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Biomedical subjects

F Ortiz-Monasterio

Publications and source records attributed to F Ortiz-Monasterio.

At least 37 records · Page 2Linked to original sources
PubMed1981

Nasal correction in hyperteleorbitism. The short and the long nose.

The soft tissue deformities associated with hyperteleorbitism often present serious reconstructive problems. Although skeletal correction is the basic preliminary step, the final result depends on the quality of the soft tissue and nasal repair. The patients are not interested in the postoperative intercanthal distance or the appearance of the X-ray film. What they want is a good aesthetic appearance and this is closely related to the shape and size of the nose. The short wide noses of the true hyperteleorbitism must be differentiated from the long noses associated with meningoencephalocele and pseudohypertelorism. For the first group, narrowing of the nose and the use of a forehead flap is indicated according to the severity of the problem. For the second group, shortening of the nose is accomplished by transverse resection of skin via a U shaped incision or skin replacement with a forehead flap. Downward sliding of forehead and brows may be necessary. The indication for each procedure is discussed and the different techniques are described.

Abnormalities, Multiple↗
PubMed1981

Corrective rhinoplasty before puberty: a long-term follow-up.

Our experience with corrective rhinoplasty performed between 8 and 12 years of age in 44 patients is presented. The operation included lateral and central osteotomies as well as adjustments of the alar cartilages and, in a few cases, septoplasty. Thirty-six patients had deformities associated with cleft lip; five had nasal trauma early in life; two had hemangioma; and one had a congenital large nose. The patients have been followed for a minimum of 5 years and a maximum of 8 years, and all were at least 15 years old at the time of evaluation. Photographic and physical anthropometric serial studies were used for assessment. The results of corrective rhinoplasty early in life are comparable in this series with the results of this operation when growth is complete. Nasal and facial growth were not altered when a complete, conservative, aesthetic rhinoplasty was performed before 12 years of age. The evidence from our series shows no contraindication for nasal correction in children when the psychological problems originated by a severe deformity at that difficult age can be prevented or alleviated.

Adolescent↗
PubMed1980

Early definitive treatment of electric burns of the mouth.

An approach in the evaluation and treatment of patients with electric burns of the mouth is presented. When the surgery was necessary, a tongue or buccal flap was used on the fourteenth to fifteenth day after the burn. The theory for this approach and the various technical aspects involved in our operation are discussed.

Burns, Electric↗
PubMed1979

Combined report of problems and complications in 793 craniofacial operations.

We report the experiences in 6 major craniofacial centers, with similar teams but in different parts of the world, in a total of 793 craniofacial operations. The mortality rate was 1.6%. Complications developed in 16.5% of the cases (including infections in 4.4%). This surgery has many potential advantages, not least of which is its psychosocial effects on previously disfigured patients. Certain problems seem inherent, however, for there are not yet any satisfactory solutions to them. Some of the factors that reduce morbidity and improve results include the use of hypotensive anesthesia, a reduction in operating time, rigid stabilization of the mobilized bones at the end of the operation, a diminution in the number of incisions, and extensive antibiotic therapy.

Adult↗
PubMed1978

Advancement of the orbits and the midface in one piece, combined with frontal repositioning, for the correction of Crouzon's deformities.

We describe the use of radical craniofacial osteotomies, to improve the correction of exorbitism and to obtain better esthetic results in children with Crouzon's syndrome. We suggest some minor modifications to improve the fixation and the mechanical stability of the mobilized segments of the skull. Our procedure consists, essentially, of advancement of both orbits and the midface in one piece, plus advancement and reshaping of the frontal area. The results obtained by this technique, in children with a Crouzon's deformity without open bite, have been most satisfactory. We believe the satisfactory resultant appearance will be maintained during and after growth of the face, although these children have not been followed long enough yet to ascertain this with certainty.

Adult↗
PubMed1978

The coronal incision in rhytidectomy--the brow lift.

Rhytidectomy is not a routine procedure applicalbe to all patients. Variations of technique must be chosen for each individual case. Integral correction of the face is important and brow-lifting must often be done. Our criteria for selecting the coronal incision for the brow-lift are discussed and the surgical techniques are described in detail. Results are analyzed and a simple method for evaluation is presented.

Dermatologic Surgical Procedures↗