J Frodel | PubMed Health

PubMed2000

Midface fractures.

Fractures of the middle portion of the facial skeleton are commonly referred to as midface or LeFort fractures. While significant progress has been made in terms of evaluation and treatment of such fractures, they remain a challenge for the maxillofacial surgeon. In this section, we will review the principles of midface fracture evaluation and repair, emphasizing the importance of understanding biomechanics and controversies that exist in respect to repair sequencing.

Dental Occlusion↗

PubMed1993

Differentiation of basal cell carcinoma.

Basal cell carcinoma is undoubtedly the most common malignancy in light-skinned people. Because of the high incidence of this type of carcinoma, physicians should be familiar with its many clinical presentations. An understanding of the behavior, multiple histologic variations, and available therapeutic modalities is of great value in the diagnosis and treatment of this tumor.

Basal Cell Carcinoma↗

PubMedDate not supplied

Treatment of occipital acne keloidalis by excision followed by secondary intention healing.

OBJECTIVE: To demonstrate the principle of excision with healing by secondary intention in the treatment of occipital acne keloidalis, a chronic, inflammatory condition characterized by inflammation and hypertrophic scarring on the posterior aspect of the neck and the occipital aspect of the scalp. SETTING: Academic teaching institution. METHODS: Five consecutive patients with massive (> 10 x 15-cm) occipital keloids, all actively infected and growing, were treated by excision of the lesion deep to the dermis and hair follicles. Aggressive local wound care of the wound followed, with the end point being complete reepithelialization of the region. RESULTS: Complete wound closure took place in all patients within 6 to 10 weeks. No complications or recurrences occurred. Cosmetic results were judged as fair to good. Follow-up ranged from 2 months to 4 years. CONCLUSIONS: Successful treatment of occipital acne keloidalis with direct excision and secondary intention wound healing is demonstrated. While cosmetic results are not optimal, this form of treatment has produced stable scar beds without return of infection or keloids.

Acne Keloid↗