[Cosmetic surgery and responsibility of legal health insurance from the viewpoint of the plastic surgeon].
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Biomedical subjects
Publications and source records attributed to H H Spitalny.
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This article presents a newly designed instrument capable of being used for three surgical procedures:(1) removal of dermis (without epithelium) from a donor site, (2) dissection of specific muscles that cause cutaneous folds, (3) implantation of the dermis under a cutaneous depression or fold.
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Silicone implants are suitable for correction of defects in the face. They are biologically inert, are retaining form, are available in each size and consistency, are easily inserted and later on corrected. Among 321 silicone implants in the face we found complications between 8% for chin augmentation and 55% for ear reconstruction. The overall-complication rate was diminished by a simple correction to less than 9%.
The authors report on the experience in 27 patients with noses damaged by radiation. Different types of local flaps from the forehead and distant flaps from the neck and arm for reconstruction are described.
The method using synthetic skin substitute Epigard as a long-term coverage for donor sites in cross-leg-flap- and other plastic surgery procedures is described. The double-layered polyurethane/Teflon-material can be left on the wound for several weeks to avoid bacterial contamination during holding periods and to prepare regrafting of skin flaps. Experiences based on 32 cases are described.