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Biomedical subjects

S S Kabaker

Publications and source records attributed to S S Kabaker.

10 recordsLinked to original sources

An anatomical approach to glabellar rhytids.

OBJECTIVE: To identify surface landmarks that can serve as reference points to the underlying musculature in the treatment of glabellar rhytids. METHODS: Fifty cadaver hemibrows were dissected to assess the location, disposition, and relationships of the brow muscles, along with their variations at each of several consistent locations. Particular attention was paid to the corrugator supercilii, frontal belly of the frontalis, and procerus muscles. CONCLUSIONS: The information gained here may be applied to the pharmacological or surgical treatment of glabellar rhytids. Knowledge of the frequent location of the muscles involved, relative to easily identifiable surface landmarks, allows a more precise approach.

Facial Muscles↗

Scalp flaps in the treatment of baldness. Long-term results.

BACKGROUND: Scalp flaps have been used as a treatment for male pattern baldness for many years. OBJECTIVE: To assess the long-term results of these flaps. METHODS: Twenty patients who underwent a total of 31 temporo-parieto-occipital and temporo-parietal flaps 10-20 years ago were reviewed. RESULTS: Consistent maintaining of the initially obtained coverage and a low incidence of complications was demonstrated. Universally, the male pattern baldness progressed, requiring in some patients subsequent procedures. CONCLUSIONS: Scalp flaps, when performed properly with anticipation of further hair loss, are an effective treatment of male pattern baldness in the appropriately selected patient.

Adult↗

Tissue expansion in the treatment of alopecia.

Tissue expanders have been used in multiple body sites. We successfully used the Radovan tissue expander in the scalp of patients with cicatricial alopecia and in hair replacement surgery for male pattern alopecia. The expander is placed in the subgaleal plane beneath a hairbearing area and is inflated over a six- to eight-week period. In a second procedure, the device is removed and the bald area is excised. Closure of the defect is accomplished, with the stretched hairbearing scalp replacing the area of alopecia. Scalp reduction and pedicle scalp flap procedures have benefited by preliminary scalp expansion.

Adolescent↗

Juri flap procedure for the treatment of baldness. Two-year experience.

I report a two-year experience using Juri procedure of transferring twice-delayed parietal-occipital flaps to balding areas of the scalp. These operations allow massive transfer of genetically determined permanent hair to the cosmetically deficient areas of the scalp, whether the condition of baldness is the result of injury or hereditary factors. These procedures require careful thought in planning the hairline and necessitate minor secondary procedures to achieve the most satisfactory results. I discuss concepts for the design of the flap, and describe modifications in the surgical techniques as compared with a previous report. The Juri operation, although extensive, gives the greatest amount of hair transfer in the shortest period of time and has resulted in satisfactory cosmetic results in all patients operated on.

Adult↗

An approach to aesthetic rhinoplasty in the non-caucasian nose.

The problem of augmenting the nasal dorsum and columella in the exaggerated Negroid or Oriental nose is presented. Augmentation of the nasal dorsum is routinely performed using polyamide mesh. The lengthening and lowering of the short and sometimes retracted columella and narrowing of the alar bases is performed by making a columellar splitting incision and extending it along the alar sills. A septal cartilage graft is sewn into the new columellar space, and the alar sills are advanced into the columella, thereby lengthening the columella and changing the axis of the nares. The columellar advancement is done after the dorsal implantation is performed, and the projection of the tip is advanced to whatever amount necessary to aesthetically match the dorsal profile line.

Adult↗

The "electric" otoplasty.

The goal of otoplasty in the treatment of prominauris is symmetrical restoration of the ears to an aesthetic position with respect to the side of the head. Most commonly, this is accomplished by the creation or enhancement of the antihelical fold. In addition, reduction in the projection of the conchal bowl may be required with manipulation of the antihelical fold. While myriad techniques exist to correct the poorly formed antihelical fold, most involve cartilage weakening and suture placement. Herein we describe a simple and effective technique for cartilage weakening using electrocautery. Using this technique, otoplasty can be performed in a reproducible fashion with a low incidence of complications. In the more than 60 patients treated with this technique, there were no complications related to the use of the electrocautery, and excellent results were consistently obtained.

Adolescent↗

An adjunctive technique to rhinoplasty of the aging nose.

This report presents a simple, valuable adjunct to rhinoplasty in the specific case of senile elastosis. This type of skin will not contract as in younger individuals, and tip ptosis is quite often a problem in the senile nose. Described is a semilunar skin excision of the nasal dorsum in a large nose undergoing primary or revisionary rhinoplasty. Correction of tip ptosis occurring many years after rhinoplasty or its prevention in large elderly noses undergoing rhinoplasty is presented.

Aged↗