Macroscopic intraductal silicone gel.
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Biomedical subjects
Publications and source records attributed to M W Seitchik.
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The guidelines by which insurers determine eligibility for coverage of reduction mammaplasty must rely largely on only subjective materials, yet they often apply strict criteria ranging from minimum resection weights to outright refusal to compensate. I have reviewed the data from 100 consecutive reduction mammaplasties performed by me over the last 2 years. Body weight, combined specimen weight, and height relationships were studied. Patient-identifiable questionnaires regarding the presence or absence of preoperative regional discomforts were sent to the same group. It was not possible to construct a useful formula that would verify either subject complaints of discomfort or the prospect for their relief based on body dimension or specimen weight. This study suggests that a graded, three-level minimum specimen weight standard for body weights less than 70 kg, 70 to 79 kg, and over 80 kg would be more equitable.
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A case of chronic granuloma of the buccal space and parotid gland is described which was caused by the unusual organism Actinobacillus actinomycetemcomitans. A review of the literature describing its pathogenesis and other clinical presentations is offered.
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A method for augmenting the minimally ptotic breast is presented that utilizes a superiorly located semicircumareolar incision. Access to the retromammary space is provided by a radial incision through the thinned portion of the breast beginning at the superior pole of the areola. The inferior pole of the breast, with its highly vascular connections to the pectoral fascia and sensory innervation to the nipple, is avoided. Up to 3 cm of ptosis correction can be accomplished by the excision of supraareolar skin without producing distortion of the areolar configuration or scar hypertrophy.
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