Biomedical subjects
J Adnot
Publications and source records attributed to J Adnot.
Issues with radiation therapy article.
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Infiltrating lipomas of the upper extremities.
The typical lipoma is an encapsulated subdermal tumor, usually easily removed if necessary. We recently encountered two lipomas that infiltrated muscles of the forearm. Excision of infiltrating lipomas may be complicated by their deep location and potential involvement of vascular and neural structures. This paper should increase dermatologists' awareness of this uncommon variant and facilitate appropriate referral for definitive treatment. We believe that this is the first report in the dermatologic literature of infiltrating lipoma of the upper extremity.
Button bolsters in dermatologic surgery.
Ordinary plastic buttons may be used as bolster devices to relieve tension across wounds. This article describes the method of placement of those "button bolsters" and suggests two methods of closing the wound once they are in place. This simple technique is easily mastered and gives additional wound closure security in the initial phase of wound healing.
Nasal cartilage fenestration in the application of full-thickness skin grafts.
A technique is described that enables the application of full-thickness skin grafts to bare cartilage exposed in surgical wounds on the nose. By fenestrating the cartilage so that the lining on the inner side is exposed, the graft is able to receive a blood supply adequate for its survival.
Instrumentation.
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Surgical pearls.
This article contains a potpurri of surgically related stratagems, alternative techniques, and philosophies. These surgical pearls have been selected for their simplicity, usefulness, and applicability.
The suspension suture.
The suspension suture is a tension-reducing stitch that anchors the undersurface of a flap or elliptical wound edge to the underlying periosteum. The technique of placing the stitch is described and the indications for and the benefits derived from its use are discussed.
Visualized basting sutures in the application of full-thickness skin grafts.
This paper describes a simple technique for inserting basting sutures to secure full-thickness skin grafts. By applying the suture under visualized conditions before fully securing the perimeter of the graft, exact placement and knot security of the basting suture can be enhanced, and injury to underlying structures can be avoided. Furthermore, by securing the center of the graft early in the repair, alignment on and conformation to the underlying wound bed is improved.