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Biomedical subjects

H Sabatier

Publications and source records attributed to H Sabatier.

3 recordsLinked to original sources

[Facial aesthetic lipostructure].

Coleman's lipostructrure, based on the use of specific material and on a strict methodology has reconciled the surgeons with adipocyte transfer. The quality of the lipostructure results depends significantly on: The topography of the graft locations (the best results being obtained in the malar, chin and cheek units), the candidates (better results in young women, less than 60 years). The quality of the lipostructure results has influenced our surgical strategy: Lipostructure can be used alone, or frequently associated with a face lift. We adopted a regional operatoring strategy: A more limited zone of face lift undermining enabling us to target lower cheeks and neck, adjunction of lipostructure in adjacent anterior locations. In our experience the association face lift-lipostructure gives good and natural results. Lipostructure is currently the best way to restore facial volumes.

Adipocytes↗

[Long-term outcome of surgically treated orbital floor fractures. Apropos of a series of 242 patients].

Over a period extending from January 1993 to December 1995, we treated 242 patients with 268 orbital floor fractures in our department. Surgical indications were broad and relied on clinical criteria (enophthalmos, diplopia, hypoesthesia) and/or CT analysis (bony collapse, extrusion of orbital contents, suspicion of muscular entrapment, dislocation of the infraorbital rim). Two years after surgery, 91% of the patients showed good results (absence of diplopia or severe enophthalmos). The analysis of these results points out that the degree of sequelar enophthamos was not only related to the degree of initial bony collapse but above all to the quality of the bony reconstruction. Sequelar diplopia was linked with the presence of a preoperative diplopia and its severity was a direct function of operative delay. Hypoesthesia in the infraorbital nerve territory was the most common sequela; some were postoperative complications. The type of material used for the restoration of the orbital floor was not involved in the development of these sequela. Our good results suggest that an interventionist attitude is warranted in these kind of fractures, the more so as the X-ray examinations often underestimate injuries.

Adolescent↗

The surgical treatment of axillary hyperhidrosis.

Surgical removal of the gland-bearing skin of the axillae as a reasonable management of axillary hyperhidrosis is described. The principle, according to the techniques of Skoog, is to peel back, not excise, the hairy zone of the axillary skin and to resect all the hyperfunctioning glandular layer on the deeper face of the dermis without damaging the dermal vascularization.

Axilla↗