[Plastic surgery].
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Biomedical subjects
Publications and source records attributed to C Dufourmentel.
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The author describes the advantages and disadvantages of the three possible types of treatment for basal cell epitheliomas: --Dermatological which combines all the physical methods for destroying the tumor. --Surgical involving wide excision and wound repair. --Radiotherapeutic by the application of radium curietherapy or iridium wires.
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Strips of skin taken from the excess skin adjoining the scar, prepared carefully and used as a loose continuous suture, represent an elastic material which is easy to use and of great strength. Results studied in a group of 36 patients with a follow-up varying from 12 month to 16 years were excellent in 70% of cases and moderate in 25%. The quality of the results obtained, from both a mechanical standpoint as well as in terms of tolerance, together with the simplicity of the technique, have led us to consider it as a method of choice in the repair of large incisional hernias, in particular recurrent.
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Micro-orbitism which follows the very early arrested development of the optic vesicles hinders the fitting of a prosthesis. A total enlargement of the orbit is proposed which restores the normal dimensions and enables facial symmetry to be re-established. The risks and advantages of this procedure are discussed.
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