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Biomedical subjects

D Mahler

Publications and source records attributed to D Mahler.

At least 55 records · Page 3Linked to original sources
PubMed1982

The retropectoral route for breast augmentation.

The subpectoral approach, better called retropectoral, in breast augmentation procedures has been used in 52 patients with either hypoplastic or ptoticatrophied breasts, with excellent results. Breasts remained soft in all but 1 patient (who disregarded instructions regarding arm activity). Capsular formation was avoided and no lateral displacement when the arms were elevated has been observed. Postoperatively there is a superior bulging of the breast, but this subsides within 4 to 6 weeks and the breast assumes a normal, pleasant contour.

Breast↗
PubMed1982

The "Münchausen syndrome" in aesthetic surgery of the nose: the patient's problem or the surgeon's problem?

The case history of a patient who searched for years for an unattainable facial appearance is presented. Over a fourteen-year period, the patient consulted 13 plastic surgeons and underwent 10 surgical procedures on his nose and chin. Only at a very late stage was he examined by a psychiatrist. This consultation revealed evidence of Münchausen syndrome--named after the famous Baron of Münchausen and introduced to modern medical literature by Asher in 1951. Asher's publication enlightened many physicians, enabling them to treat such cases with better understanding. The repeated unsuccessful operations in such cases leads one to believe that further surgery will fail to solve the patient's psychiatric problems. Moreover, in a patient showing evidence of this syndrome, approval of the desired operation by a surgeon further strengthens the patient's belief in the legitimacy of his delusions.

Adult↗
PubMed1982

Retromammary versus retropectoral breast augmentation-a comparative study.

Repeated postaugmentation capsular formation following retromammary silicone implantation led surgeons to seek an alternative procedure. In 1968 Dempsey and Latham first reported the "subpectoral" route for location of the implant. Since then little data has been published comparing retromammary and retropectoral breast augmentation. The aim of this study is to compare the two procedures in terms of various factors affecting the physical and emotional well-being of the breast-augmented patient; breast firmness (according to Baker's classification), patient approval, the surgeon's judgment, and the husband's or partner's evaluation are all weighed. The study included 40 patients, 20 of whom underwent retromammary augmentation, the remaining 20 retropectoral augmentation. All 40 responded to a questionnaire designed to elicit comparative data. A detailed analysis of the results was made, leading to the following conclusions: first, patient approval was largely the same in the two groups, although slightly higher in the retropectoral group. However, both surgeons and husbands preferred the retropectoral method of prosthesis insertion.

Breast↗
PubMed1982

Chin augmentation--a restrospective study.

A retrospective study of 480 Silastic chin implants is summarized and analyzed. The surgeon's own variations on the operative procedure are detailed, including the staging of the simultaneous nose-chin operation in which the chin work is started first, with a temporary interval for hump removal, followed by termination of the chin work and a return to the nose operation. A variation in the handling of the Silastic implant is described in which parallel incisions are made on its inner side to avoid dead space and undesired tension. The results of the 480 cases are presented. The overall complications rate was 2.3%, though the total percentage of implants removed was only 1.46.

Chin↗
PubMed1982

The constituents of fresh frozen plasma stored with citrate phosphate dextrose and their clinical implications.

The authors have investigated the constituents of fresh frozen plasma stored in citrate phosphate dextrose (CPD) at -20 degrees C. The results indicate abnormal characteristics of several of the constituents, whereas some others remain within normal values. This is attributed to preparation procedures with the addition of a CPD solution. Fresh frozen plasma being hyperosmolal, hypernatremic, hyperglycemic, hyperphosphatemic, normokalemic and containing normal values of protein, calcium, magnesium, and water carries a clinical implication for the physician as a guide for the treatment of the critically ill patient when large amounts of plasma are needed.

Blood Glucose↗
PubMed1982

The take of skin allograft following necrotizing herpes zoster in chronic lymphatic leukaemia (report of a case).

A case of herpes zoster involving the lumbar dermatomes is presented, where an unusual necrosis of the whole skin corresponding to the affected dermatomes was observed. Although it is well known that herpes zoster links with malignancies including chronic lymphatic leukaemia, the necrotizing stage of the skin is unfamiliar. In spite of the fact that malignancy contributes to a decreased host resistance, there is evidence suggesting that herpes zoster virus is the cause of skin necrosis. An allograft skin transplantation was performed successfully in the presence of immune deficient status over a period of six months.

Aged↗
PubMed1982

The biologic behavior of basal cell carcinoma: Part I.

The influence of histopathologic and clinical factors on the biologic behavior of basal cell carcinoma of the face is discussed on the basis of a retrospective study of 188 cases. Fourteen different parameters were studied and correlated with the histologic type and the frequency of incomplete excision of the lesions. The highest frequency of incompletely excised tumors was seen with the adenocystic and morphea types and with Clark level III lesions. The adenocystic type appeared to be the most aggressive form, with the highest frequency of thick lesions and the most marked mitotic activity. The histologic parameters studied provide more information about the behavior of basal cell carcinoma than the conventional subdivision into solid, morphea, and adenocystic types.

Adult↗
PubMed1982

The biologic behavior of basal cell carcinoma: analysis of recurrence in excised basal cell carcinoma: Part II.

On the basis of a study of 188 cases of basal cell carcinoma of the face, the differences between the characteristics of recurrent and incompletely excised lesions are stressed. There was almost no difference in the recurrence rate of completely excised lesions and those in which there was histologic evidence of tumor at one of the margins. On the basis of these findings, a policy of conservative management of incompletely excised basal cell carcinoma is outlined.

Adolescent↗