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Biomedical subjects

M J Mulvaney

Publications and source records attributed to M J Mulvaney.

9 recordsLinked to original sources
PubMed1996

Modified Bernard-Burow cheek advancement and cross-lip flap for total lip reconstruction.

Subtotal lip reconstruction can be performed using local flaps such as the cross-lip flap or fan flap. Total lip reconstructive efforts usually are suboptimal in providing an adequate oral sphincter, an acceptable aesthetic result, or both. For total upper, lower, or extensive combined soft-tissue defects that include both lips, traditional methods of reconstruction include the use of regional flaps. More contemporary reconstructive efforts emphasize staged reconstruction with local tissue flaps using "like" tissue in a sequential fashion to achieve a successful outcome. We describe the reconstruction of total upper, lower, or extensive combined defects and report on 7 cases using a 2-staged method of reconstruction based on the modifications of the Bernard-Burow and Abbe flaps. The principle of esthetic units an intact modiolus and oral sphincter are emphasized to ensure excellent aesthetic and functional results.

Aged↗
PubMed1995

Thin tangential excision of tattoos.

BACKGROUND: There are many techniques used to remove professional tattoos. Each method can be complicated by hypertrophic scarring, pigmentary changes, and/or insufficient pigment removal. OBJECTIVE: To study the results of precise, thin, tangential excisions of professional tattoos. The posttreatment migration of dermal tattoo pigment was also evaluated. METHODS: Five healthy white males had their professionally placed tattoos excised at a depth of 0.008 in (0.2 mm) using a Brown dermatome. Pre- and posttreatment biopsies were used to measure the depth of the tattoo pigment. RESULTS: At 3 months posttreatment, four patients had no significant scarring and three patients retained only scattered flecks of tattoo pigment. Each patients demonstrated migration of the deeper dermal pigment to a more superficial level. CONCLUSION: A superficial, tangential excision of a professional tattoo by a Brown dermatome is a viable, low-risk, inexpensive procedure.

Adult↗
PubMed1990

Razor-blade surgery.

The razor blade can be a valuable tool in the performance of many minor surgical procedures. It is extremely sharp, flexible, inexpensive, readily available, and easy to use. The technique and specific applications are reviewed and discussed.

Dermatologic Surgical Procedures↗
PubMed1990

Delayed grafting of midline forehead flap donor defect: utilization of residual flap tissue.

The use of a midline forehead flap often creates a secondary defect that is difficult to close primarily. When the pedicle is detached, the residual flap tissue can be utilized as a delayed full-thickness skin graft. This technique combines two surgical principles: delayed grafting and the use of adjacent residual flap pedicle skin that would normally be discarded.

Forehead↗
PubMed1989

Evaluating blood flow in full-thickness skin grafts utilizing the laser Doppler.

Full-thickness skin grafts follow a consistent clinical pattern of color and textural changes. Measurements with the Laser Doppler Velocimeter correlate with these observed changes, yielding reproducible temporally associated blood flow rates. Previous physiologic and histologic studies for skin grafts are discussed.

Blood Flow Velocity↗