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Biomedical subjects

M Harahap

Publications and source records attributed to M Harahap.

At least 19 recordsLinked to original sources
PubMed2001

The modified bilateral advancement flap.

BACKGROUND: Bilateral advancement flaps are commonly used in the closure of circular skin defects because of their ease of execution and satisfactory result. However, the limited sliding capacity of these flaps has always been a problem. OBJECTIVE: The modified bilateral advancement flap maximizes the amount of tissue that can be brought into the defect. It relies on both advancement and transposition principles and borrows tissue from two planes. Thus the length of the flap could be shortened for increased flap survival. METHODS: Bilateral transposition flaps are created from tissue on both sides of the wound. These are then approximated and sutured together to form a single, new tip (apex), which is then advanced and sutured into the concave base of the opposing advancement flap at its midpoint. RESULTS: The modified bilateral advancement flap has been used effectively to close defects in the temporal, cheek, forehead, and lower eyelid, among 11 patients, providing a well-contoured and aesthetically pleasing reconstruction. CONCLUSION: This method extends the capacity of the bilateral advancement flap to reconstruct and improves its applications and advantages.

Adult↗
PubMed1998

The treatment of lichen amyloidosis. A review and a new technique.

BACKGROUND: A number of treatments for lichen amyloidosis have been described and the results are frequently unsatisfactory. OBJECTIVE: To describe a new surgical technique that uses a scalpel to scrape the upper layer of the skin. METHODS: A scalpel (No. 15) is pressed firmly and perpendicularly against the skin and scraped exactly parallel with the surface of the skin. This can be repeated until the subpapillary dermal layer. RESULTS: Scraping with the scalpel removes the epidermis and deposits of amyloid in the dermis. All nine patients healed without complications with acceptable to good aesthetic results. CONCLUSION: The technique is quick, effective, simple to perform, inexpensive, and safe. This is another option in the surgical treatment of selected cases of lichen amyloidosis.

Adult↗
PubMed1990

Method of minimizing hemorrhage in excising hemangioma.

Subtotal excision of hemangioma may be indicated to improve contour and minimize body image distortion. A method has been employed to minimize intraoperative hemorrhage. The surgical excision is easily accomplished by using hemostatic sutures. The method is described.

Adult↗
PubMed1989

How to biopsy oral lesions.

Biopsy of oral lesions is a procedure of considerable diagnostic value. The size, location, and characteristics of the lesion determine the type of procedure used. The procedure is explained using photographs and appropriate commentary.

Biopsy↗
PubMed1988

Circumcision: a review and a new technique.

Numerous techniques for circumcision have been described in the literature. They range from the dorsal slit incision, the squeeze technique using the Gomco clamp or Plastibell, the sleeve resection technique, and the guillotine technique. An alternative technique, which has not been previously described, is presented.

Adult↗
PubMed1988

The modified MOHS micrographic surgery.

MOHS micrographic surgery produces the highest cure rate of any available treatment for skin cancer. This procedure, employing frozen sections of fresh tissue, requires special laboratory facilities as an integral part of the Mohs micrographic surgery unit and a skilled histotechnician, which makes it expensive. Moreover, the multi-stage procedures in one day requires an extensive commitment of operating time and personnel. We have overcome these problems by utilizing the existing facilities, different methods of tissue-handling, and the use of the expertise of a pathologist. Surgeries can be scheduled at such times that are less disruptive to the patient, surgeon and pathologist.

Basal Cell Carcinoma↗
PubMed1985

Surgical repair of atresia of nasal passages.

Surgical correction of nasal atresia following healing of smallpox lesions in a 15-year-old girl is presented. The surgical technique used was complete excision of the scars and resurfacing of the resulting wound with grafts of full-thickness retroauricular skin. Particular attention was paid to prevention of postoperative contracture.

Adolescent↗
PubMed1984

Dermatomycoses in Indonesia.

A review of mycologic surveys and case reports indicates the unique occurrence of deep and superficial fungus infections of the skin as encountered in Indonesia, confirming that each country has its own pathogenic mycologic flora. Such diseases as phycomycosis, histoplasmosis, mycetoma, chromomycosis, cryptococcosis, and dermatophytosis are common.

Adult↗
PubMed1984

Revision of a depressed scar.

Depressed scars are usually disagreeably conspicuous on the face and neck. There is frequent demand for correction, and several methods of correction are reviewed. Two cases are presented, and the technique of operative correction is described and illustrated.

Adipose Tissue↗
PubMed1982

Some useful flaps for covering some defects in the nose.

For covering defects in the nose, the immediately adjacent skin is preferable for local flaps because it is better in color match and in healing. In this paper some useful local flaps for repair of defects in the nose are described and illustrated.

Adult↗