Biomedical subjects

J Fearon

Publications and source records attributed to J Fearon.

3 recordsLinked to original sources

PubMed1990

Cleft earlobe repair.

This is a retrospective study of 9 patients who underwent a total of 11 repairs for cleft earlobe. Two repairs were performed using the simple technique, and 9 were repaired using the L-plasty technique. The mean follow-up was 5.5 months (range, 2-18 months). Both of the simple repairs were judged to have moderate notching along the inferior lobular border, and 1 of the 9 L-plasty repairs was judged to have a slight notching. There were no complications. We believe that the L-plasty technique offers a better cosmetic result in the repair of the cleft earlobe. This technique breaks the vertical component of scar contracture, resulting in a smooth lobular border. In addition, a variation on this technique allows for a simultaneous reduction of the lobule when indicated.

Ear Deformities, Acquired↗

PubMed1990

Retro-orbicularis oculus fat (ROOF) resection in aesthetic blepharoplasty: a 6-year study in 63 patients.

Sixty-three nonconsecutive patients have undergone resection of the retro-orbicularis oculus fat (ROOF) in conjunction with aesthetic blepharoplasty. In these patients, a consistent and useful ability to soften and flatten heaviness and bulkiness in the lateral upper orbital region was seen. Two patients developed postoperative hematoma, and two different patients had transient dry-eye symptoms following blepharoplasty. Twenty percent of patients had a transient degree of numbness in the lateral supraorbital nerve region, and all patients noted some transient numbness over the lateral upper brow region. No patient demonstrated significant paralysis of the orbicularis oculus or corrugator muscle. From this experience, retro-orbicularis oculus fat resection would appear to be a useful adjunct to standard blepharoplasty techniques in selected patients.

Adipose Tissue↗

PubMed1985

Improved results with diabetic below-knee amputations.

This study of 100 consecutive below-knee amputations in 98 diabetic patients was undertaken to review our results and to compare them with a similar report of 20 years ago. Ninety-three limbs were ischemic, and 79% of the patients had significant infection. This finding was similar to that in our previous study group. Twenty-one percent of the patients had previous arterial reconstruction, 11% had had a toe or metatarsal amputation, and 17% required a guillotine (open) amputation to control sepsis. The below- to above-knee amputation ratio was 2.3/1. The selection of level was made on clinical grounds. None of the 100 amputations required revision to above-knee amputation. The mortality rate was 3% and the wound complication rate was 18%. Eighty-three percent of the patients were ambulatory at the time of discharge, which occurred at an average of 35 days. There has been a significant improvement in the number of successful below-knee amputations performed since our previous study. We attribute these results to aggressive surgical control of infection and to close follow-up with early recognition and treatment of healing problems.

Adult↗