained; and (3) effectiveness of establishing nutrient flow through arterialization of the venous system. Nutrient flow in the first group was through the arterial system. In the second group no nutrient flow was established, but the venous system remained intact. In the last group, nutrient flow existed through retrograde venous profusion. Survival within the groups that underwent reestablishment of nutrient flow through a conventional reanastomosis or through arterialization of the venous system was not significantly different. There were no surviving segments if nutrient flow was not reestablished, but venous channels remained intact. It was shown that nutrient flow to a free-standing appendage can be established through retrograde venous profusion, and that maintenance of venous drainage alone is not sufficient for survival when a limited base exists. We suggest that arterialization of the venous system is a viable means of reestablishing nutrient flow to the amputated auricle.

Amputation, Surgical↗

PubMed1987

Malignant parotid gland tumors: a retrospective study.

This is a comprehensive retrospective study (1965-1984) of 130 patients with malignant parotid gland tumors. Patients were studied by comparison of presenting symptoms, histopathologies, treatments, disease-free intervals, and ultimate intervals. Facial paralysis was noted on presentation in 23% of the cases and regional neck node metastases were noted in 13%. Both findings correlated with prognosis. Seventy patients underwent surgery alone and 30 patients received combined therapy. The remaining patients were excluded from the study. The overall 5-year survival rate was 50%, with a 44% risk of recurrence. Fifty-six percent of the patients whose conditions subsequently recurred had their facial nerves sacrificed at time of surgery. Selected patients who received combined therapy experienced better local regional control and a prolonged disease-free interval as compared with those who underwent surgery alone. Combined therapy, however, provided no survival benefit for this group of patients. Adjuvant radiation therapy is recommended in the treatment planning of selected malignant tumors of the parotid gland.

Adenocarcinoma↗

PubMedDate not supplied

Recovery from deep-plane rhytidectomy following unilateral wound treatment with autologous platelet gel: a pilot study.

OBJECTIVE: To determine the effects of treatment with autologous platelet-rich plasma mixed with thrombin and calcium chloride to form an autologous platelet gel (APG) on postoperative recovery from deep-plane rhytidectomy. STUDY DESIGN: A prospective, randomized, controlled pilot study. SETTING: An accredited ambulatory facial plastic surgery center. PATIENTS: Healthy volunteer women (N = 8) undergoing rhytidectomy. INTERVENTION: Unilateral autologous platelet-rich plasma wound treatment during standard deep-plane rhytidectomy. MAIN OUTCOME MEASURES: Staged postoperative facial photographs were graded in a blinded fashion by 3 facial plastic surgeon reviewers for postoperative ecchymosis and edema. Each facial side treated with APG that demonstrated less edema or ecchymosis than the non-APG-treated side was designated a positive response; otherwise, the response was equal (no difference) or negative (untreated side had less edema or ecchymosis). RESULTS: Twenty-one positive and 21 equal responses were observed compared with 8 negative ones. Of 20 unanimous observations, 15 were positive, only 3 equal, and 1 negative. CONCLUSIONS: Treatment with APG may prevent or improve edema or ecchymosis after deep-plane rhytidectomy. This trend is more apparent for ecchymosis than for edema, and is chiefly demonstrable in the early phases of recovery. These observations are consistent with previous reports of cell tissue culture and wound response to concentrated platelet product.

Blood Platelets↗