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Biomedical subjects

G J Beekhuis

Publications and source records attributed to G J Beekhuis.

At least 19 recordsLinked to original sources

Rhinoplasty analysis.

Accurate analysis is the foundation for successful rhinoplasty. A general outline for systematic analysis is presented. The importance of accurate recordkeeping and self-analysis is stressed. Examples illustrate the high points of the article.

Esthetics

Nasal tip support.

One of the most important anatomic elements of successful rhinoplasty is nasal tip support and its influence on nasal tip projection, yet the medical literature is vague about what creates and maintains nasal tip support. During the years, 12 or more structures have been implicated that may be important. We believe the two controlling factors are the strength of the alar cartilages and the position of the septal angle.

Cartilage

Management of nasal fractures.

Careful diagnosis and surgical management are the cornerstones of successful treatment of nasal fractures. The nose must be examined thoroughly after all swelling has resolved. Appropriate therapy is best carried out in a surgical suite under optimal conditions and anesthesia. A graded, step-wise plan, beginning with the simplest techniques and proceeding to the more complex, should be used. Postoperative follow-up should continue for at least 6 to 12 months to insure that proper healing and satisfactory results have been achieved.

Adult

Use of electrosurgery in blepharoplasty.

The use of electrosurgery in blepharoplasty is controversial. The reluctance to use this technique may be related to a misunderstanding of the principles of electrosurgery and to uncertainty about its physical effects on local tissues. On the basis of a review of the physics of electrosurgery, our personal technique, and our clinical results, we feel the method is safe and may offer several advantages over traditional techniques.

Electrosurgery

Augmentation mentoplasty with polyamide mesh. Update.

Augmentation mentoplasty, a cosmetic surgical procedure to reshape the contour of the mental area, usually requires insertion of an alloplastic material. Polyamide mesh was used in a ten-year experience; the technique is described. Results in the more than 400 patients have been uniformly good. Consistent advantages are ease of insertion that facilitates the surgical procedure, minimal postoperative morbidity or reaction, flexibility in conforming to the shape of the mandible, postoperative ingrowth of fibrous tissues precluding late displacement, and a natural feel to the reconstructed area.

Adult

Silastic alar-columellar prosthesis in conjunction with rhinoplasty.

A Silastic alar-columellar prosthesis, designed by Lawrence Birnbaum, MD, is commercially available. Used as an implant in the columella and overlying the domes and lateral crura of the alar cartilages, it can aid in obtaining and maintaining tip projection and in reshaping the lobule. Its use is limited and should be reserved only for special cases, ie, those patients in whom there is substantial loss of nasal tip projection, or notable asymmetry, or absent alar cartilages and in patients in whom there is a lack of autogenous grafting material. I have used this prosthesis in 19 patients and have found it to be a valuable adjunct.

Biocompatible Materials

Blepharoplasty.

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Anesthesia, Local

Polyamide mesh used in facial plastic surgery.

For approximately ten years I have been using polyamide mesh as a filler material in facial plastic surgery, particularly in augmentation rhinoplasty, for saddle-nose deformity, and in augmentation mentoplasty. The results in this series of 130 patients have been extremely good, probably better than can be obtained with any other type of alloplastic implant material or even with any autogenous graft.

Chin

Blepharoplasty.

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Adipose Tissue

Office photography for facial cosmetic surgery.

A photographic record of the appearance of the patient's face and neck preoperatively, and of the changes resulting from surgery is a most important aspect of facial cosmetic surgery. This report describes a practical, efficient system of photography performed in the surgeon's own office. The photographic equipment can be placed in a relatively small area at a total cost of well under $1000. The procedure described, when smoothly running can provide almost 99% efficacy in obtaining consistently good photographs with a minimum of effort and time spent by the surgeon and his office staff. The photographs are a precise, valuable record (medically and legally) of the patient's preoperative and postoperative appearances, and are important for the patient to see and for the surgeon to study. The patient is provided with a striking reminder of preoperative reality; the surgeon with insight into the progress of his surgical expertness.

Face

Nasal obstruction after rhinoplasty: etiology, and techniques for correction.

Of 1,000 consecutive patients who underwent rhinoplasty, about 10 percent had some nasal obstruction postoperatively. The majority of patients in whom the author performed the primary rhinoplasty had an obstructive, vasomotor type of rhinitis that ensued, and which usually could be cured by the injection of corticosteroids into the turbinates. Fifty patients had undergone rhinoplasty by other surgeons, and most of those patients requested surgical correction to relieve the nasal appearance. In those patients the causes of nasal obstruction were; pre-existent, undetected, or diagnosed but uncorrected, septal deviation; or turbinate hypertrophy; intranasal adhesions; scar tissue web formation in the nasal vault; inadequate nasal tip support, and alar collapse. The author's technique of surgical repair for each of these conditions is outlined.

Airway Obstruction