Biomedical subjects

E Semeria

Publications and source records attributed to E Semeria.

7 recordsLinked to original sources

PubMed1999

[Facial aging. Analysis of esthetic semiology and proposal for systematic treatments].

Surgical literature is severely lacking in anatomo-clinical descriptions of facial aging. Only a few authors provide minor reports on the pathophysiology of aging in order to propose methods of correction. It therefore appears important to start with a diagnosis of the lesions as precise as possible in order to be able to perform the most appropriate treatment. We propose a semeiological analysis of the face, not only stage by stage but layer by layer, starting with the skin, then the fat, muscle and bone. We will then consider the methods which appear to be the most suitable for correction of the various structures concerned by aging within the framework of a total facial reorganisation. We will conclude with a presentation of surgical cases describing the surgical techniques used, with respect to a semiological analysis from each case.

Esthetics↗

PubMed1991

[Post-traumatic ptosis].

Traumatic ptosis is most often secondary to a fasciomuscular lesion of the levator system. Less frequently, it results from the paralysis of the levator muscle due to an injury to the third pair of cranial nerves. This ptosis is observed in comminuted orbital fractures or fractures of the base of the skull involving the orbital apex, and it is then associated with oculomotor paralysis. In favorable cases seen early, repairing surgery of the levator system produces excellent results. When associated with ophthalmoplegia or corneal anesthesia, neurogenic ptosis requires a watch and wait policy.

Blepharoptosis↗

PubMed1991

[The aging eyelid].

Eyelid involution affects all the tissues of the lid, including the tarsotendinous band and the levator muscle. Dermatochalasis can be complicated by ptosis, entropion or ectropion, which must be taken into account during assessment and treatment.

Aging↗

PubMed1991

[Repair of enlarged orbital exenteration cavities].

An empty orbital cavity is always unesthetic-looking, but several plastic surgery procedures exist to attenuate the cosmetic damage. In case of exenteration affecting periorbital tissues and cavities, spontaneous epithelialization is preferable than a split skin graft. Except for rare cases, where it is indicated to preserve the conjunctivae and eyelids, covering up may be realized with minimal scarring using two flaps, one superficial jugotemporal, and the other deep mid-frontal.

Eye Enucleation↗

PubMed1991

[Use of a posterior temporal muscle flap in surgery of the temporomandibular joint].

The anatomical and physiological relation between temporal muscle and temporomandibular joint are well-knowed. The versatility of the temporo muscle-fascia flap must be stressed. The posterior temporal flap is a simply, reliable procedure, with low morbidity. This technique is probably the procedure of choice in discal replacement and in interposition arthroplasty for ankylosis.

Humans↗

PubMed1990

[Repair of mutilations of the lacrimal apparatus].

Repair of mutilated lacrimal passages should be adapted to the anatomy and physiology. Whenever possible, this should be performed as an emergent operation and come in as part of an overall therapeutic strategy. Repair methods used are simple end-to-end approximation of permeable segments, in case of limited lesions, and use of arterial grafts or of adjacent, nasal or saccular mucous flaps, in case of extended lesions. When reconstruction is not feasible owing to the extent of the lesions or to failure of the repair methods, tear derivation is carried out directly via the lacrimal sac or nasal fossa, by means of intermediate flaps (primarily nasal mucosa) or indwelling drains. Objectively, the functional outcome of repair is hard to assess, as tearing can, by no means, be considered a clinical criterion of obstruction, in the same way as lack of tearing is not a criterion of permeability. Only dacryography or, when possible, postoperative scintigraphy of the lacrimal passages allow for an objective evaluation of the results. Thus, although satisfactory results are the rule, long-term objective observation often leads to mitigating feelings.

Dacryocystorhinostomy↗

PubMed1990

[Conservative rhinoseptoplasty of the nasal roof].

Rhinoseptoplasty is proposed to preserve the integrity of the ridge of the nose and its natural appearance. It is patterned on Maurel's procedure (1940). After mobilization of the bony root of the nose, the resection of a strip of the nasal septum just under the "keystone" allows pushing the nose back into the facial structures. Besides its simplicity, the advantages of this method include: the integral preservation of the ridge of the nose, the controlled reduction of the profile. and the relative autonomy of the tip of the nose. The indications for this type of rhinoplasty are mainly restricted to straight noses with a mild, harmonious osteocartilaginous hump.

Humans↗