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Biomedical subjects

M I Dinner

Publications and source records attributed to M I Dinner.

At least 19 recordsLinked to original sources
PubMed1998

The art of the trichloroacetic acid chemical peel.

Despite escalating interest in laser resurfacing techniques, chemical peel procedures remain an integral part of the armamentarium for resurfacing aging, sun-damaged, and diseased skin. Like other chemicals, the advantage of the technique of tricholoracetic (TCA) acid application is that the degree and depth of penetration within the skin can be controlled accurately according to specific requirements. This article reviews the preoperative evaluation of skin and the techniques for preconditioning, intraoperative peel, and postoperative management of TCA-treated skin.

Adult↗
PubMed1994

The use of expanded polytetrafluoroethylene as a permanent filler and enhancer: an early report of experience.

Plastic and reconstructive surgeons have long sought the ideal material to fill and enhance defects of the head and body. Many of the most widely used materials present problems for the surgeon or the patient, so the search continues. For the past 15 months, we have been using expanded polytetrafluoroethylene (ePTFE) Gore-Tex Soft Tissue Patch to fill in nasolabial and glabellar creases and to augment malar bones and the chin. Early evaluation indicates that ePTFE performs well with very few problems, with a high level of patient and surgeon satisfaction. Histological examination of 3-month explants from the postauricular subcutaneous plane and the antecubital fossa indicate minimal inflammatory response and some collagen penetration into the interstices of the prosthesis.

Adult↗
PubMed1993

Application and modification of the circular skin excision and pursestring procedures.

The concept of the circular excision is not new. However, it was complicated by excessive postoperative areolar stretching and scar hypertrophy. The Benelli principle of a permanent subdermal pursestring suture overcame these drawbacks. We present our experiences with the circular skin excision for mastopexy procedures and for circular skin incision for total mastectomy and immediate reconstruction.

Adult↗
PubMed1992

The "no flap" technique for lower-lid blepharoplasty.

The transconjunctival approach to fat pad excision has gained popularity for use on those patients who require fat excision but not redundant skin excision. For skin excision cases, the pinch technique for raising the cuff of redundant skin of the lower lid has been found helpful, particularly in the older patient with latent senile ectropion. We find that elevating the skin or the skin/muscle flap produces edema of the already weak musculature predisposing it to postoperative senile lid hang. Avoiding lower-lid flaps in a lower-lid blepharoplasty has helped prevent this troublesome problem.

Eyelids↗
PubMed1991

Breast reconstruction utilizing subcutaneous tissue expansion followed by polyurethane-covered silicone implants: a 6-year experience.

Reconstruction of the breast after modified radical mastectomy can be safely and adequately performed in the subcutaneous plane. Placement of a subcutaneous tissue expander (as either an immediate or a delayed procedure), rapid expansion over a 3- to 4-month period, capsulotomy, and placement of a polyurethane-coated implant have led to satisfactory results over a 6-year period. Breast reconstruction methods are well documented; however, the utilization of expanded subcutaneous chest wall skin has not been reported heretofore.

Breast↗
PubMed1990

Planning the aesthetic foreheadplasty.

Different approaches to aesthetic foreheadplasty have been thoroughly described and well documented. However, there has been a paucity of information in the literature describing indications for the various approaches. We detail our approach to planning the foreheadplasty; most commonly, we opt for the anterior forehead-hairline approach. We believe that proper patient selection with regard to anatomical, aesthetic, and physiological factors is of the greatest importance in planning an aesthetic foreheadplasty.

Esthetics↗
PubMed1989

Carcinoma of the breast occurring in routine reduction mammaplasty.

We report the case of an 18-year-old female undergoing routine reduction mammaplasty in whom bilateral diffuse intraductal cribriform breast carcinoma was reported upon review of the surgical specimen. This highlights the importance not only of sending specimens for pathologic examination, but also of marking the specimens accurately by location, such as medial, central, and lateral. Treatment with bilateral modified radical mastectomy with lower axillary dissection and immediate reconstruction with autogenous tissue is reported.

Adolescent↗
PubMed1988

Breast reconstruction with a subcutaneous tissue expander followed with a polyurethane-covered silicone breast implant.

We have reexamined the subcutaneous route of reconstruction of the breast following mastectomy. For either delayed or immediate reconstruction of the breast, we have used a subcutaneously placed Radovan tissue expander, followed by expansion of the skin flap, then capsulotomy and insertion of the polyurethane-coated implant. The results of these procedures are presented after follow-up periods ranging from one and one-half to three years, with more than satisfactory results.

Adult↗
PubMed1987

The tubular/tuberous breast syndrome.

There are various degrees of expression of the fully developed tubular/tuberous deformity. To develop an adequate treatment plan for this condition, the individual deformities constituting the fully expressed syndrome must be diagnosed. The treatment plan must include maneuvers to correct each deficiency within the syndrome itself. We present the spectrum of abnormalities constituting the tubular/tuberous syndrome and the treatment plan thereof.

Adult↗
PubMed1984

Breast reconstruction. State of the art.

Some variant of mastectomy remains the mainstay of the treatment of the primary tumor for the vast majority of the 110,000 new cases of cancer of the breast which will be treated this year in the United States. Reconstruction of the breast after ablation for cancer has become an integral part of the therapeutic regimen of this disease. With the increase in availability and dissemination of information about reconstruction, women expect the opportunity to discuss the options of such surgical rehabilitation after mastectomy. The three major questions arise in regard to reconstruction of the breast: (1) Who should be reconstructed? (2) When should the reconstruction be performed? (3) How should the goals of reconstruction be realized? In answer to these questions, healthy reconstruction is available for any patient, provided she is well enough to undergo the surgical procedure. This may be performed immediately at the time of the ablative mastectomy or delayed for a period of 3 months or more. The nature of the reconstructive procedure is tailored according to the nature of the mastectomy and residual deformity. The authors present their philosophy as to who should be reconstructed, when the optimum time is for this procedure, and their techniques for fulfilling these goals.

Breast↗
PubMed1984

Postmastectomy reconstruction.

Postmastectomy reconstruction is an integral part of the rehabilitation of a patient with breast cancer. Four questions are to be answered: Who is a candidate? When should this be performed? What are the goals of a breast reconstruction? How should these be obtained?

Adult↗
PubMed1984

Verrucous carcinoma of the skin and its management by Mohs' surgery.

Verrucous carcinoma is a low-grade squamous cell cancer that can invade many anatomic sites. Since its clinical appearance is easily confused with several benign conditions, reliable diagnosis is by biopsy and histopathologic examination. The Mohs' histographic surgical technique provides complete surgical excision and a high incidence of cure.

Adult↗