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Biomedical subjects

J P Gunter

Publications and source records attributed to J P Gunter.

12 recordsLinked to original sources
PubMed1992

Correction of the pinched nasal tip with alar spreader grafts.

A pinched nasal tip is caused by collapsed alar rims secondary to weak lateral crura. The resulting deformity can be corrected with alar spreader grafts--autogenous grafts of septal or auricular cartilage that are inserted between and deep to the remaining lateral crura to force them apart, propping up the caved-in segment. We describe the surgical technique, indications, and variations in design of alar spreader grafts and present representative results from our series of 38 patients.

Adult↗
PubMed1990

Augmentation rhinoplasty: dorsal onlay grafting using shaped autogenous septal cartilage.

We describe our experience with autogenous septal cartilage onlay grafts for augmentation of the nasal dorsum in primary and secondary rhinoplasty cases. After careful nasofacial analysis, the grafts are custom-shaped into inverted-V-frame, A-frame, or inverted-U-frame grafts, depending on the type and degree of augmentation desired. The dorsal elevation is thus tailored to fit the imperfection at hand, resulting in a smooth, natural-looking nasal contour. The indications for each type of graft are reviewed, and the surgical technique of graft harvesting and carving is detailed and illustrated.

Female↗
PubMed1989

Lengthening the aesthetically short nose.

An aesthetically short nose is defined as a developmental deformity in which the nose appears foreshortened. It is characterized by a decreased distance from the nasofrontal angle (NFA) to the tip-defining points (TDP) and an increased nasolabial angle with increased nostril show. A method is described and illustrated for lengthening the aesthetically short nose by rotating the nasal tip in an inferior direction. This rotation results in an actual lengthening, as well as an illusion of lengthening of the nose.

Adolescent↗
PubMed1988

Management of the deviated nose. The importance of septal reconstruction.

The key to the correction of severely deviated noses is straightening the nasal septum. An emphasis is placed on conservative management of the external nasal framework while being prepared to perform extensive surgery on the deviated septum. If the septum can be modified and repositioned in the midline without losing support to the nose, consistently good functional and aesthetic results are obtained. Several techniques that we have found to be of value in achieving this goal have been discussed and illustrated and three representative cases have been presented.

Adolescent↗
PubMed1987

External approach for secondary rhinoplasty.

A systematic approach, using the external rhinoplasty technique, is presented to aid the plastic surgeon in obtaining improved aesthetic and functional results in patients with postoperative nasal deformities. In over 100 external rhinoplasties, there were no problems with the stairstep transcolumellar incision used to provide complete visualization of the underlying nasal framework. The external approach allows for a more accurate intraoperative anatomic diagnosis and subsequent complete correction of the nasal deformity. Three case reports are presented to demonstrate the indications and versatility of the external approach in secondary rhinoplasty.

Adolescent↗
PubMed1978

Camouflaging scars in the head and neck area.

Any break in the continiuty of healthy skin results in the formation of a scar. The way the scar is formed and the factors affecting the final appearance are discussed. Basic surgical principles as they relate to the revision of scars and the different surgical techniques used for revising scars are presented. Surgical adjuncts used following scar revision and hypertrophic scars and keloids and their treatment are also discussed.

Cicatrix↗
PubMed1978

Facial reconstruction using local skin flaps.

The use of local skin flaps for reconstructing small to moderate size surface defects of the facial area is presented. The indications for the use of skin flaps, the local and general factors involved in selecting the best flaps for reconstruction, and proper planning of the flaps are discussed. Basic local skin flaps are illustrated by diagrams and clinical cases are presented to demonstrate the use of the different type flaps.

Basal Cell Carcinoma↗
PubMed1977

Rhomboid flap.

The rhomboid flap is a practical and efficient method of repairing small- to moderate-size surface defects of the head and neck. This flap has the advantage of combining the lateral shift and rotational methods of transfer that aid in the closure of the donor site as the flap is transposed. A description of this flap, the principle of its design, its clinical application, and potential pitfalls are presented.

Face↗
PubMed1976

Rhomboid flap principles and common variations.

The rhomboid flap was initially popularized by a Russian, Alexander Limberg, and modified by Claude Dufourmentel of Paris. Numerous variations on the flap have been proposed more recently by Webster and Gunter. This flap has found its way into the practice of most surgeons doing head and neck surgery, with its primary advantage being that it is an extremely simple flap operation to learn, with great versatility. The general principles and their clinical application are presented in order to increase proper utilization of the flap.

Humans↗