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Biomedical subjects

D J Hauben

Publications and source records attributed to D J Hauben.

At least 73 records · Page 4Linked to original sources
PubMed1987

A simple method for alar rim reconstruction.

A one-stage repair procedure is described for the reconstruction of small to medium-sized full-thickness alar rim defects with a hinged medially based nasolabial island flap. The operation is performed under local anesthesia as an office procedure and is indicated particularly in older patients. The hinged flap provides both the inner and outer layers of the alar rim. The donor site is closed primarily with no need to mobilize a large skin flap. The procedure leaves no conspicuous scars on the face. This method was found to be simple and safe, providing excellent tissue viability and yielding good color and texture match.

Aged↗
PubMed1987

Deformities following reconstructive plastic surgery.

Reconstructive plastic surgery provides a surgical solution for congenital and acquired abnormalities. Donor site distortions may occur and recipient sites will be adversely affected as a result of contraction in the wound healing process. Some of the operations illustrated here had inadequate indications. The surgical approach was wrong and its performance poor, in that the possibility of undesired results was not fully anticipated. This article presents eight cases in which healing deformities resulted and illustrates some of the procedures used to correct them.

Adolescent↗
PubMed1985

Victor von Bruns (1812-1883) and his contributions to plastic and reconstructive surgery.

Victor von Bruns was an active surgeon in Germany during the nineteenth century. His work is accompanied by many illustrations, and a selected few are presented in this survey. His original contributions to plastic and reconstructive surgery are notable, mainly in lip and cheek reconstruction. These are still valid today and have been adopted by many plastic surgeons. His books dealt not only with plastic surgery, but with almost every surgical event, such as amputation, larynx surgery, galvanosurgery, and war surgery. His publications and illustrations give an excellent picture of the advances made by him and other plastic surgeons during the second half of the nineteenth century, thus making him an important contributor to the renaissance of plastic surgery.

Cheek↗
PubMed1984

Experience and refinements with the supero-medial dermal pedicle for nipple-areola transposition in reduction mammoplasty.

The supero-medial dermal pedicle was reported only once in a small group of patients. Further experience and refinements have shown the technique, with a relative thick pedicle augmenting the medial quadrant, to offer good areolar support and permit extensive reduction of the lateral breast. This method was used on 78 patients with a follow-up of up to 2 1/2 years. It was found to be suitable, simple, and safe, and it preserves the sensory qualities of the areola. The increased sophistication and understanding, as presented here, may have borne fruit in the performance of this technique.

Breast↗
PubMed1984

Prostacyclin formation in delayed pig flank flaps.

A specific 6-keto-prostaglandin F1 alpha radioimmunoassay was used to follow tissue prostacyclin formation in a series of bipedicle delayed flaps in 2 pigs. Flap tissue samples were taken at intervals for 21 days. Prostacyclin formation started to rise at day 4 and reached a peak at day 7. The increase was statistically significant (p less than 0.05) compared with other days and with the control. This result implies that the increased hemodynamics that occur following the "delay" procedure are effected by prostacyclin, which is a potent humoral factor for vasodilation. The peak of prostacyclin formation one week following surgery correlates well with previous reports demonstrating a maximal blood flow one week after the "delay" procedure.

Animals↗
PubMed1984

Correction of macrocheilia due to hyperplasia of the labial salivary glands.

A method for the correction of macrocheilia due to hyperplasia of labial salivary glands is presented. It can be carried out as an outpatient procedure under local anesthesia. A vermilion flap is elevated, providing good exposure for adequate excision and preventing lip distortion. In this method, bulkiness of the lip is reduced, preserving the normal general contour of the entire lip.

Female↗
PubMed1984

Use of a temporal musculoperiosteal flap in the treatment of craniofacial abnormalities: experimental study.

In 15 juvenile Yorkshire pigs averaging 23.5 kg in weight, 15 periosteal flaps based on the temporal muscle were raised on each side. One side served as control after the temporal arteries were severed. These periosteal flaps were transposed into the infraorbital region and were fixed to the maxillary periosteum by means of a subciliary incision. Radiographic follow-up over 1 year revealed new bone formation. Sample biopsies were microscopically examined and demonstrated the presence of new bone.

Animals↗
PubMed1984

Ernst Blasius's contributions to plastic surgery.

Blasius was a famous teacher and surgeon. Apart from his own writings on surgery and his new methods for reconstructions, such as the replacement of nose, lips, and eyelids, some theses were also inspired by him. His main work is his three-volume Handbuch der Akiurgie, to which he added an excellent atlas, from which a few illustrations are presented here. His books dealt not only with reconstructive problems, but also with almost every surgical event, e.g., amputations, laparotomy, dental extraction, and so on. Blasius's efforts were concerned with overcoming and preventing the worsening of the shape of newly reconstructed noses, lips, and eyelids due to secondarily healed scars, which was the common practice of the great surgeons of his time, such as von Graefe and Dieffenbach. Therefore, his efforts were toward the primary closure of wounds. In rhinoplasty, Blasius extended the forehead flap into three long points, and then extensions were made by infolding them. Furthermore, he mentioned the first use of a nasolabial flap to reconstruct the lower eyelid. Moreover, Blasius laid down basic principles in flap surgery, such as the V-Y plasty and probably the earliest record of the Z-plasty. His publications and illustrations give an excellent picture of the great advances made by him during the first half of the nineteenth century, thus making him an important contributor to the renaissance of plastic surgery.

Germany↗
PubMed1984

The use of a temporal osteoperiosteal flap for the reconstruction of malar hypoplasia in Treacher Collins syndrome.

The clinical use of a temporal periosteal bone flap for the reconstruction of a malar bone in a patient with the Treacher Collins syndrome is presented. The temporal muscle functions as an axial carrier of the periosteum that induces osteogenesis in young children, whereas the bone segments may serve as a nucleus for further bone formation from the periosteum. Correction of the eyelid coloboma was obtained by the rotation and advancement of a temporopalpebral flap.

Bone Transplantation↗