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Biomedical subjects

M N Saad

Publications and source records attributed to M N Saad.

At least 19 recordsLinked to original sources

Correction of developmental breast abnormalities with a permanent expander/implant.

Patients with developmental breast abnormalities often present to the plastic surgeon at a young age. We report our experience with 4 cases of unilateral breast abnormality (3 hypoplastic and 1 tuberous) treated with a Becker permanent expander/implant. Our approach is to insert the expander/implant, expand intermittently to keep pace with growth of the other breast and remove the filling valve under local anaesthesia on maturity. The techniques and advantages of this approach are illustrated and discussed.

Adolescent↗

Merkel cell carcinoma: a clinico-pathological report of 3 cases.

Merkel cell carcinomas are rare. The head and neck are the commonest sites of presentation. They are slightly more common in females and are frequently misdiagnosed. This tumour has had little coverage in the surgical journals which accounts for the low index of suspicion. Three cases, which were successfully treated surgically, are presented in order to increase awareness. It is a diagnosis that one should have in mind when examining an atypical skin lesion.

Aged↗

Tumour thickness in malignant melanoma: the limitations of frozen section.

This paper reports a prospective study to compare maximal tumour thickness values of the same lesion obtained by frozen and paraffin sections in 20 patients with malignant melanoma over a one-year period. Significant differences were found between tumour thickness values obtained by frozen section and paraffin section. There was no constant relationship between the two sets of values. As present prognostic and therapeutic criteria are based on tumour thickness measurements obtained from paraffin sections, we recommend that clinical decisions should not be based on results obtained from frozen sections.

Adult↗

Subtotal premaxillectomy; a salvage procedure in selected cases of bilateral cleft lip and palate.

Subtotal premaxillectomy with preservation of the posterior plate of the premaxilla and the premaxillary-vomerine suture line was carried out in six selected cases of severe bilateral cleft lip and palate between the ages of four and eight years. The long term results are shown and it is concluded that although the procedure does not seem to affect mid-facial growth adversely, it should be reserved for very selective cases and only as a last resort.

Child↗

The control of carotid arterial haemorrhage in head and neck surgery by balloon catheter tamponade and detachable balloon embolisation.

Radical surgery in the neck is hazardous after irradiation. Rupture of the carotid artery may lead to uncontrollable haemorrhage. Reported mortality rates following this serious complication are between 18% and 50% (Heller and Strong, 1979). We describe a simple method for controlling acute carotid haemorrhage using a standard Fogarty biliary catheter, with selective detachable balloon embolisation for permanent occlusion of the carotid artery.

Carotid Arteries↗

Aggressive pilomatrixoma in a child: a case report.

Calcifying epitheliomas of Malherbe (pilomatrixomas) are benign calcifying tumours that arise from the hair matrix and present as a slow-growing dermal or subcutaneous mass most commonly located in the head and neck. Recurrences after tumour removal are rare. There have been reports in the past of invasive pilomatrixoma in the pre-auricular area (Krausen et al., 1974; Rothman et al., 1976; Sasaki et al., 1976; Arole et al., 1983), as well as other locations such as the right arm (Gromiko, 1927) and the upper back (Lopansri and Mihm, 1980). Two cases were also reported in adults by Weedon et al. in 1980. None of these tumours has occurred in children.

Child↗

The circumareolar incision: a useful incision for gynaecomastia.

A simple incision for the treatment of gynaecomastia is presented which combines the advantages of adjustment of areolar size and good cosmetic result with increased access when compared with conventional periareolar incisions. This technique has also been used to provide access in augmentation mammoplasty, and could be used for the removal of benign tumours in the periareolar region.

Breast↗

An extended circumareolar incision for breast augmentation and gynecomastia.

A modification of the standard periareolar incision is described. It provides better access for augmentation mammoplasty and gynecomastia, as well as allowing for correction of asymmetry in the size and siting of the nipple-areola complex. Finally, it achieves a very slight tightening of the skin envelope in cases of minor skin laxity.

Breast↗

Rhinophyma in a negro: case report.

A case of rhinophyma in a negro patient is reported. The cause of rhinophyma and its association with acne rosacea is discussed. It is suggested that racial factors may be relevant in this incompletely understood condition.

Adult↗