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Biomedical subjects

W A Goodstein

Publications and source records attributed to W A Goodstein.

7 recordsLinked to original sources
PubMed1996

Superficial liposculpture of the face and neck.

The capacity to benefit from scar tissue retraction beneath the intact skin has been demonstrated by a number of surgeons working in the superficial fat over the past decade. The efforts to achieve predictable skin retraction have largely overlooked the importance of the mechanism of removal of fat, focusing instead on the depth of the surgical plane and the vacuum pressure utilized. Recent experimental and clinical evidence has pointed out the role of mechanical dislodgment as a key factor in fat removal. A modification of an existing cannula design has been utilized to achieve predictable skin retraction in the face and neck in a series of 75 patients with follow-up from 3 months to 3 years. Facial and cervical flap elevation with this instrument (with or without deep tissue tightening and skin excision) has consistently enhanced results, improving skin tone and facial contours and at the same time diminishing both recovery and operative time. The combination of the technique described and existing techniques such as endoscopic and composite lift approaches may offer enhancement of achievable results.

Adult↗
PubMed1979

Primary treatment of shotgun injuries to the face.

The treatment of close-range shotgun wounds to the face can be extremely difficult. Over the years, surgeons have progressed from the conservative approach of debridement and delayed reconstruction to that of immediate reconstruction. While the complex nature of these injuries requires treatment on an individual basis, the principles of conservative debridement, thorough wound cleansing, and primary replacement of soft-tissue defects will often result in a better functional and esthetic restoration in a shorter period of time. Five patients with shotgun facial wounds managed by individualized primary repair are discussed.

Debridement↗
PubMed1979

Patterns of vascular anastomoses vs. success of free groin flap transfers.

A series of 40 free groin flap transfers is reviewed and analyzed with regard to the factors influencing success or failure. Emphasis is placed on the patterns of venous anastomosis used, and the use of autogenous vein grafts in the arterial limb. The series was too small to establish that any one of the 4 types of venous hookups was superior to the others. However, we would suggest that the superficial venous conduit in the flap, if there is one, be connected to a vein in the recipient area and not to the deep venous system of the flap.

Adult↗