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Biomedical subjects

E Hodin

Publications and source records attributed to E Hodin.

6 recordsLinked to original sources

[Gynecomastia. Management of diagnosis and therapy. Apropos of 52 cases].

Gynecomastia is the commonest breast lesion in males. Fifty-two patients (mean age 24 years) operated in our department were reviewed with a mean follow-up of two years and a half. Gynecomastia occurred most frequently during puberty (63%), was bilateral (75%) and idiopathic (65%). The size of the enlargement was evaluated according to Simon's-classification based on breast-volume and skin-redundancy. 18 stage 1, 22 stage 2A, 9 stage 2B, 3 stage 3. Clinical examination and mammography determined the consistency of gynecomastia: adipose or firm. 4 different surgical managements were used: 32 subcutaneous mastectomies, 12 liposuctions, 6 liposuctions assocaited with subcutaneous mastectomy, 1 total mastectomy. One patient had liposuction on one side and subcutaneous mastectomy on the other one. All techniques gave good morphologic results. Nonetheless, the authors recommend the combination "liposuction and subcutaneous mastectomy", as this technique presents many advantages: small intraoperative blood loss, good skin redraping, short hospital stay, complete histologic examination of the material removed.

Adolescent↗

[Reconstruction of loss of substance on the nose by composite auricular grafts. Apropos of 30 cases].

The authors report 31 cases of nasal reconstruction by composite grafts taken from the ear. Tissue loss concerned the base of the ala (10 cases), the free edges of the ala (15 cases), the nasal tip (3 cases) and the whole of the ala (3 cases). The graft was taken essentially from the root of the helix or from the retro-auricular region. All grafts contained cartilage. Eight vascular flaps were made in order to increase the surface area of contact with the graft. No complete necrosis and five partial necroses were observed. Each of these cases of partial necrosis, were able to be repaired surgically. No side effects at the donor site were observed in 26 patients. The composite graft is a simple and reliable method of nose reconstruction.

Adolescent↗

Gastric volvulus in the pediatric population.

Acute gastric volvulus in children is uncommon. Since 1899, only 77 cases have been documented in the world literature. In children, mesenteroaxial volvulus is the most common type and associated anatomic defects are the rule. Diagnostic delays result in gastric ischemia, perforation, and death. Nonoperative mortality is 80%. Early recognition, surgical reduction with gastric fixation, and repair of associated defects are the mainstays of therapy for acute gastric volvulus in the pediatric population.

Acute Disease↗

Eosinophilic gastroenteritis.

A 4-month-old boy presented with signs of intermittent pyloric obstruction. Peripheral eosinophilia, along with radiographs showing antral-pyloric and duodenal narrowing, suggested the diagnosis of eosinophilic gastroenteritis. A brief discussion of the disease process follows.

Eosinophilia↗