Biomedical subjects
H A Tobin
Publications and source records attributed to H A Tobin.
Hemifacial atrophy: a case report of fat transplantation.
A case of hemifacial atrophy affecting a young female is presented and the manifestations of this uncommon disorder are reviewed. The various methods employed in correcting the facial deformity including the relatively new technique of fat injection are described.
Trends in office-based surgery.
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Trends in office-based surgery: lipoplasty.
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Office surgery: the surgical suite.
A brief history of office based surgery as well as a guide to economic and practical considerations for new facility planning.
Operative setting and anesthesia.
Just as surgical techniques have changed in rhinoplasty, there have been dramatic changes in the techniques of delivery of care. This article has emphasized concepts of outpatient operative technique and anesthesia, especially as they relate to an ambulatory facility incorporated in a surgical practice.
The less-than-satisfactory rhinoplasty: comparison of patient and surgeon satisfaction.
An analysis of patient response to less-than-ideal results in rhinoplasty reveals a marked discrepancy between the way patients react and the way in which surgeons think they would react. We feel that, by showing less-than-ideal results to prospective patients, we may be able to develop a method to predict the degree of dissatisfaction that a patient might show to a result that was less than ideal.
Electrosurgical blepharoplasty: a technique that questions conventional concepts of fat compartmentalization.
Traditional teaching on blepharoplasty surgery emphasizes the existence of several discrete fat compartments in the upper and lower lids. Surgical techniques are based upon removal of fat from each of the two or three so-called compartments within the upper or lower lid. Anatomically, there is little basis for assuming the existence of such compartments. They usually represent areas of weakness or dehiscence within the overlying muscle or septum. A technique of blepharoplasty using electrosurgical dissection is described which emphasizes wide incision of the orbital septum with abundant presentation of the entire fat pad. Removal of fat is carried out without clamping and with great assurance that there will be no subsequent bleeding. Since it is not necessary to pull on the fat pads, retraction of open vessels is avoided.
Radiation-induced pharyngeal stenosis. A report of two cases after planned postoperative radiation therapy.
Two cases of almost complete stenosis of the hypopharynx occurred after laryngectomy, radical neck dissection, and postoperative radiation therapy. Successful reconstruction that utilized a tubed, deltopectoral flap was accomplished in each case. In the absence of evidence indicating increased long-term survival with combined surgery and postoperative radiation therapy, one must question the utilization of these methods. Decreased local recurrence or cervical metastasis may not be an adequate justification if the rate of complications is notably increased, especially when complications can be as severe as these.
Silicone rubber stent. An improved form of ear packing.
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Increased cerebrospinal fluid pressure following unilateral radical neck dissection.
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Nonchromaffin paraganglioma of the larynx. Case report and review of the literature.
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Conservation in head and neck surgery.
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Acute injuries of the larynx and trachea in 49 patients. (Observations over a 15-year period).
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Office surgery in otolaryngology.
Rising hospital costs have prompted many surgeons to develop office surgical facilities. This can be particularly useful in the type of practice seen by the otolaryngologist. This paper deals with the requirements for an office surgical setup, the scope of surgery that can be carried out in the office, as well as the advantages and disadvantages of operating in the office. Of particular importance is the fact that one must be prepared for the emergency situation when operating in his office.
Office fiberoptic laryngeal photography.
Fiberoptic direct laryngoscopy has been widely accepted as part of the office laryngeal examination, because it can provide photographs that can be used to document the examination. This is especially useful in serial examinations and in surgical cases for which a visual record of the preoperative and postoperative appearances add greatly to the medical record.
The razor dermatome--shaving time and expense from skin grafting.
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