Biomedical subjects

G Senechal

Publications and source records attributed to G Senechal.

17 recordsLinked to original sources

PubMed1989

[Rhinoplasty in the elderly].

Though psychological and anatomical conditions are less suitable, cosmetic rhinoplasty in the elderly patient is possible when indicated in selected patients. Their motivations should be looked for. The ones that have been delayed for other reasons are most convenient. The nasal deformities have nothing in particular. Decreased skin elasticity due to ageing is the point to be considered. When this change is moderate, usual surgical technics can be used for mild corrections. Otherwise, cutaneous resections should be limited to the root of the nose in order to carry out an elevation of the skin and a nasal lift. When it's conducted with care, rhinoplasty in the elderly patient deserves its rank in palliative treatment of ageing.

Aged↗

PubMed1988

[Drug ototoxicity. Medicolegal aspects].

Drug ototoxicity is a preoccupying iatrogenic complication. Experimental studies over recent years, in particular a pharmacokinetic study of the elimination of aminoglycosides, have enabled the authors to define rules of prescription for parenteral aminoglycosides designed to reduce to a minimum the risk associated with their use. New aminoglycosides such as Netromycin appear to be associated with reduced toxicity. The medico-legal consequences of this complication are still rare, although more precise rules of prescription tend to make the experts more rigorous. The experimental evidence of cochleovestibular toxicity of aminoglycosides applied locally in the presence of a perforated tympanum leaves no room for doubt. The principal factor seems to be the duration of treatment. The prescription of a local aminoglycoside in the presence of a perforated tympanum would only appear to be justified from a legal point of view when absolutely indicated by antibiotic sensitivity tests.

Aged↗

PubMed1988

[Iatrogenic complications of nasal sinuses surgery].

In order to illustrate the necessity of obtaining informed consent before any form of nasal sinus surgery, the authors present 23 cases of insurance claims filed between 1976 and 1986 in private practice. Ten serious complications (6 cases of blindness, 4 fractures of the anterior cranial (fossa) and eight cases of oculomotor nerve paralysis are reported. The legal proceedings demonstrate the real risks of radical surgery to the sinuses, as well as intranasal ethmoidectomy and rhinoplasties.

Blindness↗

PubMed1988

[Medicolegal aspects of esthetic surgery].

The particular features of the contractual agreement binding patient and plastic surgeon are recalled. The obligation of the result appears to be distorted in the course of jurisprudence. The severity of the judgements means that great care must be taken in the management before, during and after the operation (study of the patient's motivations, informed consent, iconographic survey, technical equipment, postoperative care,...). The problem of competence and the technical training of the surgeon are also discussed.

Ear, External↗

PubMed1983

[Otoplasties].

Explore the source record for details and available documents.

Cartilage↗

PubMed1981

[Reflections concerning the reconstruction of the pinna of the ear (author's transl)].

Reconstruction of the pinna of the ear is a difficult enterprise and overall results are poor. It is nevertheless essential to persist since despite the hazards of such surgery many patients wish to have an operation since they are unable to tolerate their deformity. Apart from the cutaneous problem, the most important point remains that of bitterness. There are still many partisans of the use of costal cartilage, but it would seem legitimate to also try new implantable substances, in particular microporous. Whatever the choice, it is important in all cases to establish a programme rather then improvise. This is the only way to reduce the number of operative stages, to avoid untoward scars and to decrease the number of "touching up" procedures. Despite the many difficulties which must still be resolved, a certain number of modern studies offer hope of an improvement in results.

Cartilage↗

PubMed1981

[A rare and late complication of rhinoplasties (author's transl)].

The majority of failures after rhinoplasty are of operative origin and rapidly become evident. The two cases of complications reported here were on the contrary late since they occurred after respective periods of 4 and 10 years. They involved mucoid cysts by inclusion of nasal mucosa, requiring complete excision via an external approach.

Adult↗

PubMed1978