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Biomedical subjects

F Orak

Publications and source records attributed to F Orak.

9 recordsLinked to original sources

A left transverse facial cleft with a median cleft of the lower jaw.

OBJECTIVE: A 13-day-old girl with a left transverse facial cleft and a median defect of the lower jaw is reported in detail. Left macrostomia was repaired using a W-plasty technique, and preauricular appendages were excised. The median defect of the mandible demonstrated by computed tomography scan on the first examination had disappeared at 1 year of age. CONCLUSION: Congenital clefts of the mandible can fuse at a later stage; thus, it is necessary to wait to treat the mandibular defect until the infant is slightly older.

Abnormalities, Multiple↗

The distally based split soleus muscle flap.

A refinement of the previously described distally based soleus muscle flap is proposed. The essential features of the flap are mobilisation of the tibial origin, splitting the muscle longitudinally, partially along a distinct anatomical plane, and preservation of anatomical continuity of the muscle. We suggest that improved blood supply to this flap derives from the intact major lateral proximal pedicles via the intact lateral portion into the flap. We also think that minimal damage to intramuscular vasculature integrity contributes to the improved circulation. The flap has been designed and studied using ten fresh cadaver leg dissections. Angiographic studies proved adequate blood supply to the flap. The flap has been tested eight times on seven patients with favourable results.

Adult↗

Reversed roof graft for the severely deviated nose.

A new technique for the correction of the severely deviated nose is described. After submucosal resection of the septum, the nasal hump is resected, reversed, and reinserted. This technique was applied to 27 patients over a four-year period with successful results. The advantages and disadvantages of the method are discussed.

Adolescent↗

Wineglass pattern for vertical mammaplasty.

The ideal reduction mammaplasty technique should create a pleasing breast shape with minimal scarring. The long and conspicuous scar associated with the classic inverted "T" pattern mammaplasty techniques are not acceptable for many patients. Periareolar mammaplasty techniques cause less scarring, but they have major disadvantages such as scar widening, areolar distortion, and insufficient breast projection. We used a new pattern for vertical mammaplasty to overcome the insufficient breast projection caused by the round block technique and applied it to 51 patients during the last 3 years. This method results in a single vertical scar and a periareolar scar, allows sufficient volume reduction, and provides good breast shape and projection; the results are durable. This procedure is safe, causes few complications, and is easy to learn and perform.

Cicatrix↗

A new extrasupported tip graft in the treatment of bulbous nasal tip.

Treatment of bulbous nasal tip is difficult. In the presence of thick, inelastic skin, cartilaginous framework should be supported in special areas. Many tip grafting techniques have been described but the results usually are not satisfactory. We developed a new tip grafting technique to provide extra support and extra length to the nasal tip. The graft is prepared from the septal cartilage and has an extended "A" appearance. The tip graft is supported with a columellar strut graft. Both grafts are inserted into small separate pockets through separate incisions. If necessary, the alar base is reduced with a modified Weir technique. Fifty-two patients were treated with this technique over the last 3 years. Results were satisfactory in all patients without any complications such as graft displacement, infection, or resorption. Extrasupported tip graft is an effective method in the treatment of bulbous nasal tip with thick skin.

Adolescent↗