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Biomedical subjects

F M Kamer

Publications and source records attributed to F M Kamer.

At least 37 records · Page 2Linked to original sources
PubMed1984

Clinical use of injectable collagen. A three-year retrospective review.

Collagen implants (Zyderm) have found extensive applications in the adjunctive management of the aging face and in the primary treatment of cutaneous defects resulting from acne, trauma, or prior surgery. Our initial clinical experience from 1979 to 1982 involving more than 300 patients is analyzed for treatment efficacy, duration, and untoward responses. A majority of our patients are clearly pleased. Likewise, our confidence has increased as our experience evolved. Positive skin tests number 3.5% and delayed hypersensitivity reactions 1.3%. We have found injectable collagen relatively easy to use as well as safe and effective. Further research may enable prolonged results.

Aging↗
PubMed1984

512 rhytidectomies. A retrospective study.

A retrospective study of 512 rhytidectomy surgeries performed by one of us (F.M.K.) showed that the sequential technique and two-stage concept was used in most cases, with improvement in results noted when platysmal-superficial musculoaponeurotic system flaps were incorporated into the surgical routine. The majority of the patients were treated as outpatients; drains were rarely used. Statistical analysis of results and complications are discussed, as well as the aesthetic philosophy involved in this area of surgery. A comparison with other retrospective studies of this procedure is also given.

Adult↗
PubMed1984

Shield graft for the nasal tip.

Onlay cartilage grafts have been used in the region of the nasal tip since first reported in 1895, and renewed interest in the procedure has increased steadily during the past ten years. Throughout the past five years, 43 cases of noses that lack tip projection have been treated by us with the use of the shield graft technique. There was an improvement in appearance that satisfied the aesthetic criteria in all cases. The complications were few, and the results seemed more natural and pleasing when compared with the results of other techniques that enhance projection.

Adult↗
PubMed1984

High septal hemitransfixion for the correction of caudal septal deformities.

High septal hemitransfixion has demonstrated superior versatility and reliability in a series of 68 patients for correction of caudal septal deformity. The literature has contained many references to high septal transfixion for use in rhinoplasty to preserve tip support. An alternative application of this approach for repair of caudal septal deformity is herein discussed.

Female↗
PubMed1981

The two-layer rhytidectomy.

In order to consider segmental correction of the aging face, pertinent disfigurements and underlying anatomy must be analyzed. Bony structures such as chin and malar eminence might be augmented. Submental exploration should be considered when fatty herniation or anterior platysmal banding is diagnosed. The superficial muculoaponeurotic system (SMAS)-platysmal muscle system should be undermined and plicated posteriorly when excessive laxity is noted intraoperatively. Thus, SMAS rotation flap is best for the cheek region, and imbrication may have a place in the neck. We are all witness to the classic techniques that have stood the test of time. However, more radical surgery may be indicated in certain patients. At present we feel there are few indications for complete horizontal platysmal incision and muscle flap rotation. No long-range study has been reported showing the complication rate or the endurance of this platysmal section technique. We feel that the more conservative platysmal surgery, combined with submental surgery and secondary "tuck-up" procedures as required, is the procedure of choice.

Face↗
PubMed1981

Mentoplasty--a clinical analysis of alloplastic implants.

Different types of alloplastic implants are currently being utilized in performing mentoplasty. A review of the literature points out the number of prostheses that have been used. Each type of material has inherit physical properties which determine its characteristics for use as a chin implant. The type of implant and method selected in chin augmentation depends upon accurate preoperative evaluation and full understanding of the properties of alloplastic substances. Five hundred and thirty-nine cases of chin augmentation utilizing different materials and methods were reviewed over a nine year period. The limitations of mentoplasty as well as the advantages, disadvantages, and in selected cases, the indications for the use of a particular implant are discussed.

Chin↗
PubMed1980

Pseudomonas infection of the nose.

We report an unusual complication of nasal surgery. A rare, localized Pseudomonas infection of the nose developed after a routine submucous resection and nasal reconstruction in a healthy 56-year-old woman. We emphasize the need for early aggressive management in the treatment of Pseudomonas infections of the nose.

Female↗
PubMed1980

Lengthening the short nose.

In the more difficult cases of short nose deformity in which there is loss of septal membrane, lining as well as cartilage must be provided to adequately correct the functional and aesthetic deformity. A discussion of these techniques is outlined and a procedure discussed that makes use of staggered septal incisions to aid in implanting the composite conchal graft. After release of the entire inferior septal columella unit, a gap remains, which is filled by a composite conchal graft. The mechanics of the steplike incisions enable the bare-grafted cartilage, which has been denuded of conchal perichondrium, to be covered by normal septal perichondrium. The risk of perforation or graft failure is greatly reduced due to the rich blood supply of the septal mucosa, which provides nutrition to the cartilaginous surfaces. The benefits, complications, and limitations of the procedure are described.

Ear Cartilage↗
PubMed1979

Rhinoplasty record and retrieval system.

The rhinoplastic surgeon must vary technique to fit the anatomic variations of nose and face. Our system to record and correlate preoperative findings with surgical methods could help accomplish this. It includes three forms to record pertinent findings of the history and physical examination, operative findings and techniques, and postoperative evaluations. These forms are numerically coded, and data can be transferred to a punch card system or computer cards for quick and easy retrieval and statistical analysis. The system tries to simplify the many anatomic and surgical variations, yet remain complete. We hope that this system, which has been used in other disciplines, can be applied to rhinoplasty. In this way, more scientific statistical data can be used to support surgical approaches.

Adult↗
PubMed1979

A maneuver to improve the nasal airway.

The functional sequelae of rhinoplastic surgery are emphasized and the functional and anatomical causes of postoperative nasal obstruction are discussed. A maneuver to improve the airway and decrease the incidence of postoperative nasal obstruction is presented.

Humans↗
PubMed1978

Sequential rhytidectomy.

An alternate technique of rhytidectomy is described. After adequate undermining, hemostasis and imbrication, the skin flaps are rotated and advanced with sequential tension in contrast to the use of bipolar or tripolar anchoring points. They are then trimmed and sutured in a step-like sequential fashion starting at the temporal incision and proceeding around the ear to the occipital area. The technique has been used in over two hundred patients during a two-year period. The results have been encouraging in eliminating dog-ear formation, excessive tension on wound edges, and step deformities of the hair bearing tissues. A discussion of the advantages of the method and a comparison with other techniques is outlined.

Dermatologic Surgical Procedures↗