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J J Tofield

Publications and source records attributed to J J Tofield.

At least 19 recordsLinked to original sources
PubMed1986

Capsular contracture: a prospective study of the effect of local antibacterial agents.

In a prospective, random, double-blind, and concurrently controlled clinical study of 124 patients having augmentation mammaplasty, using multiple independent subjective judges as well as objective compressibility measurements, the use of a variety of local antibacterials in or around inflatable retromammary prosthetic implants reduced the early postoperative onset of class III to IV capsular contracture by sevenfold (85 percent) and the final incidence by more than half (50 percent) (p less than 0.01). We believe this study provides the most unequivocal evidence to date that the cause of capsular contracture in retromammary augmentation is periprosthetic bacterial contamination. Irrigation with a 5 percent povidone-iodine (50 percent Betadine) solution was as effective as other techniques and is currently our procedure of choice.

Administration, Topical↗
PubMed1981

Capsules, infection, and intraluminal antibiotics.

Staphylococcus epidermidis, a normal cutaneous inhabitant previously shown to be present in 67 percent of nipple secretions, has been cultured from 55 percent of surgical mammary pockets prior to implant insertion and from the interior of 71 percent of fibrous capsules explored at open capsulotomy. Cephalothin and gentamicin placed within the lumen of inflatable breast implants in vitro have been shown to diffuse outward through the silicone shell. The use of intraluminal cephalothin and gentamicin in vivo has significantly reduced our incidence of capsular contracture following both primary mammary augmentation and secondary open capsulotomy. The authors believe that the cause of fibrous capsular contracture may be a low-grade periprosthetic infection, and that the unique permeability characteristics of the silicone shell may permit sustained antimicrobial activity at the surface of the prosthesis.

Cephalothin↗
PubMed1980

The second-look technique in face lifts--does it work?

Charts of 120 patients who have undergone face lifts in a single practice have been reviewed for objective evidence of postoperative hematoma formation following traditional or second-look face lift surgery. The respective rates of hematoma formation-21.7 percent, as compared with 7 percent-were found to be significantly different (P less than 0.025) by chi-square analysis, and no extraneous factors can be asserted to explain this difference. The authors therefore conclude that the second-look technique is responsible for reducing postoperative complication from face lift and that it is a worthwhile modification to the traditional procedure.

Face↗
PubMed1975

Somersault flap for reconstruction of the helix.

An original technique for reconstruction of the helix has been successfully applied. Posterior auricular skin ia attached to the medical aspect of the helical rim, then somersaulted laterally into position, recreating the helical curl.

Adolescent↗