Crescent excision of skin lesions.
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Biomedical subjects
Publications and source records attributed to I J Peled.
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Purse-string subcuticular suture for closure or diminishing skin defects is reported. The same principle applied to breast surgery resulted in a simple and useful way of reducing the size of the areola.
Two alpha blocking agents, phenoxybenzamine and phentolamine, were tested to see if their use improved skin flap survival in rats. The agents were used in two ways: in local injections and topical applications. The results showed an increased duration of flap viability with both modalities, but the topical application was the most effective.
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A malignant blue nevus of the dorsum of the hand and a review of the literature is reported. Histopathologic examination showed the presence of a blue nevus and a cellular blue nevus, as well as a malignant blue nevus. The cellular blue nevus elements of the lesion showed the characteristic prominent neural-type fascicles intertwined with melanocytes. There was no evidence for local invasion or regional lymph node metastases. The patient was free of disease 1 year following wide excision.
A patient who presented with posttraumatic ptosis of the right upper eyelid proved to be a case of unilateral blepharospasm with facial palsy of the forehead. He was successfully treated with selective facial neurectomy.
We report a case of pilar tumor of the nose and review the literature. No such tumor in a similar location has been reported previously.
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Another method for repair of anal ectropion is reported. Two triangular island flaps, deeply based, are advanced medially to cover the excised area, thus resurfacing the anal canal with normal skin. The technique is recommended because of its simplicity, reliability, and satisfactory results.
The use of polydimethylsiloxane prostheses to improve facial appearance in patients with Down's syndrome is reported. In 1 year, 50 patients were treated with 120 prostheses. A follow-up of 8 to 18 months showed that a low incidence of minor complications occurred. Combined with the satisfactory results experienced, this makes the procedure safe and desirable.
A combined hooked forceps is presented which may be very useful for procedures performed without assistance.
We have shown in an animal model that complex ventricular arrhythmias produced by topical application of a phenol preparation that is used in face peeling can be prevented by a brisk diuresis at the time of application or by gradual application of the phenol preparation. We recommend that continuous cardiac monitoring and recording be performed in patients having topical phenol applications in order to determine the true incidence of cardiac arrhythmias and to ascertain if they are prevented by a forced diuresis, by the gradual application of the preparation, or by a combination of both.
Two children with the unusual condition known as Apert's syndrome are presented. Both have the typical manifestations of the syndrome: craniosynostosis, exorbitism, hypertelorism, maxillary hypoplasia, dental malocclusion, cleft palate, compound syndactyly of the hands and simple syndactyly of the feet. A review of the latest surgical procedures for correction of these defects is presented and the importance of early physical and social rehabilitation is stressed.
A 44-year-old man with Sturge-Weber syndrome developed a basal cell carcinoma at the site of a nevus flammeus on his right cheek, which had been treated with a course of grenz rays at six years of age without obvious improvement. He also exhibited erythematous papulovesicular lesions on the upper trunk, which histologically proved to be transient acantholytic dermatosis. The association of nevus flammeus and basal cell carcinoma is extremely rare; to the best of our knowledge, only four similar cases have been previously reported.