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Biomedical subjects

B Mole

Publications and source records attributed to B Mole.

At least 19 recordsLinked to original sources
PubMed1999

[Leprosy, an "exemplary" humanitarian disease?].

Leprosy still remains a dreaded disease despite the possibilities of permanent cure, the efficacy of surgical corrections, and its forthcoming disappearance. The authors conducted several surgical missions in Benin-Africa--over 4 years and report an interesting rate of control in the survey of patients as the results of their procedures were reviewed in 84% of them. Leprosy represents the perfect example of the difficulties of any humanitarian involvement with apparent contradictions between the aims of the medical wishes and the presence of a dreaded symbol that--fortunately or not--allow the existence of the many associations involved in the fight against leprosy.

Adult↗
PubMed1996

[Value of liposuction for the improvement of cervicofacial contour].

Cervicofacial liposuction, a simple procedure with a rapid postoperative course, has become an essential technique in many facial "reconstruction" indications, for rejuvenation or morphological reconstruction objectives. It can be performed on an outpatient basis and complications are extremely rare. However, its results remain unpredictable, as they depend on secondary cutaneous retraction, an unpredictable individual factor. However, it is unable to resolve all situations and can be associated with various simple or complex procedures which clearly and reciprocally improve results. The author report his 10-year experience of cervicofacial liposuction.

Esthetics↗
PubMed1996

[Liposuction using a rotary cannula. Technical note].

The liposuction with a rotary cannula combines suction under traditional depression with rotation of the cannula mounted on a hand-piece, connected to a motor. This rotation, which can be has high as 400 r.p.m., allows 360 degrees treatment of lipodystrophy in a single procedure. Safety is ensured by an adjustable couple limiter, which prevents any risk of accidental movements when the cannula meets resistance. The authors conducted a study on 2 cases, which demonstrated a definite advantage of this technique in marked to severe lipodystrophy (1.5 to 7 litres of suction) and in high-density zones which are difficult to treat (epigastrium, knees, dorsal folds). This technique does not provide any decisive advantages in cases of minor lipodystrophy, which could justify its routine use in this context.

Adipose Tissue↗
PubMed1994

[Liposuction and extensive cutaneous necrosis. Apropos of a clinical case].

The massive use of hypertonic solution in subcutaneous tissue inevitably causes a necrotic reaction whose severity is directly correlated to the extent of infiltration, involving, as in the present case, all of the abdomen and the anteromedial surface of the thighs. This infiltration was performed for ultrasound treatment as part of liposuction in which the cutaneous swelling must be particularly marked in order to obtain full benefit from this technique. The direct action of ultrasound itself cannot be incriminated in this case. The present case developed was abdominocrural necrosis requiring six weeks of hospitalisation, including twelve days in the intensive care unit and skin cover by split skin grafts after debridement. Although this complication is not specific to liposuction, the quantities of saline regularly infiltrated with this technique carry a high risk of this complication, for which the doctor is inevitable responsible, even if it is due to a confusion on the part of paramedical staff.

Abdomen↗
PubMed1992

The use of Gore-Tex implants in aesthetic surgery of the face.

Deep wrinkles and folds usually are not completely or permanently corrected with face lifting, fat or collagen injections, chemical peels, and other known procedures. It is suggested that a permanent implant, well tolerated by human tissues, could be helpful as an isolated or associated procedure. An expanded synthetic polymer known as Gore-Tex expanded polytetrafluoroethylene soft-tissue patch is available and is easy to use to approximate and correct defects; it also can be used as a filling material or to replace other kinds of prostheses to get better projection of frontal, orbital, malar, and chin areas. I have used this material in my clinic for 5 years. Indications and results of the first cosmetic cases are reported herein.

Adolescent↗
PubMed1990

[The naso-labial fold: analysis and proposed techniques for correction].

The naso-labial fold is a permanent depression of the face which corresponds to the combined action of congenital and acquired factors such as cutaneous atrophy, bone resorption, muscular activity and skin ptosis. It is therefore not realistic to abandon any attempt to correct this complaint or to provide a universal solution to correct it; over the last four years, we have used EPTFE implants to fill the naso-labial fold: triangular, in one or two layers introduced via a gingival incision for the upper naso-labial part, with 2 mm large strips directly inserted through the skin for the lower labio-mental part. Tolerance and versatility were always remarkable; efficacy depends on the possible associated cutaneous ptosis: if major, a lifting procedure, more or less extensive, must be offered, which may also improve the projection of the malar area with an implant of the same material introduced via an oral or temporal approach. All other well known procedures (liposuction, fat grafts, collagen, etc.) may be employed but only as a complement to filling and traction procedures.

Face↗
PubMed1989

[Value of soft prosthetic implants in facial rejuvenation surgery].

E-PTFE soft tissue patch composed of a largely open space surrounded by PTFE fibers has been fibers used for many years in plastic surgery. Its softness, tolerance, adaptability lead us to a progressive use in esthetic surgery as a filling material for natural depressions of aging faces (forehead, cheeks, naso-labial folds) or as a projection material (supra-orbital arch, malar, chin). None of these implants were removed for injection or incompatibility and these results seem encouraging for an extensive esthetic use.

Aging↗
PubMed1987

[Radiodermatitis].

All radiations that cross the skin to reach the target organ may produce dermatitis. The skin reaction essentially depends on the total dose delivered, but the fractioning of that dose and its distribution over time are important factors. As benign lesions are no longer irradiated and as accidental or occupational exposure to radiations has become exceptional, the main cause of these lesions is irradiation of malignant tumours, increasingly combined with supportive treatments. Owing to technical improvements radiodermatitis is now less frequent than formerly. Acute radiodermatitis clinically resembles burns. Chronic radiodermatitis may follow the acute phase or occur suddenly after a latent period, sometimes very long. An untractable ulceration developed on an area previously irradiated should suggest malignant degeneration which is by no means infrequent. The best treatment of radiodermatitis is prevention, but plastic surgery has progressed, and patent lesions can now be removed in one stage (skin and muscle), thus transforming the patients' life, previously made very uncomfortable by invalidating lesions.

Humans↗
PubMed1983

The importance of the posteromedial fragment and its specific pinning in fractures of the distal radius.

In fractures of the lower end of the radius, the presence of a posteromedial fragment should be recognized if present. This fragment with two articular surfaces, if not reduced, will damage the radiocarpal and inferior radioulnar articulations. The diagnosis needs to be made on 3/4 X-ray views, as the fracture is often mistaken for a Colles' fracture. The author advises reduction and fixation by a method of double pinning. By comparing two sets of statistics, the overall results are shown to be improved without more complications.

Bone Nails↗